DME

Blog posts of '2017' 'February'

How people sit is fundamental to their health

The standard sling seat, sling back, collapsible wheelchair was designed to transport people short distances, for short amounts of time, to assist the person pushing the chair, and to make storage easy.

The chair works for the caregiver, but very poorly for the person in it, particularly if it is used for long periods of time and as the primary seating system for the individual.

When frail elders are properly seated in chairs designed to meet their personal needs, improvement in their health is virtually instant.

  

Benefits of Proper Seating:

Improved Posture

The chest cavity more easily expands if the person is not slumped forward.

Better positioning improves: breathing, swallowing, digestion, lung compression, vascular health, pressure distribution

Good positioning can also improve quality of life

Posture, skin condition, ability to care for self, efficient use of limited energy and endurance, eye contact, socialisation, talking to each other, eating & drinking, watching TV, self confidence, neck/shoulder pain, lower back pain

Prevention of Skin breakdown

Proper cushions and support prevent skin and tissue breakdown by more evenly distributing pressure, thus allowing the individual to be up for longer periods without causing damage.

Improved comfort and wheelchair tolerance

Comfort and physical safety is an important concern for frail elders.

The amount of time the person feels able to be up in the chair can be used as a practical indicator of comfort.

if the person is uncomfortable in the wheelchair or day chair, they will often ask to go to bed sooner and refuse to become more involved in activities.

Oder adults experience more pain due to :

Arthritis, chronic illnesses, fatigue, diagnosed or undiagnosed spinal fractures, muscular atrophy, tendon shortening

Often with proper positioning and support this type of pain can be dramatically reduced.

Persons with dementia may not have the verbal or cognitive ability to express their pain in words or even respond appropriately when they are in pain.  However their behavious is often a good indicator of pain.

Improved Ability to Care for Self

Correct arm rest length and height allow a wheelchair to get under the table so that at meals the persoon can be close enough to reach the food and feed themselves.

A level eye gaze allows them to see in the mirror for grooming.
With the proper chair many people can independently wheel themselves from place to place.

Better Use of Limited Energy and Endurance

Frail elders often have limited stamina, endurance and energy.  When one is not positioned properly, energy is required simply to remain upright.  

A standard wheelchair weighs btween 15-19kg, a lightweight chair weighs 10-15kgs, and an ultra lightweight chair can weigh even less 8-9kgs.

Choosing a lighter weight chair can save energy for use with other activities.  With proper support the person can relax and focus on other activities such as eating or conversing.

Improved Socialisation

this can result from:Ta level eye gaze, ability to move ones self in and out of social situations, increased comfort, choice in accessing activities

Improved Quality of Life

It goes without saying that if a person is more comfortable, more independent and has better function, that person will have improved quality of life and self esteem.

Caregiver Assistance

When properly seated:

Frail elders may be easier to transfer, be able to transfer themselves, be able to toilet or feed themselves, may require less repositioning, tolerate being up for longer periods, have fewer behavioural problems.

 

For more information on seating and positioning please click here Seating products