24th July 2019
When I visited nursing homes while working as an Occupational Therapist I would often see elderly residents slumped over in their chair with poor posture, propped up by pillows and leaning to one side.
Typically elderly people spend a lot of their day sitting as their mobility declines with age, so comfort is vital for them. You might notice that your elderly relative may begin to complain of aches and pains in their chair, or perhaps they begin to slouch in their chair or worse still, slide down or fall out of their chair. They may insist on getting back to bed during the day due to discomfort or pain. It is then that you may decide to look at the option of buying or renting a suitable chair to meet their needs.
There are a lot of options available and various types of chairs on the market and sometimes it is not clear which chair would be best suited for your elderly relative before purchasing. It is important to be informed and to make the right decision, as it can be costly to get it wrong. This article is aimed to help you differentiate between the choices available to decide which type of chair might be best suited to your loved one.
In sitting upright we require our muscles to work against gravity to hold a ‘correct’ or mid-line posture, the benefits of which are numerous. As we get older our muscles tend to become weaker and fatigue more quickly which can lead to leaning to one side, leaning forward or slouching down in our chair.
Poor posture in seating can have many negative knock on effects on a person’s health, for example, sometimes leading to the development of recurring chest infections, lung infections and urinary tract infections. A poor seated position can also lead to sliding and falling from the chair which causes fear, pain and discomfort for the patient. This sliding action can contribute towards the development of pressure ulcers (bed sores) which can become infected and in extreme cases prove fatal. Poor seating and therefore poor posture can also negatively affect a person’s appetite and ability to breathe.
Once sat upright and supported these bodily functions improve dramatically. The correct chair and positioning can significantly help improve posture and therefore positively impact upon overall health and well-being.
We would recommend you seek the input of a clinician such as an Occupational Therapist or Seating Specialist to guide you and provide information on the long term requirements of your patient or family member and how their needs may change over time, so you can factor this into your decision making process. To make an investment such as this you will want peace of mind that it will work. We believe it is essential to choose chairs with clinical research to ensure the results can be replicated in your home or facility.
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Typically the various chair options available to elderly patients fall under four key categories:
Wheelchairs are mainly for outdoor mobility and travelling over distances. There are many different variations of wheelchairs available from self-propelled to electric to moulded seat options. Wheelchairs usually offer the ability to load the feet but should not be sat in for long periods of time throughout the day as they often lack integral pressure management and postural support required by patients with declining mobility and function.
2. Riser Recliner/Lift Chairs
Riser recliner chairs are chairs which have two core functions, a riser function to enable a safe sit to stand transfer and a recline function to promote comfort. Riser recliner chairs typically do not offer pressure management, postural support or tilt in space and should not be used for patients who are immobile and who cannot shift their weight independently.
3. Geri Chairs/Tub Chairs
Geri chairs are standard sized hospital chairs which are used for transport within the hospital. They can typically accommodate slings for hoists/patient lifts but typically most are not size adjustable. They may offer a degree of back angle recline and leg elevation and are usually made of a hospital grade material for easy cleaning and infection control. They will not offer postural support and pressure management required by a patient who is immobile. They are typically non-adjustable to meet changing needs of a patient over time or the clinical needs of a complex patient. They are suited for mobility but not long term sitting.
4. Therapeutic Chairs
Seating Matters therapeutic chairs have been designed by an Occupational Therapist to meet patient needs. They can provide optimal postural support and pressure management from the head to toe. Depending on the medical condition of the patient they may require a chair with tilt in space according to pressure care needs. The surfaces on the Seating Matters therapeutic chairs are covered with washable, durable materials such as vinyl and Dartex which can be cleaned with soap and water to promote infection control. The chairs can be adjusted to accommodate changing patient needs as a condition progresses meaning the one chair can last for the lifetime of the patient, or they can be adjusted in seat width, seat height and seat depth to suit various sizes of users within a multi user environment. All clinically essential features are provided as standard including a footplate on every chair as it’s vital to load the feet in seating.
Here we have summarised the key functions of the various seating solutions that we have looked at in this blog in one easy to read table.
We would recommend you seek the input of a clinician such as an Occupational Therapist or Seating Specialist to guide you and provide information on the long term requirements of your patient or family member and how their needs may change over time, so you can factor this into your decision.
What we really want to do is to reach those patients and families who are searching for a better seating solution for their relative, searching for information on chairs for elderly, to prevent them from purchasing the wrong chair due to misinformation or lack of knowledge. We come across instances every day where families get in touch as they have spent hundreds or sometimes thousands on a chair believing it to be the correct solution for their loved one, only to realise maybe 6 months later that it no longer accommodates their clinical or functional needs, or that they have developed a pressure ulcer. They then find that they are back to square one, on the lookout again for a new chair.
We would never recommend a Seating Matters chair to a patient if it’s something they don’t need or are not likely to need in the future. We routinely recommend other chair types if the particular patient case does not warrant a therapeutic chair.
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