Into to the wheelchair Flashcards
When would we need wheelchair interventions?
When the patient has limitations in mobility and postural control
What can the seating of the wheel chair do for the patient?
Allows the ability to be positioned in sitting against gravity with balance and optimal postural alignment
What can good seating of a wheelchair correct?
Postural deviation that could lead to structural deformity
What can be prevented with proper seating of a wheelchair?
Skin breakdown
What does the seating of the wheelchair assist with?
Spasticity management
What does good wheelchair seating allow the patient to do?
Participate in activities of daily living, functional tasks and recreation
What are some different types of wheelchairs?
- Manual wheelchairs
- Recliner wheelchairs
- Tilt-n-space wheelchairs
- Pediatric wheelchairs
- Powered wheelchairs
- Sports and recreation wheelchairs
What are the different types of manual wheelchairs?
- Standard adult wheelchairs
- Heavy duty standard adult wheelchairs
- Lightweight and ultra lightweight manual wheelchairs
What is a lightweight wheelchair for?
Those who cannot push a standard chair functionally or need different seat sizing
What are wheelchair components?
- Seat frame
- Seat to back angle
- armrests
- leg rests and footrests
- Wheels and wheel locks
What are some examples of wheelchair accessories?
- lapboard
- positioning belt
- antitip devices
- hand rim projections
- brake lever extender
- controls
- cushions
- positioning
What is the goal of seat height of a wheelchair?
2” clearance of footrest from the floor to allow for footrest clearance over thresholds
What is the goal of seat depth of a wheelchair?
Full thigh support to reduce pressure on buttocks and support lower extremeties
What is the goal of seat width of a wheelchair?
Space to accommodate width of hips without causing pressure on skin
What is the goal of the back height of a wheelchair?
Below inferior angle of scapula to not interfere with UE propulsion
What is the goal of armrest height for a wheelchair?
Appropriate support of the UE
What are the steps of breaking down a folding frame wheelchair?
- remove any cushions or supports
- remove leg rests
- remove arm rests
- pull up seat upholstery to fold in the middle
- lift the wheelchair by the frame to transport
What is the client and caregiver training for wheelchair use?
- proper sitting posture
- pressure relief
- wheelchair propulsion
- transfer training
What are the safety considerations for a wheelchair?
- Breaks and transfers
- arm and leg rests
- curbs and inclines
- wheelchair maintenance
- transfers to and from the wheelchair
