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Why do I need postural care?
By: Bas Jansen (Physiotherapist)
Tommy’s Story
My family, supporters and I are proud to share my story
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Since birth I have been fully dependent on others for all my needs
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People have looked after me with a lot of care and
always have done their best to ensure I was
comfortable and as happy as possible
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In 40 years my body had
changed a lot which made
looking after me even more
complicated
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Sitting had become more difficult and
caused significant discomfort after some
time
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Eating became a real problem in this
position
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I already had real difficulty swallowing,
which was even harder in this position
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It was also difficult for the support staff to hold my
head upright when I had a drink or a meal
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Lying was nice at first but became very uncomfortable
in time, because I was always lying in crooked postures in
which many of my joints were stressed
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I was unable to roll over to make myself
comfortable, so I would wake up 5 to 6 times per night and
then …….
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…………I moaned noisily…..
every 2-3 hours in order to get the attention of the night staff, who were then
required to reposition me and make me comfortable again
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I almost never had a good night sleep…..
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Lying in crooked positions became very uncomfortable in
time and additionally it worsened my body shape even
further!
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To prevent my body shape from getting worse and to increase my comfort in the
day and at night, I need to be provided with good postural care in lying and in sitting
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My supporters are experts in Postural Care … trained by Bas and they know me really well
I trust them - they know what's best for me day by day and in the night
when there's no-one to ask
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My postural care plan is simple: It is more:
• Symmetrical • Supportive • Comfortable
In lying & sitting
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This is the result of 2 years gentle and respectful postural care…
my achievement and that of my expert supporters! Many thanks to you all!!
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Now I am more comfortable and
often sleep through the night
In Lying : from this to this
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In Lying : from this to this
The swelling of my feet has reduced at night now that my legs are raised
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In Lying : from this to this
And I am in the best position to
manage my reflux
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I don’t need to be turned at night and
don’t slide down the bed as much
In Lying : from this to this
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In Lying : from this to this
My body shape now is protected and is even slowly
improving!
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In sitting: from this to this
My improved body shape
means I can sit in a better
position
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In sitting: from this to this
This has made eating easier
for me and my support staff
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In sitting: from this to this I am more comfortable when sitting and I can sit for longer periods
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In sitting: from this to this
Tilt in space allows for change of
position and gives me some pressure
relief
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In sitting: from this to this
Good lateral supports and a firm pelvic strap ensure I am maintained in a comfy upright and more symmetrical position
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Measurements of my body shape are taken and monitored to confirm body shape changes
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Painful and ineffective stretching programs for my
legs and trunk are not required any more since I have been
lying and sitting in supported and straighter positions for
many hours of the day
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This goes to show……
That postural care in sitting and lying by my expert supporters has improved my health, comfort and quality of life…
and has given me a brighter future!
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Thank you for listening