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If you are very unstable when standing and you find it difficult to bear your own weight, simple grab rails may not be the most suitable answer for you. You may need more support to help you. Likewise, if you have very poor grip, or significant pain in your hands, arms or shoulders.
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. An epoxy, paint or plastic finish provides a warmer feel to rails, is hard wearing and will reduce the effects of condensation. A choice of colour allows for a colour contrast with the wall for users with low vision or for co-ordination of bathroom accessories. 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. Floor to ceiling poles and rails are attached to both the floor and ceiling, and may help the user to transfer to and from a bed, sofa or toilet. Some may have a horizontal support bar. They may be positioned close to the tap end of the bath to provide a rail and pivot for a bather stepping into the bath or to use from a sitting position, for example when using a bath board. Alternatively, they may be positioned at the bedside. Most grab rails are permanently fixed in one position onto the wall, floor, ceiling, or a combination. When fitted securely and correctly they should be able to cope with the push/pull forces of repeated use.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. 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 polished or chrome finish is attractive and hard wearing but can be quite slippery to hold, especially when hands are wet. 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). If you are struggling with caring for yourself, or your carer is struggling to provide care for you, consider asking for a health and social care needs assessment. Since the Care Act 2014 (Great Britain. Parliament 2014) came into power in April 2015, anyone who appears to need care and support can request an assessment from their local council, irrespective of their income or savings. The Act also places a statutory duty on local authorities and the NHS to support individuals to take steps to prevent their ill health or care requirements from getting worse. These strategies for prevention can include the early provision of equipment and services to help prevent, delay or reduce the development of further need for care and support, which would include the provision and fitting of grab rails depending on the cost. The height will depend on your needs, often at the same height as an existing banister rail. This is usually between 900-1000mm above the pitch line of the stairs.
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If you have underfloor heating, or if you have a sealed/waterproof floor, such as in a wetroom, you should avoid fixing rails into the floor. You must also consider where any services, such as water/drainage pipes and electricity cables run inside the walls or under the floor. Suction grab rails attach to a smooth surface by forming a strong suction grip at each end. Some manufacturers state that they are not weight-bearing and are only intended to assist with balance. Others do not clearly state this, but give a weight limit for safe use. You are advised to read any guidance and seek further clarification if needed before you use these rails. They are highlighted as portable for visits and holidays. The Ultimate poles are perfect for awnings and shelters making it super easy to erect. The poles have an easy glide system and can be adjusted whilst under load. Particular care should be taken when attaching rails to domestic sandwich partitions, e.g. plasterboard with a hardboard facing.
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. 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? Ultimate poles have enhanced durability and an attractive product surface through the anodizing plating method. 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.
Floor-to-Ceiling Poles & Lateral Rails
Floor mounted toilet rails are fixed to the floor beside the toilet. They can be used individually to the left or right of the toilet or in pairs on both sides of the toilet. They may be useful beside a toilet, or bed to provide support and stability when standing. 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. We’re all committed anglers here, and our own brand Advanta range reflects that. As a comprehensive collection, it’s only right that the range includes a selection of rollers. So, whether you’re interested in match rollers with multiple independent rollers, or you want something a little lower key, we’ve created the product for you. Consider the advice about the different kinds of grab rails. Identify the best types of rail for your particular requirements.
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