Special needs toileting

Stories A MOVE® Program Snapshot October 15, 2018 by Sherri Glazer
Reuven is 16 and attends The Children’s Learning Center at the Cerebral Palsy Association of Nassau County where he participates in the MOVE® Program. Reuven is non-ambulatory and non-verbal. He sits primarily in an adapted wheelchair equipped with a seatbelt, chest harness, foot straps, and a lap tray. While in school, as part of the MOVE® Program, Reuven practices sitting in a typical...
PT/OT Using Thigh Straps in Sling Configuration for Toileting or Seat-to-Seat Transfers October 08, 2018 by Barbara Stacy, PT, MOMT
At Desert Mountain SELPA in Apple Valley, California, we’ve discovered a creative solution for seated transfers with the TRAM. This method works really well, particularly for the more profoundly involved kids. Using the standard approach shown in the TRAM Quick Reference Guide (with a thigh strap placed separately under each leg) often results in the body support system riding up the student’s...
PT/OT Six Features To Love About the Support Station December 19, 2017 by Elena Noble, MPT
When we’re talking about activities of daily living, it doesn’t get more basic—and more personal—than toileting. But the process of toileting is also a valuable opportunity to teach transfer, standing and hygiene skills—all essential to building independence in self-care. A successful and thoroughly dignified approach to incorporating these skills into the toileting routine is...
How To's Features and Benefits of the Wave Bathing System
For people with significant support needs, bathing is essential to health and hygiene. However, transfer difficulties and the lack of appropriate supportive equipment often make it one of the most difficult tasks for families and caregivers. If you care for someone who needs help with transfer and you don't have an accessible shower, your options for bathing aren't great – either bathroom...
Tips & Advice Four Field-Tested Approaches For Toileting with the TRAM April 11, 2017 by Lori Potts, PT
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. Download the pdf Method 1 For client with good trunk tone and weak lower extremities View Slideshow   Method 2 For clients with moderate weight bearing...
PT/OT Toileting Initiative Produces Great Results March 20, 2017 by Ashley Rogers, DPT
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...
Tips & Advice Toileting Transfer Tips for Individuals with Muscular Dystrophy December 02, 2016 by Elena Noble, MPT
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 Step by Step Toileting with the TRAM October 05, 2016 by Lori Potts, PT
David Anderson is a senior physical therapist with the New York City public school system. His school obtained a Rifton TRAM to help with toileting a particular student. After some trials, he and the school OT determined the best methods for using the TRAM for this purpose and created a set of instructions for the paraprofessionals working with this student. David shared it with us and we found it so...
Tips & Advice Toileting in Schools with the TRAM July 05, 2016 by David Zoller, PT
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...
PT/OT Implementing a New and Successful Toileting Program in the Educational Setting February 02, 2016 by Nadine Wallace, PTA, Kathryn Burgwin, PT and Jessica Burton, PT
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...
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