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Pressure care and 24 hour postural management

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8524 Repose57406The definition of a 24 hour postural management programme is a ‘planned approach encompassing all activities and interventions which impact on an individual’s posture and function.[1] And can include special seating, nighttime support, standing and mobility equipment, and other tasks as part of an individual therapy session or client’s choose of activity.

Poor postural care can have severe and life threatening consequences for people who have a limited ability to change position[2]  It is a fact that symmetrical and a stable posture is essential for our health and well-being, individuals whom are unable to move their bodies throughout the day or night can be prone to

 

  • Contractures and deformities from ligament stretch or soft tissue shortening.
  • Increased pain due to fixed position or cramping of muscles.
  • Skin integrity and pressure sore development.
  • Swallowing and digestive problems.
  • Breathing difficulties due to the inability to expand the rib cage effectively.
  • Reduced ability to engage with their chosen activities within their environment.
  • Increase fatigue levels

When looking at and assessing for an effective 24-hour posture management programme we need to look at the three key postural positions,

Lying

Sitting

Standing

If we look at only one of the areas above we are at risk of not providing an effective intervention, as posture management needs to encompass all postural positions available to our individual client.

Sitting

Seating can take many forms, be it a wheelchair, chair, bench or stool, the most important feature to remember is to enable the client to be supported in a good postural position to avoid the above complications and to enable them to carry out their chosen activity.



[1] Tina Gericke. Developmental Medicine and Child Neurology. London: Apr 2006. Vol. 48 (4); p 244

 

[2] Crawford,S., and Stinson, M. (2015).’ Management of 24 hr body positioning.’ In I. Soderback (Ed.)

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