The OT’s Perspective: How a specialist occupational therapist can help with wheelchair assessments

The OT’s Perspective: How a specialist occupational therapist can help with wheelchair assessments

I rarely become included with wheelchair arrangement as typically my customers currently have wheelchairs and I am asked to attain an environment where a customer can maximize their self-reliance at house with using a wheelchair.

House adjustments specialist Stuart Barrow talks with wheelchair specialist and Occupational Therapist John Fitzpatrick to find the ins and outs of wheelchair evaluations and prescriptions.

As an occupational therapist, I look at mobility in detail and help my customers to conquer physical barriers within their house environment.

John is Director of Silver Fern Therapy and has exhibited with us at the Occupational Therapy Adaptations Conference (OTAC), and he truly knows his things.

Over the years, I’ve found out first-hand simply how essential wheelchair evaluations are, and in order to assist the neighborhood with this, I’ve chosen to ask wheelchair expert and occupational therapist John Fitzpatrick for his professional opinion on wheelchair prescription, as well as the crucial things retailers and makers must consider when working with their clients.

Here are my questions, and his hugely handy responses:

John: “A properly prescribed wheelchair will increase function and make it possible for the user to mobilize in the most effective way possible. It will also minimize the possibility of more special needs– whether that be soft tissue overuse injury, muscle shortening, or pressure ulcers.

” Not whatever is possible when it pertains to wheelchair prescription, but having our clinical input typically suggests the best possible compromise can be reached.”

John: “We utilize a six-step process when it concerns wheelchair prescription:

Referral. We accept referrals from anyone, and as soon as we’ve gotten one, we contact the client to make plans for an evaluation, which is typically in the form of a visit.

Delivery. The seller provides to us, permitting us to make any needed changes, and then well do a full handover with the customer.

Assessment. An assessment is vital– no suggestion can be made without a complete assessment of the customers requirements.

Trial. Following the assessment, well have an idea of the right kind of devices, but an adequate trial is crucial to guarantee that the equipment will stand the test of time– typically, well have most trial equipment in stock, but if necessary, we can buy more from a merchant or manufacturer.

Prescription. Well collect all the data from the recommendation, the trial and the assessment, and prescribe a wheelchair that satisfies the needs of the client.

We recommend a six-week review due to the fact that by this point, the client will be used to the brand-new devices and any required tweaks will be apparent. Ideally, you’ll likewise do a six-month evaluation, especially for kids or clients with a changing presentation.”

” Equally, its important to also think about other environments– social circumstances, work environments and other regularly participated in locations.”

” Clearly, there’s no point advising a 30″ broad wheelchair for a home with door- widths of 27″, and there are dozens of examples of restrictions within a house which need to be represented when prescribing equipment.

” In terms of ecological evaluations, its quite similar to what adaptations experts do.

” Support is then included where necessary, helping to identify where assistance will require to be positioned on the brand-new equipment– our vans all have mobile treatment tables for this factor.

John: “Broadly speaking, the assessment can be divided into two parts: assessment of the client themselves, and evaluation of the environment.

” The physical evaluation is clearly vital– a clear knowledge of their anatomy and physiology is essential. Getting the right right-sized wheelchair requires really precise measurements and in order to achieve those, its finest to see a customer rested on a flat surface area; this assists us to see how customers sit without postural support.

” Well consider the clients medical history– this enables the therapist to see how the past how formed who the customer is today, and how their history will influence their future.

Stuart: What procedure do you go through when recommending a wheelchair?

John: “Before prescribing anything, all of the pertinent info gathered during the evaluation procedure needs to be looked at.

” Once it has actually been looked at, a recommendation can be made; however its crucial that the product is trialed effectively prior to any purchase is concurred.”

” As an outcome, we always ask retailers to deliver wheelchairs to us; that method we can make any adjustments required, and– most importantly– finish an in-depth handover that ensures that the customer is comfy.

John: “We understand that the very first couple of days of a new wheelchair are vital– if a client can adapt to it rapidly, then its done its job; if its not right, and they do not use it, then that’s bad news.

” Well frequently inspect back in, and will make further changes as required as the customer gets utilized to the item.”

Stuart: How can you help individuals, and how can they get hold of you?

We advise a six-week evaluation since by this point, the customer will be utilized to the brand-new equipment and any required tweaks will be apparent. Ideally, you’ll also do a six-month review, particularly for kids or clients with a changing presentation.”

Stuart Barrow of Promoting Independence is a member of the British Association of Occupational Therapists panel and an acknowledged factor in the field of home adaptations. His experience is sought by makers and service companies looking for a professional opinion. He likewise runs the Occupational Therapy Adaptations Conference

Stuart Barrow of Promoting Independence belongs to the British Association of Occupational Therapists panel and an acknowledged factor in the field of home adaptations. His experience is sought by makers and provider searching for a professional viewpoint. He likewise runs the Occupational Therapy Adaptations Conference

” If you d like to talk with us about any of the above, you an email us at info@silverferntherapy.co.uk or offer us a call on 02921 660346. During the coronavirus crisis, please rest ensured that we are still readily available.”

John: “Silver Fern Therapy offers wheelchair assessments and professional witness services on all aspects of wheelchair arrangement, in addition to locum occupational treatment.