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Power Mobility and Safety Concerns

Power mobility can enhance participation in daily activities and recreational pursuits for individuals in long-term care. The devices can also pose safety concerns, which must be addressed.

Rather than exclude residents with certain diagnoses from the power mobility option, which may be considered risk management prejudicial, most participants preferred to take a teleological approach and let everyone test the device.

Mobility

A power mobility device allows people who are disabled to move about their community or home and engage in daily activities that are otherwise not accessible to them. However, these devices may also pose a risk to the person using them and other people who share their space or space. Occupational therapists must be aware of the safety needs of each client before making recommendations regarding 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 objective was to develop a framework for client-centred power mobility prescribing. The results 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 of people who have mobility limitations. This is because it lets them participate in everyday activities at home and within the community. Participation in self-care, productive and leisure occupations is crucial to mental and physical health of older adults, and for those with progressive diseases power mobility is a way to continue participating in these vital activities.

Many participants considered it not acceptable to remove a resident's chair, as this would cause a major interruption to their life or path and prevent them from pursuing the same activities that they had been doing before the progression of their illness. This was particularly true for those in the Facility 1 who had been able use their green power scooter chairs for a brief period and now relied on others to push them.

Another potential solution was reducing the speed at which some residents drove their chairs, but this could have raised issues such as privacy concerns and impact on other people in the community. The most drastic solution to safety concerns was to remove the wheelchair of a resident.

Safety

Power mobility allows people with disabilities to move around more easily and take part in a wider range of activities and complete the errands. With increased mobility comes an increased risk of accidents. These incidents can result in serious injuries for some. It is crucial to consider the safety of your clients before suggesting power electric scooter mobility.

First, determine if your client is able to safely operate their scooter green power or power chair. This could involve an assessment of physical health by a doctor or occupational therapist or a mobility specialist, depending on the nature of your client's disability as well as their current health. In some cases, a vehicle lift will be required to make it possible for your client to unload and load their mobility device at home, in the community or at work.

Knowing the rules of road safety is a further aspect of safety. This includes sharing space, with other wheelchair users, pedestrians and bus drivers. This is a topic that was mentioned by the majority of participants in the study.

Some people learnt to drive their wheelchairs on sidewalks instead of driving through busy areas or on curbs (unless the wheelchair was designed to be used in this way). For others this meant driving more slow in a crowded area and keeping an eye out for pedestrians.

The most popular and least desired option that was to take away the wheelchair of a person was viewed as a double-punishment that would result in the loss of mobility and hindering the person from participating in activities with the community or at facilities. This was the view of most participants who had their chairs removed, including Diane and Harriet.

Other ideas suggested by participants included educating residents staff, family members and other residents on the proper operation of power mobility. This could include educating residents on the fundamentals of driving (such as using the correct side of a hallway), encouraging residents to practice driving techniques when they go out and helping them understand how their behavior affects the mobility of others.

Follow-Up

A device that is powered by electricity can have a profound impact on a child's ability to function and participate in life. There isn't much research into the experiences children have when learning to utilize these devices. This study uses an approach that is pre-post to study the impact of six months of experience using one of four early power mobility devices on children in the school age group with severe cerebral palsy (CP).

Qualitative interviews were conducted with 15 parents as well as pediatric occupational and physical therapists. Thematic analysis revealed three main themes. The first, 'Power in mobility explained the ways in which powered devices changed more than just locomotor abilities. The process of learning to drive a powered mobility device is often an emotional and Greenpower electric Scooters transformative experience.

The second theme 'There's no cookbook' revealed that learning how to make use of the mobility device was a process that took place in a continuous manner over time. Therapists were required to discover what was realistic for each child's needs and capabilities. Through the training and post-training phases, therapists were required to be patient with children and parents. Therapists and parents alike emphasized the need to help families celebrate their achievements and address issues related to the process of training.

The third theme, "Shared space", looked at how the use of the power device can affect the lives of others. The majority of participants in this study felt that people must always be considerate of other people when using their mobility device. This was especially true when driving in public spaces. Participants also shared that they've witnessed situations in which property belonging to someone else was damaged due to the use of a power mobility device or an individual had been injured by a motorist who didn't yield the right of way.

Overall, the results of this study suggest that short-term socialization and power mobility training is feasible for preschoolers with CP in certain classroom environments. Future research should continue to investigate the training and outcomes for this kind of intervention for children with CP. This will hopefully result in the development of more standardized training protocols specifically for Green Power this group of children.