We offer more than just Equipment:
At Enable Lifecare we support Occupational Therapist’s throughout the assessment and prescription process of our products. We can offer this service through the means of telehealth via a virtual consultation, while you are in the clients home.
Some of our recent examples of this service include:
An OT in Perth who had attended one of Enable Lifecare’s training seminars was after some guidance and support when prescribing the configura comfort chair for the first time. Our Consultant OT Miki was on site at Ruth’s client’s home during the trial of the chair. Her client, Liz – a lovely lady with advancing dementia, had worn out her current seat. Her husband was finding it increasingly more straining to get her out of the low level armchair and due to a rhythmic movement behaviour pattern at her pelvis Liz gradually moved herself forward in the chair, putting herself at risk of slipping forward and out of the chair. As a result, she was spending less time in the living area with her husband and it was getting more difficult to be apart of family gatherings within her home.
The configura chair was trialled and adjustments were made to meet the current clinical needs of Liz and her husband.
The medium sized chair suited Liz’s measured dimension of depth, seat height and seat width. However, when Liz sat down, she was not able to bend sufficiently at her hips to get her pelvis positioned all the way back in the chair. This could be a result of shortening hamstrings or the fact that cognitively Liz could not grasp the instructions for completing the transfer with the correct technique. To accommodate this transfer method and the resulted poor positioning within the chair we adjusted to depth to the 457mm depth option, by bringing the backrest forward on the seat base. Further minor depth adjustments were made by positioning the waterfall cushions lower down on the backrest to provide lumbar support throughout Liz’s lower back when she was sitting. Due to her positioning on the seat base this also impacted the position of Liz’s legs when the leg rest was elevated. Her feet were coming off the leg rest slightly causing a risk of pressure injury developing on her heels. We were able to increase the length of the leg rest by 25mm to better support her feet during elevation.
Liz is at a high risk of pressure injuries developing due to her low weight (44kg), her reduced mobility and initiation of movement and her rhythmic movement pattern causing a constant shear effect beneath her pelvic bones. As a result, she benefited from a high level of pressure management within the cushioning of her chair. Liz was trialled with the Cushionair and pump – an alternating air cushion which can be replaced with the standard cushioning of the configura chair. Liz was comfortable sitting on this cushion which was set to the lowest setting of air pressure based on her weight.
Liz benefitted greatly from being positioned in tilt and space with her legs supported in elevation, this reduced the impact of her shuffling movement and allowed her to sit more comfortably within her living area. Liz does tend to lean over to the left side when she sits down and when resting in the chair. The stuffing in the waterfall cushions were adjusted by placing more stuffing to the left side to encouraging Liz to maintain a midline and upright position.
We wish Liz and her husband the best of luck with their new configura chair and hope it brings them a lot of comfort, support and the opportunity for more time together.
Meanwhile in Brisbane another OT was after the help and guidance of the Enable Lifecare team. We zoomed into the home trial for her client John. He was provided with a bariatric chair however due to his severe kyphosis and shortening hamstrings he was having difficulty finding a comfortable position and set up within the configura chair. It’s a good thing there are so many ways to configure these chairs and so it was just a matter or trialling different options.
It was evident from the beginning of the assessment that John was not comfortable due to his positioning when sitting down in the configura chair. He had reduced hip flexion due to tightening at his hamstring. The depth of the chair needed adjusting as it was clear the depth was too long and causing many of the troubles John was experiencing. By placing in a depth adjustment kit and reducing the depth by 51mm we were able to set him up more suitably within the chair.
Due to his kyphotic spinal posture John felt uncomfortable with the waterfall cushions of the bariatric chair and felt they were pushing him forward. We trialled an alternative position of the cushions, instead of being on top of one another, we placed them next to each other, creating an offloading area on the backrest to accommodate Johns trunk and spine. We also suggested adjusting the amount of stuffing and moving the stuffing within the cushions to suit Johns spinal positioning and according to his level of comfort. John found this to be significantly more comfortable for him as the cushions allowed immersion within them.
Whilst the set up of the chair was not correct for John’s size and postural needs, we identified that his technique for transferring into the chair was impacting on his overall set up and comfort when sitting in the chair. He was originally transferring onto the chair in a raised position This meant however that he was only sitting midway through the seat base once it was placed down and into an upright seated positioned. With a couple of trials we found that John sat in a better position in his chair when it was in its original upright position and with encouragement to bend as much as he can at his hips and aim for his bottom at the very back of his chair.
John’s team of clinicians had identified that he is at high risk of and had developing pressure areas. The standard cushion is appropriate for medium to high risk prevention of pressure areas however it was decided that John would benefit from a higher level of management cushion. The cushionair was trialled with guidance from the Enable team for inserting it in correctly and setting it up. This gave John and his family assurance that during his time in the chair his pressure care needs would be met.
With minor technical hiccups and a portion of the assessment staring at John’s roof – we successfully joined in on the trial for John in virtually setting him up more suitably in his bariatric configura chair.