Understanding why patients choose riser recliners for sleep

Understanding why patients choose riser recliners for sleep

For many people, a riser recliner armchair is more than just a comfortable seat- it becomes a place to rest and sleep. While this might seem unusual to some, it’s a common choice, particularly among older adults or individuals with complex health needs.

Understanding why people choose to sleep in these chairs and how healthcare professionals can support them safely is crucial. 

Why people sleep in a riser recliner chair 

1. Comfort and pain relief 
   Many people with musculoskeletal issues, arthritis, or chronic pain find that a riser recliner chair allows them to sit in a position that reduces discomfort. They are able to change position easier, and adjusting the backrest and legrest can relieve pressure on joints, the lower back, or the hips, making it easier to rest or sleep. 

2. Reduced need for transfers 
   Individuals with limited mobility may find transferring to a bed challenging or risky. Sleeping in a riser recliner can reduce the number of transfers, lowering the risk of falls and making night-time care more manageable. It also prevents rolling or sliding.

3. Improved circulation
   Elevating the legs or adjusting the backrest can improve circulation and reduce swelling. People with conditions such as heart disease or oedema often sleep in recliners to feel more comfortable and reduce symptoms. 

4. Independence and safety 
   Riser recliners allow users to sit or stand with less effort, preserving independence. For those who struggle with balance or strength, being able to sleep in a chair they can safely exit without assistance can be empowering. 

What can healthcare professionals do to support this choice?

Supporting someone to sleep in a riser recliner can enhance comfort, safety, and overall quality of life. Healthcare professionals can: 

• Recognise the practical and medical reasons behind this choice. 
• Explore the benefits of riser-bed options to assist with sit-to-stand transfers, comfort and safety with the patient.
• Include chair-based sleeping in care plans where appropriate. 
• Guide posture, positioning, and safe use of the chair. 

Risks associated with sleeping in a riser recliner 

There are risks that should not be overlooked: 

• Pressure ulcers

Prolonged sitting in one position increases the risk of pressure injuries, especially in those with limited mobility or fragile skin. 

• Circulation issues 

Remaining in a semi-reclined position for extended periods can affect blood flow to the legs. 

• Joint stiffness and musculoskeletal problems

Sleeping in a chair may not provide the spinal alignment support that a bed and mattress can offer. 

• Falls or incorrect chair use 

Misusing the riser function or getting in/out unsafely can lead to falls or injury.

• Less use of muscles

Leading to frailty and need for more intensive care in the future.

• Low motivation

The patient has no need to move from where they are sat. This can lead to low mood and low motivation in their day-to-day life, as well as reduced mobility.

How Healthcare professionals can mitigate risks:

1. Regular repositioning

Encourage repositioning throughout the 24hour period to reduce pressure and maintain circulation. 

2. Pressure-relieving cushions and supports 

Use cushions, footrests, or specialised supports to protect vulnerable areas. Find our pressure relieving accessories here.

3. Skin checks 

Regularly inspect the patient's skin for redness, bruising, or early signs of pressure damage. 

4. Postural support

Adjust chair angles to maintain good alignment for the spine, neck, and legs. 

5. Education and training 

Teach users and caregivers safe chair use, including how to operate riser and recline functions safely. 

6. Multidisciplinary approach

Work with Occupational Therapists, Physiotherapists, and Nursing staff to optimise chair use and overall comfort. 

7.  Investigate lying positions and supports

Promote postural alignment, pressure management, and comfort.

8. Explore other options

Review the benefits of riser-bed options to assist with sit-to-stand transfers, comfort and safety.

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Alternative options for your patient's safety

Ascenda is a riser-bed designed to facilitate effortless transfers from lying to standing, enabling individuals to maintain dignity and mobility at home while reducing care package requirements. Find out more about the Ascenda here.

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View Monica's story with the Ascenda here, featured with the Society of Tissue Viability.

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Conclusion 

Sleeping in a riser recliner armchair can be a practical, safe, and comfortable choice for many individuals.

By understanding why people do it, recognising the risks, and providing proactive support, healthcare professionals can help ensure that this choice contributes positively to comfort, independence, and overall well-being.