Motorised Scooters Flashcards
When is a motorised scooter prescribed?
- Prescribed for clients who have trouble walking or propelling a manual wheelchair over long distances
- Can enable access to community and participation in meaningful occupations, thus enhancing quality of life.
When is a prescription for a scooter prescribed to a manual wheelchair user?
- is pushing more slowly
- has laboured breathing or shortness of breath
- has decreased upper body strength
- needs energy conservation
What do you need to consider in initial scooter assessment?
- Consider funding
DVA
Self
NDIS government
My Aged Care - Scooter use off road/on road assessment and training
Scooter use training - Warranty
- Spare parts
- Storage and charging
- trial
What personal factors do you need to consider during scooter assessment?
- Medical history - prognosis
- Mobility indoors and outdoors (include mobility aids used) - *convo with PT involved
- Transfers - *(convo with PT involved
- Upper limb AND lower limb function (dexterity, strength, coordination, range of movement, balance) neck and trunk (postural stability, neck ROM -visual scanning)
- Vision - assessed recently
- Hearing
- Cognitive ability (consider memory, orientation, perceptual skills, response time)
o Eg. MOCA
o MME
What environmental factors do you need to consider in a scooter assessment?
- Locations
o Location of use
o Terrain
o Transport
o Law - eg. considered a pedestrian
o Complexity - Storage - charging, access to this location? Ramps?
- Access to property
- Charging
- maintenance
What occupation factors do you need to consider during a scooter assessment?
- What will the scooter be used for?
- Do activities need to be modifed to allow for a scooter?
- Does the scooter need any modifications?
Overall, When would providing a scooter not be appropriate?
If GP does not give medical clearance
When would providing a scooter not be appropriate – person factors
- Concerns with cognition (judgement, memorty, problem solving, etc), vision, poor postural control. Frequent fatigue, hand weakness in both hands, poor mobility difficulty transferring off and on the scooter etc
- Rapidly declining progressive condition (may need powered wheelchair as wont be able to use scooter for long)
When would providing a scooter not be appropriate – environment
- Nowhere suitable to keep a scooter, terrain/access creating considerable difficulties; inadequate supports to assist with managing scooter
When would providing a scooter not be appropriate – occupation
- Will not use it - the client does not want to go anywhere or places that are accessible on the scooter
- Client need mobility devise for inside use and outside use
What is involved in the practical scooter assessment with a client?
- Your preparation:
- Site selection - planning access to scooter
- Orientation of OT to scooter and provision of orientation to client
- Education regarding road rules for scooter users
- Observations
- Drive in: straight line, reverse, turning left and right, U turn, 3 point turn
- Use of controls
- Negotiate:
- Narrow paths or doorways
- Other vehicles
- Pedestrians
- Rough ground, slopes/curbs, or ramps
- Observe road rules
- Crossing road
- Crossroad
- Judge space and distance
- Respond in appropriate time
- Remain non-distracted
- Maintain appropriate behaviour
- Transfer on/off vehicle
What training do you need to give a client before using a motorised scooter?
- Basic motorised scooter ‘road rules’
- Responsibilities of scooter users
- Impact of medical conditions, medications, vision and hearing on MMS use
- Maximising visibility
- Planning a safe route of travel
- Crossing roads
- Sharing footpaths
- Maintenance and charging
- Indoor use/shopping centre use
- Insurance and roadside assistance
- Use of public transport - access cab?
- Use of maxi taxis
