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Vertical rails may assist when pulling up into a standing position or for just maintaining balance. These fix to the wall behind the taps and rest on the bath rims. When sitting in the bath, the rail will be directly in front of the person at about chest height. In this position it will provide stability whilst in the bath. The rail should only have downward pressure applied so the weight is taken by the bath rim, it is not designed for the user to pull on to sit down or stand up from the base of the bath (Pain et al 2003). Some have a support leg which rests down on the floor when the rail is horizontal. Some models provide a single horizontal rail which provides support at one height; others consist of a looped rail which provides two alternative gripping positions. Some of these rails have a built-in toilet roll holder. The lower portion is usually set horizontally and acts as a forearm support. This enables the user's body weight to be distributed through his or her forearm which may be helpful for someone with painful hands or wrists. The Arena adjustable bed grab rail, handle, ring or bed lever (depending on what you call it) comeswith anti entrapment andwas designed by Laybrook especially for domesticelectric adjustable beds. The Arena grab ring is attached to the side of the surround so it stays static when you change position on your bed, this makes it easy to use when getting in and out of bed, helps you turn whilst laying in bed, supports you when getting up out of the bed whilst sitting on the edge of the bed. Withother grab rings, when the head section of your bed elevates to the upright position the grab ring moves with the bed and impedes you from getting in & out of the bed.
Particular care should be taken when attaching rails to domestic sandwich partitions, e.g. plasterboard with a hardboard facing. Consider your daily routine. What movements are you making or what activities are you doing when you feel that additional support, or something to hold on to, would give you extra safety? For example: A 600mm long horizontal rail 680mm from the floor beside, and extending in front, of the toilet pan for use when sitting down on the toilet. This rail can be horizontal or set at an angle of up to 15 degrees. Alternative suggested measurements are a minimum 500mm long rail, at a height of 600mm from the floor, with the rear fixing 400mm from the wall at the rear of the toilet.Rails set at an angle can help a person who needs a steadying support - e.g. to stand from a bath board to shower. The rail can be placed at an angle of 45 degrees up and away from the user. This keeps the wrist in a neutral position. It is not necessary to lean far forward to grasp the rail at the lower end and the hand can travel up the rail to maintain the support once the person is standing. A high contrast finish may be helpful if you have low vision - choose grab rails in a colour that contrasts with the wall it is to be installed on. Alternatively, if there are no obstructions outside the bath (e.g. the sink or toilet) a vertical grab rail could be installed on the wall at the tap end of the bath. This is useful when stepping in and out of the bath and also to hold onto if standing to shower. Next consider your ability to grip onto a grab rail. Do you have reasonable hand strength? Do you ever have pain in your hands, wrists, elbows or shoulders which would prevent you from pulling up or pushing down on a grab rail? What is your overall balance and ability to stand like? There are many types of grab rail. The main types are briefly introduced below, before going into greater detail about grab rails and their use in specific areas of the home.
They are fixed to the wall or to the floor behind the toilet and can fold down to a horizontal position alongside the toilet. GRAB RING STANDARD FITS ALL DIVAN ADJUSTABLE BED WITH A SIDE PANEL DEPTH OF 8-16 INCHES (THIS IS THE SIDE PANEL OF THE BED THAT THE GRAB RING WILL FIT TO).
Staircases usually have a handrail on one side, although this may not extend to the full length of the staircase. Most DIY stores sell handrails which can be used to extend the existing handrail all the way up the staircase if it is required. Adding a handrail to the other side of the staircase will provide more support where needed. Long lengths of rail are available and may also be installed along corridors. When using these rails you must consider the integrity and strength of the surface to which you are fixing them. For example, when fixed to wall tiles, the attachment of the tiles to the wall MUST be secure. Floor to ceiling railsare vertical rails which are attached to both the floor and the ceiling. They can be held at any point up the bar for general support and can be useful in the process of standing up/sitting down. Ensure that the wall is strong enough to take the weight of this type of rail. Care should be taken that the user never bends down underneath the rail (e.g. to reach their feet) when sat in the bath as they could trap their head under the rail. Newel rails are designed to turn through 90o around the newel post (the upright post of the stair banister). They provide a continuous grip as the user reaches the bottom or top of the stairs and turns the corner. They are available in a range of sizes.
The rail should be mounted at a height that the user can comfortably reach whilst stood both from outside the bath and from in the bath. Grab rails by the toilet are often fixed to the wall alongside the toilet, but if this is not possible (due to the toilet being too far from the wall or a partition wall or a radiator being in the way for example), then a drop down rail that extends from the wall behind the toilet could be used (see below). When stood in the bath - A rail (at least 500mm long) can be fixed vertically on the wall, 600mm from the tap end of the bath (dimension b in above diagram), with its lower end 200mm above the bath rim (COT 2006 p13, H M Government 2015, p58, diagram 26). This is most likely to be of use when stood in the bath (perhaps whilst showering) or when standing from a bathboard over the bath.Some hinged wall-mounted rails can be supplied with a support leg which rests down on the floor when the rail is horizontal, transferring some of the load from the wall to the floor. This should be a flat, unknotted piece of wood, which is screwed into the vertical joining pieces of the partitions. The grab rails can then be attached to the board. The College of Occupational Therapists recommends a 144mm x 19mm board/pattress with its external corners well rounded and the board itself fixed to the wall at least every 900mm (COT 2006). The following is general guidance. When an individual user is known, personal factors such as the height of the person should be given priority.
A wide range of finished hand rails are available from DIY chains for you to choose from. A plain 50mm mop head cross section softwood rail may be used. The Arena adjustable bed grab rail, handle, ring or bed lever (depending on what you call it) has not got a triping hazard like the parnell premier grab rail, it also comes with anti entrapment and was designed by Laybrook especially for domestic electric adjustable beds. The Arena grab ring is attached to the side of the surround so it stays static when you change position on your bed, this makes it easy to use when getting in and out of bed, helps you turn whilst laying in bed, supports you when getting up out of the bed whilst sitting on the edge. With other grab rings, when the head section of your bed elevates to the upright position the grab ring moves with the bed and impedes you from getting in & out of the bed. A rail can be fixed horizontally to the wall 75-100mm above the bath rim (see dimension c in diagram). It should start 200mm from the tap end of the bath (dimension a) (COT 2006 p13, H M Government 2015, p58, diagram 26). Using one rail: The rail is fitted starting at a point approximately 25mm forward of your knee and approximately 50-70mm above your elbow (when seated on the toilet with your arms down against your side), at an angle running at 45 degrees forwards and upwards away from you. This may help you to support the weight of your arm whilst pulling with your hand higher up the rail. See above diagram.
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Bottom half of Arena grab ring is attached to inside of surround via a U grip and the top half is attached to the static part of the mechanism with a clamping action, just twist the knob and the threaded clamp secures the bed lever onto the bed. The finish of the rails may be important from an aesthetic point of view and also for the grip surface it provides. A vertical rail at least 500mm long can be fixed at the entrance to the shower compartment for use when stepping in and out of the cubicle. The rail should be mounted at a height that the user can comfortably reach whilst stood both from outside the cubicle and from in the cubicle.
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