Diane Warns – Wheelchair Seating & Mobility

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 Diane Warns – Wheelchair Seating & Mobility

• Hands-Exploring the latest equipment options
• Key considerations for device selection
• Evaluation of dimensions, asymmetries and posture
• Problem-Problem solving or presentation solutions
• Effectively writing letters of justification for medical reasons
• Uses for pressure mapping
• Creativity and cost-effective-Effective ideas to adapt to the poor-Fitting wheelchairs

The topic of wheelchair seating is not well-covered.

• Equipment financing approval
• Learn how to solve advanced problems-You can solve even the most difficult client problems with your skills
• Hands-Learn from actual positioning devices and wheelchairs
• Learn new ways to assess client safety and comfort
• Examine successful letters explaining medical justifications
• New strategies will be developed for pressure mapping.

This is the one-The day course will give you the tools to be more confident and proficient in wheelchair repairs and fitment.

OUTLINE

Physical Evaluation

• Ability to ambulate and perform functional ADLs
• Transferability
• Histories (including any prior equipment or skin integrity issues).
  • Tone
  • At rest
  • During an activity
• Measuring from the seated position
  • Assessment of posture such as scoliosis and pelvic obliquity
  • Deciding the right size for your wheelchair and your seating system
• Measurements of ROM
  • To validate the need for accommodation and confirm that it is necessary, goniometric measurements are taken
  • Assessment of posture/fixed deformities using mat
• Assessment of the point of access
  • How the individual will drive the w/c (joystick, head control…)
• Self-reliance-propel considerations
  • Accessory and lightweight wheelchair for self-propel
  • Chairs can be adjusted by the axles

Utilizing Pressure Mapping

• Documentation
  • Justification for higher pressure-Relieving cushion or seat system
• Education
  • Family education/training for patients and their families
• The right cushion for you
  • Where there is sufficient pressure relief
• Evaluation of pressure relief results

A Poorly Fitting Dress: WheelchairProblem-Solving Solutions

• Identification of position issues in existing equipment
• Solutions for adapting the equipment to improve its positioning and function
• Poor postures can be analysed and the causes identified. Then, there are steps to correct the problem.

Types of Manual Wheelchairs & Appropriate Users

• Manual
  • Adult – Standard, rigid, folding, lightweight
  • Pediatric – flexible, folding, Early Intervention (strollers).
• Space Tilt
  • Adult
  • Pediatric
  • Self-propel

Different types of power wheelchairs

• Front wheel drive
• Mid-wheel drive
• Rear wheel drive
• Programmable electronics
• Scooters

There are many types and indications of seat backs

• Sling
• Planar
• Curved
• Curved with lateral support
• Custom with trunk side laterals

There are many types and indications for seat cushions

• Basic or standard foam
• Contoured
• Pressure relief
• Moldings made to order

Head and Cervical Supports: Types & Indications

• Basic curled
• Contoured with posterior, lateral and central support
• You can test/examine current equipment

Transport in a motor vehicle

• Seating systems and frames that have been crash tested
• Approved for transit by WC19

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How to Write a Letter of Medical Justification Effectively

• Information that must be included
• Tips to simplify
• Case studies and examples of letters

OBJECTIVES

1. Describe the differences between wheelchairs and their uses.
2. Identify which types of seating systems and wheelchairs insurance will cover.
3. Measure someone to ensure a proper fit.
4. Demonstrate your ability to compose a compelling letter of medical justification.
5. Real patient problems can be used to guide the seating selection process.
6. Choose from the many wheelchair cushions that are available for pressure relief.
7. Assess actual equipment, including wheelchairs, cushions, and positioning aids.