His condition was diagnosed 2 years ago and he has been steadily withdrawing ever since. He sleeps or sits 24 hours a day. He still feeds himself. He has urinary retention issues but good bowel control as of now. I am worried about UTI because he is not changing his clothes for days....last shower was 5 days ago. We do not have any in home care at this point as he politely asks them to leave after I depart to run errands.