Appropriate positioning is a continuous challenge for all those involved in providing care for the person with brain injury, especially in the context of immobility and physical impairments. Appropriate positioning is important for the maintenance of the person’s physical wellbeing and thus their quality of life. It is important that carers are aware of the need to correctly position the person and also alter their position regularly.
As individuals we are able to adjust and alter our position regularly throughout the day when we feel uncomfortable. Often we don’t even notice we are doing it. Damage to the brain can mean that the person is unable to make these adjustments, either because they are unable to effectively move or because they have altered sensation and are unaware of the need to move. Other factors which may adversely affect the person’s ability to move include cognitive difficulties, anxiety, depression, fatigue and low levels of motivation.
For the person with Acquired Brain Injury it is important that the principles of postural management are followed.
Why Consider the Postural Needs of People Following Brain Injury?
Physical Principles of Postural Management: Sitting
Physical Principles of Postural Management: Lying
Adequate positioning can present many challenges and it may not be possible to achieve the ideal position for a variety of reasons (e.g. extent of physical impairment, presence of pressure ulcers, cognitive problems and behavioural difficulties . Therefore it may be necessary to make some considered compromises. Knowing the key principles of positioning and support can assist in the decision making process.
How to Help the Person with Postural Management and Seating Needs