Wheel Chair Types

Question 1

WC - Extreme light weight/ ultra light weight

Answer 1

SCI who will be spending majority of day in it.
Easier to push and manage in community
Different wheel options available
Good for paras
-foot rests dont move. Be careful w/ transfers
Lower back seat for paras so they have full access to reach around

Question 2

Light weight WC

Answer 2

SCI, CVA, MS, Parkinson’s
Folds in half making it easier to transport
**generally not for pts spending all day in chair, partially amb.

Question 3

Hemi height

Answer 3

Light weight - lowered seat allows CVA to propel w/ unaffected
LE and UE, one arm drive options available

Question 4

Companion/ transport chair

Answer 4

For pts who will NOT PUSH THEMSELVES

Light WC

Question 5

Power chair

Answer 5

SCI, MS, CVA, GB
Pts unable to manage manual w/c
Can half tilt/recline for pressure relief

Question 6

Pressure mapping

Answer 6

To confirm you are choosing best cushion

Question 7

Roho cushion

Answer 7

Used most often
Check air pressure
Shining and relief for ITs and sacrum
*good for patients w/ skin breakdown - complete quads need high profile

Question 8

Roho low profile

Answer 8

Moderate to high risk of skin breakdown
No/partial sensation
Independent weight shifts
Paras

Question 9

Roho high profile

Answer 9

Currently have impaired skin
No lower body sensation
High risk for skin breakdown/need assistance w/ weight shift
Quads

Question 10

J-gel cushion

Answer 10

For pts whose pelvis requires mild/mod support
Gel cube pad
Low to mod risk for skin breakdown
Provides aeration, reduces shear

Question 11

J-2 gel cushion

Answer 11

Gel in area of ITs and sacrum, foam in front of distal femur
Lower maintain end
For those who won’t maintain roho
Moderate to high risk of skin breakdown

Question 12

Basic foam

Answer 12

No sensory impairment, skin breakdown not a concern

**don’t use with pts who are incontinent

Question 13

Tolerance to w/c

Answer 13

Built up gradually - prevent pressure sores

Only one hour and then perform skin inspection

Question 14

W/c sit one hour - if no redness

Answer 14

Sit additional hours

Question 15

W/c sit one hour - redness present

Answer 15

Client should not sit again until redness is gone

Question 16

W/c sit how much added a day

Answer 16

One hour, depending on tolerance until client able to tolerate full day

Question 17

Most common sites for pressure sores

Answer 17

Sides of hips
Bony area you sit on
Tail bone
Bony area of spine

Question 18

Pressure relief

Answer 18

Every 15-20 mins, 
Pressure relief position should be held for 1 whole minute
-leaning to side (both sides)
Depression
Learning forward

Question 19

Areas to be inspected daily

Answer 19

Buttocks
Greater troch
Sacrum and coccyx
Soles of feet