Why Power Mobility Is So Helpful For COVID-19
Power Mobility and Safety Concerns
Power mobility improves participation in daily activities as well as recreation for those who are in long-term care. However, the devices can also create safety concerns that need to be addressed.
Instead of excluding residents who have certain diagnoses from use of power mobility that could be considered prejudicial risk management, most participants chose to take the teleological approach and let all residents try out a device.
Mobility
A power mobility device is an option for those with limited mobility to move around in their community or home, and also to take part in activities of daily living that they may not be able to participate in. However, these devices can also be a danger to the person using them, as well as other individuals who share their environment or space. Therapists in occupational therapy must assess each client's safety needs to make the best recommendations for powered mobility.
In an exploratory study (von Zweck 1999), OTs from three residential care facilities of the Vancouver Coastal Health Authority conducted qualitative interviews with residents about their use of power mobility. The goal was to develop an approach to client-centered power mobility prescribing. green mobility scooters revealed four major themes: (1) power mobility meaning, (2) learning road rules, (3) red flags safety concerns, and (4) solutions.
Power mobility can boost the quality of life of those who have mobility limitations. This is due to the fact that it lets them participate in everyday activities at home and in the community. Participation in self-care as well as leisure and productive occupations is essential for physical and mental health for older adults, and for those with chronic illnesses power mobility is a way to continue participating in these important activities.
Most participants found it unacceptable to remove the chair of a resident, since this would cause a major change in their life or path and prevent them from continuing with the same activities that they had been doing before the progression of their illness. This was especially true for those in Facility 1 who were in a position to use their chairs for short periods of time, but were forced to rely on other residents to help them move around the facility.
Another solution would be to slow down the speed at which some residents drive their chairs. However, Suggested Looking at could raise various issues like privacy and the impact on the rest of the community. The most drastic solution to safety concerns was to get rid of a resident's wheelchair.
Safety
Power mobility allows those with disabilities to get around more freely and take part in a wider range of activities and complete around. With greater mobility comes a higher risk of accidents. These accidents could result in serious injuries for certain. This is why it is important to consider the security of your client before suggesting that they utilize power mobility.
First consider determining whether your client can safely operate their scooter or power chair. Based on the severity of their impairment and current health, this may involve a physical assessment by a physician or occupational therapist, or a discussion with a mobility expert to determine if a particular device is appropriate for them. In certain situations, your client will need an automobile lift to be capable of loading and unloading the mobility device at workplace, home, or community.
Another aspect of safety is learning the rules of the road. This includes sharing space with other pedestrians, wheelchair users, and drivers of cars or buses. This is a topic that was mentioned by most participants in the study.
Some people learned to drive their wheelchairs along sidewalks instead of driving in crowded areas or on curbs (unless the wheelchair was specifically designed to be used in this way). For others it meant driving slowly in a busy environment and keeping an eye out for pedestrians.
The last and least popular alternative was to take away the chair of a person. This was seen as two-fold punishment: losing independent mobility and preventing access to facilities and community activities. This was the viewpoint of the majority of participants who had their chairs removed among them Diane and Harriet.
Participants also suggested that residents, family members, and staff be informed about the proper use of power mobility. This could include teaching driving basics (such as the right side to walk on in the hallway), encouraging the residents to practice driving when they go outside and helping them be aware of how their actions affect the mobility of other people.
Follow-Up
The capacity and willingness of a child to take part in the world can be greatly affected by a power mobility device. There has been little research on the experience that children go through when they first learn to use these devices. This study uses a pre-post design to examine the effects of six months of experience with one of the four early power mobility devices on a group of school-aged children with severe cerebral palsy (CP).

Qualitative interviews were conducted with 15 parents and children's occupational and physical therapists. Thematic analysis revealed three major themes. The first, 'Power in mobility explained how the use of powered devices affected more than just a child's locomotor abilities. Learning to drive a mobility device can be a transformative, emotionally charged journey for the participants.
The second theme , 'There's no cookbook' revealed that the process of learning to utilize a mobility device was a process that developed in a continuous manner over time. The therapists were asked to determine what was realistic in light of the child's capabilities and requirements. During the training phase, and after, therapists had to be patient with children and parents. Parents and therapists alike described the need to help families celebrate their accomplishments and address issues related to the process of training.
The third theme, "Shared space", examined how the use of the power device can affect other people's lives and interactions. The majority of participants in this study felt that one must always be considerate of other people when using their mobility device. This was especially applicable when driving on public roads. Participants also said that they had seen situations where property of someone else's had been damaged by the use of a power mobility device, or a person has been injured by a driver who failed to yield the right of way.
The results of this study show that power mobility and socialization training for preschoolers with CP can be conducted in specific classroom settings. The next research study should examine the effectiveness of training and outcomes for this type of intervention in children with CP. This will hopefully result in the development of more standardized training protocols specifically for this group of children.