Wheeled Mobility Provision Flashcards
what are the steps to wheelchair provision?
- Referral and Appointment
- Assessment
- Prescription
- Funding and Ordering
- Wheelchair preparation
- Fitting
- User Instruction
- Follow-up, Repairs and Maintenance
what are some environmental considerations when looking at thee choices of wheelchair you have?
- Van entry heights for power chairs
- Rolling resistance for self-propelled chairs
- Lifting of chair
- Determination of drive wheel location
what can play a role in seat support and cover choice?
bowel and bladder management
what causes pressure injuries?
pressure over an area of tissue, which leads to reduced or
loss of blood flow and subsequent tissue death
what are extrinsic variables that can influence pressure injuries?
Pressure
Friction & Shear
Moisture
Heat
Time
what are intrinsic variables that can influence pressure injuries?
Age
Nutrition
Body Composition
Diagnosis
Continence,
what is the name of the scale that indicates the level of risk someone is at for pressure injuries?
Braden scale
where should the axel position be on a wheelchair in relation to the user?
finger at axel in line with shoulder
how wide should a wheelchair be?
Greater trochanter width + ~1 inch
how deep should a wheelchair seat be?
upper leg length - 1 in
finished seat height depends on what for hand propellers?
- Transfer heights
- Footplate clearance
finished seat height depends on what for foot propellers?
- Making their foot touch the ground
what is the general rule for finished seat height for hand propellers?
lower leg length + 1-2 inches
what is the general rule for finished seat height for foot propellers?
lower leg length - 1inch
what are primary support surfaces?
primary weight bearing components
Seat support (cushion)
Back support
Foot supports
Arm supports
what are secondary support surfaces?
Designed to keep client aligned with
primary support surfaces
Lateral supports
Head supports
Knee supports
how do we choose a cushion?
Matching Skin and
Functional needs with
cushion features:
materials
dimensions
shapes
what are types of cushion materials?
foam
hybrid
gels
air
what is the most stable material?
foams
what is the least stable material?
gels and fluids
what are the best materials for pressure distribution?
air
gels and liquids
what do tall back wheelchairs support?
Tall backs support
from pelvis to top of
shoulder
what clients benefit from tall back wheelchairs?
Appropriate for
clients using tilt
how much support do tall back wheelchairs provide?
total support
where do mid back wheelchairs support?
Sits below bottom
of scapula
what do mid back wheelchairs allow?
propulsion while giving support
what clients should use mid back wheelchairs?
hands dependent
where do low back wheelchairs support?
Supports pelvis and lumbar
vertebrae
what wheelchair users should get low back wheelchairs?
hands free
where do you measure for a tall back wheelchair?
PSIS- shoulder height
where do you measure for mid back wheelchairs?
PSIS- inferior angle of scapula
where do you measure for low back wheelchairs?
PSIS- bottom of ribs
who chooses the vendor when ordering a wheelchair?
Client chooses vendor. If no vendor of choice use multiple vendors to
prevent perception of preferring one vendor over another
what is an OT not allowed to do when helping the client choose a vendor?
OT is NOT allowed to share confidential price quotes between vendors
