He has developed more generalised aches and pains, particularly when he has been static for a little while and then needs to become active although has no specific arthritic diagnosis.<\/p>\n\t
This has particularly impacted on his sitting to standing transfer resulting in him drinking less to avoid the need to pass urine as frequently.<\/p>\n
Douglas has had two falls in the home, neither leading to serious injury and he is currently being treated for a urinary tract infection (UTI).\u00a0 He has some mild ankle oedema which only becomes more pronounced following longer periods of standing.<\/p>\n
He walks with a Wheeled Zimmer Frame around the home and has an attendant propelled wheelchair for longer outings.<\/p>\n
[1] Name used for illustration purposes only.<\/p>\n
\n\t\tEnvironment\n\t<\/h2>\n\t
Douglas lives alone in a house with stairs.\u00a0 There are two bannisters on the stairs which lead to a bathroom with toilet and 3 bedrooms.\u00a0 There is a toilet on the ground floor.\u00a0 He has a solid fuel fire which heats a back boiler and therefore the home\u2019s hot water supply.\u00a0 He currently has a sofa and two high back fireside style armchairs.<\/p>\n
\n\t\tOccupation\n\t<\/h2>\n\t
Douglas is independent with his personal care although he bathes less frequently than he would like and only with a family member in the house.\u00a0 On other days he has a wash at the sink.<\/p>\n
Reducing fluid intake to manage the passing of urine is due to difficulty standing, but this makes the problem worse as urea in the bladder is more concentrated and more of an irritant therefore increasing frequency.<\/p>\n
He is unable to manage the setting of the fire himself although has small bags of coal made up to put on during the day.\u00a0 Carers visit in the morning to make the fire, breakfast and leave a cold prepared lunch.\u00a0 A family member visits each evening with a hot meal and to provide some company.<\/p>\n
\n\t\tOutcome \u2013 Clinical Reasoning\n\t<\/h2>\n\t\t\t\t![\"2](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2020\/02\/2-Multi-C-Air-Semi-Recline-S.jpg\" "\\"2")
\n\n\t\tMulti C-air with single motor Tilt in Space\n\t<\/h3>\n\t
The Multi C-air<\/a> provides the most holistic solution to meet Douglas\u2019 needs.\u00a0 Firstly, the full rise feature of the mechanism will support Douglas to stand with minimal effort.\u00a0 This will reduce the joint pain he has been experiencing on standing and encourage him to drink more fluid as he will be less worried about going to the toilet.\u00a0 In turn this reduces the risk of falls and urinary tract infections.<\/p>\n The tilt system will allow him to rest through the day without having to go upstairs for a lie down if he wishes therefore preserving his energy for engagement in more meaningful activities.<\/p>\n The single motor Tilt in Space ensures that when reclining, his body angles are maintained, therefore limiting the risks of shear and friction on his skin during chair movements.<\/p>\n The Multi C-air comes with up to six interchangeable backrest and ten interchangeable seat cushion options with varying degrees of pressure relief.\u00a0 This ensures that as Douglas becomes potentially less mobile or frailer the cushions can be changed to meet his long-term and on-going needs.\u00a0 This makes the Multi C-air a highly cost-effective solution that could move from home to a care environment if that were ever required.<\/p>\n\t\t\t\n\t\t\t\t\t\t\tView the Multi C-air Chair\n\t\t\t\t\t<\/a>\n\t\t\t\t The waterfall back cushion provides Douglas with a high level of comfort.\u00a0 The fully adjustable sections of the waterfall cushion will help him to manage lumbar support and headrest as he feels appropriate.\u00a0 The backrest provides maximum comfort both in upright sitting and recline positions so that at no time does Douglas feel in unnecessary pain.<\/p>\n\t\t\t\t Although Douglas is mobile there is a good chance that he will be seated for more than one hour during the day.\u00a0 This then increases his risks of developing pressure damage and the Viscoform\u2019s high density foam base with memory foam top layer provides him with both comfort and protection.<\/p>\n\t\t\t\t Dartex VP multi-way stretch fabric was recommended to aid pressure management and to help with heat dispersion because, although he is mobile, he may be seated for relatively long periods and this therefore manages the risks proactively.<\/p>\n\t\t\t\n\t\t\t\t\t\t\tView the dartex fabric range\n\t\t\t\t\t<\/a>\n Multi C-air<\/a><\/p>\n Frail and Elderly Fact Sheet<\/a><\/p>\n![\"Waterfall](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2020\/02\/waterfall-back.jpg\" "\\"Waterfall")
\n\n\t\tBack Cushion – Waterfall\n\t<\/h3>\n\t
![\"Visco](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2020\/02\/visco-form-seat-cushion.jpg\" "\\"Visco")
\n\n\t\tSeat Cushion – Viscoform\n\t<\/h3>\n\t
![\"Vp](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2020\/02\/vp-fabrics.jpg\" "\\"Vp")
\n\n\t\tFabric\n\t<\/h3>\n\t
\n\t\tFor more Information See below\n\t<\/h2>\n\t
![\"More](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2020\/02\/more-button.png\")
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