Seating Assessment and Management in a Nursing Home Population

Krasilovsky, Gary

doi:10.1300/j148v11n02_03

Cited by 2 publications

(4 citation statements)

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“…Nonsignificant improvements were found in forward reach, speed of independent mobility, and increased social interaction over baseline function. Surveys of the wheel-chair seating needs of residents of longterm care in the United States indicated that between 67 per cent and 80 per cent of residents of long-term care facilities experience problems with their seating system (Fuchs & Gromak, 2003;Krasilovsky, 1993;Shaw & Taylor, 1991). However, none of these surveys used reliable or valid measures.…”

Section: Wheel-chair Outcomesmentioning

confidence: 99%

“…No reliability or validity data were reported, and results were reported as frequencies only. Krasilovsky (1993) conducted a descriptive study with a convenience sample of 67 nursing home residents identified by their caregivers as needing wheel-chair seating assessment. This assessment included chart reviews, consultation with nurses or caregivers, ADL (activity of daily living) observation (no measure used), and additional assessment as needed.…”

Section: Wheel-chair Outcomesmentioning

confidence: 99%

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Prevalence and Predictors of Need for Seating Intervention and Mobility for Persons in Long-Term Care

et al. 2007

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A descriptive cross-sectional study was conducted to (a) determine the prevalence of need for wheel-chair seating intervention in two long-term care facilities in Vancouver, BC, (b) determine the extent of the residents' independent mobility within these facilities, and (c) explore the relationship between proper wheel-chair seating and positioning and independent mobility. The study population comprised 99 wheel-chair-using older adults. Four trained raters assessed need for seating intervention, using the Seating Identification Tool, and quantified extent and frequency of wheel-chair mobility, using the Nursing Home Life-Space Diameter. Results indicated that (a) there was a low need (overall 22%) for wheel-chair seating intervention in the two facilities, (b) half of the residents were independently mobile in their own rooms and on their units, but independent mobility decreased when greater distances needed to be travelled, and (c) the need for wheel-chair seating intervention was the only significant predictor of extent of independent mobility. These findings suggest that, where there are dedicated staff and equipment resources, the need for wheel-chair seating intervention can be minimized and independent mobility for long-term care residents maximized.

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Section: Wheel-chair Outcomesmentioning

confidence: 99%

Section: Wheel-chair Outcomesmentioning

confidence: 99%

Prevalence and Predictors of Need for Seating Intervention and Mobility for Persons in Long-Term Care

et al. 2007

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“…Two of the most common disorders faced by elderly adults in wheelchairs are pelvic obliquity and posterior pelvic tilt (Redford, 1993). Possibly as a result of the sling seat, inappropriate posture could lead to discomfort, decreased independence, and increased probability of developing pressure ulcers (Chandler & Knackert, 1997;Garber & Dyerly, 1991;Harms, 1990;Koo, Mak, & Lee, 1996;Krasilovsky, 1993).…”

Section: Sling Seatmentioning

confidence: 99%

“…Solid-seat inserts level out the sling seat of the wheelchair thereby preventing the "hammocking" effect of the traditional sling seats in wheelchairs (Chandler & Knackert, 1997;Herzberg, 1993;Krasilovsky, 1993;Redford, 1993). Solid-seat inserts are additionally used to enhance weight distribution, improve upper body positioning and comfort, and decrease intradiskal pressure and skin problems (Chandler & Knackert, 1997;Ferguson-Pell, 1990;Harms, 1990;Redford, 1993;Trefler & Taylor, 1991).…”

Section: Cushion and Solid Seat Insertmentioning

confidence: 99%

Effects of Positioning on Functional Reach

Amos

Brimner

Dierckman

et al. 2001

Physical & Occupational Therapy In Geriatrics

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This study examined the functional reach of fifty-three elderly persons who use a wheelchair and reside in an extended care facility. Forward, right, and left functional reaches were elicited through a goal-directed activity while the participant sat in a wheelchair with a wedge cushion on a solid-seat insert and on the standard wheelchair sling seat. Participants had a statistically significant greater forward reach when using the wheelchair with a wedge cushion and solid-seat insert compared to the sling seat, but no significant differences in the right and left reaches were found. While the study inclusion criteria did not specifically select individuals with limitations in reach, this difference in forward reach, possibly due to better positioning in a wheelchair, may positively impact the functional ability of elderly persons.

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Seating Assessment and Management in a Nursing Home Population

Cited by 2 publications

References 0 publications

Prevalence and Predictors of Need for Seating Intervention and Mobility for Persons in Long-Term Care

Prevalence and Predictors of Need for Seating Intervention and Mobility for Persons in Long-Term Care

Effects of Positioning on Functional Reach

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