Case Study: How the Sara Stedy Can Assist With ‘Proportionate’ Care Delivery and Promote Independence

3 minute read
Carole Stewart
Written by Carole Stewart
George Powney
Reviewed by George Powney
Case Study - Sara Stedy
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The Sara Stedy is useful when assisting a person who is struggling to carry out sit-to-stand transfers but still has upper limb strength and trunk control, and is fully weight-bearing. An integral, two-piece paddle seat and castors enable the User to sit between transfers and to be wheeled short distances between seated surfaces and beds.

A carer (formal or informal) is required to move the Stedy, operate the brakes and supervise the User.

This equipment is not mechanised. The User needs to be able to raise themselves to standing by placing their feet on the foot platform, leaning forward and pulling themselves up using the frame of the Stedy. The seat will be in the upright position during transfers. Once standing, the seat paddles are moved to the down position, and the User can sit on the perched seat between transfers.

Pros

This equipment is robust and low maintenance, simple to use and easy to keep clean. It is usually operated by one carer and requires active User participation. Therefore, it is ideal for proportionate care delivery and to maintain User independence.

The presence of seat and brake castors increases convenience to Users and carers and can reduce the number of transfers required.

Cons

The platform cannot be dismounted once the User is standing and is therefore unsuitable for Users who can step or walk once assisted to stand.

The knee pad can not be adjusted on the Stedy. The perched design of the seat may result in excessive knee discomfort due to knee pad contact for some Users.

It is not suitable for Users who are not fully weight-bearing or who have fluctuating ability to stand. It is difficult to remove a User from the Stedy once they are unable to stand from the paddle seat.

When used with a riser-recliner chair, it can sometimes be problematic to operate the paddle seat in narrower chair seats.

The ease of moving this equipment will depend on factors such as the floor covering and the strength of the attendant.

Case History

Mrs S was referred to Occupational Therapy when her mobility deteriorated. Her carer reported that in recent days, Mrs S had become unable to transfer from a sitting to a standing position from her chair, wheelchair, or commode. She also struggled with the few steps to transfer to her wheelchair. Her chair was raised, but she was still unable to transfer safely.

The care provider requested two carers and a fully supportive hoist due to the risk of injury to one carer.

The OT identified at assessment that Mrs S had strong upper limbs and was still able to weight bear. Mrs S demonstrated attempting to pull herself up on her walking frame or on her carer's hands to stand.

A Sara Stedy was introduced to utilise her arm strength to pull herself into a standing position. This enabled her to maintain her standing ability and upper body strength. The Stedy could be moved to the sitting surface she required. This enabled Mrs S' care provision to remain with one carer and for the same care period.

Carole Stewart
Written by
Carole Stewart
Carole qualified as an Occupational Therapist in 1983 and has worked mainly in the community or Social Care. Her specialisms have included Learning Disabilities, Home adaptations, Reablement and as a Moving and Handling Advisor. She currently supports the Essex region.

HCPC registered OT
George Powney
Reviewed by
George Powney
George has 10x years' experience as an Occupational Therapist working across NHS and Adult Social Care. George supports our Southwest Region of the UK with his specialist knowledge of Moving and Handling equipment to support individuals with their daily tasks.

HCPC registered OT
This article is for informational purposes only.

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