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Clinical Justification for Adjustable Back Recline

 

Criteria for Individuals who present with one or more of the following conditions:

 

A. Individuals with orthostatic hypotension and/or decreased cardiopulmonary function
Justification:

Reclining a person assists with the effects of orthostatic hypotension. The recline function can be used as a therapeutic method for gradually increasing an individual’s tolerance to become acclimated to sitting in a more upright position. Reclining also assists with improving a person’s overall cardiopulmonary status.

 

B. Individuals at risk for skin breakdown or decreased skin integrity
Justification:

Reclining a seating surface decreases the effects of gravity which dramatically reduces seating pressures overall. Also, varying the amount of recline throughout the day allows for repositioning which shifts the weight/pressure being placed on a particular area, while improving blood flow and oxygenation of the tissue which is essential for maintaining skin integrity. Proper repositioning optimizes blood flow, oxygenation, and retention of the skin tissue which is vital for maintaining skin integrity.

 

C. Individuals with decreased postural stability/control
Justification:

Reclining a seating surface in a posterior direction can reduce the effects of gravity on one’s trunk/upper body, which facilitates a more functional and proper upright posture. Proper postural control also assists with higher and more practical use of the upper extremities. Proper postural control can lead to increased oxygenation, increased blood flow and improved organ function.

 

D. Individuals who require the recline function to assist with toileting needs
Justification:

The recline function allows for the caregiver to better accommodate and assist with toileting needs. The ability for the chair to lay flat (Synthesis and Midline models) will also allow the caregiver to complete many of the patient’s activities of daily living from the chair without the need for a transfer.

"The Broda Revive Tilt and Recline Shower Commode meets our patient's needs. He indicates he feels safe and his own care each morning. He is safe at all times while in the chair, and the caregivers are safe at all times while providing his care. All staff report being pleased with the commode and find it much easier to assist him."

Pam, Director of Nursing

" My father, enlisted in the Air Force and trained as a machine gunner on B17’s during WWII. Photographs of the “Flying Fortress” grace the walls of his room in the Kansas Veterans' Home in Winfield, Kansas where he has been living for the past 6 years.

For the first 2 years in the Veterans’ Home, my father used a power wheelchair for mobility and independence. But at the age of 82, with advances in his Parkinson's and dementia, his power wheel chair was taken away for safety concerns. He was provided with a standard issue VA manual wheelchair with no tilt or recline. His posture in that chair was terrible ... he was very slumped over and leaning to the side. Even his breathing was limited as a result of his poor posture. All he could do was stare at the floor. It was so disheartening to see him this way. I would have to kneel on the floor to see him eye-to-eye due to his hunched posture from Parkinson's disease.

In a fortunate twist of fate, it was determined that my father was an ideal candidate for a chair from Broda. And as a vested veteran, he qualified for the VA to fund the chair. He has now had a Broda chair for over 4 years!

Since he's been in the chair from Broda we can now sit beside him on visits and look at each other face-to-face. Being able to tilt back in the chair and look upward, he can enjoy watching John Wayne westerns in the VA lounge. He can even use the Broda chair when he travels by transport for dental appointments. He can stay in his chair for the bus ride and in the office, since the chair can be tilted enough for the dentist to work on his teeth.

Broda's chair has been a blessing for my father, his caregivers and my family. The chair improves his quality of life and I can't imagine him not being in it over the past few years. We are fortunate that the VA will fund Broda chairs for Veterans like him who need them."

Kent P., Family Member

"My mother has osteoporosis and arthritis with muscle weakness and bone and joint discomfort- Since she received this new Latitude Pedal Rocker she has total comfort and less anxiety with increased mobility with the hopes of muscle and bone strengthening as she lost her ability to ambulate more than a few steps on her good days these last few months. She is legally blind seeing only light and dark these last 2 years. She just celebrated her 96th birthday and lived alone until age 93-This chair has met her very important needs of comfort, safety, strengthening, mobility."

Elaine R., Family Member |WI, USA

“There are many excellent features on Broda’s chairs and the best way to start to help you clients is to begin building a relationship with this company. For the right client, Broda’s chairs are the perfect solution.”

Richard W., OTR/L, ATP |New York, USA

"As a Social Worker in a long term care setting I want to ensure my residents have the ultimate in comfort. Upon actually getting to test one myself, I realize Broda is the ultimate in comfort for any geriatric population including ours. As the number of Broda's chairs grow, so does the comfort and improved skin integrity of our residents."

Colleen M., Social Worker |Brookfield, WI