The elderly man that I care for asks me every day and very directly to perform sexual acts on him. I have tried everything I can think of.

Y mother worked for a home health care agency years ago and dealt with this one time. She had an elderly man who was in assisted living and he'd always ask her where they were going to have sex
This man had dementia if I remember correctly.

When my Mom was in a nursing home, there was a patient in there in a wheelchair that asked me if I could “help him out”. I said what do you need and he pointed at his crotch with a sneer. I watched him talk with the staff there and he sounded completely lucid and intelligent. He was just asking for a sexual favor which embarrassed me to death. I told him to speak to a nurse and walked off. Never spoke to him again. Just a dirty old man. Don’t put up with that. There are plenty of caregiving jobs out there. A dirty old man is a dirty old man and they are out there. Sometimes ones you would never expect.

When I was a student , one of my co students went to give an elderly man his breathing treatment. He flashed her, she freaked.. I said I'll do it.. He flashed me.. I had two responces.. " my husband has one of those, only bigger" or.." I can't wait to tell your wife you showed me that". Maybe tell him you;ll ask his relative if its "OK" to do that? And how much you should charge for it? Maybe ask in front of him while cousin is there? It may be enough to get it handled (no pun intended). In my 22 years of healthcare I have been propositioned, groped, you name it. Sometime if you love your job you just have to let it roll and deal with it with humor.. But if it is too much you need to get another client!

Do you need this job? I guess I just don't understand why you want to put up with this. I would quit. One time behaving this way, and I'm done. As someone else pointed out, this man sounds capable of accusing you when he does not get what he wants. To stay basically gives the unspoken signal that his behavior is ok.

Report this to the police! This is sexual harrassment IN THE WORKPLACE - yes, it is a workplace.

Pam, "my husband has one of those, except it's bigger?" LOL,LOL, LOL,

OP’s ridden into the sunset, but I have to agree with everyone who said “get out, now”. I hope she already has. I tolerated this from a male-dominated office in the 70’s when there was no #metoo movement. It sure would be different now!

I have been incredibly impressed with the OP's attitude this and other threads.

Key thing: she *is* the employer. She has set up and runs an independent care service, while remaining the lead caregiver. She's fantastic, we need many more people like her.

Which also raises the question: if she 'fires' this client and terminates his family's contract, where will this frail disabled elder get care? Saying "if you're frail and disabled but some of your behaviours are repellant then too bad you're on your own" may feel satisfying but it is not an answer.

If you are a caretaker to this man, I see only two options. You leave (after making it known why you are leaving) - they need to get a man caretaker. And if that is not something you want to do, then I would really tell him off in a BIG WAY - not geing sweet or nice or redirecting but really letting him have it in such a way that he cannot possibly NOT understand. If he keeps it up, threaten him with imprisonment or being sent to a facility, etc. But get very tough with him. And see if a doctor can give him some medication. Do NOT let him abuse you this way. This calls for extreme toughness. YOU are the BOSS.