The best way to sit is on a stable chair or couch – with back and arm rests. The recommended height for the seat is 45-50 cm above the floor.
- Seat cushion:
There are different kinds of seat cushions in various heights. They are used not only for protection but for comfort as well. The cushion’s effectiveness is also affected by body weight, and this factor should be taken into consideration when selecting a cushion, ensuring equal body weight distribution on the cushion.
- A cushion attached to a wooden board the size of the wheelchair seat.
- A cushion with springs that facilitates getting up. This requires professional advice.
- An insert cushion that adjusts to the body’s structure.
- A roho cushion – some of the air bubbles can be shut in areas sensitive to sores.
- An air cushion with a valve coated with sealed, washable material.
- A silicon or silicon-like cushion, filled with gell or soft cotton-like material.
- A styrofoam cushion – easy to carry. Can be ordered in the desired thickness.
- A sponge cushion with cross grooves.
The patient’s medical condition and physical disabilities determine the type of wheelchair that
should be selected. Considerations in selecting a wheelchair:
- Body weight and size – a larger wheelchair for a larger person.
- How will it be used – will it be driven by the patient or another person?
Will it be used only at home?
Structure of the home, the size of its doors, any stairs, and the use of a car suitable for a folding wheelchairMoving around the home independently It is best to permit patients who can move around as much independence as possible while maintaining safety. This is achieved by installing rails / supports on walls – on the way to the bathroom, kitchen, living room or television. Supports can be found in any building materials store.
Refrain from using floor mats in the bedroom. A large rug can be attached to the floor with a special rubber sheet. A night-light should be installed in proximity to the bed. A night table or small cupboard should be placed in proximity to the bed to place a glass of water, clock, medications, telephone, etc. Clothes should be stored in a convenient height that does not require
bending down or standing on a chair.
- Beds: In many cases, a normal bed can be used after making some adjustments as needed(elevation, mattress, physical aids). Special beds are also available, with various mechanisms that facilitate motion when in bed. Additional aids to increase convenience and improve functionality can be added to any bed, normal or special.’
- Mattresses: For normal beds, there are two types of recommended mattresses: sponge mattresses and sponge rubber mattresses. To prevent bedsores, there are additional types of mattresses that can be placed on top of the normal mattress on any type of bed:
- Water mattress
- Silicon mattress
- Egg box mattress
- Air mattress with electrical pump
- “Rope ladder” or handhold connected to the wall – to facilitate getting up.
- Rail – to prevent falling from bed.
- Handhold shaped like an upside down “U”.
- Protective aid for the elbows and heels – to prevent bedsores.
- Bed table – permits eating, writing and reading in bed.Bathing It is recommended to install a shower rather than a bathtub.
D. Bathroom accessories:
- Rubber mat with vacuum cushions to prevent slipping inside / outside of the bathtub.
- Board placed on the edge of the tub to permit getting in and out in a sitting position.
- Plastic chair for the bathtub.
- Stainless steel handhold on the bathtub wall.
- Curtain – prevents splasing and protects against slipping.
- Toilet aids:
- Support handles connected to the toilet seat or installed on the wall.
- Folding handholds.
- Elongated handle for the toilet tank.
- Toilet seat elevation.
- If possible and necessary it is best to dismantle the bathtub and instead install a shower that is wider than usual, in order to permit the entrance of an assistant and make sitting more comfortable.
- Dressing should be done in a sitting or lying position, as the body is less stable when standing.
- It is best to place all clothing items within reach.
- Loose clothes made from soft material are particularly suitable for a person who has difficulty dressing.
- If you use only one hand to dress – put the injured arm inside the sleeve first, with the body tilted forward a bit.
- To undress, hold the collar and pull the shirt over your head.Eating and drinking.
- Correctly sitting at the table on a stable chair of the right height is very important.
F. Eating and drinking aids:
- It is best to use both hands to hold a cup.
- A tray should be placed under the plate (to collect spilled food), with a damp sponge rag or special rubber mat under it, to prevent it from moving while eating and drinking.
- Protective aid for the plate’s edges – prevents food from spilling to the sides. Alternatively a bowl can be used. Plastic cup – lighter than a porcelain cup.
- Large handle – makes it easier to lift the glass. Straw, cup with spout or small kettle – to make drinking easier or for drinking in a lying position.
- Rubber or sponge tubes – to make cutlery handles thicker. Bent cutlery – preferably a spoon for all food types. Connecting cutlery to the hand by various means.
G. Rest splint for the hand
- Maintains the fingers, thumb, palm and wrist in their correct position. Used for a spastic or plasidic hand that does not function or functions minimally.