I'm a caregiver for a lady whose brother is wheelchair-bound with MS anti-spasticity, but has different sets of nurses during the day hours from 8 a.m. to 8 p.m. I've been told by the nurses that the man is in good enough mental health to make his own choices although, they have also told me that his mind is slowly slipping away. For at least 6 months now if not longer, after sitting in the chair all morning they allow him to go to sleep in his wheelchair from 8pm to 8am in urine and even feces. I have heard him moving around and whenever I ask if you need any help around 3 or 4 in the morning he's always soaking wet and urine and the floor is always covered in urine. I usually clean him up and change his soaking wet socks, not knowing how long he's been sitting in them before 8pm. Is this illegal or what are some of the damages that could happen to him that I can address with him while working with my other client? I'm afraid that one day he might fall out of his chair during a spasm or slip on urine in his chair. When it comes to him wearing depends or doing physical therapy, the nurses say that he has refused to wear depends, or do therapy, or get in bed at night when he's, by request I assume, unattended at home and they say legally he can make his own choices for his care. I've offered to give him physical therapy whenever I work. He has agreed to doing small steps to work his way to being able to get into the bed and deal with the spasms. I've only been there for two months and the others have been there for years. It just seems so negligent. Is there anything I can suggest?