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...
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...
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...
Rifton HTS on the Road
JJ is a 4th grade student at Southern Elementary School in New Castle, Delaware. Although he uses a wheelchair because of his dystonic cerebral palsy, JJ has great communication skills and is one of the happiest kids I know.
Recently, his school program planned a field trip to Glasgow Park. But right away we ran up against a familiar problem: community outings such as these present unique challenges for...
Top 6 Features of the HTS
Since we launched the Hygiene and Toileting System (HTS) almost two years ago we’ve received an outpouring of success stories in the “first time toileting” category. In an informal survey we asked therapists and parents which features made the biggest difference for them. Here’s the top six:
The load-bearing and flip-away footboard. “I have one child who uses the...
Toileting Solutions with the TRAM
As a day hab assistant at Cerebral Palsy of Westchester County I help adults with severe disabilities in their activities of daily living—toileting included. We use adaptive equipment every day to support our clients’ activities, but I never expected a piece of equipment to completely transform someone’s life like the Rifton TRAM. This device is a brilliant solution to our...
Guidelines for Functional Use of the Rifton HTS
The Rifton HTS redefines toileting for people with disabilities. Superior tool-free adjustability and a broad range of supportive accessories provide a comfortable, effective hygiene experience. And although simple in design, the HTS can accommodate almost any situation. But to get the most out of your HTS you need to understand its broad capabilities and configurations.