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Power Mobility and Safety Concerns Power mobility allows those in longterm care to participate in their routine activities and leisure activities However these devices can also pose safety risks which need to be addressed Rather than exclude residents with certain diagnoses from the power mobility option which may be considered prejudicial risk management most participants opted to adopt an approach based on teleology and let all residents test the device Mobility A power mobility device is a method for people who are unable to move about their home or community and participate in everyday activities that they may not be able to perform However these devices may also pose a risk to the person using them as well as other individuals who are in their space Occupational therapists should carefully consider the safety needs of each client prior to making recommendations on powered mobility In an exploratory study von Zweck 1999 OTs from three residential care facilities of the Vancouver Coastal Health Authority conducted qualitative interviews with residents regarding their power mobility use The goal was to create an environment that allowed for a clientcentered power movement prescription The findings revealed four main 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 enhance the quality of life for individuals with limited mobility This is due to the fact that it allows them to participate in daily activities at home and within the community Participation in selfcare or leisure activities as well as productive ones is vital for physical and mental health of older adults and for a lot of people who are suffering from progressive illnesses power mobility offers a way to continue participating in these important activities It was considered unacceptable by the participants to take away a wheelchair because it would alter their lifes story and progression and hinder them from engaging in the same things that they had prior to their illness progressed This was especially relevant for those in the Facility 1 who were only in a position to use their power chair for a short time and were now reliant on others to push them Another possible solution is to limit the speed at which residents drove their chairs however this could have raised issues such as a lack of privacy and the impact on other residents in the community The most drastic solution to safety concerns was to remove the wheelchair from a residents Safety Power mobility lets people move more freely They can also take part in a greater variety of activities as well as complete the errands With increased mobility comes an increased risk of accidents These accidents can cause serious injuries for a few This is why it is important to think about the safety of your client before suggesting that they use a power mobility First determine whether your client is able to safely use their scooter or power chair Depending on the severity of their impairment and the state of their health this could involve a physical evaluation by a doctor or occupational therapist or a discussion with a mobility specialist to determine if a specific device is appropriate for them In some instances the use of a vehicle lift may be required to make it possible for your client to unload and load their mobility device at home in the community or at work Learning the rules of road safety is an additional aspect of safety This includes sharing space with other pedestrians wheelchair users and the drivers of buses or cars This topic was mentioned by a majority of participants in the study For some this required learning to drive their wheelchairs on sidewalks instead of driving through areas that were crowded or over curbs unless specifically designed for doing this For others it meant driving slowly in a busy environment and keeping an eye out for people walking The most popular and least desired option which was to remove the wheelchair of a person was seen as a doublepunishment losing independence in mobility and 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 removed Other ideas suggested by the participants included educating other residents staff family members and other residents on the proper operation of power mobility This could include teaching the fundamentals of driving such as using the right side of a hallway and encouraging residents to practice driving strategies while out and helping them understand how their behavior affects the mobility of others FollowUp A device that is powered by electricity can profoundly affect the childs ability to function and take part in life However very little research has been conducted on the experience of children who are learning to use this equipment This study uses the postprevious method to analyze the effects of six months of use with one of the four early mobility devices on a schoolaged group of children suffering from severe cerebral Palsy CP We conducted interviews in qualitative format with 15 parents as well as occupational and physical therapists who work with children just click the up coming page revealed three major themes The first theme Power to move explained how using an electric device impacted more than just the childs locomotor skills The experience of learning to drive a powered mobility device is usually an emotional and transformative one The second theme There isnt a recipe book showed that the process of learning to use a power mobility device was an individualized process that unfolded over time in a cyclical fashion The therapists were asked to determine what was feasible depending on the individuals capabilities and requirements During the training phase and after therapists had to be patient with children as well as parents Therapists and parents alike spoke of the need to assist families celebrate their achievements and solve problems associated with the process of training The third theme Shared space looked at how the use of an electric device can affect the lives of others The majority of the participants in this study believed that people must be mindful of others when using their power mobility device This was particularly relevant when driving on public roads A few participants also mentioned that theyve encountered situations in which someone elses property was damaged through the use of an electric mobility device or when a person was injured due to a driver who not yielded rightofway The results of this study suggest that socialization and power mobility training for preschoolers with CP can be carried out in certain classroom environments Future research should continue to investigate the training and outcomes of this type of intervention for young children with CP This will hopefully lead more standardized training protocols for children suffering from CP