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Power Mobility and Safety Concerns Power mobility can enhance participation in daily activities as well as activities for people in long term care. However, the devices could also cause safety issues that must be addressed. The majority of participants opt to adopt a teleological perspective and provide all residents with the chance to test devices, not to restrict residents with certain diagnosis which could be considered a risk management decision that is prejudicial. Mobility A power mobility device allows people with limited ability to move about their homes or communities and engage in daily activities that would otherwise be not accessible to them. However, these devices can also pose a risk to the person who uses them, and other people who are in their space. Occupational therapists should carefully consider the safety requirements of each client before making recommendations about 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 use of power mobility. The aim was to create an approach to client-centered power mobility prescribing. 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 greatly improve the quality of life for individuals who are mobility-challenged by giving them the opportunity to participate in a variety of daily life activities, both at home and in the community (Brandt, 2001; Evans, 2000). Self-care, productive and leisure jobs are essential for the physical and mental health of people who are older. For many who suffer from chronic illnesses, power mobility allows them to take part in these vital activities. Many participants considered it unacceptable 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 with the same activities they were doing prior to their disease progression. This was especially the case for those in Facility 1, who had been in a position to use their chairs for short periods of time and were dependent on others to help them move around the facility. Another solution would be to limit the speed at which residents drive their chairs. However it could create various issues like privacy and the impact on the rest of the community. In the end, removing the chair of a resident was thought to be the most drastic and least desirable solution to safety concerns. Safety Power mobility lets people move around more freely. They can also take part in a wider range of activities, and complete the errands. With the increased mobility comes an increased risk of accidents. For some, these accidents could result in serious injuries to themselves or others. This is why it is crucial to consider the safety of your client prior to recommending that they use power mobility. The first step in assessing safety is to determine whether your client is safe to operate their power scooter or power chair. Depending on the nature of their impairment and current health, this may involve a physical assessment by a doctor or occupational therapist, or a discussion with a mobility specialist to determine whether a specific device is appropriate for them. In certain situations your client may require an automobile lift to be able to load and unload the device at their home, workplace or community. Another aspect of safety is learning the rules of the road. power electric scooter includes sharing space, with other wheelchair users, pedestrians and bus drivers. power electric scooter of participants in the study mentioned this theme. For some, this required learning to use their wheelchairs on sidewalks, instead of driving through crowded areas or over curbs (unless specifically designed for doing such). Others drove more slowly and paid attention to pedestrians in a crowd. The last and least preferred option of removing the wheelchair of a person, was viewed as a double whammy: losing independence in mobility, and also preventing the person from participating in the activities of the community and facilities. Diane and Harriet among others were among the participants who were stripped of their chairs. Participants also suggested that residents, family members, and staff members be educated on the safe use of power mobility. This could include teaching driving basics (such as which side to walk on in a hallway), encouraging the residents to practice driving when they leave and assisting them to recognize how their behavior affects other people's mobility. Follow-Up A device that is powered by electricity can significantly impact the child's ability to function and be a part of life. There is little research into the experiences children experience when they learn to utilize these devices. This study uses the post-previous method to analyze the effects of six months of experience with one of 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, as well as occupational and physical therapists who work with children. Thematic analysis identified three major themes. The first, 'Power in Mobility,' described how the use of a powered device changed more than just a child's locomotor abilities. Learning to drive a power mobility device can be an emotional and transformative journey for the participants. The second theme, 'There's no such thing as any cookbook,' revealed that the process of learning to utilize a power mobility device was a bespoke process that unfolded over time in a cyclical fashion. Therapists were charged with determining what was realistic for each child's needs and abilities. During the training phase, and following, therapists were required to be patient with children and parents. Therapists and parents alike spoke of the need to assist families celebrate their achievements and solve problems associated with the training process. The third theme"Shared space The study explored the ways in which using an electric device can affect other people's lives and interactions. The majority of participants in this study believed that people should be considerate when using a device that is powered by electricity. This was especially true when driving on public roads. Many participants also reported that they've encountered situations where someone else's property was damaged by the use of the power mobility device or when a person was injured by a driver who had failed to yield the right-of-way. Overall, the findings of this study suggest that short-term power mobility and socialization training appears feasible for preschoolers with CP in certain classroom environments. Future research should continue to explore the effectiveness of training and outcomes of this type of intervention with young children with CP. This should hopefully result in the development of more standard training protocols for this group.
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