Our incontinent residents use go betweens (pinkies as they call them, those thick cotton pads) at night, and normally do use the call light system for tolieting or they are on 1 hour to 2 hour checks at night. Wearing those types of garments at night cause huge skin issues, we don't allow them overnight (also for the reason of caregivers not tending to residents often if they have a 'depends' on so why worry...uhggggg!).
This is a facility policy, and signed by the resident and/or family representitive at time of incontinent services, and is part of their service plan. So far no modesty factor has come to play...people don't seem to mind it because it is an easier change most times than an entire depends off/on, so quicker they go back to bed.
But our facility is overly skin cautious...and if one single LITTLE skin issue arises (including a less than dime shaped bruise or 0.5 cm skin abrasion!) it is tons of paperwork, incident reports, monitoring till fully resolved and so on..so lots of motivation for residents and staff to stop things before they happen!