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Criteria for swing Away Armrests

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

 

A. Decreased muscle tone in upper extremity and/or shoulder subluxation or at risk for shoulder subluxation
Justification:

Adjustable armrest assists with proper height positioning of upper extremities. Providing adequate support and positioning of the upper extremities decreases postural deviations. Height adjustable armrests assist in managing current or potential shoulder subluxation by allowing for frequent adjustment and proper positioning of the arm.

B. Decreased postural stability/control
Justification:

Having upper extremities supported assists with proper postural trunk support by promoting a more midline position. Providing proper support and positioning decreases postural deviations and facilitates functional use of the upper extremities. Improved posture aids in enhancing blood flow, obtaining a more considerable expansion of the thoracic diaphragm and improved organ function and capacity.

C. Unable to or unsafe to perform stand pivot transfers or uses a slide board for transfers

 

Justification:

Swing away and/or removable armrests accommodate the use of patient lifts and facilitate safer transfers by providing better access to the patient. With the chair laid flat and the arm removed a supine transfer can be completed (on the Synthesis). Swing away and/or removable armrests can also aid in the completion of bowel and bladder protocols, changing of incontinence products and participation in activities of daily living.

D. Decreased ability to reposition upper extremity and/or severe discomfort or agitation with standard arm rests

 

Justification:

Height adjustable armrests allow caretakers to adjust an individual’s arm throughout various heights, which is necessary for pressure reduction, edema control and/or comfort. Proper positioning of the upper extremities also aids in maintaining a midline posture and improves postural stability. Improved postural stability can aid in decreasing postural deviations such as but not limited to; slumping, sliding, falling forward and lateral lean.

E. An upper extremity with a cast, sling or brace
Justification:

The ability to swing away and/or remove the armrest accommodates casts, slings, braces and other types of devices. Height adjustable armrests provide proper support and allow for frequent repositioning of the upper extremities, aiding in pain management and/or relief, as well as the management of edema and postural support. The armrests can be adjusted to accommodate and support the weight of the cast, sling or brace improving patient comfort, endurance and ability to engage with their surroundings.

" 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

"Prior to using Broda's Elite Tilt Recliner, there were issues with safety for getting the resident out of the chair, safety for staff lifting her in, either manual/mechanical; comfort, keeping her in the chair, inability to get her body over the sides.

The chair sides raise to prevent her from throwing her legs/body over the sides; same with the extra padding along her leg area that is raised. The tilt puts her buttock in a comfortable position, but also makes it extremely difficult to push out. The chair sides also swing out to assist with ease of the mechanical tilt.

Broda's chair has given her a reason to want to get up and she enjoys her chair now. When we are using the mechanical lift she remains calm because she wants to get in it and will stay longer safely and comfortably! Staff can safely lift and position her without worrying about injuring themselves."

J. C., Unit Manager, RN |Campobello Island, NB

We have not had any skin breakdown with our residents in the Broda's Elite Tilt Recliners since we started using them four years ago. We attribute this to the design of the straps allowing for moisture wicking as well as the ability to easily position recline position for pressure relief. We have not had any skin breakdown with our residents in the Broda's Elite Tilt Recliners since we started using them four years ago. We attribute this to the design of the straps allowing for moisture wicking as well as the ability to easily position recline position for pressure relief.

Mitch C.

"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

“What a difference now that Mom is safe and comfortable. It gives me peace of mind to know that she is sitting in on of Broda's chairs. My only regret is that I did not get this chair sooner for her.”

Bill L., Family Member ; fmr. Executive Director of Canadian Assistive Devices Association |Toronto, ON