1120 wheelchair management

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Created by:

marylubbers  on November 25, 2011

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wheelchair

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Chat Tech PTA Program

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1120 wheelchair management

What are the different types of wheelchairs
standard - adult and bariatric
pediatric
powered
sports
hemiplegic
amputee
reclining
tilt in space
1/27
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What are the different types of wheelchairs standard - adult and bariatric
pediatric
powered
sports
hemiplegic
amputee
reclining
tilt in space
What to measure when fitting a wc? seat width
seat depth
seat height - (floor to seat)
back height - (top fit just below inf angle of scapula)
armrest height - (9" above chair seat)
Standard adult wc CURRENT size Seat w = 18"
seat d = 16" - (changing to 18" soon)
seat ht = 20"
Hemi wc seat height 17.5" - to allow for l e propulsion
amputee wc rear wheels are positioned 2" posterior to widen BOS and compensate for loss of weight.
wc components seat
seat back
locks
wheels/casters
arm rests
foot rests (do not elevate)
leg rests
restraints
other component considerations head rest
cushions
lap tray
tilt/recline
anti tippers
growth allowance?
pt education skin assessment
pressure relief on bony prominences to prevent sores
circulation
pt education on functional activities open/close
manage env
transfers
propulsion
how to fall
pt considerations cognitive abilities
physical abilities
endurance
balance
system
rent v purchase
wc accessibility requirements ramps
doorways
thresholds
carpet
turning radius
hallway clearance
sink level
toilets
parking
ADA Titles I - Employment
II - Public Services
III - Accomodations
IV - Telecommunications
V - Misc.
ADA qualifications Disability must limit major activities.
Must have record of disability.
Must have proof of disability from a physician
More ADA qualifications Reasonable accomodations
Undue burden
Qualify
Covered Entity
Disabled
Handicapped
ADA compliance electrical doors
braille
curb ramps
building ramps
wc accessible transportation
ADA compliance review ramps
doorways
signs
elevators
obstacles
reach range
seating
phones
toilets
parking
vis/hearing impaired features
Env assessment ?s Supervision?
Independence level?
Env. support?
Adaptive equip?
Time alone?
Safety?
Medication?
Reasonable tasks?
Ext env assessments driveways
ramps
garage
entryways
locks
Int. env assessments room sizes
electrics
furniture
IMPT PATIENT ? Does the pt know what to do in an emergency?
Work Env parking
entrance
work station
transportation
accessibility to necessities
elevator
flooring
Ergonomics the relationship bt workers and their environment
Ergonomic assessments posture
seating
keyboard
monitor
work station
accessories
work station analysis seat ht/depth
arm rest
desk ht
keyboard position
lighting
temp
air quality
posture analysis hip/knee - 90*
proper back support
neutral wrists
straight trunk
Cumulative trauma disorders injury caused by repeated motion
carpal tunnel
tendonitis
bursitis
tennis elbow - lateral
golfer's elbow - medial
trigger finger
cell thumb
callus
Prevention of cumulative trauma disorders proper posture
stretching
proper body mechanics

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