Four components support the assessment of whether lifting seats are an appropriate option.

1. General - Ensure that the client can understand, remember and follow through on basic instructions.

2. Physical - Understand and determine the person's strength, range of motion in the joints of the person's legs and arms, as well as their balance when sitting or standing.

3. Functional - Identify which daily activities can be performed independently or not. Safe, independent ambulation is a critical requirement for the use of lifting seats.

4. Lifestyle – Does the client need something portable either around the home or out and about in order to enable them to maintain their lifestyle?

Living at home is the first choice for 85% of seniors, but doing so requires the ability to perform daily activities safely. Those who cannot perform the sit-to-stand transfer independently may be appropriate candidates for lifting seats.

The living environment is a critical aspect of an assessment and normally includes areas, in and outside the home, where clients are active every day.

When specifically reviewing transfers, having the client perform the action - getting in and out of bed, chair, toilet, tub – helps determine their capability and pinpoint issues that need to be addressed.

Assessing how clients use specific furniture, combined with other considerations - the client's condition and specific furniture features (softness, height and availability of armrests) – may lead to customized recommendations that differ from room-to-room.

Outside the home, activities that could be initiated or continued with a sit-to-stand assistive device, might be reviewed with the goal of improving client activity and decreasing the possibility of isolation.

Clinician recommendations are based on their experience and knowledge of various conditions, disease processes and available tools. Present needs are dealt with and adapted should conditions change.

Educating clients on simple strategies, such as planning tasks for the day to limit the number of times they get up can help conserve their energy, preserve strength and possibly reduce injuries.

Safe independence can start with minor adaptations – adjusting chair height with spacer blocks, removing area rugs, using plywood platforms under seat cushions or adding a lifting seat chair or transfer pole in a strategic spot. Where necessary, trials with equipment can help identify the best solution for the client.

If cost is an issue, product rentals may be an option, especially where more time is needed for assess if it will be useful for the client. Knowledgeable HME professionals are an excellent resource, since most attend trade activities to learn about new products and their correct use.

The goal is the well-being of the client and the clinician assessment can ensure years of safe enjoyment for seniors living at home.