1. Define the need with the care team
Ask the doctor, nurse or physiotherapist what is truly needed, for how long and who will use it. Useful questions: Is the need short-term (after surgery or a fracture) or long-term? Which features matter (height adjustment, pressure relief, brakes, weight rating, seat width)? Is training needed? Does the item need a prescription, such as oxygen or suction? Put the answers on one page and carry it. See daily living aids starter guide and home health monitoring starter kit.
2. Decide whether to rent or buy
Renting suits: short recoveries, bulky or costly equipment (hospital beds, powered mattresses, hoists) and trial periods.
Buying suits: items used daily for years (sticks, rollators, grab bars, shower chairs, monitors) and personal items that are best kept hygienic and fitted to one person.
A mixed plan is common: rent the large item, buy small ones and convert if the need lasts. Work out the total cost for the likely period, including delivery, set-up and return. See equipment to rent vs buy checklist, hospital bed rent or buy, renting vs buying a wheelchair and breathing support rental costs and checks.
3. Check the supplier
- Existence and address: a real business with a verifiable address and phone numbers; visit if you can.
- Good questions asked: a good supplier asks about height, weight, condition, the home and who will care.
- Licences for medical devices: ask for details and keep copies; see medical device licences and safe buying.
- Written terms: price, rental period, deposit, what is included, cleaning, damage terms, late fees, cancellation and replacement.
- Support: a number that is answered, including for urgent equipment and in heavy rain.
- References: ask the doctor, nurses or other families; read recent reviews with caution.
- Hygiene: ask how rented equipment is cleaned and checked between users, and refuse stained or damaged items.
- Beware of very low prices, no paperwork, pressure to decide at once or promises that sound too good.
4. Inspect and test
- Condition: for used items, look for rust (a particular issue in damp air), cracks, loose joints, worn brakes, frayed cables and stained or smelly covers. Avoid second-hand mattresses and cushions that are stained.
- Weight rating and size: confirm the user's weight is within the rating and the dimensions suit your doors and rooms.
- Electrics: earthed plug, sound leads and a working motor; see safe use of medical electrical equipment at home.
- Try it with the user: wheelchairs, frames and chairs should be tried by the person, ideally with a therapist; see wheelchair buying guide india, walking frame buying guide and choosing an anti-bedsore mattress.
- Manual and serial numbers: in a language the carers read.
- Photograph the item and any marks before use.
5. Delivery and set-up in hilly, stepped homes
Homes on sloping plots often have a path or steps from the lane, entrance steps and internal level changes.
- Measure: gate, path width, steps, doors, corridors, turns and any lift. Check that a bed or wheelchair can reach the room.
- Ask what delivery includes: carrying up steps, assembly, set-up, a demonstration and removal of packaging. For a path with steps, ask who will carry the item and how, and confirm in writing.
- Choose a dry day: rain damages cardboard, mattresses and electronics during delivery; ask how the supplier protects items.
- Prepare the room: firm, level, dry floor, a nearby earthed socket, clear access and ventilation; see setting up a hospital bed at home and hospital room at home: complete setup.
- Be present with the user and carers for a demonstration of every control, brake and alarm; ask a nurse or physiotherapist to teach safe lifting and transfers; see equipment delivery, installation and aftercare and how to lift and transfer safely.
- Fixed items: grab bars, handrails and ramps should be fitted by a competent person into suitable wall material; ask your landlord if you rent; see grab bar buying guide, installing grab bars in rented homes and portable ramps for thresholds.
- Test movements, brakes, alarms and power before the supplier leaves.
6. Keeping equipment healthy in humid, rainy weather
- Keep items dry and off damp floors; wipe after use, especially metal parts and wheels.
- Use breathable covers; do not seal damp items in plastic.
- Store monitors, strips and batteries in sealed boxes with desiccant.
- Clean mattresses and cushions as advised, air them in sun and use protectors; see mattress protector guide and cushion covers and cleaning.
- Inspect for rust, loose screws and worn rubber after each rainy spell.
- Plan for power cuts for anything electrical; see hospital bed electricity and power cuts and oxygen and power cuts.
- Clean touch surfaces regularly; see infection control for home caregivers.
7. Servicing, warranty and records
Ask who services the item, how often, how fast they respond and who pays. For rentals, a faulty item should be replaced promptly. Keep a file with receipts, rental agreement, warranty card, manual, serial numbers and a log of faults; see equipment returns, warranty and servicing. Do not repair medical devices yourself, and know what could void the warranty.
8. Returns, deposits and passing equipment on
Ask about returns and exchanges before paying. For rentals, agree notice and pick-up in writing, clean the item, check its condition with the supplier and get a signed acknowledgement and written confirmation of the deposit return. When you no longer need a purchased item, ask about resale or buy-back, or pass clean, safe equipment to someone who needs it, such as a neighbour or a community group; see volunteers, neighbours and community help.
9. Money, tax and insurance
Make a budget and share costs openly; see budgeting for elder care in india and sharing care among siblings. Pay by traceable means, avoid large advances without a written agreement and keep receipts. Tax treatment of care equipment varies and changes; check with a chartered accountant or an official source; see gst and tax benefits on care equipment. Most health policies do not cover home equipment; check yours; see health insurance for senior citizens in india.
10. When relatives live elsewhere
If most of the family is elsewhere, name one person in the city who will receive deliveries, check set-up and be the contact for the supplier. Share photographs and documents, agree who pays and keep one folder; see long-distance caregiving for nris. Do not rush to buy in a panic; a short rental while you check the real need is often wiser.
A one-page summary before you commit
Before paying, write one page: what is needed and why, buy or rent, the supplier's name and address, what delivery includes, the date and who will be at home, the warranty or servicing arrangement, the return terms and the total cost for the likely period. Share it with the family member who is paying and with the doctor or therapist. If a supplier will not put terms in writing, treat that as a warning and look elsewhere. Reviewing this page a month later, with the equipment in use, tells you whether it is doing its job.
When to ask a professional
Ask the doctor, nurse or physiotherapist what to buy or rent and to check fit and technique. An occupational therapist can assess the home. A qualified electrician can check wiring. A chartered accountant can advise on tax. For senior citizens' information and support, Elderline 14567 is a helpline; check current availability. In an emergency, call 112.
Equipment mentioned in this guide
Frequently asked questions
Should we rent or buy a hospital bed?
For a short recovery, renting is common. For a long need, buying may cost less. Compare totals and ask about servicing and return.
How do we get a bed up the steps to our house?
Measure first, ask the supplier in writing who will carry it and how, and plan for a dry day.
How do we prevent rust in the rains?
Keep items dry, wipe after use, store off damp floors and check metal parts after each rainy spell.
What should we do with equipment we no longer need?
Return rentals under the agreement, and offer clean, safe purchased items to others who need them.
Sources and further reading
- World Health Organization, Medical devices: managing the mismatch and guidance on assistive technology
- Central Drugs Standard Control Organisation, India, public information on medical device regulation (check current rules)
- Bureau of Indian Standards, public information on safety standards (check current standards)
- Consumer Affairs, Government of India, public information on consumer rights and complaint procedures
Tags: Thiruvananthapurambuying equipmentrenting equipmentdeliveryservicingcare equipmentGear for your cityAdjustable hospital bedBeds, mattresses and restMobility and walking aids
This article is for general education and is not medical advice. Speak to your doctor before changing your exercise, diet or medicines.
