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Power Mobility and Safety Concerns

Power mobility can enhance participation in daily activities as well as activities for people in long-term care. However, these devices can also create safety concerns that need to be addressed.

The majority of participants choose to adopt a teleological perspective and allow all residents the chance to test a device, rather than exclude those with specific diagnosis which could be considered an unfair risk management.

Mobility

A power mobility device is a way for people with limited mobility to move about their community or home, and participate in everyday activities that they might not otherwise be able to participate in. These devices could cause danger not only to the individual using them, but also to those who are in their environment. Occupational therapists must carefully assess the safety requirements of each client prior to making recommendations on powered mobility.

In an exploratory study conducted by OTs in three residential care facilities of the Vancouver Coastal Health Authority, qualitative interviews were conducted with residents to assess their power mobility use. The objective was to develop an approach to client-centered power mobility prescribing. The results revealed four main themes: (1) the meaning of power mobility, (2) learning the rules of the road, (3) red flags concerning safety, and (4) solutions.

Power mobility can greatly improve the quality of life for individuals with limited mobility by allowing them to participate in a variety of everyday life activities, both at home and in the community (Brandt, 2001; Evans, 2000). Self-care, productive and leisure jobs are essential for the mental and physical health of people who are older. For many with advanced illnesses, power mobility allows them to take part in these essential activities.

The participants felt it was inconvenient to remove a resident's wheelchair, as this would disrupt their life's narrative and direction, and prevent them from doing the same things they had prior to their illness worsened. This was particularly true for those in the Facility 1 who were in a position to use their power chairs for brief periods of time, but were forced to rely on other residents to help them move around the facility.

Another option is to reduce the speed that residents drive their chairs. However it could create several issues, including privacy and the impact on the rest of the community. In the end, removing a resident's chair was considered the most drastic and least preferred solution to security concerns.

Safety

Power mobility allows those with disabilities to move around more easily and participate in a greater variety of activities, and even do the errands. However, with greater mobility comes a greater risk for accidents. For some, these incidents could cause serious injuries to themselves and others. It is important to think about the safety of your clients before recommending power mobility.

First check if your client can safely operate their scooter or power chair. This may include a physical assessment by a doctor or occupational therapist, or a mobility specialist, depending on the nature of your client's impairment and their current health. In some instances, a vehicle lift will be required to make it possible for your client to unload and load their mobility device at home, in the community or at work.

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

For some it required learning to use their wheelchairs on sidewalks instead of driving through areas that were crowded or over curbs (unless specifically designed for doing so). For others it meant driving slow in a crowded area and keeping an eye out for people walking.

The most popular and least desired option that was to take away the wheelchair of a person, was seen as a double-punishment as it would mean losing mobility and hindering them from taking part in the activities of the community and facilities. This was the opinion of most participants who had their chairs removed among them Diane and Harriet.

Participants also suggested that residents, family members, and staff be informed about the proper use of power mobility. This could include teaching basic driving skills (such as the right side to walk on in the hallway), encouraging the residents to practice driving techniques when they go outside, and helping them understand how their behavior affects the mobility of others.

Follow-Up

A power mobility device can significantly impact the child's ability to function and be a part of life. There is little research into the experiences children go green mobility scooters through when they first learn to utilize these devices. This study employs the pre-post method to investigate the impact of 6 months of experience using one of four early power mobility devices on children in the school age group with severe cerebral palsy (CP).

Qualitative interviews were conducted with 15 parents as well as pediatric occupational and physical therapists. Thematic analysis revealed three major themes. The first theme, green energy mobility scooters power mobility green scooters near me [Yogaasanas.science] 'Power for Mobility explained how the use of an electric scooter green device impacted more than just locomotor abilities. The experience of learning how to drive a powered mobility device can be an emotional and transformative one.

The second theme 'There's no recipe book' revealed that learning to use an equipment for mobility was a process that unfolded in a way that was cyclical over time. Therapists were required to determine what was feasible in light of the child's capabilities and requirements. During the training phase 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 their successes and solve problems that arise from the process of training.

The third theme"Shared space The study explored the ways in which using devices that power us can influence the lives of other people and their interactions. The majority of those who participated in this study believed one must always be considerate of others when using their power mobility device. This was especially true when driving in public areas. Participants also said that they had seen situations where someone else's property was damaged due to the use of a power mobility device, or a person has been injured by a driver who failed to yield the right of way.

Overall, the results of this study suggest that short-term power mobility and socialization training appears feasible for preschoolers with CP in certain classroom settings. The next research study should examine the effectiveness of training and outcomes for this type of intervention for children with CP. This could eventually lead to more standardized training protocols for children suffering from CP.