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Medical Necessity:
The Surehands system is medically necessary for Regina in order to increase access around her
home and improve functional transfers for self-care tasks. Using the Surehands lift will also reduce the
burden of care on her husband, who is currently unable to provide the physical assistance she requires.
The Surehands lift is the only option for Regina due to her weight, as she is at greater risk for skin
breakdown. Although the Hoyer lift is more inexpensive, the sling will rub against Reginas underside due
to her size, putting her at risk for skin sores. In addition, a Hoyer lift would not properly positon Regina
into her wheelchair to minimize pressure points. Because her husband is unable to physically assist,
Regina will be immobilized into these improper positions, again adding risk for skin breakdown. The Hoyer
lift sling will also cover the underside of Regina, so although she may be transferred onto her bedside
commode, the sling will remain underneath her and create difficulty in pants management for toileting. In
addition, by increasing her access to her bath in the home, she can partake in bathing in a more
appropriate space as opposed to her commode, which will increase hygiene and reduce risk for hygiene-
related infections.
If I can be of further assistance or if there are any other questions about Reginas needs please
contact me, Allie Ritchie, at (801) XXX-XXXX.