PW_285_yin_yang_plain [Converted]2Silver Care Basic Case Study

Life Care Center of Greeneville

Treating Clinician:  Kelly Painter, PT, DOR

 

Patient: Female, 74

Primary Diagnosis: CVA with neurogenic bladder

Existing Wheelchair Seating: Hemi-height wheelchair

Positioning/Clinical Issues: Pt is incontinent of urine and is less able to perform repositioning in her wheelchair without assistance, putting her at risk for skin breakdown.  She also enjoys participating in smoke breaks and other activities during the day, often declining for staff to assist her in the restroom, causing her wheelchair cushion to become soiled.

PostureWorks Intervention (which seating unit): We have used the Silvercare Basic cushion with this patient due to the ability to wash the entire cushion along with the cover.  We are able to have multiple cushions in rotation for this patient, making it so the staff always has a cushion available for her chair to decrease the risk of skin breakdown.

Outcome: This patient has not experienced skin breakdown since the start of use of the Silvercare Basic cushion.  Since the patient does not require a more specialized cushion, we are able to always have an appropriate cushion available for her needs.

Feedback from Patient, Therapist or Nursing (Quote): The patient feels as though this cushion is comfortable enough for her needs and is pleased that she has a clean cushion available to improve self-esteem.  The staff is pleased that there is always a cushion available to replace the soiled cushions that are being laundered.  It saves them time from having to look for another cushion and make sure it is the most appropriate. 

Note: This is a representative example; actual user evaluations, and decisions regarding the appropriateness of a particular product for a particular individual, should always be made by a qualified healthcare professional.

Interventions & Quality Outcome Measures: Part III, Wheelchair Positioning and Falls
Wheelchair Seating Interventions & Quality Outcome Measures: Part II, Pain