We have an elder in our family in the late stages of Alzheimer's/dementia + frontal lobe brain tumor, currently living in Skilled Nursing Facility (SNF). The past 5 months have been multiple hospitalizations, including 1 for pneumonia that he didn't "bounce back" from very well. After the pneumonia hospitalization, he has been in a loaner wheelchair from the SNF. He's weakened to the point that he cannot sit up straight and slumps over while sitting, therapy is no longer any help, this is just where his body is at. Due to the slumping, he has managed to toss himself over a couple times, landing on his head. SNF not allowing a seat belt because it is considered a restraint. The SNF has asked the family to purchase a custom-built "tilt in space" wheelchair costing $4,000-4,500 new, all private-pay! A used one, retro fitted, would cost @ $3,500 we've been told. There is NO insurance/Medicare coverage for this item. Anyone else had this dilemma? What are your thoughts -- is it really worth it at this stage in the game?