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Power Mobility and Safety Concerns

Power mobility enhances participation in daily activities as well as recreational pursuits for individuals in long-term care. These devices also raise safety risks, which need to be addressed.

Instead of excluding residents with certain diagnoses from the power mobility option, which may be considered risk management prejudicial, most participants opted to adopt an approach based on teleology and allow all residents to test the power mobility device.

Mobility

A power mobility device allows people who are unable to move about their home or community and participate in daily living activities that are otherwise unavailable to them. These devices cause danger not only to the individual using them, but also to those who share their space or the space. Occupational therapists should carefully consider the safety needs of each client before making recommendations on powered mobility.

In an exploratory study (von Zweck 1999), OTs from three residential care facilities in Vancouver Coastal Health Authority conducted qualitative interviews with residents regarding their power mobility use. The objective was to establish an environment that allowed the use of power mobility that is centered on the needs of the client. The findings revealed four main themes: (1) power mobility meaning, (2) learning road rules, (3) red flags safety concerns, power electric scooter and (4) solutions.

Power mobility can significantly increase quality of life for those who are mobility-challenged by giving them the opportunity to participate in a variety of daily living activities, both at home and in the community (Brandt, 2001; Evans, 2000). Participation in self-care or leisure activities, as well as productive ones is essential for physical and mental health for older adults, and for many people who are suffering from progressive illnesses, power mobility [check over here] offers the opportunity to keep participating in these important activities.

Many participants considered it unacceptable to remove the chair of a resident, since this could cause a huge change in their life or path and prevent them from continuing with the same activities they had been doing before their illness progressed. This was especially relevant for those in Facility 1 who were only able use their power chairs for a short time and were now dependent on others to push them.

Another option is to reduce the speed at which residents drove their chairs, but this could have raised issues, such as privacy issues and impact on other people in the community. The most drastic solution to security concerns was to take away the wheelchair of a resident.

Safety

Power mobility allows people to move around more freely. They can also take part in a wider range of activities and complete around on their own. With greater mobility comes a higher chance of accidents. For some, these accidents could result in serious injuries to themselves and others. This is why it is crucial to think about the safety of your client prior to recommending that they utilize power mobility.

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

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

For some it required learning to use their wheelchairs on sidewalks, instead of driving through busy areas or over curbs (unless specifically designed for doing this). Others drove slower and looked out for pedestrians in a crowded environment.

The last and least popular option was taking away the chair of a person, which was viewed as a double punishment: losing independent mobility and preventing access to facilities and community activities. This was the view of the majority of those who were able to remove their chairs and included Diane and Harriet.

The participants also suggested that residents, family members, and staff members be educated on the safe use of power mobility. This could include educating residents on the basics of driving (such as using the correct side of the hallway) and encouraging residents to practice driving skills when they leave and helping them to understand how their behavior can influence the mobility of others.

Follow-Up

A green power mobility reviews mobility device can have a profound impact on the child's ability to function and take part in life. There has been little research into the experiences children have when learning to use these devices. This study employs an approach that is post-previous to study the effects of six months of use with one of the four early mobility devices on a group of school-aged children of children who suffer from severe cerebral Palsy (CP).

We conducted qualitative interviews with 15 parents, and also pediatric occupational and physical therapists. Thematic analysis revealed three key themes. The first theme, 'Power for Mobility explained how using an electric device impacted more than just the child's locomotor abilities. Learning to drive a mobility device was often an emotional and transformative journey for participants.

The second theme 'There's no recipe book' showed that learning to use an equipment for mobility was a process that developed in a way that was cyclical over time. The therapists were asked to determine what was realistic depending on the individual's capabilities and needs. Through the training and post-training phases, therapists were also required to be patient with parents and children. Parents and therapists alike described the need to help families celebrate their accomplishments and resolve issues that arise from the process of training.

Finally, the third theme called 'Shared space', explored the ways in which using an electric device can influence other people's lives and interactions. The majority of the participants in this study believed that it is important to be mindful when using a power device. This is particularly true when driving in public areas. 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 an individual had been injured by a motorist who failed to yield the right of way.

The results of this study show that socialization and power mobility training for preschoolers with CP can be conducted in a variety of classroom environments. Future research should be focused on the effects of training and results of this kind of intervention for children with CP. This could lead to more standard training protocols for children suffering from CP.