Accora 01223 206100 Alerts Quote Demo

Multiple Sclerosis

Shirley’s story

Shirley is 65 years old and has been diagnosed with multiple sclerosis, moderate arthritis of the spine, lower leg lymphedema and cellulitis. Shirley is 5’2” and weighs 26 stone (65kgs). The combination of her health conditions and weight has resulted in her lower limbs becoming very swollen, affecting movement in her chair and bed, as well as her ability to mobilise. Shirley has a history of falls and paramedics are often called to assist her from the floor.

Shirley lives alone in the ground floor of her house. She has carers twice a day to wash and cream her legs and refit her pressure stockings. Otherwise, Shirley is independent in all other tasks. Shirley has to get up to use the toilet up to eight times in a night, and has begun to notably struggle with transfers in and out of bed.

The difficulties experienced with transfers can be attributed to Shirley’s physique; her lower leg length is just 14” and her body mass concentrated around her lower back, hip and thigh area. Shirley’s legs are too heavy for her to lift onto her current profiling bed, resulting in her brother having to sleep over at night to support lifting her legs in and out of bed.

Results

A FloorBed™ and bed lever have been put in place for a trial. Once seated, Shirley lowers the bed right to the floor, where she utilises the bed lever to assist in sliding her legs into the bed. Through use of the FloorBed™, Shirley is now able to independently transfer in and out of bed.
Shirley is now also able to independently reposition herself in bed. The reduction in pain, discomfort and shortness of breath [caused by the strain of having to lift her legs into bed], enables Shirley to achieve a central lying position. Shirley uses the back rest raise to ensure an appropriate sleeping position which in turn improves and aids respiration whilst in bed.

The FloorBed™ benefits all:

  • User – Shirley is now experiencing independent, pain free and effortless transfers in and out of bed.
  • Family – Shirley’s brother no longer needs to wake up eight times a night to support and lift Shirley’s legs in and out of bed. The risk of a significant manual handling injury is reduced.
  • Local authority – The existing package of one carer twice a day was maintained, however, an extensive package of care was avoided. (i.e. two -three carers x four daily visits using specialist manual handling equipment such as bariatric hoists and slings to support safe bed transfers)

Testimonial

“The bed is very comfortable and transfers are much easier. I don’t feel any pulling or twisting in my spine like in my old bed.” ~ Shirley

Click here to download the full case study

Jenny’s story

52-year-old Jenny has been diagnosed with Multiple Sclerosis. The diagnosis has progressed and Jenny is no longer able to weight bear and is transferred using a ceiling track hoist and access slings.

Jenny was unable to maintain a functional position and move in her divan bed, as there were no functions to assist with this. She had difficulty positioning pillows to provide appropriate support. This meant that whichever position the carers left Jenny in, was the position that she would remain in, which was uncomfortable and limiting for Jenny.

Reasoning

A profiling bed was recommended to provide Jenny with more independence with bed mobility. This would have been particularly beneficial as Jenny is hoisted into bed in the early evening and remains in bed until the morning. However, Jenny declined this recommendation as it was a single profiling bed.

As a result, Jenny began to sleep in her armchair where she was functionally independent in a seated position. However, unfortunately Jenny also experienced several falls from her chair and required frequent paramedic intervention. In addition, being unable to lay in bed was having a detrimental effect on her tissue viability and caused swelling in her lower limbs.
A trial for the Floorbed™®1 Plus, an ultra-low nursing bed was requested; at 1050mm wide it provided the additional space Jenny required to feel safe, without compromising the carers when carrying out care. Had a standard wide bed of 1200 mm been put in place, the carers are likely to have had increased difficulty carrying out care due to the need to reach and stretch across the wider bed.
One of the other key benefits to the FloorBed™®1 Plus is that Jenny can lower herself to the floor and use the floor surface to enable her to adjust her position.

Conclusion

Jenny is now able to sleep in a bed rather than a chair, which has been of great benefit to reduce the risks of pressure sores and fluid buildup in the legs as well as enable more independent movement. The additional width was required to enable Jenny to feel safe using a profiling bed, without compromising the carers when carrying out care.

Since provision of the FloorBed™®1 Plus 6 months ago, there have only been two call outs to the Telecare alarm service.  Prior to this there would have been a similar amount each week where she had fallen out of her chair.

Click here to download the full case study

CAS-FB5-003EN Rev 1