How To Order

All treatments, equipment, medications, etc. must be documented in the patients’ individualized care plan prior to being given, placed or initiated. Written orders are required in healthcare facilities from the patients’ Attending Physician, Physical Therapist, Nurse Practitioners or other qualified care providers before the order/placement or initiation of medical equipment, medicines, and other treatments.

 

WHEN TO USE:

The use of thigh belts is often medically necessary and prescribed for patients who require:

1) Positioning device for added safety while seated in a wheelchair

2) Positioning device used in conjunction with Broda’s Huntington’s Specialty Padding (HSP) package

3) Enhanced patient safety in accordance with the individualized care plan and following the attainment of a physician’s order

WHEN NOT TO USE:

1) Do not use if less restrictive measures are available and will maintain patient safety (CFR 482.13(e)(1) ¹

2) If the patient is left unattended/unsupervised following the placement of the thigh belt

3) If the patient presents  a condition that may cause use the of the thigh belt to become unsafe

4) Do not use with a patient who is or may become highly aggressive, combative, agitated or suicidal

5) Discontinue use if redness, irritation or swelling occurs to the thigh area following the placement of the thigh belt

6) Do not use if the patient presents with wounds, irritation or swelling of/or at the site of placement as doing so could cause symptoms to worsen

7) Caution must be taken when the use of a thigh belt is for patients with a colostomy bag, foley catheter, post-surgical incisions or other conditions that would render the use of the thigh belt unsafe

BRODA Tip To Remember:

Following USA regulations CFR482.13 (e)(1) ¹, a physician’s order is required for the use of restraints. In addition, the individualized care plan must prove medical necessity for use of restraints and document need for the restraint.

1) Document education and training provided to staff for proper use of the thigh belt

2) Always document observation/safety checks following the placement of the thigh belt

3) Review and document continued need of the thigh belt at each care plan meeting following placement of the thigh belt

4) Always use the thigh belt as ordered and in accordance with facility protocol, State, and Federal Regulations

 

Sources:

1) ELECTRONIC CODE OF FEDERAL REGULATIONS SUBPART B 482.13

We have not had any skin breakdown with our residents in 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.

Jaclyn A., OTR/L Director of Occupational Therapy |New Hartford, NY

"Prior to the Broda chair [Synthesis Tilt Recliner], we had tried numerous positioning devices for the resident, which were ineffective. She had a tendency to lean forward and to one side. Once using the Broda chair [Synthesis Tilt Recliner], the resident's posture immediately improved. She, herself, was very thankful because she was "so comfortable". The staff couldn't believe the result. Besides this resident sitting in proper alignment, she could still self-propel with her feet."

Linda P., Restorative Coordinator |Joliet, IL

" 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

"We were at a loss with one of our residents who has frontal lobe dementia. He had trunk lean, stopped feeding himself and appeared to be in pain. We attempted to address the pain; however, any medication we used caused him to have increased behaviors. Since using Broda's Synthesis Tilt Recliner, he has been feeding himself, he smiles and laughs like he used to and is showing no signs of pain anymore. Thank you for producing a great product that brings the quality of life back to our residents!"

Kelly J., Director of Nursing |Sister Bay, WI