Diane Warns – Wheelchair Seating & Mobility

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 Diane Warns – Wheelchair Seating & Mobility

• Hands-Explore the latest equipment options
• Key considerations for device selection
• Evaluation of posture, asymmetries, dimensions
• Problem-Problem solving or presentations
• Writing letters of medical justification that are effective
• Pressure mapping can be used for functional purposes
• Creative and cost-effective-Ideas for helping the poor adapt to life-Fitting wheelchairs

There are very few courses that address the important topic of wheelchair seating or positioning.

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

This one-This day course will equip you with the most recent tools to improve your confidence and proficiency in proper wheelchair fit, repairs, support, and maintenance.

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
• Measurements taken seated
  • Assessment of posture such as scoliosis and pelvic obliquity
  • How to determine the appropriate size of your wheelchair and seating system
• Measurements of ROM
  • To validate the need for accommodation and confirm that it is necessary, goniometric measurements are taken
  • Assessment of posture and fixed deformities using mat
• Assessment of 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
  • To properly configure a chair, adjustable axles

Utilizing Pressure Mapping

• Documentation
  • Justification for higher pressure-A cushion or a seating system that relieves pressure
• Education
  • Family education/training for patients and their families
• The right cushion for you
  • If there is adequate pressure relief
• Evaluation of pressure relief results

A Poorly Fitting Outfit: WheelchairProblem-Solving Solutions

• Identification of positioning problems in existing equipment
• Solutions to adapt equipment to improve positioning or function
• Analyzing poor postures, determining the causes and steps to remedy the issue

Types of manual wheelchairs and appropriate users

• Manual
  • Adult – rigid and folding, standard, lightweight
  • Pediatric – rigid, folding, Early intervention (strollers),
• Tilt in Space
  • Adult
  • Pediatric
  • Self-propel

Types of Power Wheelchairs

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

Seatbacks: Types & Indications

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

There are many types and indications for seat cushions

• Standard or Basic foam
• Contoured
• Relaxing
• Custom molded

Types and indications for head and cervical support

• Basic curved
• Contoured with posterior support and lateral support
• You can test/examine current equipment

Transportation in a motor vehicle

• Safety tested frames and seating systems
• Approved for transit by WC19

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Writing a Letter of Medical Justification Effectively

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

OBJECTIVES

1. Describe the various types of wheelchairs and their appropriate use.
2. It is important to know which types of wheelchairs and seats systems insurance will cover.
3. Measure someone to ensure a proper fit.
4. Demonstrate the ability to write a letter of medical justification.
5. Analyze real patient problems in order to guide the selection process of seating solutions.
6. You can choose from a variety of wheelchair cushions for pressure relief.
7. Evaluate actual equipment types, such as wheelchairs, cushions, and positioning assistance.