Examine A Wheelchair (2024)

Examine A Wheelchair (1)

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Examine A Wheelchair

  1. Andy Monro,
  2. Graham Mulley
  1. Elderly Medicine, St James’s University Hospital, Leeds LS9 7TF, UK; E-mail: graham.mulley{at}leedsth.nhs.uk

Abstract

INTRODUCTION

Wheelchairs are a common sight, especially in hospitals. Indeed, there are about 750 000 wheelchair users in the UK, out of a population of nearly 60 million, and they even feature on one of our postage stamps (Fig. 1). Although £90 million is spent each year on wheelchair services, some chairs are in poor condition (Fig. 2). Wheelchairs injure occupants, sometimes fatally. Attendants may also sustain injuries. Some patients develop neurological impairments as a result of using their wheelchairs. And many of these injuries and impairments are preventable.

Cerebrovascular disease is the most common neurological condition leading to wheelchair use (25% of wheelchair users have had a stroke). And many other people with neurological disorders spend time in a wheelchair: for example, those with spinal injuries, multiple sclerosis, polio and muscular dystrophy. We believe that the assessment of neurological patients who use wheelchairs is incomplete without examining their wheelchairs.

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    Examine A Wheelchair (2024)

    FAQs

    What does a wheelchair assessment consist of? ›

    We need to look at the client's strength, range of motion, muscle tone, and the orthopedic status during the assessment. These areas are going to dictate their seating system needs and their ability to self-propel. This does not mean that you need to spend hours on standardized testing.

    How to be assessed for a wheelchair? ›

    Ask a GP, physiotherapist or hospital staff to refer you to your local wheelchair service for an assessment. You'll need to do this before you can get an NHS wheelchair. The local wheelchair service will decide if you need a wheelchair and, if so, what type. You might be able to get a voucher.

    What is a wheelchair answer? ›

    A wheelchair is a manually operated or power-driven device designed primarily for use by an individual with a mobility disability for the main purpose of indoor, or of both indoor and outdoor, locomotion.

    How to inspect a wheelchair? ›

    1. Wheelchair Maintenance Checklist. ...
    2. □ Armrests – Check to make sure that the screws are not poking through the arm. ...
    3. □ Check the Safety Belts for fraying or damage. ...
    4. □ Check that the seat material is snug on the frame and that there are no rips or. ...
    5. □ Tire Pressure – Check tire pressure before checking the wheel locks.

    What are the 3 elements of a mobility assessment? ›

    This article covers the nurse's role and the three components of a thorough mobility assessment. The essential elements of a complete history, review of relevant diagnostic tests and physical assessment are discussed.

    How to prepare for a wheelchair evaluation? ›

    Provide information to the therapist ahead of time.

    Manual wheelchair users may refer to the My Wheelchair Guide smart phone app's "My Wheelchair Checklist." Information the therapist may ask ahead of time includes: Your body weight and height. Skin condition, including history of or current pressure injuries.

    What is the most difficult thing for wheelchair users? ›

    15 Crazy Challenging Things For Wheelchair Users That Are No Big Deal For You
    1. Putting on Jeans. Or God-forbid, leather pants... ...
    2. “Fake-out” Handicapped Bathrooms. ...
    3. Reaching High Shelves in the Grocery Store. ...
    4. Random Spasms. ...
    5. Having People Park Too Close to Your Car. ...
    6. Inclement Weather. ...
    7. Knowing When You're in Pain. ...
    8. Cardio Workouts.

    Is being in a wheelchair a disability? ›

    Yes, people who are in wheelchairs who can walk are still disabled.

    What are the types of wheelchair disabilities? ›

    These include but are not limited to amputation, paralysis, cerebral palsy, stroke, multiple sclerosis, muscular dystrophy, arthritis and spinal cord injury.

    How do you check the wheelchair? ›

    Daily Maintenance:
    1. Check Tires: - Inspect tire pressure; inflate or deflate as needed. ...
    2. Inspect Push Rims: - Ensure push rims are securely fastened. ...
    3. Check Brakes: ...
    4. Inspect Cushion and Backrest: ...
    5. Inspect Armrests and Footrests: ...
    6. Clean Frame and Seating Area: ...
    7. Check for Loose Bolts and Fasteners:

    What is the code for wheelchair assessment? ›

    Overview of Code 97542

    Code 97542 is used to report management of a patient using a wheelchair including assessment (eg, pos- tural/positioning needs), fitting (eg, pressure relief), and training (eg, getting in and out of the wheelchair safely and managing wheelchair propulsion on various terrains).

    How do you assess a wheelchair fit? ›

    You should be able to fit 3-4 fingers between the front edge of the seat and the back of your knee. Seat Height; Determined by the height of the individual and if the wheelchair is self-propelled. When using the feet to propel, the seat height should allow for them to reach the floor with their heel.

    What happens at a mobility assessment? ›

    process for determining how much a patient can move, what equipment or aides will be necessary for them to complete a daily task, such as walking or toileting and how much support their caregiver must provide if the patient has limitations.

    What qualifies for a wheelchair diagnosis? ›

    Symptoms such as muscle spasms and stiffness, fatigue, walking difficulties, dizziness, tremors, and seizures may warrant the need for a motorized wheelchair or, in some cases, a power standing chair.

    What test is used as a mobility assessment? ›

    The Tinetti-test, also called Performance-Oriented Mobility Assessment (POMA) assesses a person's perception of balance and stability during activities of daily living and their fear of falling. It is a very good indicator of the fall risk of an individual.

    What is the wheelchair skills test? ›

    The Wheelchair Skills Test (WST), details about which can be found in Chapters 4 and 5 of the Wheelchair Skills Program Manual, is a means of assessing the capacity of wheelchair users to safely perform the skills they need in their everyday lives.

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