Joint Protocol Training Training Module A Core stock Assessment - PowerPoint PPT Presentation

Joint Protocol Training Training Module A – Core stock Assessment and Provision of Children’s Bathing and Showering equipment

As w ith seating the aim in selecting appropriate bathing equipment is to - • Maintain sitting balance. • Maximise stability. • Control involuntary movement or keep the child safe from the effects of this. • Assist the child to concentrate on activity rather than maintaining balance. • Improve visual stimulation. • Improve autonomic systems. • Allow fine motor skills. • Bathing equipment should w here possible touch as much of the body as possible for maximum support. • There is a link betw een postural stability and cognitive development. [Research]

General assessment for bathing/showering equipment should include the following components The young person’s :- • Co-ordination • Size • Weight • Postural tone • Head and Torso • Possible sensory loss control • Cognitive ability • Sitting Balance • Behaviour • Standing balance • Level of ability in transfers • Level of independence

The Bathroom Environment • Size of the room • Other bathroom fitments /furniture • Size ,shape, shower screens and fitments on the bath • Bathroom’s position in the house [ie. Upstairs/ downstairs/near a bedroom] • Access to the bathroom • Health and Safety

Other people living in the house • The ability of carers to use the equipment • The ability if the carers/other family members to move the equipment • Health and Safety issues for carers[formal/informal] • The needs of others who need to use the bath/shower • Storage of equipment when not in use – if relevant

POWERED BATH LIFTS Bath lifts enable the young person to enter and exit the bath and to bathe in a semi - reclined position.

Aquajoy Bathlift • Detachable wings • Chest and lap straps • Pommel • Reclining facility • Waterproof floating battery handset • Weight limit of 26.7 stone (170kgs)

Mangar Surfer Bather • Offers Full body support • Can allow the young person to bathe almost prone and in the bottom of the bath if required. • Has harnesses available • operated by low air pressure • Adjustable backrest and seat • Adjustable pommel (optional) • Optional side rails/leg strap • Maximum user weight: 50kg

Bathing Support systems Are designed to meet the need for postural support and safety for the young person. The following list is not exhaustive and there are many other similar products that are available to meet specific needs .

Otter Bath Seat • Allows full body support and a variety of reclining angles. • Can sit low in the bath to allow maximum submersion in the water. • Harnesses attached

Corner Bath Seat • Used for seating the child in the upright position. • Fixed angle back rest • Allows free use of arms for play • Has waist belt and pommel to reduce risk of slipping down • Suitable for small baths • Comes in different sizes

Burnett Bath support system • Bead-filled bath support • Comprises: backrest; thigh supports • Supplied with suction pump to remove air from bag and mould support to child’s body shape. • Suctioned to bottom of bath • No support harness attached

Penguin Bath support • Lying chair for bathing and play • relaxed position • Freedom of movement • Includes an adjustable abduction block. • For use with babies up to 7k 7kg ( g (1s 1st) • Height 260mm. Length 800mm. Width 330mm.

Showering Support systems Are designed also to meet the need for postural support and safety for the young person. Special features include head support; Torso/arm support; Foot rest and a range of harness anchorage.

Flamingo Shower Seat • For children from 2 –13 years • Many different position options • Can be reclined. • Various accessories • Side extenders • Swing away arm rests • Adjustable padded head rest • Various belt and vests • Foldable frame • Removable seat for bathing. • Can be used for toileting

Sea Horse Shower Seat • Can tilt back if required. • 4 size options- using different liners. • Pommel available • 4 point harness attached • Adjustable Head rest , Footrest and frame height w ith positive locking. • Maximum user w eight: 102kg (16st)

Swivel Bather Allows the user to be seated from the side of the bath and then to swivel over the bath for a wash or to shower

Indications for use of Swivel Bathers • The young person is large enough to require adult bathing equipment • The young person is unsafe transferring in/out of the bath independently • Carer assisting the young person is unable to do so safely and a manual handling risk has been identified • The young person has been assessed with a bath board and cannot transfer safely into the bath • Young person needs additional back support • The young person should have adequate hip mobility to facilitate safe use of the equipment

Contra-indications for use of a Swivel Bather • A secure and safe fitting cannot be achieved • The young person cannot demonstrate a safe transfer using the equipment • The young person has cognitive problems and may react inappropriately/unsafely • The young person has a medical condition that could put them at an increases risk when using the equipment. • The young person fails to meet the recommended size and/or weight limit