How To Order
1. Change in Condition

As the patient’s condition progresses/changes, it is important that they are reassessed to assure they continue to use equipment that will meet their needs, provide them comfort and keep them safe. The need for reassessment can be identified by:

• A decrease in sitting tolerance

• Increased risk for/or development of pressure ulcers

• Decreased ability to self-ambulate and/or self-propel

• Implementing use of restraints to keep patient seated safely

• Increase in postural deviations such as; head drop, lateral lean, slumping and sliding forward while seated

HSP Package Synthesis side recline
Synthesis Tilt Recliner with Huntington’s Special Padding 
2. Change in Medication (dosage, frequency, etc.)

Patients that are utilizing equipment that no longer meets their needs can result in symptoms and conditions that may cause a change in the use of medications. This can be identified by verbal and non-verbal cues such as:

• Increased reports of pain

• Complaints of new pain

• Behavior changes due to discomfort, pain, and inability to verbalize need

• Increased symptoms such as; swelling of the upper and lower extremities, numbness of the upper and lower extremities, back pain and hip pain

• Increase in use of pain, psychotropic and other medications due to the above

Synthesis Transport Chair recline
Synthesis Transport Chair
3. Behavioral changes (frustration, aggression, etc.)

Prolonged discomfort can cause increased pain and exasperate other symptoms facilitating a change in the patient’s behavior. For patients who are unable to verbalize their need, these changes may show in the form of frustration or aggression. This can be identified by verbal and non-verbal cues such as:

• New or increased signs of aggression

• New or increased episodes of frustration

• Increased attempts to exit the chair increasing fall risk

• Behavioral changes such as aggression, crying, yelling etc.

• Implementing use of restraints to keep patient seated safely

• Increase in use of psychotropic medications (to calm patient)

Latitude Pedal Rocker rocking
Latitude Pedal Rocker
4. Increased Time in Bed (Decrease in ADLs and Social Interactions)

The patient’s sitting tolerance and ability to socialize may change due to using a wheelchair that no longer meets their needs. Over time, modular seating systems no longer provide the comfort they once did. When patients become uncomfortable sitting in their wheelchair they begin to spend more time in bed potentially increasing their risk for pressure ulcers, fall risks, and other issues. This can be identified by verbal and non-verbal cues such as:

• Increased pain

• Increase in use of pain and psychotropic medications

• More time spent in bed, inability to socialize (resulting in isolation and depression)

• Postural changes such as slumping, sliding and lateral lean while seated

• Increased symptoms such as; swelling of the upper and lower extremities, numbness of the upper and lower extremities, back pain and hip pain


" 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

"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

"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

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 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