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Geri Chair
Sensory Loss in Older Adults: Hearing; Behavioral Approaches for Caregivers
As we age, our sensory systems gradually start to decline. Because our brain requires a minimal amount of input to remain alert and functioning, sensory loss for older adults puts them at risk for sensory deprivation. Severe sensory impairments, such as in vision or hearing, may result in behavior similar to dementia and psychosis, such as increased disorientation and confusion. Added restrictions, such as confinement to bed or a Geri-chair, increases this risk. With nothing to show the passage of time, or changes in the environment, the sensory deprived person may resort to repetitive problem behaviors (calling out, chanting, rhythmic pounding/rocking) as an attempt to reduce the sense of deprivation and to create internal stimulation/sensations.
This article is the second in a series of three articles that discuss the prominent sensory changes that accompany aging, and considers the necessary behavioral adjustments or accommodations that should be made by professional, paraprofessional, and family caregivers who interact with older adults. Though the medical conditions are not reviewed in depth, the purpose of this article is to introduce many of the behavioral health insights, principles, and approaches that should influence our caregiving roles. This article addresses age-related changes in hearing.
HEARING
A. The changes in hearing that accompany aging include:
1. Presbycusis: a type of hearing loss that is more common in men, especially for high-pitched sounds. Men have more trouble hearing high pitched voices, and have poorer sound discrimination (e.g., for letters s, z, t, f, g). Decline typically begins after age 60, and increases up to 80% for those over age 80;
2. Screening out background noises is a common difficulty.
B. How the hearing impaired can be impacted by caregivers:
1. Raising the volume of our voice also raises pitch of our speech, usually making it harder to understand. Recommended: lower your pitch of voice;
2. Background noise (TV, vacuums, plane flying overhead) interferes with hearing and understanding. Recommended: wait for a quieter time to get our point across;
3. Hearing loss creates more social withdrawal and reduced interaction due to the high level of frustration of the person, and annoyance with others who speak too quietly or indistinctly;
4. When the TV is too low and hard to hear and understand, there is a possibility of friction and bickering with others who are also watching;
5. In many cases of hearing loss, there is an increase in suspiciousness and paranoia, anger and bitterness at the frustrating situation, and helplessness to control the situation. This often contributes to depression and a sense of resignation;
6. There is a tendency for the hearing disabled person to agree with what everyone is saying, just to reduce the frustration and disappointment. Recommendation: ask the person to repeat back what was just said to verify the communication.
C. How changes in hearing affect persons with dementia:
1. Difficulties with comprehension and understanding of communication are further compounded, increasing his or her withdrawal and isolation;
2. The use of hearing aids requires more support and motivation, persistence in the face of unpleasant sounds, and care for the device. Recommendation: remind the dementia person to wear the Hearing Aid, help him to turn it on, clean and change batteries, and store it safely.
D. Warning signs of changes in functioning due to hearing loss:
1. More avoidance of social situations and withdrawal
2. Less small talk
3. Shorter attention span or tendency to daydream, wander
4. Blank looks
5. Asking you to repeat, making inappropriate responses
6. Arguing or blaming others, more irritability
GENERAL PRINCIPLES FOR CAREGIVERS
The following general principles will guide caregiving approaches with older adults who have diminished sensory function. Increased sensitivity and insight to the needs of these individuals improves their quality of life and improves our effectiveness:
1. Observe his or her behavior, and look for cues and signs of pain or discomfort;
2. Help the person work through the emotional impact of the sensory changes, allowing expression, acceptance, and support of the grief and sadness accompanying these losses;
3. Do not try to fix the unpleasantness; acceptance and support goes a longer way toward healing than a quick fix or a patronizing attitude;
4. Reduce excess disability by maximizing whatever functioning is still left, such as proper eyeglass prescriptions, or functioning hearing aids;
5. Consider assistive devices (phone amplifiers, large text books, headphones, and the Braille Institute for a variety of useful visual aids).
Approaches for Impairments in Hearing:
1. Get his attention before speaking to him;
2. Face him or her directly, not from behind;
3. Eliminate as much background noise as possible;
4. Speak slowly and clearly, keeping your hands away from your face, and avoid chewing or eating when talking;
5. Allow an adequate amount of time for a response;
6. Do not talk as if the hearing impaired person is not there;
7. Provide opportunities for interaction that require little conversation e.g., cards, walking, cooking.
Even with normal aging, functioning of our five senses is not like it was when we were younger adults. This article offers caregivers who work with hearing-impaired older adults some insights into the special needs and adjustments that will turn unpleasant, frustrating situations into more caring, helpful, and sensitive interactions. The next article in this series addresses age-related losses in touch, taste, smell, and facial expressiveness, and what steps can be taken by caregivers to support the person experiencing these changes.
Copyright 2008 Concept Healthcare, LLC
About the Author
Joseph M. Casciani, PhD, is a geropsychologist who has devoted his professional career to working with older adults and their caregivers. His company, Concept Healthcare, http://www.cohealth.org, offers online resources to integrate behavioral health approaches in the health care of older adults.
Lift Chairs & Geri Chairs | 10% OFF Coupon
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Geri-Chair Economy Smokers Apron Sale Price: $22.95 |
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Geri-Chair Economy Smokers Aprons . Covers lap and chest while preventing cigarettes from falling between resident and recliner. . Available size: 44”L x 30”W. |
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Geri Chair Smoker's Apron Sale Price: $52.50 |
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Residents who smoke should not light-up without a cover-up! . This lightweight fireproof apron cannot be ignited by a cigarette, cigar or burning match. . Full sized, it covers the lap and chest. . The special design prevents cigarettes from falling between the resident and geri-chair... |
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Geri-Fit: The First Workout With Weights for Older Adults [VHS] List Price: $19.95 Sale Price: $15.75 Used From: $2.98 |
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Don't get older, get stronger in this medically-approved strength training workout video for older adults and senior citizens. Geri-Fit® is a 45-minute weight training workout that increases strength in the elderly aiding in independence and improved arthritic conditions... |
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Geri-Fit Strength Training Workout for Older Adults on DVD List Price: $29.95 Sale Price: $29.95 Used From: $28.45 |
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Don't get older, get stronger in this medically-approved strength training workout DVD for older adults, the handicapped and senior citizens. This DVD is perfect if you are an older adult age 55 or over... |
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Geri Chair Overlay With Gel Sale Price: $184.50 |
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Geri Chair Gel Overlay Offers residents the cooling effects of Gel to protect against the development of pressure ulcers while seated. Special design accommodates residents' needs in either reclining or sitting position... |
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Geri Chair Cozy Seat Sale Price: $128.00 |
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The Geri Chair Cozy Seat protects against skin tears and relieves pressure. Features: Completely launderable Covers metal chair components to reduce cuts and bruises Designed not to slip or bunch-up Fits all styles of geri-chairs Ample foam padding makes geri-chairs more comfortable Fluid-proof Low-Shear cover reduces skin-damaging friction |
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MJM International E518S Echo Geri Chair $378.18 Echo 3 Position Reclining Geri Chair is constructed of healthcare grade PVC pipe and fittings. PVC has advantages using stabilizers that inhibit the growth of bacteria and fungi. It is reinforced at all stress related areas. It has contoured frame and no sharp edges to avoid skin breaks during transfers. Echo 3 Position Reclining Geri Chair has push bar which doubles as safety catch for back. Standard For Average Size Resident. Internal Width: 18 . External Width: 22 . Seat Depth: 22 . Capacity: 250 lbs. With Mesh Cushions. |
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MJM International 518SLDDA Geri Chair $502.73 Standard 3position recline GeriCHAIR (18 internal width) chair will fit most average height residents elevated legrest / footrest and dual drop arm. Weight capacity: 300 lbs. |
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Medline Mdt23Chairpd2 2 Piece Medline Geri Chair Pad $294.84 2 piece Medline Geri Chair Pad. Easy To Clean Stretch Cover Helps Reduce Skin Shear. Visco elastic memory foam seat and back cushion provide great pressure redistribution and patient comfort. Strap on back secures the pad to the chair. Packaging: 1 Each / Each. Description: 2 piece. LatexFree: No. |
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Geri Halliwell $10 Geri Halliwell |
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Mae-Geri $16.59 Mae-Geri |
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Drive 3 Position Geri Chair Recliner, Jade $466 Features of the Drive 3 Position Geri Chair Recliner: 3 positions: upright, deep recline and elevated legrest/footrest. Retractable lock bar secures the chair in the desired position. Self adjusting suspension in the seat prevents bottoming out. Side panels "pop-off" for easy cleaning and maintenance. Large, blow molded tray locks in 5 positions and can be stored on the side of the chair. 5" casters (2 with locks) make it easy to move and secure the recliner. Wide, comfortable armrests are angled to provide support in any reclined position. Neutral colored, sturdy steel frame is easy to clean and maintain. Moisture barrier on seat prevents seepage. Comfortable "built in" headrest. Foam and vinyl meet California Flammability. Standard and Boston Fire Department specifications. Limited Lifetime Warranty on Frame. 1 Year on Upholstery and Moving Parts. Product Specifications: Height: 47" Width: 25" Depth: 41" Width Between Arms: 20" Floor to Arm (Height): 26" Seat to Arm (Height): 9" Seat (Height): 21" Seat (Width): 19" Seat (Depth): 19" Weight Capacity: 250 lbs. |
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Drive 3 Position Geri Chair Recliner, Rosewood $466 Features of the Drive 3 Position Geri Chair Recliner: 3 positions: upright, deep recline and elevated legrest/footrest. Retractable lock bar secures the chair in the desired position. Self adjusting suspension in the seat prevents bottoming out. Side panels "pop-off" for easy cleaning and maintenance. Large, blow molded tray locks in 5 positions and can be stored on the side of the chair. 5" casters (2 with locks) make it easy to move and secure the recliner. Wide, comfortable armrests are angled to provide support in any reclined position. Neutral colored, sturdy steel frame is easy to clean and maintain. Moisture barrier on seat prevents seepage. Comfortable "built in" headrest. Foam and vinyl meet California Flammability. Standard and Boston Fire Department specifications. Limited Lifetime Warranty on Frame. 1 Year on Upholstery and Moving Parts. Product Specifications: Height: 47" Width: 25" Depth: 41" Width Between Arms: 20" Floor to Arm (Height): 26" Seat to Arm (Height): 9" Seat (Height): 21" Seat (Width): 19" Seat (Depth): 19" Weight Capacity: 250 lbs. |
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Drive Clinical Care Geri Chair Recliner, Jade $686 Features of the Drive Clinical Care Geri Chair Recliner: Ideal for use in dialysis, blood collection, respiratory and cardiac care. Chair can be positioned in 4 positions: upright, TV, Full Recline and Trendelenburg. Deep recline and Trendelenburg position can only be attained by an attendant. Gas cylinder controls deep recline and Trendelenburg position. Side panels "op-off" for easy cleaning and maintenance. Large, blow molded side trays includes recess for cup. 5" casters (2 with locks) make it easy to move and secure recliner. Gas cylinder release handle for quick back release. Release handle can be operated from either side of the recliner. Wide, comfortable armrests are angled to provide support in any reclined position. Upholstered arm supports provide extra comfort in recline position. Neutral colored, sturdy steel frame is easy to clean and maintain. Comfortable built in headrest. Foam and vinyl meet California Flammability Standard and Boston Fire Department specifications. Limited Lifetime Warranty on Frame. 1 Year on Upholstery and Moving Parts. Product Specifications: Height: 47.5" Width: 30.5" Depth: 38" Width Between Arms: 22" Floor to Arm (Height): 26.5" Seat to Arm (Height): 8" Seat (Height): 22.5" Seat (Width): 21.5" Seat (Depth): 19.5" Weight Capacity: 250 lbs. |
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Drive Clinical Care Geri Chair Recliner, Rosewood $686 Features of the Drive Clinical Care Geri Chair Recliner: Ideal for use in dialysis, blood collection, respiratory and cardiac care. Chair can be positioned in 4 positions: upright, TV, Full Recline and Trendelenburg. Deep recline and Trendelenburg position can only be attained by an attendant. Gas cylinder controls deep recline and Trendelenburg position. Side panels "op-off" for easy cleaning and maintenance. Large, blow molded side trays includes recess for cup. 5" casters (2 with locks) make it easy to move and secure recliner. Gas cylinder release handle for quick back release. Release handle can be operated from either side of the recliner. Wide, comfortable armrests are angled to provide support in any reclined position. Upholstered arm supports provide extra comfort in recline position. Neutral colored, sturdy steel frame is easy to clean and maintain. Comfortable built in headrest. Foam and vinyl meet California Flammability Standard and Boston Fire Department specifications. Limited Lifetime Warranty on Frame. 1 Year on Upholstery and Moving Parts. Product Specifications: Height: 47.5" Width: 30.5" Depth: 38" Width Between Arms: 22" Floor to Arm (Height): 26.5" Seat to Arm (Height): 8" Seat (Height): 22.5" Seat (Width): 21.5" Seat (Depth): 19.5" Weight Capacity: 250 lbs. |
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Medline MDT23CHAIRPD3 Medline Geri Chair Pad 3 Piece $325.25 Medline Industries mission is to provide quality medical products with superior value to healthcare providers and end users improving patient care and the quality of peoples lives. Medline geri chair pad. Visco elastic memory foam seat and back cushion provide great pressure redistribution and patient comfort. Strap on back secures the pad to the chair. 3 piece. |
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MJM International 521SL 21Geri Chair $492.18 Wide 3position recline GeriCHAIR (21 internal width) chair will fit most average height residents. Elevated legrest and footrest. Weight capacity: 375 lbs. |
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MJM International 518SL 18Geri Chair $457.26 PVC Geriatric Chairs feature aesthetically pleasing ergonomic curved arms that support users without sharp edges. Arms features antislip safety handgrip providing comfort and safety using your transport chair. Fast drying and removable mesh back/sling provides sanitary construction ideal for home and institutional use. Threaded stem castors provide additional safety compared to typical friction fit found on other chairs. Internal Width: 18 . External Width: 22 . Seat Depth: 21 . Seat Height: 26 . Total Height: 46 . Total Length with Legrest Down: 45 . Total Lenght Reclined with Legrest Up: 58 . Capacity: 300 lbs. |
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Drive 3 Position Geri Chair Recliner, Blue Ridge $466 Features of the Drive 3 Position Geri Chair Recliner: 3 positions: upright, deep recline and elevated legrest/footrest. Retractable lock bar secures the chair in the desired position. Self adjusting suspension in the seat prevents bottoming out. Side panels "pop-off" for easy cleaning and maintenance. Large, blow molded tray locks in 5 positions and can be stored on the side of the chair. 5" casters (2 with locks) make it easy to move and secure the recliner. Wide, comfortable armrests are angled to provide support in any reclined position. Neutral colored, sturdy steel frame is easy to clean and maintain. Moisture barrier on seat prevents seepage. Comfortable "built in" headrest. Foam and vinyl meet California Flammability. Standard and Boston Fire Department specifications. Limited Lifetime Warranty on Frame. 1 Year on Upholstery and Moving Parts. Product Specifications: Height: 47" Width: 25" Depth: 41" Width Between Arms: 20" Floor to Arm (Height): 26" Seat to Arm (Height): 9" Seat (Height): 21" Seat (Width): 19" Seat (Depth): 19" |
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Drive 3 Position Heavy Duty Bariatric Geri Chair Recliner, Jade $663 Features of the Drive 3 Position Heavy Duty Bariatric Geri Chair Recliner: 3 positions: upright, deep recline and elevated legrest/footrest. Retractable lock bar secures the chair in the desired position. Self adjusting suspension in the seat prevents bottoming out. Side panels "pop-off" for easy cleaning and maintenance. Large, blow molded tray locks in 5 positions and can be stored on the side of the chair. 5" casters (2 with locks) make it easy to move and secure the recliner. Wide, comfortable armrests are angled to provide support in any reclined position. Neutral colored, sturdy steel frame is easy to clean and maintain. Moisture barrier on seat prevents seepage. Comfortable "built in" headrest. Foam and vinyl meet California Flammability. Standard and Boston Fire Department specifications. Limited Lifetime Warranty on Frame. 1 Year on Upholstery and Moving Parts. Product Specifications: Height: 47.5" Width: 32" Depth: 41.5" Width Between Arms: 24.5" Floor to Arm (Height): 26.5" Seat to Arm (Height): 9.5" Seat (Height): 21" Seat (Width): 25" Seat (Depth): 20" Weight Capacity: 500 lbs. |
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Drive 3 Position Heavy Duty Bariatric Geri Chair Recliner, Rosewood $663 Features of the Drive 3 Position Heavy Duty Bariatric Geri Chair Recliner: 3 positions: upright, deep recline and elevated legrest/footrest. Retractable lock bar secures the chair in the desired position. Self adjusting suspension in the seat prevents bottoming out. Side panels "pop-off" for easy cleaning and maintenance. Large, blow molded tray locks in 5 positions and can be stored on the side of the chair. 5" casters (2 with locks) make it easy to move and secure the recliner. Wide, comfortable armrests are angled to provide support in any reclined position. Neutral colored, sturdy steel frame is easy to clean and maintain. Moisture barrier on seat prevents seepage. Comfortable "built in" headrest. Foam and vinyl meet California Flammability. Standard and Boston Fire Department specifications. Limited Lifetime Warranty on Frame. 1 Year on Upholstery and Moving Parts. Product Specifications: Height: 47.5" Width: 32" Depth: 41.5" Width Between Arms: 24.5" Floor to Arm (Height): 26.5" Seat to Arm (Height): 9.5" Seat (Height): 21" Seat (Width): 25" Seat (Depth): 20" Weight Capacity: 500 lbs. |
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Drive Clinical Care Geri Chair Recliner, Blue Ridge $686 Features of the Drive Clinical Care Geri Chair Recliner: Ideal for use in dialysis, blood collection, respiratory and cardiac care. Chair can be positioned in 4 positions: upright, TV, Full Recline and Trendelenburg. Deep recline and Trendelenburg position can only be attained by an attendant. Gas cylinder controls deep recline and Trendelenburg position. Side panels "op-off" for easy cleaning and maintenance. Large, blow molded side trays includes recess for cup. 5" casters (2 with locks) make it easy to move and secure recliner. Gas cylinder release handle for quick back release. Release handle can be operated from either side of the recliner. Wide, comfortable armrests are angled to provide support in any reclined position. Upholstered arm supports provide extra comfort in recline position. Neutral colored, sturdy steel frame is easy to clean and maintain. Comfortable built in headrest. Foam and vinyl meet California Flammability Standard and Boston Fire Department specifications. Limited Lifetime Warranty on Frame. 1 Year on Upholstery and Moving Parts. Product Specifications: Height: 47.5" Width: 30.5" Depth: 38" Width Between Arms: 22" Floor to Arm (Height): 26.5" Seat to Arm (Height): 8" Seat (Height): 22.5" Seat (Width): 21.5" Seat (Depth): 19.5" Weight Capacity: 250 lbs. |
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MJM International 518PL 18Geri Chair $442.03 Stainless steel nonmagnetic casters and footrest. Manufactured of healthcare grade PVC pipe and fittings. Contoured frame no sharp edges to avoid skin breaks during transfers. Reinforced at all stress related areas. 2 Lock and 2 non lock non magnetic wheels. Solid base seat for better comfort. Multi position for back and legs. Push bar doubles as safety catch for back. Available in Royal Blue Mauve or Forest Green. Internal Width: 18 . External Width: 22 . Seat Depth: 18 . Seat Height: 25 . Total Length with Largest Down: 42 . Total Length Reclined with Largest Up: 55 . Weight Capacity: 300 lbs. Overall Dimensions: 45 H. |
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MJM International 524SL 24Geri Chair $567.31 Fit most average height residents elevated Largest and footrest. Manufactured of healthcare grade PVC pipe and fittings. Contoured frame no sharp edges to avoid skin breaks during transfers. Reinforced at all stress related areas. Wedge cushion seat will increase safety. Solid base seat for better comfort. Multi position for back and legs. Push bar doubles as safety catch for back. Available in Royal Blue Mauve or Forest Green. Internal Width: 24 . External Width: 28 . Seat Depth: 21 . Seat Height: 26 . Total Length with Largest Down: 45 . Total Length Reclined Largest Up: 58 . Weight Capacity: 400 lbs. Overall Dimensions: 46 H. |
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MJM International 530SL 30Geri Chair $979.84 Bariatric 3position recline GeriChair (30 internal width)j with elevated legrest and footrest 700 lbs Capacity. Satisfaction ensured. |
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Geri Halliwell - Yoga $3.99 Geri Halliwell - Yoga |
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Geri Halliwell - Body Yoga $3.99 Geri Halliwell - Body Yoga |
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Geri Halliwell - Schizophonic $19.99 Geri Halliwell - Schizophonic - Original Poster |
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GERI: GERI $15.98 Description not provided. |
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National Geri $74.97 National Geri Eyeglasses for Unisex are available at BestBuyEyeglasses.com in the following colors: Black, Brown, Gray/Gunmetal, Red. The style is Rectangle and the frame material is Metal. National Geri Metal. These frames accept prescription lenses. |
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Drive 3 Position Heavy Duty Bariatric Geri Chair Recliner, Blue Ridge $663 Features of the Drive 3 Position Heavy Duty Bariatric Geri Chair Recliner: 3 positions: upright, deep recline and elevated legrest/footrest. Retractable lock bar secures the chair in the desired position. Self adjusting suspension in the seat prevents bottoming out. Side panels "pop-off" for easy cleaning and maintenance. Large, blow molded tray locks in 5 positions and can be stored on the side of the chair. 5" casters (2 with locks) make it easy to move and secure the recliner. Wide, comfortable armrests are angled to provide support in any reclined position. Neutral colored, sturdy steel frame is easy to clean and maintain. Moisture barrier on seat prevents seepage. Comfortable "built in" headrest. Foam and vinyl meet California Flammability. Standard and Boston Fire Department specifications. Limited Lifetime Warranty on Frame. 1 Year on Upholstery and Moving Parts. Product Specifications: Height: 47.5" Width: 32" Depth: 41.5" Width Between Arms: 24.5" Floor to Arm (Height): 26.5" Seat to Arm (Height): 9.5" Seat (Height): 21" Seat (Width): 25" Seat (Depth): 20" Weight Capacity: 500 lbs. |
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Geri & Timelin Allen : Live (dig) $11.03 Geri & Timelin Allen : Live (dig) |
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TRIO 3 WITH GERI ALLEN: AT THIS TIME $17.87 TRIO 3 WITH GERI ALLEN: AT THIS TIME |
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House Collections Geri $73.35 House Collections Geri Eyeglasses for Women are available at BestBuyEyeglasses.com in the following colors: Black, Purple, Red. The style is Oval and the frame material is Metal. House Collections Geri Rimless. These frames accept prescription lenses. |
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KING,GERI: DEJA VU $8.15 Deja Vu is the debut full length album by Geri King to follow her earlier debut EP, Tenderly, with production by Kimo Kaulani. King is a contemporary R&B singer with plenty of soul; the opener, "Once," balances a solid minimalist urban production and Kin |
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KING,GERI: ALWAYS $8.15 The album Always by Geri King follows Deja Vu, her full-length 2002 debut, which was a nice showcase for her soulful, clean-burning vocal style, even if its effectiveness was curtailed slightly by canned arrangements and limited production. The synthesiz |


US $221.00

















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