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My dad spends most of the day in bed, sleeping. He doesn't like laying lengthwise. He lays in the middle of the bed, almost perpendicular, with his legs splayed over the edge, feet on the floor. He has slipped off the edge and fallen onto the floor several times, but because it doesn't hurt, he doesn't care. He tells me to let him be, and with lots of trouble, he crawls back up himself. It takes him an hour to do so. I tried a bedrail to keep him in, but he doesn't want it, because he has trouble lowering it and wants access to his bedside commode.
His strength fluctuates. Sometimes, he can sit up and go to the commode. Other times, he's so weak and sleepy that he dirties the pull-up diapers he wears. With legs hanging off the bed and him too weak to roll or lift his hips up, I'm not able to change his pull-ups. He's a big man, too heavy for me to move him, and I don't have a helper, just me. I tried a position pad with handles and techniques that a nurse taught me and still can't move or roll him to a better position.
It causes me stress, seeing him hang off the bed like that, knowing he can fall, also knowing that I can't clean him or change him properly. He won't listen to me to put his legs on the bed. Sometimes, he's too weak or sleepy and purposely ignores me.
My dad is 80, has diabetes, heart disease, one foot is amputated (the toe part, the heel is still there), he's unable to walk but can transfer to a chair, fluctuating strength, and is getting weaker. No dementia. Stubborn and obstinate personality all of his life. His care team thinks I can reason with him and convince him of things, but I can't. It's demoralizing when he purposely ignores me and won't work with me at all.

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Sleeping with feet over the side of the bed, on the floor, can be a symptom of worsening congestive heart failure. That position eases some of the pressure of fluid on the lungs and so helps with breathing when lying down. A person can do this without even realizing it to an extent. May or may not be the issue here, but something to ask his doctor about.
Helpful Answer (16)
Reply to Goddatter
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If you allow this to continue as is, you will be injured trying to help dad. It’s inevitable. What good will you be to him then? The situation is at an impasse, dad isn’t changing, he’s long shown you his obstinate personality, you’re unable to reason with him, and have injury coming your way trying to physically handle a big person. You can’t reasonably continue in this role, time for dad to have a new plan and you to protect your wellbeing
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Reply to Daughterof1930
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Since your dad won't cooperate with you, stop trying. Take him at his word, and leave him be. Tell him that he needs to hire someone who he will cooperate with, or he can move to a facility. But you are done. There is no point in endangering your physical and mental health for someone who has been stubborn and obstinate all his life and purposely ignores you.

Are you living with your dad in his house, or is he living with you in your house, or do you live separately and go over to take care of him?
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Reply to MG8522
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Dad's too sick now to be cared for at home. If you are POA, have him placed in Skilled Nursing care with Medicaid funding if necessary.

If you do not hold POA, tell dad you're quitting immediately. He's causing you entirely too much stress and anxiety by sleeping with his legs hanging off the bed as he does. And your health matters too. He either complies with a small request by you or he finds another willing caregiver to deal with his nonsense.

This is a first in the 10 yrs or so I've been here, let me tell you. I'm sorry you've been put in such a position to begin with.

Best of luck to you.
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Reply to lealonnie1
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He's getting too weak to move around on his own, probably why he lays the way he does. It may be the only way he feels he can get off the bed.
He is too heavy for you to move him. What happens when he needs the dirty pull up diaper changed? Is he able to do it? Do you struggle to help him?

This is too much for you. I don't even think a helper would be enough help for you. Unless they were there 24 hours a day, and you used a hoyer lift to maneuver dad.

You could just let him be, as he has asked. Stop trying to help or fix problems for him. If he is in danger of getting hurt, or has soiled underwear/diaper that can't be changed by him or you, then he needs to be in a skilled nursing facility.

Stubborn, obstinate elders fail miserably at end-of-life. They refuse to accept or make any changes, they don't want to leave their home, and they don't think they need help.

You can't really do much for him. If he becomes incapacitated and you have POA, (as next of kin, you may not even need POA) then you can have him admitted to a nursing home. Until then, you just have to wait and watch him fail.
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Reply to CaringWifeAZ
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It's time for him to have 24/7 care by someone else. Find him a good care home and let him know your health is not good enough to care for him at home.
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Reply to JustAnon
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Hanging his legs like that might cause problems for his feet and legs. He might cut off circulation or something like that. Then he'll have a hard time standing if his feet are asleep. I agree with everyone else, you can't take care of him properly without hurting yourself. It's time for him to be placed. His
"care team" should be trying to convince him, since patients will sometimes listen to them more than their child.
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Reply to SamTheManager
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Time for him to pay for full-time hired help. You don't need to be part of that weird show he has going on. Vote with your feet. Make up a therapeutic fib why you are no longer able to be his hands-on caregiver.
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Reply to Geaton777
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As others already posted, you are at the limit of what you can do by yourself. Selecting and getting him into a good facility, or lining up good help takes days or weeks, especially when you are tied up as the caregiver. Start now, instead of after you get hurt.
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Reply to George8
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What if you lowered the bed like mattress on the floor? Would that help? Or become impossible for him to get off it to a standing position on his own?
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Reply to Suzy23
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Sorrynotsorry Mar 29, 2026
Such a great idea
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