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Mobile or wheeled commodes make it easier to position the commode close to the user for transfers. They can also be used as a transfer chair and some can be positioned over the toilet with the commode pan removed. The user and carer must ensure that the brakes are used when transferring on/off a wheeled commode. Ideally, when seated, your hips, knees and ankles should be at 90 degrees or a right angle, with feet flat on the floor. Standard height toilets are 15-16 inches (38-40cms) high. This may not be high enough for a taller person. 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. 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. Raised toilet seats are available with arm rests for extra support when seated and when standing from the toilet.
It is possible to get toilet/commode seats or raised toilet seats with additional shaping. If you have limited hip flexion look for a raised toilet seat with a section that slopes down on your affected area. If you fail to return any VAT exemption forms to us we WILL charge your card for the outstanding VAT. A turner or patient turner, often called an Etac turner after one manufacturer, enables assisted standing transfers. It would only be useful if you are able to pull yourself up to standing and then maintain your own weight. The carer also needs to be relatively fit and able to manoeuvre the equipment. The Mowbray Extra Wide Toilet Frame with seat features a specially designed extra wide smooth and contoured seat that gives greater comfort and support for larger users.your use. The frames can either be freestanding or fixed to the floor. They have the added advantage that they provide a handhold either side, but they are more obtrusive. Portable/chemical toilet support frames are for use with chemical commodes or portable toilets. The commode/portable toilet fits onto the frame which provides a hand-hold on either side. The frame's height can usually be adjusted to provide the hand-holds at a height appropriate for you (usually around elbow height).
The height of wooden commodes tend to be fixed and they may fit in better within the home environment, looking more like a standard chair or disguised as an armchair. The height of metal commodes can be fixed or adjustable; they can be static or mobile and tend to be easier to wipe down.
Seat hoists have an aperture seat instead of slings, so the user is transferred in a sitting position. Some may have the option of a commode pan. The hoist lifting mechanism is either operated manually using a winding handle or hydraulic pump, or it is battery powered. Users position their wheelchair alongside the toilet, remove the armrest and slide themselves across. 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, Multi-function chairs/sanichairs can also be used, and have the advantage that they can be used as a commode and shower chair, making for a less cluttered environment. 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.
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