Page 29 - Mobility Management, March 2017

a very soft overlay, and it has a non-slip surface with a Gore-Tex membrane. Think of it as something like Rain-X that you would put on your windshield: This non-slip surface doesn’t take on water. It feels like a standard foam cushion, but it’s not. The non-slip surface allows moisture and shampoo to slide away or to be rinsed off. You’re not sitting in something and soaking.”
Customized, adjustable equipment also facilitates time-con- suming bathing, toileting, bowel and bladder regimens.
“Maceration, bacterial infection and incontinence dermatitis are a few of the issues that can occur due to improper hygiene,” Pang notes. “The key to minimizing the risks of these issues is to have thorough hygiene and bathing routines. Having well-fitted, properly prescribed rehab shower commode chairs make these routines easier to complete for clients and attendants.”
A CRITICAL PART OF COMPLEX REHAB
In other words, a complex rehab client’s functional and clinical needs don’t disappear whenever they roll into the bathroom. “For RSCC’s, the seat is the most important consideration
for reducing the risk of pressure injuries,” Pang says. “As with a wheelchair, a properly selected commode seat with the appro- priate width, depth, aperture size, contour and softness can
maximize contact area and minimize sitting pressures. An attendant-operated, tilting RSCC is recommended for clients who have prolonged toileting/hygiene/bathing routines, but do not have the ability to perform weight shifts. Dynamic tilt will transfer loads from high-risk seat surface to low-risk back surface. Adding modular recline to a tilt RSCC can provide even more weight transfer as well as, with the opening of the hip angle, facilitate catheter insertion, removal and other GU [genitourinary] care.”
Lawrence points out that much of the work related to this equipment is already done via the seating/mobility evalua- tion. “If you’ve been through the seating clinic to do a power or manual chair, you’ve got everything you need to fit a complex rehab bathing system to that patient, other than the simple question of ‘What’s your bathroom like?’” he says. “There’s no extra work other than ‘Let me get you a measurement sheet to measure your bathroom. Do you have a roll-in, do you have a tub?’ That’s it. It’s an easy add-on.”
The benefits of using complex rehab equipment in the bath- room, though, are far reaching.
“Just think,” Lawrence says, “about how long just a transfer takes.” l
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