Ben, an 87-year-old male, had suffered a stroke (CVA) and osteoarthritis. He had a history of pressure injuries and spent up to 14 hours per day in his chair and used a patient lift for all transfers.
Ben would often slide down the chair and was continually developing red areas on his sacrum for which he was nursed in bed to alleviate the pressure and shearing forces experienced when seating.
The caregivers reported that Ben;
Marked spinal kyphosis
Sliding forward in the seat
The curved position of his spine combined with the inadequate seat depth was encouraging him to slide forward in chair. This provided insufficient femoral thigh support.
It was suggested that a tilt in space chair would be beneficial to Ben and would improve his postural alignment and reduce or prevent further kyphotic deterioration.
A Seating Matters Phoenix™ chair was chosen due to the extensive upper body and head support.
Ben expressed that he was more comfortable in the new chair and was able to interact and communicate with others in the room.
For highly dependent patients with complex postural and seating needs, the Phoenix has been clinically designed to provide maximum postural support and comfort. Accommodating a variety of spinal conditions, the Phoenix adapts to the changing needs of patients in ICU, HDU, SCI and through rehabilitation, or to meet the long term needs of a progressive condition.
After assessment and in light of Ben’s difficulty weight bearing, it was recommended that the carers use a full hoist in order to effectively position Ben in the chair each morning. After educating the caregivers and staff as to how to position Ben, they felt more involved with Ben’s care and postural management and were motivated and enthused to take part in this every day.
Ben’s chair could be easily moved throughout the home. With the ease of manoeuvrability, he could spend time in different environments without having to compromise his posture or positioning by transferring to an unsupportive wheelchair. This was particularly evident at mealtimes when Ben could be transported to the dining room in his clinical therapeutic chair.
The caregivers reported that Ben’s improved position and the manoeuvrability of the chair facilitated better communication and interaction with others. He was now able to move throughout different rooms within the home and spend time with more residents and staff.
The improved head position facilitated better voice projection and respiration, meaning his communication and speech was more audible and clear. In addition, Ben did not fatigue as easily in this activity and could participate for longer periods of time without becoming tired and strained.
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