Guest article: The importance of versatility and flexibility in the community care of complex patients

Guest article: The importance of versatility and flexibility in the community care of complex patients

Nurse Expert at NHS Berkshire West Scientific Commissioning Group Anita RushIn this post, Nurse Professional at NHS Berkshire West Scientific Commissioning Group Anita Rush talk with Hillrom about her experiences using the Hillrom Sabina Sit-to-Stand Mobile Lift in the management of intricate people in the community.

Anita Rush is Clinical Lead Nurse Specialist for devices at NHS Berkshire West Clinical Commissioning Group (CCG). Anita has over 20 years experience in her current function and specialises in the care of complex clients, which consists of gatekeeping the CCGs budget for bespoke devices for clients.

This review covers a case research study of a 28-year-old man who was unfortunately diagnosed with an unusable brain tumour in 2016. Anita goes over how the support of Hillroms Sabina Sit-to-Stand mobile lift assisted in keeping the client in the convenience of his own house, allowing his household to look after him without the included implementation of a care package.

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Can you share some background on the client and how the Hillrom Sabina Sit-to-Stand aid made the difference to his care?

I was first included with this specific client back in 2016. The client was a 28-year-old man who had actually been diagnosed with an inoperable brain tumour. His family were obviously devastated as he had a young household with two kids under the age of 5.

Our wanted outcome for the patient and his whole family, in this case, was to enable them to care and treat for the client in a home environment for as long as feasibly possible. They wished to remain as a family and to have some semblance of normality for the kids, while at the exact same time ensuring the client could retain his self-respect and self-reliance.

What were a few of the challenges dealt with in this case?

The house environment itself was the very first obstacle. Your home was a little, rented accommodation, it was carpeted throughout and had an exceptionally little restroom and shower space. The 2nd obstacle was the body dynamics of the client. He was an extremely tall guy at 6″ 6 and he weighed around 28 stone, that made taking care of this patient in a little area possibly really challenging and made this case rather complicated.

After diagnosis, how did you further support the client and his household?

After his preliminary diagnosis, the client was very first positioned in a care house. Nevertheless, being at the young age of 28 years old, it was not where the patient or his family desired him to be. The result we wished to achieve was to get the patient back in his safe, familiar, home environment with the assistance and care of his family.

His extended and instant family were extremely hands-on– with each set of grandparents taking it in turns to stay over and support the children, using a sense of normality, while likewise aiding with the personal care of the patient. The family did not want a care plan, so it was essential for us to try and accommodate this.

What did the Hillrom Sabina Sit-to-Stand use the customer that alternatives did not?

The crucial thing that the Hillrom Sabina provided, in this case, was its flexibility and versatility. While the patient still had some capability to weight bear. the Sabina was ideal as it is modular, which I am unsure is typically comprehended.

As the client was so high, the height of the Sabina could be changed to meet his needs and due to the fact that of its design, it was simple to manoeuvre over the carpets in his house. It also has versatility on its safe workload as much as 200kg, so it might easily support this particular patients weight. There was also the choice of different spreader bars, so the equipment might be quickly modified to fit the requirements of the client.

Why was the Sabina Sit-to-Stand put onto agreement with your authority?

It was mostly its versatility. It was very simple to use once individuals understand how to utilize it and once people have actually been trained. We did a comprehensive assessment on the various lifting devices offered that would be able to support this patients specific dynamics and house scenario, and the Hillrom Sabina came out as the top choice. It might support the patients height and weight, had a flexibility of slings and straps as well as having good mobility over carpeted flooring. The Hillrom Sabina ended up being part of our core devices list and, in fact, still is to this day.

Had the Hillrom Sabina Sit-to-Stand not have been used, what would have been the option for the customer?

I believe that without it, he would have deteriorated a lot more rapidly.

We would have taken a look at the other prospective mobile lifts offered, however the safe working load would not have been as high. We might have needed to turn to using complete body hoists, which would have affected his dignity, independence and would have been more invasive for the family at that time.

In the short-term, his independence would have reduced and as this was crucial for the family it wasnt actually an alternative. It likewise would have effected on the capability to successfully perform rehab, as using the Sabina enabled us to stand him throughout the day, permitting him the muscular stretches he required for essential performance, such as breathing. It might also be kept away in the corner despite the fact that the residential or commercial property was small, which minimized the effect on his family and, to an extent, the children could neglect it.

How do the crucial functions of the Hillrom Sabina Sit-to-Stand fulfill the needs of private clients?

Frequently the equipment we have available to us might not be the best suitable for clients but as it is all we have access to, there is no chance around it. The versatility of the Sabina implied that it can be customized to the requirements of the client. It has inter-changing parts, such as knee supports that can be adjusted to a patients height, knee pads that can be taken off, the foot platform can also be eliminated and since the Sabina is modular, it enables so much more adaptability than other tools. It enabled us to adapt the equipment to fit the patient rather than trying to fit the client to the devices.

How crucial is it to get the correct option for the client very first time, both for a patient benefit but also for cost effectiveness?

It is vital that you do. Sadly, the diversity of client complexities suggests that sadly we do not constantly get it right the very first time. It is so essential to the self-respect of the specific and their wellness that you do try to get it right the very first time if at all possible. If you get the appropriate solution the very first time, you gained the patients trust and self-confidence in their treatment. If you get it wrong, they might become unsure as they might have been injured by the incorrect equipment in the past, implying they could be hesitant to try future solutions. It is critical that you get it best very first time however it is also really difficult to do so.

From a financial viewpoint, the expense savings of getting the right option the very first time is immeasurable. If you get the best service, you may not require to arrange care bundles which, in turn, reduces the expense of care. It also has enormous advantages for CCGs and social services, as families can continue taking care of their loved ones in a home environment, just needing an upgrade when there is a modification in the clients condition.

How do Hillrom support your regional authority in regards to customer assessments and wider training, both virtual and in person?

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More about the Hillrom Sabina mobile lift …

Extremely well, they are exceptional. The assistance I obtain from Hillrom is incredible. iIf I have a problem, I just contact them and their response is constantly great. At the moment, due to the pandemic, the training is all virtual, however they continue to be very helpful. We handle to cover a great deal of prescribers with the virtual training and the action time to head out is normally a matter of days rather than weeks. From my individual experience, Hillrom satisfies the needs of their clients both effectively and successfully.


The lift may also be utilized as a conventional patient lift for lifting in the sitting position and the easily exchangeable sling bars use included benefit.

Versatile by style, the Sabinas particularly crafted accessories provide several distinct application opportunities, all easily accessible in one item. The Sabina lift can fulfill the requirements of a wide variety of individual patients by offering the ability to adapt to their unique situations; adjustable height, a safe working load of approximately 200kg and a range of various straps allows the devices to be become fit the requirements of the patient.

As the patient was so high, the height of the Sabina might be changed to satisfy his requirements and due to the fact that of its design, it was simple to manoeuvre over the carpets in his home. We did a thorough examination on the various lifting makers offered that would be able to support this patients particular dynamics and house circumstance, and the Hillrom Sabina came out as the top choice. The flexibility of the Sabina suggested that it can be customized to the needs of the client. It has inter-changing parts, such as knee supports that can be adjusted to a clients height, knee pads that can be taken off, the foot platform can likewise be gotten rid of and because the Sabina is modular, it allows for so much more adaptability than other pieces of devices. It enabled us to adjust the devices to fit the client rather than attempting to fit the client to the equipment.

For more details on the Hillrom Sabina range, click on this link.