To whom it may concern: RE: Broda Bariatric Tilt recliner.
My SNF was pleased to have the use of the Bariatric Tilt Recliner for a several-month period of time. We were so pleased with how the wheelchair allowed us to provide a way to get our resident out of bed and provided a way for her to be upright and
to participate in many facility activities which she couldn’t safely do in her standard bariatric wheelchair. By using the removable armrests, our staff was able to use a mechanical lift to safely transfer the resident without injury. Several staff members commented on how the tracking brake feature allowed them to propel the wheelchair safely in a straight path with decreased stress on their bodies. The manual foot pump also allowed staff to position the resident comfortably for upright sitting activities with minimal stress. Overall we were very pleased with the features and performance of this wheelchair and would choose it again if the situation presented itself where we had a resident in need of this type of specialty wheelchair. In this case it improved the resident’s quality of life.
Thank you for creating such a carefully thought-out product!
My dad had dementia accompanied by a gradual loss of motor abilities. We cared for him at home. When he was no longer able to walk, a standard wheelchair was provided. It was fine for a time. However, as trunk control diminished there were problems with the standard chair.
He would lean to one side hanging over the edge of the chair. Due to muscle contractures, it was very difficult to get him to sit upright. Another problem was that he would scoot and slide out of the chair. At that time, a Broda was recommended. It worked wonderfully. With the side supports, it prevented him from leaning sideways. The tilt feature prevented him from being able to scoot out. The tilt and the high back also helped keep his head upright so he could see around him, rather than his head hanging so he was staring at his lap. In addition to the tilt, the full range of motion (sitting to reclining) greatly helped to prevent bed sores. When he was out of bed, he was in his Broda chair. Since it rolls, and the arm rests are removable, we could bring him to the table to eat with the family while he was able. The tilt feature also made it easy to shave him and brush his teeth. In a pinch at an extended doctor's appointment, we even changed him in the chair. When pivot transfers to bed became increasingly difficult due to loss of motor control, transfer to a Hoyer lift was safe and secure. In the full reclining position we rolled the Hoyer sling under him and he relaxed as he was lifted out of the chair. We were able to obtain a second hand chair for our home. It was sturdy and reliable.
My father, Richard Potter, 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 Broda chair. 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 Broda chair 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.
In summary, the Broda chair has been a blessing for my father, his caregivers and my family. The Broda 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.
knowing his mom is safe and comfortable in her BRODA Chair, gives Bill Laidlaw peace of mind
There is no more difficult decision for a child to make. Bill’s mother, Isobel, had been a very active volunteer with the Toronto Junior League, the inner wheel with the Toronto Rotary Club and at Humber Valley United Church. But after 84 years of independence and productivity,the signs and symptoms of dementia were
there. Bill and his family made the decision to move their Mom, first to a retirement home in 2004, and then in 2008, to West Park long term care facility. As the Executive Director of the Canadian Assistive Devices Association (CADA), Bill Laidlaw is no stranger to the Canadian healthcare system. The experiences over the past 8 years with his Mom have further strengthened and personalized Bill’s position as an advocate for access to technology for the disabled. Isobel now lives in a cheerful room, filled with photographs, plants and stuffed toys at the West Park Long Term Care Facility in Toronto. Her dementia has progressed, and Isobel is completely dependent on others for her care. “As my Mom’s condition progressed, she needed a wheelchair. After a few years, she was prescribed a rehab-style tilt wheelchair, but she was so uncomfortable – she would fidget and slide out of the chair,” said Bill. After several falls, Bill worked with the Occupational Therapists at West Park to find an alternative wheelchair for his Mom that would be comfortable and safe.
A Broda 785 Elite chair was selected to enable Isobel to sit comfortably. With infinitely adjustable tilt and recline and Comfort Tension technology, Isobel is happy to be in her Broda chair all day long. Isobel is comfortable and safe during meals, which ensures she receives appropriate nutrition and hydration. “Isobel is so comfortable and so content when she is in her Broda chair,” says Marion, her Personal Support Worker. “She enjoys going outside and around the facility in her chair. Most of all, she loves to hear me laugh.”
Bill visits his Mom several times a week. When Isobel is a bit unsure of her surroundings, Bill will chant the team cheer “Oske Wee Wee” from her beloved Hamilton Tiger Cats football team, or use her nickname (Timmy) to reconnect mother and son. Staying comfortable in mind and body is the top priority and Bill says, “What a difference now that Mom is safe and comfortable. It gives me peace of mind to know that she is sitting in a Broda chair. My only regret is that I did not get this chair sooner for her.”
Canadian Assistive Devices Association
We are currently using a Broda 785 for a Huntingtons resident. We were very concerned about the safety and the comfort of the resident until we tried him in the Broda chair. Now, he is happier and more comfortable than we have ever seen him.
We are very pleased at how much the Broda chairs help. We also recently purchased a Broda Pedal Chair and a Glider. Both of these have also helped improve the quality of life for our residents.
We have two Broda chairs- one for a resident with Huntington's, and one for a resident with Parkinson's. The Huntington's resident is severely spastic with uncontrolled movements. We have tried multiple chairs with lap restraints and lap belts with no avail.
The resident had severe, injurious falls and has had no falls since the Broda placement. The chair for the Parkinson's resident is used for comfort and he has had no discomfort since using the Broda chair. The staff really likes the Broda chairs. They are easy to use, adjust, roll, etc. They are excellent, durable chairs and we are very satisfied.
We have found the Pedal Chair beneficial in reducing the need to use added restraints and even more it has improved out of bed positioning for our residents. The chair enables a resident’s position to be changed by tilting instead of reclining. This is beneficial in that changing position with tilting instead of reclining
reduces the sheering forces in the areas of the sacrum, coccyx, and ischial tuberosities thus reducing the potential for skin integrity problems. The Pedal Chair also enables residents, with the ability, to be independently mobile while in a tilted position which decreases the fatigue of the trunk musculature by not having to support their upper body in a fully upright position all day.
Denise B., Director of Rehab
Broda Seating Product's are superior in the areas of comfort, pressure reduction, positioning, ease of transfers and repositioning, cost-effectiveness, durability, and ease of use which gives them a leadership role in the market for wheelchair users. The Tension Strapping System also allows freedom of movement without
harmful effects for those individuals who have uncontrolled and involuntary motor responses yet still gives them appropriate support for out of bed activites. Individuals living in Extended Care Facilities have multiple medical conditions that limit overall function, mobility, and safety making their seating requirements challenging and complex. These individuals are often at high risk for falls, skin problems, joint contractures, respiratory and swallowing deficits and cannot tolerate upright sitting for extended periods of time. The Broda Products are highly effective in accommodating these complex issues and allow for optimal seating for prolonged periods of time without adverse effects. The Broda Products make it easier for caregivers to provide optimal care with less stress on the client and the caregiver. For example, easier transfers, easier repositioning , less maintenance, and easier mobility. Broda Seating Products help prevent multiple health and safety issues currently effecting this population. These include:
- Prevention of pressure sores and skin tears
- Prevention or accommodation of joint contractures
- Prevention of falls or use of restraints
- Prevention of pain and discomfort
- Prevention of behavior problems or resident demands
- Prevention of swallowing problems or respiratory problems caused by forward flexed postures.
- Prevention of loss of mobility and function
- Improvement in their dignity and well being
- Prevention of becoming bedridden or isolated in their rooms
Physiological Effects with Proper Positioning using Broda Products:
- Neutral head and neck positioning for safe swallowing, chewing, feeding, and speech production, as well as good visual orientation.
- Proximal trunk stability allows for effective Upper Extremity range of motion and function for ADL and recreational activities and wheelchair propulsion
- Extended Spinal alignment expands lung capacity and optimizes vital organs, improving respiratory and digestive function.
- Decreases mechanical stresses at sacrum, coccyx, and spinous processes with resultant improvement of skin integrity, improved blood flow, and prevention of pressure ulcers.
- Optimal Leg and foot support decreasing risk of contractures, loss of mobility, pressure sores or skin tears.
Key components of a chair that are recommended when selecting a seating system for this vulnerable population:
- A comfortable, pressure reducing seat, back and head support
- Proper arm support that can be easily moved out of the way for transfers in and out of the chair.
- Proper leg support so that legs cannot fall between leg rests
- The ability to tilt or recline so that pressure points can be redistributed throughout the day for effective prevention of pressure sores and so they can rest or sleep when fatigued.
- The Potential for easy self propulsion
- Should be light weight, have low maintenance, and be user friendly.
The Broda Products have all of these components making it a smart choice for all residents needing a wheelchair for extended periods of time. With optimal seating choices, residents will have an improved quality of life and will be able to participate in out of bed activities with the comfort and safety they desire.
We have not had any skin breakdown with our residents in the Broda Tilt Recliner chairs 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 the chair in a tilt and/or recline position for pressure relief.
Jaclyn A., Director of Occupational Therapy
New Hartford, NY
We were at a loss with one of our residents who has frontal lobe dementia. OT was unable to adjust his wheelchair properly to accommodate for his trunk lean he had been exhibiting. He had stopped walking and was discharged from restorative. He also had stopped feeding himself. He appeared to be in pain.
We attempted to address the pain however any medication we used caused him to have increased behaviors. We knew this was all caused by the positioning in the wheelchair he was in. OT finally called a Broda rep and they came up to fit the resident with a new wheelchair. Since then, the resident has now been walking again. He is feeding himself. He smiles and laughs like he used to. He is showing no signs of pain anymore. Thank you for producing a great product that brings quality of life back to our residents!
Kelly J., DON
Sister Bay, WI.
My mother has osteoporosis and arthritis with muscle weakness and bone and joint discomfort- Since she received this new Broda 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.
Broda Model: Midline Tilt Recliner
Condition of Resident: Diagnosis of Multiple Sclerosis. Receiving hospice care.
Our patient had a standard wheel chair that was insufficient to meet his mobility needs.
Since using the Broda chair, the patient is able to move around comfortably at the nursing home. He is able to attend activities and it is now possible for him to go to the dining room for meals.
The goal of Home Hospice is to give our patients the highest level of dignity and comfort possible during their final days. This chair has allowed our patient to have significantly improved quality of life. We greatly appreciate the extra time and effort that Roger Jenkins, Broda Representative for Northern Texas, gave in providing this chair.
Our patient is very pleased with his new chair and stated that "It's like getting a new car."
To the attention of Doctor ____, my name is LeAnne Tacker I am an occupational therapist at Arkansas Convalescent Center. I am writing on behalf of my client Mr. _____ Smith, who is currently requiring the provision of a more applicable seating surface. I have visited extensively with him and his wife in regards to his prior
modes of mobility as well as his comfort level with those devices.
Mr. Smith was provided a wheelchair which he was able to tolerate for roughly five years. Following that decline, the VA provided him with a Geri Chair. He tolerated that chair for roughly three to four years, but has now reached another decline in his tolerance level. Over the past eight plus years Mr. Smith has afforded to remain in his home under the care of his wife with only intermittent periods of hospitalization. Mrs. Smith has done her best to diligently provide preventative measures to offset the development of pressure sores. She stated that he may have had only one or two minor developments over the years. Mr. Smith was admitted to ACC on 03/05/09 to participate in the therapy program and discharge home following his stay. He was admitted with an unstageable pressure ulcer on sacral area. All this explanation leads me this point of extreme importance to why we are pleading for your assistance in our request for the VA to provide Mr. Smith with a quality BRODA Chair.
Mr. Smith was unable to tolerate a w/c shortly following Ills arrival at ACC, and thus was placed in a Geri Chair. It became quickly apparent that he could hardly tolerate a Geri Chair due to severe discomfort and pain to his pressure sensitive areas. He attends dialysis Tuesday, Thursday, and Saturday from the hours of 9:30 am to 2:00 pm. Upon return from dialysis he is often tearful and unable to tolerate a meal before being laid down, much less participate in any therapy services. Although, even on the days he did not have the scheduling demands of dialysis, his comfort level and activity tolerance was so limited, and therapy continued to have difficulty providing him treatment anywhere but in the bed. At that time I placed Mr. Smith in a Broda Chair. He now tolerates six to seven hours out of bed on days he does not go to dialysis and is able to tolerate 2 to 3 hours following his return from dialysis.
By advanced Broda chairs distribute weight more evenly, preventing agitation and further development of pressure sores. In my professional opinion a Broda Chair is far more superior to the standard Geri Chair. Mr. Smith's comfort and tolerance has achieved significant improvements. I only hope that I can provide him that same comfort level for his return home. I was informed with VA assistance and Doctor's approval my client may qualify for a Broda Chair. I hope my explanation and introduction of Mr. Smith's specific circumstances provides you with necessary personal background information and support to assist you in your medical decision on this important matter. Please free to call me at anytime on my cell phone (___-___-____).LeAnne Tacker OTR/L.
Or for more information on the Broda Chairs you visit www.brodaseating.com or call (1-800-668-0637) I look forward to hearing from you.
LeAnne T., Occupational Therapy
Broda Model: Pedal Chair, Condition of Resident: The resident was alert, oriented to self and family.
Prior to the Broda chair, we had tried numerous positioning devices for the resident, which were ineffective.
She had a tendency to lean forwards and to one side. Once using the Broda Chair, the resident’s posture immediately improved with this chair. She, herself, was very thankful because she was “so comfortable”. The staff couldn’t believe the results. Besides this resident sitting in proper alignment, she could still self propel her w/c with her feet.
I have worked in other facilities where this chair was used and knew the benefits of it. Most of the staff here were not familiar with the Broda Chair. Everyone was thrilled with the results, from the administrator to the front line staff. They also commented on the ease of maneuvering, which you don’t have with the gerichairs.
I knew it was a great product…now the Villa knows :)
Linda P., Restorative Coordinator
Broda Testimonial 785
Broda Model: 785 Tilt Recliner with Huntington’s Padding Package (785 HSP)
Condition of Resident: A lot of motion, random and spastic, aggressive with staff when trying to get OOB. Sliding or throwing body out of chair, upsetting chair.
Prior to using the Broda chair, 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 Broda 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.
The Broda 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.
July 6, 2010
J. C., Unit Manager
Campobello Island, NB
Good Morning Mark,
I just spoke with the Therapist at the facility. She loves the chair!!! I asked if the patient is still rearing back and she said not as much. She said he used to do it every day after breakfast and dinner.
She just checked on him and he is sleeping comfortably in his chair. I also asked what the differences were between the first and the second chair. Her response was "The mag wheels and having it come to them already adjusted to the patient’s needs."