Tutorial 5 Flashcards
AT pyramid
Level 4: Customised solutions
- E.g. power wheelchair with specialised controls
Level 3: Complex AT solutions
- E.g. power wheelchairs and scooters, electronic navigation aids
Level 2:
- Off-the-shelf, adjustable AT
- E.g. standard wheelchair, grabrails, bathroom aids
Level 1: Mass produced consumer products
- E.g. non-slip mat, phone, modified cutlery & household utensils
Training for AT pyramid
- LOOK AT DIAGRAM
Wheelchair service provider steps
- Referral and appointment
- Assessment
- Prescription/selection
- Funding and ordering
- Product (wheelchair) preparation
- Fitting
- User training
- Maintenance, repairs and follow up
Difference between transit and transport chairs
Transit chairs
- light weight, foldable chairs that allow a client to have a wheelchair in the community by be transported in an unmodified vehicle
Transport chairs
- require a modified vehicle to transport
- wheelchair must have tie down points and a head rest to support head when the client is being transported
2 types of wheelchairs
- Single arm drive
- Reclining/tilt-in-space
Wheelchair components/accessories
- Tyres: solid vs pneumatic
- Castors
- Wheel locks/brakes
- Footplates
- Armrests
- Handrims
- Rear tipping bar
- Seatbelt
- Sling vs solid seat
- Calf straps
- Heel/toe loops
- Skirt guard
- Quick release wheels & castors
- Postural modifications cushions, back & neck supports
Powerdrive wheelchair features
- Location of drive wheels
- Tyres
- Tilt in space
- Ventilator attachment
- Armrests
- Footplates/hangers
- Headrest
- Control options
>joystick
>chin
>sip/puff
>head controls
Wheelchair assessment considerations: environment
- Access to home, work, leisure areas (e.g. sport), community access (shops, doctor, etc.)
- Future seating/wheelchair needs - potential for growth, weight gain or loss, progressive condition and changing needs, replacement wheelchairs
- Pragmatic considerations - fincanes, availability, time frame
- Styles of wheelchair available
- Transport of wheelchair (transport/transit chair)
Wheelchair assessment considerations: occupation
- What is the predominant use of the wheelchair?
- Daily, regular and occasional occupations
- Method of propulsions (self-propulsions, arms or legs, powered, attendant)
- Transfer technique (standing pivot, sideways, front-on, hoisted)
Wheelchair assessment considerations: person
- Functional considerations (client’s condition, physical abilities and limitations (e.g. pressure areas)
- Age
- Height, weight and other dimensions
- Vision, visual perception & cognition
- Psychosocial/adjustment status
- Personal preferences
- Values and beliefs
- Past experience
Measuring for a wheelchair considerations
- Observe in current equipment
- Assess appropriately i.e. mat assessment
>note significant deformity - fixed or flexible - Take anthropometric measurements in sitting
>translate measurements to wheelchair sizing
>accommodate for deformities, cushions
>back supports & other modifications - Consult with the product specialist
>use manufacturer’s prescription form - Measurem environment that need to accommodate wheelchair
- Conduct wheelchair & seating cushion product trials
What makes for an appropriate wheelchair (from guidelines)
- Meets users needs and environmental conditions
- Provides proper fit and postural support
- Is safe and durable
- Is available in the country
- Can be obtained and maintained and services sustained in country at an affordable cost
Postural goals
- Postural stability for functional ability
- Comfort for client
- Avoid pressure sores/areas
Problems in wheelchair prescription
Seat too: - wide - narrow - deep - high - stretched Footplates too: - high - low Backrest too - high - low
