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For elderly persons with disabilites, bathing is a frequent activity that can be both pleasnat and dangerous. Bathing involves using water in an environment with hard, smooth surfaces that become slippery when wet, and many falls occur in the bathroom. A variety of assistive devices are available to make bathing safer and more comfortable. Bathing devices tank as one of the most frequently used categories of assistive devices. Study of bathing devices has been little beyond the determination of their frequency of use. This article outlines a hierachical model for use in prescribing bathing devices related to their mobility and support. This model, based on level of disability, is called the Bath Device Prescription Model (BDPM). Subjects were drawn from the University of Buffalo Consumer Assessments Study (n=319) which considers persons aged older than 60 with disabilities. 294 subjects reported difficulties with bathing and were divided into 2 groups based on mental status (Mini Mental Status Exam [MMSE] scores >/= 24 or = 23. This model was tested by first determining the level of disability of satisfied users of (1) bath mats (2) grab bars in the bath area (3) bath stools (4) bath chairs and (5) bath transfer benches. Level of disability was measured with the Sickness Impact Profile-physical dysfunction section (SIP-PDS), the body care and movement subsection of the SIP-PDS, the motor section of the Functional independence measure (FIM) and the bathing-washing and drying item of the FIM. Subjects that werte having a problem wiht a bathing device, other than installation, maintenance or access to the bathroom, were considered. Disability scores for these dissatisfied owners of bath devices were compared with the mean score of satisfied users of each bath device. Typically, dissatisfied owners of bath devices were more disabled than satisfied users, suggesting that they would benefit from a higher level device, following the BDPM. This study represents the first reported investigation testing a model for use in the prescription of bath devices.
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