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Bathing/Toileting


Adjustments to Shower Chair

Adjustments to Shower Chair

A woman with paraplegia had purchased a folding shower chair but the arms prevented her from transferring sideways and the seat was unsuitable. The shower chair was modified by removing a combination leg and arm on the left side of the chair and replacing them with a new leg to allow for sliding to and from wheelchair. A more supportive contoured plastic seat shell with padding was also fitted. The seat shell is removable with a quick release mechanism with locating luggs and locking devices.  Ref: 99/554

 

 

Stand for Bath Chair

Stand for Bath Chair

The bath chair used by a 12 year old boy with cerebral palsy in the shower recess was too low for carers to attend to him. The carers needed the bath chair to be at standing height to provide them with safe working conditions. A stand was made to support the bath chair at a suitable working height. The horizontal frame of the stand was designed to form a brace between the walls of the shower recess. One side of the frame sits on a tiled ledge and the other side is supported by wooden legs. The feet on the bath chair slot into aluminium tracks and can slide laterally. The bath chair is easily removed from the stand. Ref. 99/105

Gliding Over-Bath Seat

Gliding Over-Bath Seat

The client has limited use of her lower limbs and requires assistance bathing. She uses a swivelling bath seat that sits over the top of the bath. Her carer was unable to use a hoist for transfers as the hoist base was unable to slide under the seat. TADVIC constructed a metal frame that fits over the bath and far enough past it to enable the hoist base to slide underneath. The other end of the frame fits up against the bathroom wall, where additional metal framework with rubber stoppers secures it in place. The seat is removable and when the frame is not required it is lifted out of the bath and stored.  No modifications were made to the bathroom itself. Ref T7-115

Secure Toilet Seat

Secure Toilet Seat

A woman with quadriplegia was having difficulty transferring from her wheelchair onto the toilet. The toilet seat was not held securely in place so would slide to one side when she attempted a transfer. A piece of plywood was used as a brace between the back of the toilet seat and the wall. This was bolted to the pan using existing holes and to the wall using brackets. Additional bracing during the initial pressure of movement during the transfer was provided by two small brackets which are fitted to one side of the seat and protrude over the edge of the pan. The ply was bedded in silicone to provide a waterproof and hygienic seal and the brackets were covered with plastic tubing. Ref T0/144

Support on Bath Chair

Support on Bath Chair

A young woman with cerebral palsy is dependent on carers for all personal care needs. She uses a Tubmate bath lifter, but she has been falling sideways and also sliding forwards off the seat. Lateral supports were made from aluminium sheet and screwed to the sides of the plastic seat shell. Blue closed cell foam was used as padding and held in place with Velcro which allowed for easy cleaning and for correct positioning. The front of the seat shell was raised up on brackets and the backrest angle reduced and held upright by the side supports acting as a brace. Ref 99/635

Toilet Flushing Aid

Toilet Flushing Aid

An elderly woman has weak upper limbs and poor reach preventing her from reaching the button to flush the toilet. A see-saw system of levers was constructed allowing the client to push the cistern button with little effort. A sheet metal bearing was fixed to the top of the cistern button with an aluminium lever pivoting on it. A second lever pivots at one end on a handrail. The other end of this lever is directly below the end of the first lever and they are connected by a piece of picture wire. The free end of the first lever is connected to a screw on the floor by picture wire. The client can depress the cistern button by pushing down on the second lever. Ref T0/152

Self-catherization

Self-catherization

A girl with paraplegia wished to learn to self-catheterize. She needed an assistive device to use while she is on the change table. A mirror and light stand were designed to be self supporting on either hard or soft surfaces, making it appropriate for use at home or school. The light is low voltage for safety and all surfaces are made from washable material. The device can be adjusted by the user and can be folded down for storage or transportation. Ref T0/651

Modified Commode Chair

Modified Commode Chair

A tall man who has had a stroke required some modifications to a commode/shower chair. Whilst the commode was comfortable and the correct height, it had a lift out bowl which could not be removed when he was sitting on the seat. In addition the existing bowl was round in shape and too small. The arms on the chair did not have a locking mechanism and so had become a safety risk for this man during transfers. A large rectangular plastic tray was used to replace the small bowl. Runners were constructed on the frame so that the tray could slide out the back of the chair. Once in place, the lip of the tray is secured with a clip. Quick release straps were used to secure the arms to the chair frame which allows the man's wife to guide the commode from the front without the arms coming out. Ref T0/627