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Power Mobility and Safety Concerns

Power mobility can enhance participation in daily activities and recreation for those in long term care. These devices also raise security concerns that need to be addressed.

The majority of participants opt to take a teleological approach and provide all residents with the chance to test the device, instead of restrict residents with certain diagnoses which could be considered an unfair risk management.

Mobility

A power mobility device is an option for those with limited mobility to move around in their home or community and participate in daily activities that they may not be able to perform. These devices could cause danger not only to the person using them, but also to those who share their space or surroundings. Occupational therapists must carefully examine each client's safety requirements to make the most appropriate suggestions regarding powered mobility.

In an exploratory study (von Zweck 1999), OTs from three residential care facilities within the Vancouver Coastal Health Authority conducted qualitative interviews with residents regarding their use of power mobility. The aim was to create an approach to client-centered power mobility prescribing. The results revealed four major themes: (1) the meaning of Power Mobility (Tongcheng.Jingjincloud.Cn), (2) learning the rules of the road, (3) red flags concerning safety, and (4) solutions.

Power mobility can boost the quality of life of those who have limited mobility. This is due to the fact that it allows them to participate in everyday activities at home and within the community. Participation in self-care as well as leisure and productive occupations is essential to mental and physical health of older adults, and for many people with progressive diseases, power mobility offers the opportunity to keep participating in these important activities.

Most participants found it not acceptable to remove the chair of a resident, since this would cause a major change in their life or trajectory and essentially prevent them from continuing with the same activities they were doing prior to their disease progression. This was especially true for those in the facility 1 who were capable of maintaining their power chairs for brief periods of time, but were dependent on others to move them around the facility.

Another solution would be to limit the speed at which some residents drive their chairs. However it could create several issues, including privacy and the impact on the rest of the community. In the end, taking away a resident's chair was considered the most drastic and least desired solution to security concerns.

Safety

Power mobility allows disabled people to move around more easily and take part in a wider variety of activities, and even do errands. With increased mobility comes an increased chance of accidents. These accidents can cause serious injuries for certain. It is crucial to consider the safety of your clients prior to suggesting the use of power mobility.

First, determine if your client is able to safely operate their scooter green power or green power scooter reviews chair. Based on the nature of their impairment and the state of their health, this could involve a physical assessment by a physician or occupational therapist, as well as an interview with a mobility specialist to determine if a particular device is suitable for them. In certain situations your client may require a lift for their vehicle to be able to load and unload the mobility device at their workplace, home, or community.

Learning the rules of road safety is an additional aspect of safety. This includes sharing space with other pedestrians, wheelchair users and drivers of cars or buses. This is a topic that was mentioned by a majority of participants in the study.

For some it meant learning to use their wheelchairs on sidewalks instead of driving through crowded areas or over curbs (unless specifically designed for doing this). For others, it meant driving more cautiously in a noisy environment and keeping an eye out for pedestrians.

The final and least popular option, which was to remove a person's wheelchair, was viewed as a double-punishment that would result in the loss of mobility, and also preventing them from participating in the activities of the community and facilities. Diane and Harriet, among others, were among the participants who had their chairs taken away.

Participants also suggested that family members, and staff members be trained on the safe use of power mobility. This could include educating residents on the fundamentals of driving (such as using the correct side of the hallway) as well as encouraging residents to practice driving skills when they leave and helping them understand how their behavior can influence other people's mobility.

Follow-Up

A device that is powered by electricity can significantly impact the child's ability to function and be a part of life. There has been little research on the experience that children experience when they learn to make use of these devices. This study employs a pre-post design to examine the impact of six months' experience using one of four early power mobility devices on a group of school-aged children with severe cerebral palsy (CP).

Qualitative interviews were conducted with 15 parents and pediatric occupational and physical therapists. Thematic analysis revealed three key themes. The first, 'Power and mobility explained how the use of a powered device changed more than just a child's locomotor abilities. The experience of learning to drive a powered mobility device can be an emotional and transformative experience.

The second theme, 'There isn't a recipe book,' showed that the process of learning how to use the power mobility device was an individualized process that unfolded over time in a cycle. Therapists were required to determine what was feasible depending on the individual's capabilities and requirements. In the initial phase of training and after, therapists had to be patient with children as well as parents. A number of parents and therapists emphasized a need to help families celebrate successes and problem-solve problems that arise from the process of training.

The third theme called 'Shared space The study explored the ways in which using a power device could affect the lives of other people and their interactions. The majority of those who participated in this study felt that a person must always be considerate of others when using their power mobility device. This was especially true when driving in public spaces. A few participants also mentioned that they had encountered situations where someone else's property was damaged by the use of an electric mobility device, or where a person was injured by a driver who failed to yield right-of-way.

Overall, the findings of this study suggest that short-term socialization and green power mobility scooter reviews mobility training is feasible for [Redirect Only] preschoolers with CP in certain classroom settings. The next research study should study the training and results for this type of intervention in young children with CP. This will hopefully lead to the development of more standard training protocols specifically for this group of children.