Wheelchair Positioning for All Ages and Sizes
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Summary:
This education program begins with a discussion of Principles of Seating, followed by a review of the Seating Assessment including the mat evaluation if time permits. PDG produces unique mobility products (tilt-in-space wheelchairs and bariatric wheelchairs)allowing clients to maintain and/or improve function and independence. This seminar uses a Case History approach to connect clinical need with selected mobility products. PDG manual tilt-in-space wheelchairs provide the ability to foot and/or hand-propel as well as excellent environmental access in-or-out of the tilted position. PDG extra-wide bariatric wheelchairs allow optimal maneuverability and adjustability regardless of client weight.
In addition to special-application mobility products, PDG provides custom manufacturing capabilities. Whatever the need, PDG creates unique solutions for clients with function and independent mobility needs.
Principles of Seating
- The perfect fit
- Seating is a not a step by step process
- Try not to judge prior seating
The Seating Assessment
- Pre Mat Assessment/Interview
- The Mat Physical Assessment
- Set objectives/ goals
- Determine product parameters - Clinical Reasoning Worksheet
- Possible product options
- Trial of equipment
- Prescription and letter of necessity
- Delivery and fitting
- Follow up
Wheelchair Physics 101
- Principles of weight distribution on the wheelchair and the impact on stability and mobility
- 80% of the person’s weight should be over the rear wheels - minimum
Tilt and Recline
Definitions
Benefits of
200 of tilt (Bentley - 200 Manual tilt-in-space wheelchair for foot and/or hand propulsion)
- Improved Posture
- Improved breathing
- Decreased fatigue
- Independent mobility
- Prevent sliding out of the chair
- Restraint free safety
The Agitated client
(Bentley - 200 Manual tilt-in-space wheelchair for foot and/or hand propulsion, & the agitated client)
- Safe environment
- Equipment that lasts
- Equipment that has some spring to it
- Stability and mobility
Benefits of >450 of tilt
(Stellar – 450 Manual tilt-in-space wheelchair)
- Improved Posture
- Improved breathing
- Decreased fatigue
- Independent mobility
- Prevent sliding out of the chair
- Restraint free safety
- Pressure relief
Clinical Indicators/Medical Necessity (Medicare) - Tilt
- Client’s inability to perform independent pressure relief
- Respiratory issues
- Feeding issues
- Seating/positioning tolerance issues
- Can client self-propel in this tilt chair?
- Document why manual recline will not meet client needs?
- Why will this chair meet medical need?
- What other chairs have been tried?
- Be sure clinician completes a w/c eval so the provider can submit if needed with their claim – will be needed in addition to CMN
Paediatric
- Assessment issues specific to the paediatric clients
- Positioning
- Transportation
- Growth
Custom fabrication
- Specialized equipment can be created to suit a clients specific needs.
Bariatrics
(Eclipse – manual wheelchair for the bariatric client)
- Center of gravity issues
- Assessment issues specific to the bariatric client
- Stability and mobility
- Over all width
- Adjustability for changing shapes and /or clients
- transportability
Program Presenters
1-888-858-4422,
cell: 604-603-4045
1-888-858-4422,
cell: 778-239-9233
More information about this session, including condensed Powerpoint presentations, at www.PDGmobility.com
