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Configura Bariatic Chair

CLINICAL JUSTIFICATION

It is important to note that 2 people with the same diagnosis will present differently. The below clinical justifications are a guideline only of how the Configura Bariatric chair is an appropriate seating option for different client groups. To be used always in conjunction with a comprehensive seating and risk assessment.


Justification by: Features   |   Conditions

FEATURES

The configura bariatric has a weight capacity of 254kg or 317kg. This includes a weight capacity of 127 kg on the leg rest which is necessary due to the weight of the legs but also secondary weight of the pannus which sits on the legs when a person is sitting.

The width on the Configura® Bariatric can easily be changed by fitting different armrests to the chair. The seat widths available are 28" (711 mm), 26" (660 mm) and 24" (609 mm). This is especially beneficial for service users whose weight might fluctuate, and in this way the chair can easily be adapted for them.

The seat depth is vital for correct seating to maintain pelvic stability and avoid sacral sitting. The ability to adjust the seat depth allows one chair to be adjusted to suit a wide user group and to accommodate changing seating requirements. This is ideal for multi-user environments and situations where a chair may be recycled.

By maintaining the same angle at the hips (i.e. the same angle between backrest and seat base), and tilting the whole chair back, the user can achieve a relaxed position whilst maintaining pelvic stability. Maintaining the position of the pelvis promotes good sitting and reduced the user's susceptibility to developing poor posture. As more weight is transferred through the trunk and less through the base, a larger seating footprint is achieved and pressure is distributed over a wider area, thereby reducing the risk of pressure sores in the sensitive sacral and ischial tuberosity areas. The ability to have the user's ankles higher than the hips can also aid circulation and reduce fluid build-up in the legs. When hoisting, tilt-in-space enables gravity to assist in correct positioning of the user's pelvis at the back of the chair.

Leg rest elevation helps the user to relax and can help reduce fluid build-up in the legs. It is essential for users with oedematous legs although care must be taken to ensure the chair has a sufficient weight capacity to take the extra weight. The leg rest capacity on the Configura® Bariatric is 127 kg (20 stone), which will meet most service users' needs

Castellated, pressure reducing cushion for users who cannot tolerate Visco foam. Similar in performance to the Visco cushion. Available for 190 or 254 kg (30 or 40 stone) weight capacity.

Powered alternating air cushion which provides excellent comfort, stability and pressure relief. 317 kg (50 stone) weight capacity. Appropriate for users who have developed pressure injuries. Easily set up through the pump.

Each pillow is height adjustable and filling can be customised to the user. Offers mild to moderate postural support, and is highly effective for users with a kyphosis or a scoliosis. To accommodate space for "gluteal shelf" remove lowest cushion stuffing to the user's needs.

These fit underneath the backrest pillows to provide lateral support combined with the comfort and adjustability of the Multi adjustable pillow backrest.

Suitable for users with reduced head control. Fits over the shoulders.

Provides side support on leg-rest to avoid leg abduction and reduce risk of legs falling off leg rest.

30 degrees of tilt. The most frequently used rise setting. Please note that 'Tilt' includes a degree of rise which provides a gentle, progressive movement.

20 degrees of anterior tilt for users who can not tolerate the standard rise setting, who feel this are slipping out or being pushed out of the chair.

Dual motor operation allows independent adjustment of the leg rest elevation and backrest recline. This enables infinite positioning for maximum comfort and support for users with more complex requirements. A dual motor chair has four buttons on the handset.

CONDITIONS

For users with a BMI over 30 (or 160kg weight) they will need a larger chair than the standard configura comfort. The configura bariatric range is ideal for these users due to the following features:
  • User weight: There are 2 options of sizes for the bariatric range the first one has the capacity of 254kg. And the second one has a maximum user weight of 317kg.
  • Leg-rest maximum weight: the maximum weight capacity of the leg rest is 136kg to accommodate the weight of the abdomen resting on the legs and the potential of leg swelling which increases the weight of the legs.
  • Correct fit for body shape: the pillows of the configura comfort chair are set up in a way which allows them to be easily removed and reapplied for the comfort of the client. Due to the gluteal shelf of bariatric clients it is recommended the lowest pillow stuffing is removed completely to accommodate for this space at their buttocks. This allows for suitable depth of the chair and prime pressure distribution and posture.
  • Leg rest channel: can be fitted easily around the leg rest to provide side supports and avoid leg abduction and risk of slipping off the leg rest.
  • Backrest recline & tilt in space: these features are especially important for bariatric users who are at risk of respiratory and circulation problems if positioned in an ill-fitting chair, resulting in a stooped over posture. The configura bariatric range allows a person to sit upright but also with the correct degree of recline and tilt will reduce the amount of weight on their chest and improve their breathing and circulation.
  • Sit to stand with knees at 90 degrees: the space behind the legs at the calf can often reduce a bariatric user's ability to bend their knees sufficiently for a safe sit to stand. Using the rise function the chair is tilted forward and provide enough space to get feet into the correct alignment for a safe and independent stand from the chair.
  • Advice and guidance for correct measurement and prescription of bariatric users to the most appropriate seating option is advised and welcomed.