Written by Hulet Smith, OT
Diaper messes happen. In the special needs community, sometimes they happen with older, bigger kids. To avoid, handle, and clean up after these messes, special needs changing tables are designed to serve users and caregivers to facilitate comfortable, efficient diaper changes.
 | 1) Smirthwaite Mobi Height-Adjustable Changing Table and Transfer Aid View Product |
Height-adjustable tables can be lowered so the user can get onto the table, or be transferred onto it, more easily with less risk of injury to the user or the caregiver, then raised to a comfortable height for diaper changing. They are usually battery or electric-powered, which can dictate where they need to be located.
Fixed height changing tables come in bench, cabinet, or wall-affixed models. They are less expensive, and because they often fold out of the way, they are great space savers. With a less customized experience, a caregiver might have to bend uncomfortably, or a user might need to use a mechanical lift to get on or off the table.
If you want to be able to move the table from room to room, you’ll need to opt for a model that is easy to transport. Moveable options include one with locking casters that can be rolled where it’s needed or a freestanding foldable table with folding legs that can be carried to another location.
Changing tables for the disabled act as everything from diaper changing stations to transport vehicles, to shower platforms. Being able to clean them easily and keep them sanitized is of utmost importance, and some models are constructed with anti-bacterial surfaces or slats for drainage. Storage is also a consideration, so caregivers can easily reach anything they need to care for the user. Padding, optional mattresses, and the ability to recline all impact the user’s comfort, while the ease of use for caregivers aids in efficiency and makes their duties more comfortable and less physically strenuous.
Without a changing table, the options for diaper changing are not very appealing. The floor is the only place that isn’t a fall risk. Even with a mat, it’s a strain on caregivers to get up and down to complete a diaper change. There is the option of a table that is designed for other things, but no one wants to have snacks coloring, or reading time at a table that was used to change diapers. A changing table that is built for safe diaper changes is the best option for the special needs population.
Standard changing stations are required in the men’s and women’s restrooms in all federal buildings. Different states have different rules, and most of those requirements have to do with public buildings rather than private businesses.
A changing table is most often used for diaper changes, which means ease of cleaning, storage for necessary items like diapers and wipes, and the safety of the user through rails or safety straps are all considerations.
 | Folding Changing Table - ADA Compliant View Product |
At number 5 on our list is the durable and hygienic Folding Changing Table by Versable Designs. This bench is a secure and durable solution for caregivers to attend to a child's personal hygiene.
With a sturdy stainless steel frame and a weight capacity of 500 pounds, it ensures exceptional stability and durability. The bench, measuring 48" wide by 24" deep, can be easily adjusted in height and folds up against the wall when not in use, promoting sanitary and safe conditions while saving space.
Available with a choice of a padded Naugahyde top or a durable Phenolic resin top in various colors, this bench is suitable for a wide range of facilities, including hospitals, nursing homes, gyms, hotels, and more.
 | Foundations Stainless Steel Horizontal Baby Changing Stations View Product |
 | Pressalit Care 3000 Special Needs Changing Table View Product |
The Pressalit Care 3000 Special Needs Changing Table by MAX-ability is designed to make caring for special needs adults and children easy and safe. The receiver tray under the mattress captures fluids and keeps messes to a minimum, creating a more hygienic environment.
Available in a fixed height or adjustable height model, both options have the same features and ergonomic design. If you are using this special needs changing table for showering and bathing, you can use a wall-mounted or handheld showerhead, with the water running through the vented mattress panels and into the receiver tray. From the tray, fluids flow through the included flexible drain hose and are channeled to a wall outlet or floor drain.
Assembly for either of the award-winning designs is uncomplicated. This changing table for the disabled can accommodate users up to 440 pounds and is ideal for K-12 special education, public or family restrooms, daycare, hospitals, clinics, emergency rooms, and home care.
Its unique drain feature creates an easily sanitized hygienic environment, and its design options make it a great choice for a wide range of uses. The power option includes a caregiver-friendly remote control. With its high weight capacity and fixed or adjustable height, this table will meet the needs of a wide range of users in just about any setting, earning it the number 3 slot on our top 5 list.
 | Smirthwaite Hi-Riser Wall-Mounted Changing Table View Product |
While the Smirthwaite Hi-Riser Wall-Mounted Changing Table may have a sleek and modern design, it doesn’t compromise the quality or strength. This space-saving table can support up to 440 pounds and features a corrosion-resistant, stainless steel frame. With a range of sizes available, this Smirthwaite table can accommodate young children and adults and fit many different facilities and homes.
With an integrated safety rail, this table by Smirthwaite allows caregivers to comfortably change clothes or assist with hygiene care knowing there is an extra level of protection. These rails reduce the risk of patient falls and with convenient folding underneath the table, caregivers can fit wheelchairs and lifts flush against the surface for easy transfers. This streamlined design offers great compatibility with ceiling lifts and hoists as the flat surface gives caregivers the space to maneuver slings and seats. When not in use, the tabletop can be folded up and out of the way to save space.
Furthering the convenience is the hand remote that allows for effortless height adjustments. With the push of a button, the height can be set at the patient level for seamless transitions or at an ergonomic, working height for caregivers, reducing backaches and over-exertion. The cushioned surface is made from a water-resistant vinyl material that is easy to wipe clean, encouraging a sanitary environment. Bult for convenience, comfort, and longevity, the Smirthwaite Hi-Riser Wall-Mounted Changing Table is one you can count on for a lifetime.
 | Smirthwaite Mobi Height-Adjustable Changing Table and Transfer Aid View Product |
Useful for everything from diaper changes to patient transfers between rooms, the versatile Mobi Height-Adjustable Changing Table and Transfer Aid by Smirthwaite USA has been chosen as the #1 entry on our list.
With electrical height adjustment, caregivers have easy access to patients at a comfortable working height with this table. It’s extremely maneuverable with swivel casters, and it locks in place with a foot pedal for stationary use. The side rails lower out of the way for smooth transfers. For users who can’t sit up without assistance, this table can be set in a reclined position. You can choose between an aluminum frame, which is lightweight and easy to transfer, and a steel frame for its durability and stability.
Raising or lowering this special needs changing table with the touch of a button reduces physical strain on a caregiver, eliminating the need to reach or lift. The adjustability also assists users, since the level of the table can be adjusted for the safest transfer possible. It has plenty of clearance to ensure enough space for a hoist.
With a weight capacity of 500 pounds, this sturdy table lifts and transfers heavier patients with ease, safety, and plenty of support. The versatility and multiple uses for this comfortably padded rolling special needs changing table have elevated it to the top of our list. Focused on user and caregiver comfort, the efficiency of use, and multiple safety features, this table is the most versatile on our list and will provide a comfortable user and caregiver experience.
To keep children clean, healthy, and comfortable, special needs changing tables are designed to fit bigger kids with special needs that might make diaper changes complicated. Whether clean-up calls for an onboard sink, the option of a shower, or just a stable platform to get the job done quickly, special needs changing tables are designed to aid caregivers in creating the healthiest environment possible.
The versatility of the Mobi Height-Adjustable Changing Table and Transfer Aid is what earned its #1 spot on our list of best pediatric special needs changing tables. With a 500-pound weight capacity, it can provide bariatric users, and anyone else, with a comfortable experience. Not just a changing table, this piece of equipment is highly maneuverable and can also be used for user transport in padded comfort surrounded by safety rails and bolsters. In a nod to caregiver comfort as well, its height is easily adjusted to eliminate back strain from bending.
For more options, view our entire selection of pediatric changing tables, changing benches, portable changing tables, and wall-mounted changing tables. Be sure to visit Caregiver University for more free, informative articles!
Co-founder/CEO of Rehabmart, Pediatric Occupational Therapist, husband, and father. Passionate about connecting special needs kids with superb nutrition, sensory integration, and complementary health strategies. Excited about Rehabmart's mission to become the premier online educational platform which empowers caregivers by spotlighting innovative devices and interventions to achieve optimal patient response and recovery.
