OCT 1100H April 27, 2017 WHEELCHAIR SERVICE STEPS Introduction - - PowerPoint PPT Presentation

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OCT 1100H April 27, 2017 WHEELCHAIR SERVICE STEPS Introduction - - PowerPoint PPT Presentation

Apr 13, 2023 312 likes •1.43k views

OCT 1100H April 27, 2017 WHEELCHAIR SERVICE STEPS Introduction Speakers/Facilitators: Pearl Gryfe , MScOT, OT Reg. (Ont.), Assistive Technology Clinic Marlene Adams , OT Reg. (Ont.), UHN, Toronto Rehabilitation Institute, Lyndhurst

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OCT 1100H April 27, 2017 WHEELCHAIR SERVICE STEPS

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Introduction

Speakers/Facilitators:

  • Pearl Gryfe, MScOT, OT Reg. (Ont.), Assistive Technology Clinic
  • Marlene Adams, OT Reg. (Ont.), UHN, Toronto Rehabilitation

Institute, Lyndhurst

  • Karen Hall, MScOT, OT Reg. (Ont.), Assistive Technology Clinic
  • Jessica Comay, OT Reg. (Ont.), Assistive Technology Clinic
  • Andree Gauthier, OT Reg. (Ont.), UHN, Toronto Rehabilitation

Institute, Lyndhurst

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Time Topic Format 9:10 – 9:20 Welcome and Introductions Pearl Gryfe Lecture Whole class Room 132 9:20 - 9:40 World Health Organizations Wheelchair Service Provision Step 1: Referral and appointment Marlene Adams 9:40 – 10:30 Step 2: Assessment overview and interview Karen Hall 10:30 – 10:45 Break 10:45 – 12:15 Step 2: Assessment practice session Hands on practice with facilitators 5 Groups Room 750 12:15 – 1:15 Lunch 1:15 – 3:00 Case Studies Hands on practice with facilitators and wheelchair users Steps 2, 3, 6 – Bring all 3 forms 5 Groups Rooms 132, 150, 428, 453, 750 3:00 – 3:15 Break 3:15 - 3:45 Case Studies Groups present on “learning highlights” from each case Lecture Whole class Room 132 3:45 - 4:05 Step 4: Funding Jessica Comay 4:05 – 4:25 Step 5: Product preparation Step 7: User training Step 8: Maintenance, repairs and follow up Andree Gauthier 4:25 – 4:30 Closing remarks Pearl Gryfe

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STEP 1: REFERRAL AND APPOINTMENT

Marlene Adams, OT Reg. (Ont.), UHN, Toronto Rehabilitation Institute, Lyndhurst

WHEELCHAIR SERVICE STEPS

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RESOURCES

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THE WHEELCHAIR PROVISION PROCESS

  • 1. Referral and appointment
  • 2. Assessment
  • 3. Prescription
  • 4. Funding and ordering
  • 5. Product (wheelchair) preparation
  • 6. Fitting
  • 7. User training
  • 8. Maintenance, repairs and follow-up
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THE WHEELCHAIR PROVISION PROCESS

  • 1. Referral and appointment
  • 2. Assessment
  • 3. Prescription
  • 4. Funding and ordering
  • 5. Product preparation
  • 6. Fitting
  • 7. User training
  • 8. Maintenance, repairs and follow-up

Screen When to refer Required information

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Referral and Appointment

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THE WHEELCHAIR PROVISION PROCESS

  • 1. Referral and appointment
  • 2. Assessment
  • 3. Prescription
  • 4. Funding and ordering
  • 5. Product preparation
  • 6. Fitting
  • 7. User training
  • 8. Maintenance, repairs and

follow-up

Structured Thorough

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ASSESSMENT

  • International Classification of Function and
  • ur new assessment form
  • 1. Body structure and function
  • 2. Activities and participation
  • 3. Environment and current device
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ASSESSMENT

  • The clinic on a cart
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THE WHEELCHAIR PROVISION PROCESS

  • 1. Referral and appointment
  • 2. Assessment
  • 3. Prescription
  • 4. Funding and ordering
  • 5. Product preparation
  • 6. Fitting
  • 7. User training
  • 8. Maintenance, repairs and

follow-up

Clinically appropriate options

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PRESCRIPTION

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THE WHEELCHAIR PROVISION PROCESS

  • 1. Referral and appointment
  • 2. Assessment
  • 3. Prescription
  • 4. Funding and ordering
  • 5. Product preparation
  • 6. Fitting
  • 7. User training
  • 8. Maintenance, repairs and

follow-up

Know the criteria Explore other options

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THE WHEELCHAIR PROVISION PROCESS

  • 1. Referral and appointment
  • 2. Assessment
  • 3. Prescription
  • 4. Funding and ordering
  • 5. Product preparation
  • 6. Fitting
  • 7. User training
  • 8. Maintenance, repairs and

follow-up

Based on assessment Set up in advance

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THE WHEELCHAIR PROVISION PROCESS

  • 1. Referral and appointment
  • 2. Assessment
  • 3. Prescription
  • 4. Funding and ordering
  • 5. Product preparation
  • 6. Fitting
  • 7. User training
  • 8. Maintenance, repairs and

follow-up

Prescription meets need

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THE WHEELCHAIR PROVISION PROCESS

  • 1. Referral and appointment
  • 2. Assessment
  • 3. Prescription
  • 4. Funding and ordering
  • 5. Product preparation
  • 6. Fitting
  • 7. User training
  • 8. Maintenance, repairs and

follow-up

Prescription meets need

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TRAINING

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THE WHEELCHAIR PROVISION PROCESS

  • 1. Referral and appointment
  • 2. Assessment
  • 3. Prescription
  • 4. Funding and ordering
  • 5. Product preparation
  • 6. Fitting
  • 7. User training
  • 8. Maintenance, repairs and

follow-up

Prescription meets need

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MAINTENANCE AND REPAIRS

I Have a Problem With My Wheelchair… Who Should I Call?

Type of Wheelchair ________Manual ____________Power______________ Make/Model ___________________________________________________ Date Received __________________________________________________ Vendor Rep + Phone # ____________________________________________ Service Department Phone # _______________________________________ Prescribing Therapist Name : _____________________________________ Phone number: ______________________________

RED FLAG CONTACT THERAPIST CONTACT VENDOR

Redness on skin caused by your cushion/seating equipment

  • This is very important to

address! Deterioration of your posture

  • Slouching
  • Sliding
  • Sitting balance

Seating equipment causes a negative impact on function

  • Having difficulty

performing everyday tasks Cushion and/or backrest are broken beyond repair or over 2 years old. Wheelchair is not worth repairing due to regular use and its age. Equipment maintenance and repairs needed

  • Brakes are loose
  • Flat tire
  • Squeaking
  • Dead batteries
  • Hazards/dangers

**If you are receiving OW or ODSP benefits call your worker to request a repair requisition. They will

require the name of the vendor. ODSP Worker Name + Phone # ______________________________ ** IF you have been discharged and no longer have a therapist you may need to be referred to a seating service by your family doctor.

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MAINTENANCE AND REPAIRS

RED FLAG CONTACT THERAPIST CONTACT VENDOR

Redness on skin caused by your cushion/seating equipment

  • This is very important to

address! Deterioration of your posture

  • Slouching
  • Sliding
  • Sitting balance

Seating equipment causes a negative impact on function

  • Having difficulty performing

everyday tasks Cushion and/or backrest are broken beyond repair or over 2 years old. Wheelchair is not worth repairing due to regular use and its age. Equipment maintenance and repairs needed

  • Brakes are loose
  • Flat tire
  • Squeaking
  • Dead batteries
  • Hazards/dangers
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FOLLOW-UP

  • Initial Follow-up
  • Scheduled Follow-up
  • As Needed
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FOLLOW-UP

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THE SEATING TEAM

Distributer Sales Rep Manufacturer Clinical expert The Resource Source

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“The most important part of my rehab was my wheelchair.” independence comfort good health

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HOW TO FIND IT

  • www.resna.org < knowledge-center < position

papers and service provision guides

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HOW TO FIND IT

  • www.resnhttp://www.wheelchairskillsprogra

m.ca/eng/index.phpa.org <

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HOW TO FIND IT

  • https://www.aci.health.nsw.gov.au/__data/as

sets/pdf_file/0003/167286/Guidelines-on- Wheelchair-Prescription.pdf

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HOW TO FIND IT

  • Free online module: video, forms, prompts…
  • Google: Spinal Seating Professional Development
  • http://www.aci.health.nsw.gov.au/networks/spinal-

cord-injury/spinal-seating

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HOW TO FIND IT

  • www.assistivetechnologypartners.org <

resources <wheelchair seating

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HOW TO FIND IT

  • http://onf.org/system/attachments/168/original/Pre

ssure_Ulcers_Best_Practice_Guideline_Final_web4.p df

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HOW TO FIND IT

  • Appendix of the “Canadian Best Practice

Guidelines for the Prevention and Management of Pressure Ulcers in People with Spinal Cord Injuries”

  • OR
  • http://www.hsc.mb.ca/files/sss-

pressuremgmt.pdf

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HOW TO FIND IT

  • www.who.int/disabilities/publications/technol
  • gy/wheelchairguidelines
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STEP 2: ASSESSMENT

Karen Hall, MScOT, OT Reg. (Ont.), Assistive Technology Clinic

WHEELCHAIR SERVICE STEPS

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Assessment

Thorough assessment helps to:

  • choose the most appropriate wheelchair
  • determine postural support needed
  • decide what training and support is required

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Assessment

Assessment is carried out in 2 parts

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

INTERVIEW PHYSICAL ASSESSMENT THOROUGH ASSESSMENT

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Interview

  • Good communication skills are essential!

– be respectful – address the wheelchair user directly – explain why you are asking certain questions – questions do not need to follow an exact order – determine how the wheelchair user communicates – if communication is not possible

  • ensure caregiver is present
  • identify signs of pain

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Interview

Why did you come to the assessment today? Goal: I would like to be more comfortable in my wheelchair. What should your wheelchair help you do? Goal: I would like to be able to transfer safely and independently in and out of my wheelchair.

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Interview

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Interview

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Interview

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Physical assessment

Physical assessment includes:

  • identifying the presence and/or risk of

pressure sores

  • identifying the method of mobility
  • finding out how the wheelchair user

sits/posture

  • taking measurements

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Physical assessment

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Physical assessment

To be able to move with as much independence as possible is a basic human right

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Physical assessment

Considerations for power mobility

  • How will the wheelchair user control the

wheelchair?

  • hand/arm, head/neck, mouth, foot, other

motor points

  • Diagnosis/disease progression
  • Cognition
  • Vision
  • Environment
  • ADL
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Physical Assessment - Posture

Determine how much postural support needed by:

  • observing sitting posture without support
  • doing a pelvis and hip posture screen
  • simulating the support needed with hands
  • taking measurements

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Posture

Record posture to:

  • remember findings after Ax
  • track changes over time

Record by:

  • describing in words
  • drawing a picture
  • taking photographs

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Posture

  • Flexible posture

– provide support to maintain neutral

  • Flexible part way to neutral posture

– provide support to achieve as close to neutral as is comfortable and functional

  • Fixed posture

– provide support to accommodate

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Posture

  • Curves of the spine

– cervical – Thoracic – Lumbar

  • Pelvis landmarks

– Ischial tuberosities (ITs) – Anterior superior iliac spine (ASIS) – Posterior superior iliac spine (PSIS)

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Posture – sagittal view

  • trunk upright
  • back following natural curves
  • ear, shoulders and hips in line
  • hips bent to 90°
  • knees bent to 90°
  • ankles bent to 90 °
  • feet supported

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Posture – frontal view

  • pelvis level
  • shoulders level
  • legs in line or slightly

abducted

  • head midline and

balanced over the body

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Posture – transverse view

  • pelvis level
  • shoulders level
  • hips, knees and ankles

in line or slightly abducted

  • head midline and

balanced over the shoulders

Image from ISO 16840 Wheelchair seating — Part 1: Vocabulary, reference axis convention and measures for body segments, posture and postural support surfaces

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Posture

  • Does a change in the posture of the pelvis

affect the rest of the body?

  • What happens to posture when the pelvis is in:
  • anterior tilt?
  • posterior tilt?
  • lateral tilt/pelvic obliquity?
  • rotation?

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Posture

  • The posture of the

pelvis will always affect the rest of the body

  • Always begin postural

assessment with the pelvis

  • When providing

postural support, support the pelvis first

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Posture

Sagittal plane Frontal plane Transverse plane

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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Sitting posture without support

  • To understand postural tendencies
  • To demonstrate a range of different sitting

postures

  • To find the most upright posture that can be

safely and comfortably achieved without losing function

  • Always ensure the wheelchair user is safe and

their feet are supported

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Sitting posture without support

Describe posture - sagittal plane

  • anterior, neutral or posterior

pelvic tilt

  • lordosis, neutral trunk or

kyphosis

  • head/neck neutral, in flexion or

extension

  • shoulders forward, neutral or

back

  • thigh to trunk angle

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Sitting posture without support

Describe posture - frontal plane

  • neutral, right or left pelvic
  • bliquity
  • neutral trunk or scoliosis
  • head/neck neutral, in right or

left side flexion

  • shoulder height neutral or

asymmetric

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Sitting posture without support

Describe posture - transverse plane

  • neutral, right or left forward

pelvic rotation

  • neutral or trunk rotation
  • head/neck neutral, in right or left

rotation

  • lower extremities neutral or

windswept

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Pelvis and hip posture screen

  • Sitting posture is influenced by what is

happening with the pelvis and hips

  • Screening helps understand how problems

around the pelvis or hips affect the wheelchair user’s sitting posture

  • Supine Ax reduces the impact of gravity

allowing further Ax

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Pelvis posture screen

  • w/c user lies supine, knees

slightly bent

  • assistant holds lower ribs
  • assessor holds the pelvis

with thumbs on ASIS

  • assessor tries to align the

pelvis if not level

  • assistant reports if the trunk

moves - there may be restricted movement

  • record how close to neutral

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Hip posture screen

  • assistant holds the pelvis
  • assessor moves the leg to

neutral sitting posture

  • assistant reports if the

pelvis moves

  • assessor feels how freely

the hip moves

  • repeat on the other side
  • record with a goniometer

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Recording the pelvis and hip posture screen

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Pelvis and hip posture screen

  • If the pelvis or hip cannot reach neutral,

temporary support may be needed to:

– help with stability and balance – facilitate completion of Ax – assess the rest of the posture – accommodate for the unlevel pelvis or hips

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Hand simulation

  • Your hands provide the

support that will be provided by the wheelchair and postural supports

  • Always start at the pelvis
  • Then the rest of the body

– trunk – head and neck – hips and thighs – lower legs – arms

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Recording the hand simulation

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Taking measurements

  • Body measurements relate to the size of the

wheelchair and postural supports

  • To take accurate measurements:

– use a firm tape measure – use calipers to increase the accuracy – in posture identified as the most upright, comfortable and functional

Content from World Health Organization Wheelchair Service Training Package Reference Manual for Participants Intermediate Level, 2013

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Taking measurements

  • ISO Standardized Measures for Seating

Supports and Seated Posture

  • Standardized measures are important for:

– improving communication – reducing inefficiencies – reporting outcomes – justifying cost – doing research

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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Taking measurements

  • ISO defines a global coordinate system for

quantifying measures of the person and their seating support surfaces

  • Measures of the person

– Relative body segment angles – Linear body measures

  • Measures of the seating support surface

– Relative support surface angles – Linear support surface measures

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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Relative body segment angles

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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Thigh to trunk angle

Landmarks used:

  • lateral hip center point

~ greater trochanter (center of rotation)

  • lateral femoral condyle
  • lateral lower neck point

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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Thigh to lower leg angle

Landmarks used:

  • lateral femoral condyle

(center of rotation)

  • lateral hip center point

~ greater trochanter

  • lateral malleolus

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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Lower leg to foot angle

Landmarks used:

  • lateral femoral condyle
  • lateral malleolus
  • later heel point

(center of rotation)

  • lateral toe point

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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SEAT TO LOWER LEG SUPPORT ANGLE LOWER LEG SUPPORT/FOOT SUPPORT ANGLE

Relative support surface angles

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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Linear body measures

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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Linear support surface measures

Content from A Clinical Application Guide to Standardized Wheelchair Seating Measures of the Body and Seating Support Surfaces, 2013

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QUESTIONS?

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Step 2: Assessment Practice Session

  • Meet in Room 750, 10:45 – 12:15
  • Break out into 5 Groups

– Study Group 1 and 2 = Group 1 – Study Group 3 and 4 = Group 2 – Study Group 5 and 6 = Group 3 – Study Group 7 and 8 = Group 4 – Study Group 9 and 10 = Group 5

  • Bring STEP 2 ASSESSMENT FORM

– we will be using pages 4 and 5 for the hands on practice session

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Case Studies

1:15 – 3:00

  • Group 1 – Room 132
  • Group 2 – Room 150
  • Group 3 – Room 428
  • Group 4 – Room 453
  • Group 5 – Room 750
  • Bring all 3 forms (ASSESSMENT, PRESCRIPTION,

FITTING)

  • 3:00 – 3:15 Break
  • Meet back in Room 132, 3:15 -4:30
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Step 4: Funding

Jessica Comay B.Sc.(OT), OT Reg. (Ont.) Assistive Technology Clinic

WHEELCHAIR SERVICE STEPS

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Step 4: Funding

  • Considerations for funding needs to begin at

the initial assessment

  • Only when the wheelchair and PSD’s have

been prescribed can the cost be accurately estimated

  • Funding organizations vary across regions
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  • www.assistivetechnologyclinic.ca
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Step 4: Funding

  • Considerations for funding needs to begin at

the initial assessment

  • Only when the wheelchair and PSD’s have

been prescribed can the cost be accurately estimated

  • Funding organizations vary across regions
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Funding Overview in Ontario

  • Assistive Devices Program (ADP)
  • Private Insurance
  • Disease Specific Agencies
  • Community Agencies
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Assistive Devices Program (ADP)

  • ADP pays 75% of the cost of a mobility device

– www.ontario.ca/page/mobility-aids

  • Who qualifies:

– an Ontario resident – have a valid Ontario health card – have a disability requiring the equipment for six months or longer – NOT income dependent

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Assistive Devices Program (ADP) What is Covered?

  • manual wheelchairs
  • power wheelchairs
  • power scooters
  • power add-ons
  • positioning devices
  • forearm-crutches
  • wheeled walkers for adults
  • pediatric walkers, standers and strollers
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Assistive Devices Program (ADP)

  • How many devices are covered per person?
  • One device per person every 5 years
  • Exception:

– Type 2 indoor wheeled walker can also be

  • btained when applying for a wheelchair
  • Seating and positioning components have a 2

year replacement period

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Assistive Devices Program (ADP)

  • How much is covered?
  • ADP will pay 75% of the ADP price for mobility

device and positioning components

  • The client must pay the remaining 25% of the

cost

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Assistive Devices Program (ADP)

  • ADP covers 100% of the cost, if the client

receives financial support from one of these programs:

  • Ontario Works (OW)
  • Ontario Disability Support Program (ODSP)
  • Assistance for Children with Severe Disabilities

(ACSD)

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Assistive Devices Program (ADP)

  • Replacement of mobility device before 5

years:

  • Change in medical condition and/or functional

ability

  • Change in body size
  • the mobility aid is worn out, and cannot be

repaired at a reasonable cost

  • ADP does not cover costs for devices lost or

damaged through misuse or neglect

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Assistive Devices Program (ADP)

  • 3 steps to apply for funding:
  • Assessment by OT or PT registered with the

ADP

  • Find an ADP authorized vendor
  • Fill out the application form with the help of

the occupational therapist or physiotherapist

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Assistive Devices Program (ADP)

  • Who does not qualify:
  • Workplace Safety and Insurance Board (WSIB)

– receiving financial support from the for the same mobility aid

  • Veterans Affairs Canada - Group “A” veteran

– receiving financial support from Veterans Affairs Canada for the same mobility aid

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Not eligible for ADP: WSIB

  • Workers Safety and Insurance Board (WSIB)

– www.wsib.on.ca

  • 100% of the cost of mobility devices

recommended by a WSIB authorized OT or PT

  • All equipment needs to be approved by a

WSIB case coordinator before purchase

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Not eligible for ADP: Veterans Affairs Canada

  • Group “A” clients are those clients who are

eligible to receive health care benefits under the Veterans Health Care Regulations that are directly related to their pensioned disability (condition) as there condition was attributable to, or was incurred during special duty service)

– http://www.veterans.gc.ca/eng/about- us/policy/document/1197

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Secondary Funding

  • Motor Vehicle Accident – HCAI

– Cover the 25% client balance – May cover 100% of the cost of the devices not covered by ADP

  • Extended Health Care Benefits

– All benefits are different – Client needs to check funding benefits

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Secondary Funding

  • MS Society

– www.mssociety.ca

  • Muscular Dystrophy Association of Canada

– www.muscle.ca

  • ALS Society

– www.als.ca

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Secondary Funding

  • March of Dimes Canada

– www.marchofdimes.ca – Income dependent – Will cover part of the 25% client balance – Will cover the cost of repairs

  • Easter Seals (<18 years old)

– www.easterseals.org

  • Hardship Fund

– Toronto only – Income dependent – 416-397-0330

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Secondary Funding

  • Community Agencies:
  • Rotary Club

– www.rotary.org

  • Lions Club

– www.lionsclub.org

  • Kiwanis

– www.kiwanis.org

  • Ceridian Cares

– www.ceridiancares.ca

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Step 4: Funding Summary

  • Consideration of funding of the wheelchair

and PSD’s needs to start at the initial assessment

  • Eligibility for ADP and other government

programs

  • Funding sources/options are region specific
  • Be aware of the funding sources in the areas

where you work

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STEP 5: Product Preparation STEP 7: User Training STEP 8: Maintenance, Repairs, Follow up

Andree Gauthier, OT Reg. (Ont.), UHN, Toronto Rehabilitation Institute, Lyndhurst

WHEELCHAIR SERVICE STEPS

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STEP 5: PRODUCT PREPARATION

  • W/C set up
  • Seating Installation
  • Safe & Ready Check
  • Work in Partnership with tech & rep.
  • Review Prescription order
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STEP 6: FITTING

  • W/C width and depth
  • Posture check
  • Pressure check
  • Fit while in motion
  • Use w/c fitting checklist
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SLIDE 104

STEP 7: USER TRAINING

The 6 important teaching components:

  • 1. Wheelchair handling
  • 2. Transfers
  • 3. Wheelchair mobility
  • 4. Prevention of pressure

injuries

  • 5. Basic care of wheelchair

& cushion at home

  • 6. What to do if there is a

problem

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SLIDE 105

STEP 7: USER TRAINING

  • Go through the w/c users

training checklist: WHO and Dalhousie w/c skills training program.

  • http://www.wheelchairskills

program.ca/eng/index.php

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SLIDE 106

STEP 7: USER TRAINING

Great resource:

http://www.wheelchairskillsprogram. ca/eng/index.php

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SLIDE 107

STEP 8: MAINTENANCE, REPAIR & FOLLOW UP

Home Maintenance:

  • 1. Clean w/c and supports
  • 2. Pump tires
  • 3. Tighten loose nuts/bolts
  • 4. Tighten spokes
  • 5. Regular checks
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SLIDE 108

STEP 8 CON’T: FOLLOW UP

  • 1. Check that the w/c is in good working order
  • 2. Opportunity for more training
  • 3. Adjustments/modifications
  • 4. W/c follow up form
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SLIDE 109
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SLIDE 110

Thank you!