After much research and help from many of you on this site, I purchased a hospital bed with "low air loss" mattress (one of those mattresses with an automatic pump that deflates/inflates). Also bought a Sara Stedy. I think both of these items are going to be a big help. The bed is for the long haul and I'm hoping Sara is as well. I now feel like we have our armor and are ready to take this on.
That being said, the caregiver has noticed Sandy's voice has become much softer in the last couple of weeks and he is also slumping in his chair off to the right side much more than before. I was thinking that we might skip this step of any voice or speech problems - that maybe we would be the lucky ones that don't experience this. And when we have a period of stability, sometimes I wonder if he was misdiagnosed and really doesn't have a bad disease or he's going somehow pull out of this.
Thanks to all of you wonderful people who responded to my questions about the hospital bed and the stand device.