How To Order

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

When to use:

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

1) Anterior posture support

2) As an additional support surface for placement/support of flaccid extremities

3) Another support surface to support the weight of a cast, brace or another device

4) Aid in the treatment of conditions that affect the upper extremities such as edema, subluxation, etc.

5) Use of a tray as outlined in the individualized care plan and prescribed by their Attending Physician

6) The tray for assistance in completing their Activities of Daily Living such as feeding, grooming, and other activities

7) Enhanced patient safety following an individualized care plan and the obtainment 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 tray

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

4) Discontinue use if a patient is at risk of/or begins to slide down and out of the chair while seated

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

 

Broda Tip To Remember:

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

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

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

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

4) Always use the tray as ordered and by Facility Protocol, State/Provincial, and Federal Regulations

 

Sources:

1) ELECTRONIC CODE OF FEDERAL REGULATIONS SUBPART B 482.13

"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

"Our gliders [Tranquille Auto-Locking Gliders] are always disappearing out of our common areas and end up in our patients' rooms We don't know how they get there, but they love them and prefer sitting in them more than anything else. One patient with a back injury told us this was the only chair he could sit comfortably in. He wanted to take it home with him after his rehabilitation was complete."

Josiah D., Facility Administrator |Pocatello, ID

"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

"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