Wheeled Mobility Provision Flashcards

1
Q

what are the steps to wheelchair provision?

A
  1. Referral and Appointment
  2. Assessment
  3. Prescription
  4. Funding and Ordering
  5. Wheelchair preparation
  6. Fitting
  7. User Instruction
  8. Follow-up, Repairs and Maintenance
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2
Q

what are some environmental considerations when looking at thee choices of wheelchair you have?

A
  • Van entry heights for power chairs
  • Rolling resistance for self-propelled chairs
  • Lifting of chair
  • Determination of drive wheel location
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3
Q

what can play a role in seat support and cover choice?

A

bowel and bladder management

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4
Q

what causes pressure injuries?

A

pressure over an area of tissue, which leads to reduced or
loss of blood flow and subsequent tissue death

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5
Q

what are extrinsic variables that can influence pressure injuries?

A

Pressure
Friction & Shear
Moisture
Heat
Time

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6
Q

what are intrinsic variables that can influence pressure injuries?

A

Age
Nutrition
Body Composition
Diagnosis
Continence,

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7
Q

what is the name of the scale that indicates the level of risk someone is at for pressure injuries?

A

Braden scale

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8
Q

where should the axel position be on a wheelchair in relation to the user?

A

finger at axel in line with shoulder

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9
Q

how wide should a wheelchair be?

A

Greater trochanter width + ~1 inch

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10
Q

how deep should a wheelchair seat be?

A

upper leg length - 1 in

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11
Q

finished seat height depends on what for hand propellers?

A
  • Transfer heights
  • Footplate clearance
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12
Q

finished seat height depends on what for foot propellers?

A
  • Making their foot touch the ground
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13
Q

what is the general rule for finished seat height for hand propellers?

A

lower leg length + 1-2 inches

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14
Q

what is the general rule for finished seat height for foot propellers?

A

lower leg length - 1inch

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15
Q

what are primary support surfaces?

A

primary weight bearing components

Seat support (cushion)
Back support
Foot supports
Arm supports

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16
Q

what are secondary support surfaces?

A

Designed to keep client aligned with
primary support surfaces

Lateral supports
Head supports
Knee supports

17
Q

how do we choose a cushion?

A

Matching Skin and
Functional needs with
cushion features:

materials
dimensions
shapes

18
Q

what are types of cushion materials?

A

foam
hybrid
gels
air

19
Q

what is the most stable material?

A

foams

20
Q

what is the least stable material?

A

gels and fluids

21
Q

what are the best materials for pressure distribution?

A

air
gels and liquids

22
Q

what do tall back wheelchairs support?

A

Tall backs support
from pelvis to top of
shoulder

23
Q

what clients benefit from tall back wheelchairs?

A

Appropriate for
clients using tilt

24
Q

how much support do tall back wheelchairs provide?

A

total support

25
Q

where do mid back wheelchairs support?

A

Sits below bottom
of scapula

26
Q

what do mid back wheelchairs allow?

A

propulsion while giving support

27
Q

what clients should use mid back wheelchairs?

A

hands dependent

28
Q

where do low back wheelchairs support?

A

Supports pelvis and lumbar
vertebrae

29
Q

what wheelchair users should get low back wheelchairs?

A

hands free

30
Q

where do you measure for a tall back wheelchair?

A

PSIS- shoulder height

31
Q

where do you measure for mid back wheelchairs?

A

PSIS- inferior angle of scapula

32
Q

where do you measure for low back wheelchairs?

A

PSIS- bottom of ribs

33
Q

who chooses the vendor when ordering a wheelchair?

A

Client chooses vendor. If no vendor of choice use multiple vendors to
prevent perception of preferring one vendor over another

34
Q

what is an OT not allowed to do when helping the client choose a vendor?

A

OT is NOT allowed to share confidential price quotes between vendors

35
Q
A