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How To Research Power Mobility Online
Power Mobility and Safety Concerns

Power mobility improves participation in daily activities and recreational pursuits for individuals who are in long-term care. The devices can also pose safety risks, which need to be addressed.

Rather than exclude residents with a specific diagnosis 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 trial a device.

Mobility

A power mobility device allows people who are disabled to move about their homes or communities and take part in daily activities that might otherwise be impossible for them. These devices can be a danger not just for the person who uses them, but also to other people who share their space or the space. Occupational therapists should carefully consider the safety requirements of each client before making recommendations about powered mobility.

In green power mobility scooter reviews conducted by OTs in three residential care facilities of the Vancouver Coastal Health Authority, qualitative interviews were conducted with residents to assess the extent to which they used power mobility. The goal was to create an environment that allowed for a client-centered power movement prescription. The results revealed four major themes: (1) power mobility meaning, (2) learning road rules, (3) red flags security concerns and (4) solutions.

Power mobility can dramatically improve the quality of life for people who are mobility-challenged by permitting them to take part 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 vital for physical and mental health of older adults, and for many people with chronic illnesses power mobility can be a way to continue participating in these important activities.

The majority of participants felt it was not acceptable to remove the resident's chair since this would cause a major disruption in their life story or course of action, and ultimately stop them from continuing to engage in the same activities that they used to do prior to their illness progressed. This was especially relevant for those in Facility 1 who had only been in a position to use their power chair for a short time and were now dependent on others to push them.

Another option is to reduce the speed at which some residents drove their chairs, however this could have raised issues such as privacy concerns and the impact on other residents in the community. In the end, removing a resident's chair was considered the most drastic and least preferred solution to safety concerns.

Safety

Power mobility lets people move more freely. They can also participate in a broader range of activities, as well as do the errands. However, with increased freedom of movement comes a greater risk for accidents. For some, these accidents could cause serious injuries to themselves and others. It is essential to consider the safety of your clients prior to suggesting power mobility.

First consider determining whether your client is able to safely operate their scooter or power chair. Depending on the nature of their impairment and the state of their health, this could involve a physical assessment by a physician or occupational therapist, or having a conversation with a mobility specialist to determine if a particular device would be appropriate for them. In some instances your client will require an automobile lift to be able to load and unload the device at their home, workplace or community.

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

For some, this required learning to use their wheelchairs on sidewalks, instead of driving through crowded areas or over curbs (unless specifically designed to do such). For others this meant driving more slow in a crowded area and keeping an eye out for people walking.

The final and least desired option was taking away the chair of a person, which was seen as two-fold punishment that would result in losing mobility independently and preventing access to facilities and community activities. This was the view of most participants who were able to remove their chairs among them Diane and Harriet.

Other ideas suggested by the participants included educating other residents, family members and staff on the proper operation of power mobility. This could involve teaching the basics of driving (such as using the right side of the hallway), encouraging residents to practice driving skills when they go out and helping them understand how their actions can affect the mobility of others.

Follow-Up

The ability of a child and their willingness to take part in the world can be greatly affected by a device for power mobility. There has been little research on the experiences children experience when they learn to make use of these devices. This study employs the post-previous method to analyze the effects of 6 months of experience with one of the four early mobility devices on a school-aged group of children who suffer from severe cerebral Palsy (CP).

We conducted interviews in qualitative format with 15 parents along with occupational and physical therapists for children. Thematic analysis identified three major themes. The first theme, 'Power for Mobility explained the ways that using the power of a device affected more than just motor skills. The process of learning to drive a motorized mobility device is usually an emotional and transformative one.

The second theme, 'There's no such thing as a cookbook,' revealed that the process of learning to use a power mobility device was a bespoke process that developed over time in a cyclical fashion. Therapists were tasked with unearthing what was appropriate for each child's needs and abilities. Throughout the training and post-training phases, therapists were required to have patience with parents and children. Several parents and therapists described the need to assist families celebrate their successes and work through challenges associated with the training process.

Finally, the third theme"Shared space', explored the ways in which using a power device could influence other people's lives and interactions. The majority of the participants in this study believed one must be mindful of other people when using their mobility device. This was especially true when driving on roads that are public. Participants also said that they had seen situations where property of someone else's was damaged due to the use a power mobility device or an individual had been injured by a motorist who didn't yield the right of way.

The results of this study indicate that power mobility and socialization training for preschoolers with CP can be conducted in a variety of classroom settings. The next research study should study the training and results for this kind of intervention in children with CP. This could result in the development of more standardized training protocols specifically for this group of children.


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