My new private duty agency introduced me a pediatric patient who is tall, weigh about 42-3Lbs. When I visited the patient and family at the first time, I realized that the patient is too heavy for me to carry. The patient is totally dependent because of paralysis on both legs and arms but needs very frequent transfer between a couch and a bed. I am short and weigh about 100 Lbs. I should probably decline the case. Have you ever declined the case because patient is too heavy to lift? I want to hear other nursesí experience with similar situation.