Maisie had a major adaptation to the property when she moved in three years ago. She moved to a new build property which had an integral garage, and this was converted to a bedroom with an en-suite bathroom on the ground floor. Within the bathroom, a level access shower had been provided with a drop-down changing bench and a straight track ceiling hoist was provided by the local authority which transferred Maisie directly from her bed, into the en-suite and stopped above the changing bench.
Assessment of need
Maisie was re-referred to her local authority occupational therapist for further assessment as difficulties with showering had been identified by her mum. Following the initial assessment carried out by the occupational therapist, it was revealed that Maisie’s mum had been carrying her upstairs to access the family bathroom where there was a standard bath in place. On further questioning, it was discovered that Maisie was becoming distressed when hoisted on to the changing bench. She was noted to go into extension when lying in supine, even with the head of the bench slightly elevated and Maisie’s mum was not sure whether it was due to her being cold or the fear of using the shower. Her tone was affected so much that her mum had decided that she would not risk using the en-suite shower and instead, was carrying Maisie upstairs to access the family bathroom.
This was clearly putting Maisie and her mum at risk as Maisie’s posture made her difficult to carry and she was not able to assist the lift in anyway. Due to Maisie’s incontinence, her mum was undertaking this on a regular basis. Maisie’s mum revealed how she had found that Maisie’s tone was much better after lying in a warm bath and her overall range of movement was also improved. She was not willing to use the shower due to the impact it was having on Maisie’s wellbeing.
A discussion took place with Maisie’s mum regarding the benefits she had found with bathing and these included an increase in vocalisations, as Maisie demonstrated that she was more relaxed and keener to engage with her mum during bath time. She had also noted progress in her ability to fall asleep, as well as an improvement in tone and range of movement.