Thank you for your speedy response, you are truly the helpful member. The OT is scheduled for next week but the rapid decline has made it hard to stay a step ahead. As you know, it's very difficult to lose your dignity so suddening. No I don't have a Hoyer lift or a transfer board but we did buy the transfer disc, a day late and dollar short. The big problem is that my CALS is not very strong or steady either, which makes it even more precarious. How often are you able to shower? Does the transfer board require upper body strength? Again thanks for all your help, Cynthia