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Power Mobility and Safety Concerns

Power mobility allows those in long-term care to participate in their daily activities and leisure pursuits. The devices can also create security concerns that need to be addressed.

Instead of excluding residents with a specific diagnosis from the use of power mobility as it could be viewed as risk management that is prejudicial, the majority of participants preferred to take the teleological approach and allow all residents to test a device.

Mobility

A power mobility device allows people with limited ability to move around their homes or communities and engage in daily activities that would otherwise be unavailable to them. However, these devices may also pose a risk to the person using them and other people who are in their space. Occupational therapists must carefully assess each client's safety needs to provide the most appropriate recommendations regarding powered mobility.

In a study that was conducted by OTs at three residential facilities of the Vancouver Coastal Health Authority, qualitative interviews were conducted with residents to evaluate their power mobility use. The objective was to establish a framework that would allow for a client-centered power movement prescription. The results revealed four major themes: (1) the meaning of power mobility, (2) learning the rules of the road, (3) red flags concerning safety, and (4) solutions.

Power mobility can significantly increase quality of life for those with limited mobility by giving them the opportunity to participate in a variety of everyday living activities, at home as well as in the community (Brandt 2001; Evans, 2000). Participation in self-care, productive and leisure occupations is vital for physical and mental health of older adults, and for many people with progressive diseases, power mobility offers an opportunity to continue taking part in these important activities.

Many participants considered it unacceptable to remove the resident's chair since this could cause a huge interruption to their life or course of action, and ultimately stop them from continuing to engage in the same activities that they were doing prior to the progression of their illness. This was especially relevant for those in Facility 1 who had only been able use their power chairs for a short period of time and were now reliant on others to push them.

Another option is to reduce the speed that residents drive their chairs. However, this could raise various issues like privacy and the impact on the rest of the community. Ultimately, removing a resident's chair was considered the most drastic and least desired solution to safety concerns.

Safety

Power mobility allows disabled people to get around more freely and participate in a greater range of activities and complete the errands. However, with increased freedom of movement comes a greater chance of accidents. These accidents can cause serious injuries for some. power mobility scooter is important to think about the safety of your clients prior to recommending power mobility.

The first step in determining safety is to determine if your client is able to safely operate their power scooter or power chair. Based on the severity of their condition and their the state of their health, this could require a physical examination by a doctor or occupational therapist, as well as having a conversation with a mobility specialist to determine if a particular device is suitable for them. In some instances your client will require a vehicle lift to be able to load and unload the mobility device at home, workplace or community.

Learning the rules of road safety is another aspect of safety. This includes sharing space with other pedestrians, other wheelchair users, and drivers of cars, trucks or buses. This is a topic that was mentioned by a majority of participants in the study.

For visit these guys , this meant learning to drive their wheelchairs on sidewalks, instead of driving through busy areas or over curbs (unless specifically designed for doing such). Others drove more slowly and paid attention to pedestrians in a crowd.

The last and least preferred option of removing a person's wheelchair, was seen as a double whammy: losing independence in mobility and hindering them from participating in activities with the community or at facilities. Diane and Harriet, among others, were among those who were stripped of their chairs.

Other ideas suggested by participants included educating other residents as well as family members and staff about the safety of power mobility. This could include teaching the basics of driving (such as the correct side to walk on in the hallway) as well as encouraging residents to practice driving when they go outside, and helping them understand how their behavior affects the mobility of others.

Follow-Up

A child's ability and willingness to participate in life can be greatly affected by a device that can power them. There is little research on the experience that children experience when they learn to make use of these devices. This study employs an approach that is pre-post to study the effects of six months' experience with one of the four early power mobility devices on the children in school with severe cerebral palsy (CP).

We conducted qualitative interviews with 15 parents, and also occupational and physical therapists who work with children. Thematic analysis identified three major themes. The first, 'Power in Mobility explained the ways in which powered devices changed more than just the motor skills. Learning to drive a mobility device can be a transformative, emotionally charged experience for those who participated.

The second theme, 'There's not a cookbook,' revealed that the process of learning to utilize a power mobility device was a bespoke process that unfolded over time in a cycle. The therapists were asked to decide what was appropriate based on each child's abilities and needs. Throughout the training and post-training phases, therapists were required to have patience with parents and children. Parents and therapists alike described the need to help families celebrate their achievements and resolve issues that arise from the training process.

The third theme called 'Shared space was a look at how the use of a power device could influence the lives of others and how they interact. The majority of those who participated in this study believed one must always be considerate of other users when using a mobility device. This was particularly relevant when driving on public roads. Several participants also noted that they've encountered instances where another's property was damaged by the use of a power mobility device, or in which an individual was injured due to a driver who not yielded the right-of-way.

The results of this study indicate that power mobility and socialization training for preschoolers with CP can be carried out in specific classroom settings. Future research should be focused on the training and outcomes of this type of intervention for children with CP. This could eventually lead to more standard training protocols for children with CP.