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If you have poor balance then it is essential that you are able to place your feet flat on the floor to give yourself a solid base. The style of seat can also help. These provide a higher sitting position and may assist you if you have difficulty bending at the hips. However, they also present problems for people who use a wheelchair since the difference in transfer height may be too great. permanently raising the height of the toilet by inserting a plinth between the floor and the toilet pedestal;
These are smooth-surfaced, solid boards, tapered at either end to assist sideways transfers by bridging the gap between the wheelchair seat and the Flush controls such as levers which are wider and flat making them easier to push with the palm of your hand or elbow. These may be called spatula lever handles due to their shape. A range of switch or push button operated flush controls are also included. These can be operated by foot, or a range of toilet or wall mounted switches, including remote and infrared sensors that only require movement to work. These may come in a kit form to replace your existing lever handle flush or as a new cistern. Automatic cisterns that flush when they detect movement or at regular timed intervals are also included. If a rail is used to pull up with, it is generally fitted in line with the front of the toilet pan, at approximately waist height and at an angle running forwards and upwards away from you. Sometimes, a horizontal rail followed by a vertical rail (or a right-angled rail) might be preferred to provide two handhold levels.Someone who is frail or very thin, or who needs to sit on the toilet for a while may need a more comfortable seat to sit on. Padded toilet seats that replace the existing seat, These are mobile chairs that can be wheeled by the carer and positioned over the toilet. You can be transferred into the chair in the bedroom directly from your bed where there is more space and scope to transfer.
Toilet surround frames are metal frames that are often height adjustable to suit your requirements. They surround the toilet and provide a hand hold
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Manual lifting should be avoided, so if the carer finds that he/she is supporting your body weight at any time during transfers, an alternative solution to transferring should be sought.
Sling hoists have a spreader bar to which slings are attached. For toileting purposes, since it is essential that the user’s bottom is kept clear of the sling, slings with an aperture or a toileting (divided leg) sling should be used. A floor-to-ceiling grab pole may be useful for some people as they allow you to pivot around them whilst still being able to hold on, but they do require significant arm and grip strength to use. You may be provided with equipment and services as a preventative measure, before a needs assessment is done. If, on assessment, your needs are high enough to qualify for help from social services, they will then look at your income and savings to see whether you will need to pay towards any future services you receive. These services might include further disability equipment or adaptations to your home including the provision of remote support via the telephone (telecare), help from a carer, the delivery of meals or residential care.The standard toilet height is 430mm and the seat of a standard wheelchair is 480mm. Sliding down off a wheelchair and onto the toilet may not be too much of an issue, but lifting yourself 50mm up and some 600mm across using upper body strength alone is very difficult. In some situations this could lead to the user having to pull the red cord for assistance, or attempting to almost throw themselves across and into their wheelchair, neither is ideal. By having specific disabled toilets at the right height makes visiting the loo less of a struggle and increases the usability tenfold. If you are struggling with caring for yourself, which includes accessing a toilet and managing your personal hygiene, consider asking for a health and social care needs assessment. Since the Care Act 2014 came into power in April 2015, anyone who appears to need care and support can request an assessment from their local council, irrespective of their income or savings. The Act also places a statutory duty on local authorities and the NHS to support individuals to take steps to prevent their ill health or care requirements from getting worse. These strategies for prevention can include the early provision of equipment and services to help prevent, delay or reduce the development of needs for care and support. Reach and grip may be improved by using a handling belt. A handling belt is worn by the person being transferred and is basically a belt with handholds. It allows the carer to have a firm grip, without holding your clothing or body. The carer can guide and support your movement. It is not intended for the carer to take your body weight through the belt.
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