Hi Nona,
I've used one for my wife/PALS for over four years now. We don't hoyer. I know it is unorthodox and not for everyone, but we believe it has given her an improved quality of life during these challenging years. She is 100% vent dependent and totally incapacitated. I'm happy to share how we do it with anyone who is interested. Not sure if I am eligible for private messaging, but maybe Laurie can connect you or others with me if not. No worries if this isn't of interest. All the best!