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Power Mobility and Safety Concerns

Power mobility can enhance participation in daily activities as well as recreation for those in long-term care. The devices can also pose safety concerns, which must be addressed.

The majority of participants choose to adopt a teleological perspective and give all residents the chance to test the device, instead of exclude residents with specific diagnoses which could be considered a risk management decision that is prejudicial.

Mobility

A power mobility device is an option for those with limited mobility to move around in their home or community, and also to take part in daily activities that they would not be able to perform. These devices could pose a risk not only to the person using them, but also to those who share their space or surroundings. Therapists in occupational therapy must examine each client's safety requirements to make the best recommendations regarding powered mobility.

In an exploratory study carried out by OTs at three residential care facilities of the Vancouver Coastal Health Authority, qualitative interviews were conducted with residents to evaluate their use of power mobility. The aim was to develop a framework that would allow for a client-centered power movement prescription. The results revealed four major themes: (1) the meaning of power mobility, (2) learning the rules of the road, (3) red flags concern about safety and (4) solutions.

Power mobility can improve the quality of life for those with mobility limitations. This is due to the fact that it allows them to participate in everyday activities at home and in the community. Participation in self-care or leisure activities, as well as productive ones is crucial to physical and mental health of older adults, and for a lot of people with chronic illnesses power mobility can be the opportunity to keep participating in these vital activities.

Participants found it unacceptable to remove a wheelchair from a resident's home, as this would disrupt their life's story and progression, and prevent them from doing the same things that they had prior to their illness progressed. This was particularly relevant for those in Facility 1 who were only allowed to use their power chairs for a brief period and now relied on others to push them.

Another solution would be to reduce the speed that residents drive their chairs. However it could create a number issues such as 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 desirable solution to safety concerns.

Safety

Power mobility allows people to move more freely. They are green power mobility scooters any good also able to participate in a broader range of activities, and do around on their own. However, with greater mobility comes a greater risk for accidents. For some, these incidents can cause serious injuries to themselves or others. It is essential to think about the safety of your clients before suggesting the use of power mobility.

First consider determining whether your client can safely operate their scooter green power or power chair. Depending on the nature of their disability and the state of their health, this could require a physical examination by an occupational or physician therapist, as well as a discussion with a mobility specialist to determine if a specific device is appropriate for them. In certain situations your client may require a vehicle lift to be able to load and unload the device at their workplace, home, or community.

Another aspect of safety is learning the rules of the road. This includes sharing space with pedestrians, wheelchair users and drivers of trucks, cars or buses. Most participants in the study discussed this topic.

Some people learned to drive their wheelchairs along sidewalks instead of driving in crowded areas or on curbs (unless the wheelchair was made for this). For others it meant driving slowly in a busy environment and watching out for pedestrians.

The last and least preferred option of removing a person's wheelchair, was viewed as a double whammy that would result in the loss of green mobility scooters, and also preventing the person from participating in activities with the community or at facilities. Diane and Harriet, among others, electric mobility scooter fastest were among the participants who were stripped of their chairs.

Participants also suggested that family members, and staff be trained on the safe use of power mobility. This could include teaching driving basics (such as the right side to walk on in the hallway), encouraging the residents to practice driving skills while outside, and helping them be aware of how their actions affect the mobility of others.

Follow-Up

The capacity and willingness of a child to be a part of the world can be greatly affected by a power mobility device. There has been little research on the experiences children experience when they learn to make use of these devices. This study uses an approach that is post-previous to study the effects of six months of experience with one of the four early mobility devices on a group of school-aged children of children with severe cerebral Palsy (CP).

We conducted interviews in qualitative format with 15 parents as well as occupational and physical therapists for children. Thematic analysis revealed three key themes. The first, 'Power and mobility explained how the use of powered devices affected more than just a child's motor skills. The experience of learning how to drive a motorized mobility device can be an emotional and transformative one.

The second theme 'There's no recipe book' revealed that learning to make use of a mobility device was a process that unfolded in a continuous manner over time. Therapists were tasked with unearthing what was appropriate for each child's needs and capabilities. In the initial phase of training and afterwards, therapists needed to be patient with children and parents. Therapists and parents alike spoke of the need to assist families celebrate their successes and address issues related to the process of training.

Finally, the third theme called 'Shared space', explored how the use of an electric Mobility scooter fastest device can influence the lives of other people and their interactions. The majority of participants in this study believed that it is important to be mindful when using a device that is powered mobility scooter by electricity. This is particularly true when driving in public spaces. Participants also mentioned that they've witnessed situations in which property belonging to someone else was damaged due to the use of a power mobility device, or a person has been injured by a motorist who did not yield the right of way.

The results of this study suggest that power mobility and socialization training for preschoolers with CP can be conducted in certain classroom environments. The next research study should examine the effectiveness of training and outcomes for this kind of intervention in children with CP. This could result in the development of more standardized training protocols for this population.