Laura has significant episodes of lethargy alongside symptoms including muscular spasm, lower limb numbness, reduced balance (particularly dynamic) and fluctuating urinary incontinence.<\/p>\r\n
Recently Laura has also had difficulties co-ordinating bilaterally which has impacted on her independence within certain activities of daily living.<\/p>\r\n
She has become gradually less mobile over the last 2 years and is now hoisted passively due to balance, weakness and ataxia predominantly.<\/p>\r\n
[1] Name used for illustration purposes<\/p>\r\n
Environment<\/h2>\r\n
Laura lives alone in her own 2 storey home with a through floor lift.\u00a0 Ceiling track hoisting systems are installed where required on both floors.<\/p>\r\n
She currently sits in an armchair that was raised with blocks when Laura was actively standing.<\/p>\r\n
Occupation<\/h2>\r\n
Laura requires support from her care provider with all personal care activities.\u00a0 She enjoys reading, but is only able to do this in short spells due to fatigue.\u00a0 She has a book rest and page turner to support the activity.<\/p>\r\n
Laura is keen to be able to alter her position in the chair independently so that she is less reliant on waiting for carers to arrive and more able to change between tasks\/activities whilst alone.<\/p>\r\n
Outcome \u2013 Clinical Reasoning<\/h2>\r\n
![\"2](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2020\/02\/2-Multi-C-Air-Semi-Recline-S-1.jpg\" "\\"2")
<\/p>\r\n
Multi C-air with dual motor tilt-in-space mechanism<\/h3>\r\n
This Dual Tilt in space mechanism will allow Laura to alter her position independently using the handset whilst having flexibility due to the dual motor to alter angles of flexion\/extension before using the tilt in space feature to redistribute pressure, reducing shear or friction during chair movements.<\/p>\r\n
This tilt-in-space mechanism also allows carers to position Laura effectively during transfers to reduce positional changes.<\/p>\r\n
As Laura\u2019s conditions change the Multi C-air<\/a> can be easily adapted by using an alternative pressure management back or seat cushion from the interchangeable range that can be selected with this chair.<\/p>\r\n View the Multi C-air Riser Recliner Chair <\/a> The firm foam lateral back cushion with soft fibre filled profile headrest will provide Laura with the support she needs given her limited trunk control and sitting balance. The profile headrest provides support to keep Laura\u2019s head in good midline alignment which supports posture and functional engagement.<\/p>\r\n The Liquiform cushion provides a high level of pressure relief appropriate to Laura\u2019s risks.\u00a0 An Airform cushion would provide an even higher level of pressure relief but is not appropriate in this case due to Laura\u2019s sitting balance.<\/p>\r\n The heat reducing feature of the Liquiform cushion is particularly useful for Laura as MS symptoms can be exacerbated by environmental changes in temperature.<\/p>\r\n To support Laura\u2019s overall pressure management and to aid with heat dispersion a Dartex VP multi-way stretch fabric was chosen.<\/p>\r\n View the dartex fabric range <\/a><\/p>\r\n Multi C-air<\/a><\/p>\r\n MS Fact Sheet<\/a><\/p>\r\n![\"Large](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2019\/10\/large-profile-headrest-with-support-1.jpg\" "\\"Large")
<\/p>\r\nBack Cushion – Large profile headrest with support lateral<\/h3>\r\n
![\"Liquiforms\"](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2019\/10\/Liquiform.jpg\" "\\"Liquiforms\\"")
<\/p>\r\nSeat Cushion – Liquiform<\/h3>\r\n
![\"Vp](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2020\/02\/vp-fabrics.jpg\" "\\"Vp")
<\/p>\r\nFabric<\/h3>\r\n
For more Information See below<\/h2>\r\n
![\"More](\"https:\/\/www.reposefurniture.com\/occupational-therapy\/wp-content\/uploads\/2020\/02\/more-button.png\")
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