Mom hasn't had any problems at night for the last 4-5 months really. We keep her tube feedings pretty much on a consistant schedule day to day, and by doing so can time the toileting needs fairly well. She has had a couple of coughing spells or has gotten cold and needed another blanket, but we haven't had any real night time troubles in a while. Before the feeding tube, we were up once or twice every night. I hear so many horror stories about PALS not being able to sleep and just laying awake at night and being locked in, but not wanting to wake anyone to move an arm, leg, or whatever. I told her to buzz me for anything. I'd never want her or anyone in that situation to think they were bothering me if they needed help with something.