Documentation of Other Standing Devices Considered One Position Stander We considered the use of a supine stander, but due to the client's L/E ROM and hips abduction issues determined that the client would not be able to be supported as needed. Nor would the client be able to work on independent assent/descent due to the method and location of the mechanism used to move the stander. Sit to stand Stander We also considered a sit to stand - strap type of stander such as XXXXXX or XXXXXX. John as reasonable trunk strength to use this, but due to limited support components offered for this lower extremities such as his hips supports, his legs shift heavily into abduction. Making this not a good choice. Documentation of Trialed Devices and Outcomes 03/01/2017 PNG50084 Evolv Large John transferred into the stander with our overhead ceiling track system, similar to the one he has at home. Together, with PCA and this physical therapist we watched a demonstration video of his exact lift system to see if it would be compatible with the stander. It appeared that with a swing-away front, the client would easily be able to transfer in and out of the stander with assistance of his personal care attendant. Once positioned well in the XXXXX sit to stand stander set at the XXXX seat depth, the client definitely needed a seat belt for safety. Initially we tried using two different types of chest straps but client had reasonable trunk control without the chest straps and reported that he could breathe better and more deeply without the straps as his lungs were able to fully expand, so the chest straps were removed. Client definitely needed the high contoured back so that he had some posterior support when standing in the stander. He would do well with a large contoured tray pad and the secure foot option. Client definitely needs the swing-away front so that he would be able to safely transfer
Documentation of Other Standing Devices Considered One Position Stander We considered the use of a supine stander, but due to the client's L/E ROM and hips abduction issues determined that the client would not be able to be supported as needed. Nor would the client be able to work on independent assent/descent due to the method and location of the mechanism used to move the stander. Sit to stand Stander We also considered a sit to stand - strap type of stander such as XXXXXX or XXXXXX. John as reasonable trunk strength to use this, but due to limited support components offered for this lower extremities such as his hips supports, his legs shift heavily into abduction. Making this not a good choice. Documentation of Trialed Devices and Outcomes 03/01/2017 PNG50084 Evolv Large John transferred into the stander with our overhead ceiling track system, similar to the one he has at home. Together, with PCA and this physical therapist we watched a demonstration video of his exact lift system to see if it would be compatible with the stander. It appeared that with a swing-away front, the client would easily be able to transfer in and out of the stander with assistance of his personal care attendant. Once positioned well in the XXXXX sit to stand stander set at the XXXX seat depth, the client definitely needed a seat belt for safety. Initially we tried using two different types of chest straps but client had reasonable trunk control without the chest straps and reported that he could breathe better and more deeply without the straps as his lungs were able to fully expand, so the chest straps were removed. Client definitely needed the high contoured back so that he had some posterior support when standing in the stander. He would do well with a large contoured tray pad and the secure foot option. Client definitely needs the swing-away front so that he would be able to safely transfer
Evolv-Sample-LMN.docx