Thats a worrying question.

Spastic quad, no trunk control and no sitting balance.

HOIST!!!!! I would have a different opinion if it was for rehab but if its for discharge planning then the OT needs to be involved - a fully supportive chair needs to be provided. Care attendants are needed for home as two are recommended to use the hoist and trials of overnights would be needed for the dgt to see if she can manage her mother. This is on a background of alzheimers, disorientation and inability to follow commands.

Hoist, Hoist Hoist