Pre‐procedure

ActionRationale

1. 1.Show
   Introduce yourself to the patient, explain and discuss the procedure with them, and gain their consent to proceed.
   To ensure that the patient feels at ease, understands the procedure and gives their valid consent (NMC [91], C).
2. 2.Show
   Always use the chair recommended by the treating therapist.
   To ensure the chair adequately meets the needs of the patient. E
3. 3.Show
   Using local moving and handling guidelines, move the patient into the chair. Once the patient is in the chair, use the following steps to ensure correct positioning.
   To ensure correct local procedures are followed for safe moving and handling. E

Procedure

1. 4.Show
   Ensure that the pelvis is neither rotated (so that one leg is further forward) nor tilted (so that one hip is lower than the other).
   To maximize sitting stability to increase function and energy levels (Crawford and Stinson [22], E).
2. 5.Show
   Place any leg, lateral trunk or head supports as recommended (e.g. rolled towels between the knees to maintain hip alignment) (Action figure 7.27).
   To maintain correct position and alignment, E.
3. 6.Show
   Protect low‐tone shoulders with shoulder supports or pillows as recommended.
   To avoid any further problems associated with low tone (Crawford and Stinson [22], E).
4. 7.Show
   Ensure the patient's feet are well positioned on the footplates.
   For the patient's comfort and to maintain pelvis alignment (Crawford and Stinson [22], E).
5. 8.Show
   Apply and tilt or recline to the chair as recommended.
   To ensure the patient's comfort. E

Post‐procedure

1. 9.Show
   Closely monitor the skin condition of patients requiring the use of an external splint to maintain joint position and range.
   To monitor skin integrity and pressure care. E