Tips & Advice
Four Field-Tested Approaches For Toileting with the TRAM
The Rifton TRAM is a remarkably simple solution for toilet transfers, ensuring safety and dignity for both clients and caregivers. Here are four approaches developed by clinicians in the field to accommodate different body types and impairments.
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For client with good trunk tone and weak lower extremities
For clients with moderate weight bearing...
Toileting Initiative Produces Great Results
It all started when therapists from the three special day schools of Baltimore County Public Schools sat down to talk at one of our yearly meetings. The discussion turned from the mundane to the visionary, how to provide more functional, purposeful activities for our kiddos throughout the day. And, of all things, we talked about toileting. As a vital part of the student’s day, we wanted the toileting...
Nine TRAM Success Stories from the Public School Setting
Three years ago, because of significant work-place injury among the region’s educational staff, I along with other physical therapists from High Desert Education Service District’s (HDESD) proposed a safe patient handling and mobility (SPHM) policy which the region’s special education directors endorsed. This involved obtaining and teaching school staff how to use mechanical devices to...
Tips & Advice
Toileting Transfer Tips for Individuals with Muscular Dystrophy
Transferring someone with low tone and little or no weight bearing to and from the toilet is challenging. Along with a dependent lift, a therapist must guard against the individual slipping down or sagging during the seat-to-seat transfer in addition to managing clothing. Even with lifting devices it is difficult to execute a smooth, dignified, safe transfer with an individual unable to maintain any...
The New Wave Bathing & Transfer System vs. Blue Wave Bath Chair
What have we done to improve our old bath chair? Here are the key features that distinguish our new Wave Bathing & Transfer System:
Larger and Wider
The Wave bathing system still comes in three sizes, but there are some important differences. The seat on the small and medium is now wider--a full 15”--with open sides so the seat is comfortable for all sizes. And the large has a 17-1/2” seat...
Rifton Wave Letter of Medical Necessity
In response to requests from the field we’re happy to offer a sample letter of medical necessity for the newly up-graded and redesigned Rifton Wave, a bathing and transfer system.
Good hygiene is paramount to good health, and this particular product has the solutions for bathing and showering as an activity of daily living. The Rifton Wave is a medical device, not intended as a self-help convenience...
Announcing the Rifton Wave
Hygiene and health go together. When we make bathing easier we have healthier clients. So we’ve always been interested in how we can improve our bath chair, and we have been collecting product design ideas for a long time. We’re happy to announce the launch of our all-new Wave system, a thoroughly reimagined bath system to make bathing or showering better—for the client and for the...
Tips & Advice
Toileting in Schools with the TRAM
Using the Rifton TRAM for toileting can make a huge difference for both students and staff, providing both safety during transfers to the toilet and dignity and privacy for the student. Because students with disabilities have a wide range of needs, there are many ways to use the TRAM for this purpose.
Here are some methods we’ve found here at Socorro, presented as three case studies. (I&rsquo...
Best Practices for Classroom Prompting
When teaching children with special needs new skills, therapists and teachers typically provide prompts to guide the process. According to activity-based curriculums, prompts are defined as supports, and may come in many different forms. Prompts are ever changing, depending on the activity.
A wide variety of prompts enables special education classroom staff to choose the one or combination that are most...
Implementing a New and Successful Toileting Program in the Educational Setting
The Day School at The Children’s Institute is an approved private school in Western PA. We have 186 students with 27 classrooms. We provide a school program for students with multiple disabilities and for students with autism. All of our students present with severe disabilities affecting motor control, cognition and/or behavior. We have been using MOVE (Mobility Options Via Education) here at...