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Hello!
Does anyone work with a double leg amputee? I recently starting working for a gentleman who has a double amputee above both knees. My question is this: He cannot do much for himself by way of transferring nor moving around in his bed. He is a large man, and refuses to use a transfer board, or a hoyer lift, stating that it is too difficult. His wife stated that they tried using one in the hospital recently, but "it didn't work". I'm not sure what that means. Anyways, I am 51 years old, and it is becoming extremely difficult for me to scoot him around in the bed and also transfer him to the bedside commode and his electric chair. I had found that having him sit on a chucks pad and pulling him (scooching one side at a time) until he is in his chair (or bedside commode), was helping me tremendously; however, now he doesn't want to do that because he states it's too difficult for him since he has to use his arms to help scooch. He does not have strength in his arms to help. How can I transfer this large man, who is too weak to help himself much?? I'm too old to be moving this man around without much help and with his refusal to use any kind of hoyer or aide to help me!

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You are making the right decision to stop this assignment!

I don’t know how one caregiver could possibly take on this task! You can’t risk an injury by doing this alone.

It’s crazy to expect one person to do a two person job. Look at when a person calls for assistance with the fire department. There were always four strong firemen that came to my house. My mom was tiny but they are always prepared for the worst.

I used to try and lift my mom but I am very small too. The firemen would say to me, “Don’t try to lift your mother, because then we will have two people to care for.”
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Thank you all for the great insight and advice! I have come to the same conclusion that everyone else has, and I will be speaking to my supervisor tomorrow to withdraw myself from this case! I agree that no CG should risk their health and wellness with this type of client and will be reporting as much to my supervisor. I DO love working with this man, but I don't like it enough to permanently injure my back for him, as someone stated above! I appreciate all the support from fellow CG's!! Thank you for opening my eyes!
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SnoopyLove Jul 2021
Great to hear this, Lisa! You sound like a fantastic caregiver and I’m hopeful that you’ll get clients who truly appreciate how special you are soon.
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This gentleman needs to get a LOT of physical therapy in order to learn how to be somewhat ambulatory on his own. Being THIS dependent on others and being THIS combative about refusing to be compliant is going to mean that nobody is willing to work with him, period. His wife has to be on board with using a tough love approach here.

If it were me in your shoes, I'd quit in a heartbeat & let the agency know precisely why. Nobody should be sent to this man's home b/c they're going to get hurt trying to move him around on HIS terms. Unsafe working environment in every way possible.

Good luck!
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sp19690 Jul 2021
Great answer but the OP will probably ignore this excellent advice. If they continue to work with this man and put their own health at risk to do it then I doubt your common sense answer will get through to them. This woman will permanent mess up her back for this person who doesnt seem to care about anyone but himself.
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He hasn't been fitted for prosthetics?
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Is he a Veteran?   If so, has he registered with the VA for help?
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He is a two person assist. Can his wife help?

Does the Commode have a "drop" arm or a removable one. That would help with transferring him. Same with a wheelchair. But if he is not willing to help, I don't know how you can without hurting yourself.

Maybe a private talk with the wife explaining that as long as he is not willing to help, he is just dead weight and no way are you strong enough to handle him. Next thing is Depends and someone cleaning him up. You'd like to stay since he likes you but not at the expense of hurting yourself. If he doesn't become more helpful, it may mean a LTC facility because an AL will not except him.
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There are numerous kinds of slide sheets to help move him in bed

https://www.amazon.com/patient-slide-sheet/s?k=patient+slide+sheet

But I'm at a loss on how you can transfer him to his chair and commode when he can't (or won't) help at all and he refuses any device that would make the task possible, essentially you are being asked to use brute strength to lift and transfer a full grown man. IMO the man has to accept helpful devices or remain bed bound because no caregiver is paid enough to damage their own health (at thus possibly their ability to work), hopefully someone at your agency has the welfare of staff in mind and is willing to lay down the rules about reasonable terms of service.
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I think the agency needs to be frank with this man and his family that they cannot risk their employees’ health and safety, let alone his, by disregarding the proper procedures for caring for someone like him.

He can’t run the show. Other people matter besides him!
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Thank you. He's gone through many other CG's due to his rough demeanor, and he says I'm the only one he likes, so I'm hesitant to tell my supervisor to get a different CG to replace me. I really like him, it's just too much. Thank you for your response!
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sp19690 Jul 2021
I hope you like him enough to permanately injure your back for him. And when you are in excruciating pain because of this man I hope you find comfort in the fact that he was such a likeable guy. Back injuries are no joke. I know because my I watched my husband in excruciating pain from a back injury that pain pills would not touch. He was one of the lucky ones who got better. But many suffer this way the rest of their lives. Don't become one of those people.
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Without the equipment needed to work with this gentleman you cannot do this work safely. And you shouldn't risk your health to try. I wish you the best.
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