Quote from djh123
It's LTC. I'm not sure whether he's still getting PT or not, but I do need to check into that. The thing is, he's still continent... so the sit-to-stand or Hoyers that we use with incontinent patients haven't come into play, and aren't practical for say, just going to the bathroom quickly to urinate.
And I totally agree that we're not meant to be big people moving machines...
Why can't you sit to stand him to use a urinal?
If he is declining and not recieving and/or unlikely to benefit from PT someone needs to have a hard discussion with him and his care plan changed. You are NOT getting a back brace to move him. Even if you did at some point you won't be able to do it even unsafely with the brace so might as well deal with it now.
"Mr X, we've noticed you're having more difficulty with weakness and the MD/PT have said it won't get better right away [or ever, or whatever]. Unfortunately it is no longer safe for us to help you as we have been. Because of the risk to you and to the staff we need to start doing things differently. When people have these troubles getting up these are the things we can do" and then give his options (urinal in bed, urinal using stander, condom cath...). If he objects that Betty helped him yesterday and it worked and all you have to do is xyz, reiterate that all staff have noticed he's having more trouble and he's been lucky so far but you are no longer confident you can do it without him falling/getting stuck/getting hurt/hurting staff.
His care plan should be modified and all staff informed so you don't have a few people manually lifting while others refuse (even if they [think they] can do so safely this puts an unfair burden on them and makes the others appear to him not to care or to be less skilled.) I still recall a resident years ago with severe unilateral deficits from stroke "wait, I'm a 2 assist" and a CNA lifting her alone replying "you have to understand some people are better at this than others." To an extent she was right but that should never be tolerated for multiple reasons.
The fact that the man is nice makes it sad for you (been there, done hospice) but should have no bearing on his plan of care (I'm sure you wouldn't refuse to transfer a nasty but capable man!) If applicable get PT, OT, and his doc to opine on his capabilities.