Rachel, a 94 year old female, had arthritis in her left knee and a history of falls. She mobilized with a walking frame and needed assistance for all transfers*.
The caregiver’s main frustrations were that no matter how well they tried to position Rachel she would always slide into the posture shown in the Before image, ‘bracing’ herself in the chair with this extended position. It then became very hard to assist Rachel to stand as she could not position her feet behind her knees in a ‘ready stand’ position or use the armrests for a propulsion and support.
On assessment it was found that Rachel had normal range of motion at her joints. She had no postural difficulties that would cause her to slide from the chair as she did. It was purely due to oversized seating that could not be adjusted to suit her needs.
In the assessment stage it was identified that Rachel had few postural difficulties or complaints. Her joints were flexible and would be easily accommodated in a sitting position. She needed customised seating which would accommodate her small physique, while safely facilitating stand transfers and participation in other activities of daily living.
It was decided that she should use a Seating Matters Monaco™ chair.
The seat depth was adjusted to match her femoral thigh length and a 2'' foam was secured to the sliding footrest to ensure her feet were loaded properly, concentrating her weight throughout the soles of her feed and not purely on her heels as before.
Rachel felt that the chair was very comfortable and she became happy that she could enjoy a scone and cup of tea easily without fear of spilling it on herself or choking.
As a result of her almost horizontal position in the previous chair, Rachel was concentrating the majority of her weight in sitting over a smaller surface area and underneath bony prominences, such as the heels and sacrum. Since using the Monaco™ chair, which was made and adjusted according to her size, the risk of developing pressure injuries was significantly reduced as Rachel was spreading her weight over a larger surface area. Her feet were also loaded entirely through the footplate, which was made with the same pressure management materials as the seat.
The Monaco has been designed for comfort and mobility with independence at the forefront of its design. The Monaco reduces sliding, discomfort and shear as it helps to maintain positioning of the pelvis.
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