How have you handled this care issue?

We seem to have reached a new stage in this affair in that my DH is no longer able to stand from sitting for me to get him onto the toilet. He seems to just get stuck and can’t connect how to stand from sitting. Although he can still perform this activity, it’s getting more and more frequent that I can’t, even with physical prompts, can’t get him to stand. This impacts just about everything on a daily basis, but the toilet most of all. We’ve just gotten a hoyer lift, but I’m very uncomfortable trying to use it alone, especially since I have back issues. Unfortunately, he is not able to offer any physical assistance. He is very stiff with limited range of motion in lower extremities and often has a strong backward thrust so getting him into and maintaining a sitting position is almost impossible for one person. I’m feeling quite despondent because I’m afraid I won’t be able to do the minimum of keeping him clean. Our hospice caregiver commented today that he is getting worse and may get to the point of not being able to get out of bed since I won’t be able to deal with his needs alone. Anyone have any insights or suggestions on how to deal with this issue?