Prescribing seating for cognitively impaired users: exploring the risks
When prescribing seating, our aim is to meet the needs of the service user by prescribing a chair that will provide the right level of support, enable safe, easier assisted or independent transfers, reduce risk of pressure injuries and enable them to obtain and maintain a good sitting posture in the provided chair. However when a service user has a cognitive impairment and has poor risk awareness, additional risks are present. In this session we aim to outline some of these possible additional risks and how to overcome them to ensure the service user and their carers/family remain as safe as possible when the service user is seated in a chair that is there to meet their needs.
Learning Outcomes
- To outline clinical reasoning for chair provision to a variety of service users
- To increase awareness of risks to users with cognitive impairments/poor risk awareness when assessing and providing specialist seating.
- To out line some of the risk factors and interventions that can reduce risk to service users.
Meet our Experts

Jenny is a senior occupational therapist. She qualified in 1997 and completed her MSc in Neuro-rehabilitation in 2007. She has worked in Neurological Rehabilitation at the Battle Hospital in Reading, and the Rivermead Rehabilitation Centre in Oxford which became part of the Oxford Centre for Enablement in 2000. She moved into the Specialist Disability Service at the OCE from where she joined the Oxford MND Centre in January 2007.
Since August 2009 Jenny has been funded full-time by the Motor Neurone Disease (MND) Association to develop NHS wheelchair services across the UK, to improve wheelchair provision for people living with MND.

Since qualifying in 2006, Debra has worked as an occupational therapist in both community and in-patient environments. After three years on a mixed NHS and social care rotation, Debra moved to Brent local authority, where she worked for 5 years. In 2014 Debra split her role between managing her own caseload in the private sector and Barnet local authority’s equipment provision service. Debra now runs our seating assessment training programme.
People who watched this also watched...
The importance of good communication and its impact on clinical outcomes
In this session we will explore the various types and styles of communication, how important the way we communicate is and how this may affect the outcome when working with service users and their carers. We will refer to the legislation that guides us and be referred to in these complex cases and know when to seek legal advice for an individual case.
We are all on the same team: overcoming communication challenges between Occupational Therapists and nursing staff in nursing homes
Specialist seating and bed positioning are critical interventions for maintaining resident comfort, preventing pressure injuries, optimising posture, and promoting participation in daily activities. Due to the amount of staff working in a nursing home, it is common to encounter challenges in ensuring these recommendations are consistently implemented following clinical handover to nursing staff. Factors such as staff turnover, competing clinical priorities, limited understanding of positioning principles, and ineffective communication from both sides can result in inconsistent practice and reduced therapeutic outcomes.
This webinar will explore the barriers to successful implementation of specialist seating and bed positioning recommendations, identify strategies for effective interdisciplinary communication, and discuss practical approaches to embedding these interventions into routine nursing care to improve resident safety and quality of life.
Accora's clinical corner: sleeping in a riser recliner
This session brings together the key themes explored across our recent webinars on sleeping in a riser recliner. Over the past 3 months, we’ve examined the impact of sleeping in a riser recliner on sleep hygiene, comfort, confidence, transfers, mobility, pain management, and tissue viability.
This chatty, podcast-style webinar offers a relaxed and interactive space to revisit the most important clinical messages from the quarter. Attendees are encouraged to submit questions in advance and during the session, creating an opportunity to explore real-world challenges, clarify key concepts, and deepen understanding of best practice when supporting individuals who sleep in a riser recliner.
We will also highlight relevant intervention solutions and explore practical strategies for teaching and supporting others, and we will share our Sleeping in a Riser Recliner Guide with attendees after the session to support ongoing learning and application in practice.
Whether you joined us throughout the series or are looking for a concise and practical summary, this session will consolidate learning and provide actionable insights to apply in practice.
Please submit your questions here.
