They are faced with life long challenges and may need constant round-the-clock care for the rest of their lives.

他们面对生活的挑战，可能需要长期不断的二十四小时照顾的余生。

By that time he was using a wheelchair and required round-the-clock care. The state decided he needed to move to the facility after all.

在保罗到了使用轮椅、需要全天候护理的时候，纽约州最终决定他需要搬到提供重症护理的社区住宅。