MultiAdjust Case Study – Barry’s Story
CareFlex were able to meet with Barry recently and had the privilege of providing him with the all new MultiAdjust specialist seating system for its very first trial and helping us with our first MultiAdjust Case Study. Rebecca Dunstall, Clinical Specialist, and Les Jones, Business Development Manager, met with Barry, care home staff, and his therapy team at the care home where he resides. The aim of the visit was to discover if CareFlex specialist seating could improve his quality of life.
Barry is a 62-year-old gentleman who enjoys music, one-to-one activities with care home staff, and discussing his favourite recipes. Barry receives long-term nursing care, including full assistance with administration of medication and personal care. He lives with cortical blindness and limited functional movement but is able to communicate his wants and needs verbally.
Barry’s diagnosis is progressive multifocal leukoencephalopathy:
- Barry presents with left-sided weakness and reduced postural control.
- He has instability at the pelvis and gravity pulls him into a posterior pelvic tilt (sacral sitting).
- He is non-ambulant and fully hoisted for all transfers.
- He can show sensitivity to touch and does experience episodes of pain, which are managed effectively with analgesia.
Prior to CareFlex involvement, Barry used his wheelchair throughout the day for all seated activities, and had no access to alternative seating. Care home staff reported episodes of agitation and behaviours that challenge following moving & handling.
During the assessment it was evident that Barry had a low tolerance of his sitting posture in his wheelchair. He was at risk of increased agitation with continued prolonged use of his wheelchair as there was a clear correlation between his behaviour and his transfers into it. He was also at risk of pressure injury due to unequal weight distribution, and deteriorating pain and fatigue.
An alternative seating system that enabled a much-needed change of position was most definitely indicated. Barry’s seating objective, above all else, was to be comfortable, thus reducing agitation and improving his wellbeing as this is the outcome that would have the greatest impact on his quality of life. The MultiAdjust offers:
- Flexibility with a range of seat adjustments, including seat depth, seat width and arm rest height, to provide long term support as Barry’s condition progresses and his needs change.
- Tilt-in-Space* to encourage pelvic stability in conjunction with a padded pelvic belt*.
- Tilt-in-Space in combination with Back Angle Recline* to also allow for periods of rest for energy management during daily use.
- Adjustable lateral support to encourage trunk alignment to promote optimum physiological, especially during eating & drinking, and to limit Barry’s leaning posture.
- Height adjustable arm rests to allow for different upper limb support needs left to right.
- An angle adjustable footplate to enable a comfortable lower limb and to allow the feedback necessary for postural stability.
- A detachable footplate pad to ensure feedback through the feet is gentle but sufficient given Barry’s sensitivity.
- Reflexion foam back and cushion to ensure adequate pressure care whilst promoting comfort and function.
- Hoist compatibility to ensure that care home staff are able to complete moving & handling safely, efficiently and with ease, which should also improve Barry’s tolerance of transfers.
Barry immediately settled into the chair and communicated that he felt “very comfortable”.
On review, care home staff reported a noticeable change in Barry’s mood and behaviour with reduced episodes of agitation and a clear willingness to sit out in the MultiAdjust during the day; he even felt relaxed enough to fall asleep in the chair during his trial. The MultiAdjust was effective in increasing Barry’s tolerance of seated posture; subsequently allowing him to achieve a much-needed change of position and an alternative to his wheelchair.
Barry concluded our visit stating that he “wouldn’t change a thing”, which is praise indeed.
Of course, achieving good sitting posture is important, but often compromise is the magic word as compliance and consistency is key to realistically meeting an individual’s seating objectives. There is no higher praise than an individual wanting to use a CareFlex because they know it will allow them to be comfortable, safe and content. We are so proud that we were able to change Barry’s daily life for the better and look forward to visiting him again to deliver his very own MultiAdjust.
At CareFlex, we strongly believe in our ethos: we strive to balance posture and pressure management with the individual’s own goals, whilst promoting comfort, independence and a meaningful life.
Get in touch to arrange a free no-obligation assessment if you think you or your loved one need a supportive yet comfortable chair, like Barry, from CareFlex specialist seating.
- Tilt-in-Space and Back Angle Recline should always be prescribed responsibly, ensuring that they are safe and appropriate for the user following a comprehensive assessment of posture and risk, with advice sought from the multi-disciplinary team where indicated. In some cases, these functions will be contra-indicated, and they could also increase shear and friction forces.
- All belts and harnesses must also be prescribed, implemented and monitored responsibly following a comprehensive risk assessment. Please see the Device safety information alert for further information: www.gov.uk/drug-device-alerts/all-posture-or-safety-belts-fitted-to-supportive-seating-wheelchairs-hoists-and-bathroom-equipment-risk-of-serious-injury-or-death