He fell and broke his shoulder 5 days ago. He has an ostomy and twin sided neph tubes for 8 years now and since falling will not care for them, clean them or himself. He presently pees on himself (shorts still on since emergency room), has an open wound at stomach/hip fold and since has decided he cannot stand or pivot to wheelchair or bath stool because he needs 2 hands to hold on to walker. I tried pulling him up by him holding onto my neck (the same way we got him up from the er bed, in my car, out of my car the same day of the accident. It was demanded at the hospital someone be near 24/7 for 3 days. I am seriously thinking of asking the parametics to help when they can as a non-emergency. 2 days ago, I expected an in-home nurse to reaccess his progress, order meds, physical/occupational therapist. This is the first time while caring for him for years I feel helpless.