Arm Positioning Cushion

The Arm/Wheelchair Lap Cushion is an alternative to a restraint belt. It acts as a reminder for patients who forget they are unsafe to stand up.

Originally designed for wheelchairs, they also fit on some hospital armchairs. They can also be used as a small lap tray, for books, materials etc. Some CVA patients may rest their hands on top of the cushion. This may help prevent oedema, as an alternative to a gutter armrest.

There are two versions available:

Curved – With a curved cut-out section for the stomach
Straight – Without a curved cut-out section
If the straight version is a little too close to a patient’s body, the cover can be removed and the edge of the foam can be cut to size with an electric carving knife. The Cushion is an alternative to a restraint belt. It is possible for the patient to remove the Cushion, though any device that the patient cannot remove should be considered as a restraint, so the necessary restraint authorisation would be necessary and this should be fully documented.

As this cushion is invading the patient’s personal space, it may be better to introduce it over a period of time. Start off for about 10 minutes, encouraging the patient to use it as a tray. Then take it away for a while, before refitting it again for another 10 minutes. Gradually the patient may accept it as a tray and not perceive it as a restraint. This method may prevent the patient becoming agitated by the cushion.