Final: Assistive Tech Pt 2

Question 1

What is DME?

Answer 1

Equipment and supplies ordered by a health care provider for everyday or extended use

Question 2

What is CRT?

Answer 2

Include products that are medically necessary, individually configured devices that require evaluation, configuration, fitting, adjustment, or programming

Question 3

What do you need to identify when assessing for wheeled mobility?

Answer 3

What are the individual’s specific needs in an area and what goals or outcomes can be developed from identified needs

Question 4

What are the three main components of a wheeled mobility examination?

Answer 4

1. Mat assessment
2. Assessment in a trial device
3. Environmental assessment

Question 5

What is a mat assessment?

Answer 5

Flexible vs rigid deformities and impairments, functional limitations

Question 6

What is a K0001?

Answer 6

Standard wheelchair

Question 7

What is a K0002?

Answer 7

Standard Hemi Height Wheelchair

Question 8

What is a K0003?

Answer 8

Lightweight wheelchair

Question 9

What is a K0004?

Answer 9

High strength, lightweight wheelchair

Question 10

What are examples of DME?

Answer 10

K0001, K0002, K0003, K0004

Question 11

What are examples of CRT?

Answer 11

Tilt in space and K0005

Question 12

What is a tilt-in-space?

Answer 12

Dependent manual wheelchair

Question 13

What is a K0005?

Answer 13

Ultra lightweight wheelchair

Question 14

What standard manual wheelchair has very minimal adustability?

Answer 14

K0001 and K0002

Question 15

What standard manual wheelchair has minimal adjustability?

Answer 15

K0003

Question 16

What standard manual wheelchair has the most basic adjustability?

Answer 16

K0004

Question 17

What standard manual wheelchair has variable adjustability?

Answer 17

Tilt-in-space

Question 18

What standard manual wheelchair is the most customizable?

Answer 18

K0005

Question 19

What wheelchairs are indicated for short term use?

Answer 19

K0001, K0002, K0003, K0004

Question 20

What wheelchairs are indicated for long term use?

Answer 20

K0005, tilt-in-space

Question 21

Generally describe K0001-K0003 chairs

Answer 21

Heavier, basic manual wheelchairs with minimal adjustability and are most appropriate for short-term use

Question 22

What is the standard seat height from the floor for a standard wheelchair?

Answer 22

18 - 20”

Question 23

What is the standard seat height from the floor for a hemi wheelchair and why?

Answer 23

17.5 - 18.5” to allow for self propulsion with LE

Question 24

When would a pt qualify for a K0004?

Answer 24

Qualify for a basic manual wheelchair, but requires a seat width, depth, or height that can’t be accommodated by a basic chair

Question 25

How long will a pt with a K0004 chair spend in the chair, and what is their functional ability?

Answer 25

Will use a wheelchair more than two hours per day, and they are unable to perform all ALDs efficiently in a basic chair

Question 26

How is qualification for a K0005 established?

Answer 26

Functionally, not based on diagnosis

Question 27

What will justification for a K0005 include?

Answer 27

Ruling out why a lower level chair will not meet the pt needs and a description of the client's routine activities and whether they are fully independent in the use of their chair

Question 28

When would a tilt-in-space chair be appropriate?

Answer 28

Dependent for mobility, unable to perform independent pressure relief, requires gravity-assisted positioning, requires postural support, goal is to increase sitting tolerance, improved sight due to forward head posture, will benefit from trunk support for respiratory function, requires safe positioning for gravity-assisted swallowing

Question 29

What are three conditions that will lead to justifying a power wheeledchair?

Answer 29

1. Unable to propel manual chair 2. Home has adequate access 3. Use will significantly improve ability to perform MRADLs

Question 30

What is the most basic and least adjustable powered mobility option?

Answer 30

Scooters

Question 31

What would lead to ruling out a scooter?

Answer 31

Poor trunk strength, difficulty with transfers, poor endurance, existing postural abnormalities, large turning radius

Question 32

What are the 5 characteristics of a group 1 powered wheelchair?

Answer 32

1. Most basic 2. Narrower turning radius than scooter 3. No postural abnormalities or risk for pressure injury 4. Basic seating with no extra stability or protection 5. No power seat functions

Question 33

What are the 6 characteristics of a group 2 powered wheelchair?

Answer 33

1. Characterized by "captain's seating" 2. Unable to safely transfer, operate, and maintain postural stability in scooter 3. Home does not have adequate access for operating scooter 4. Pt able to safely operate or have a caregiver willing to operate 5. Improve ability to participate in MRADLs 6. Can include tilt, recline, or ventilator mounted

Question 34

What is the additional criteria for a group 3 powered wheelchair?

Answer 34

Pt has a neurological condition, myopathy, congenital skeletal deformity

Question 35

What are the 5 benefits of a group 3 chair compared to a group 2 chair?

Answer 35

1. Allow integration of rehab seating, better wheel suspension 2. Multiple drive control options 3. Option of power tilt, recline, legs, elevate 4. Greater obstacle climb and battery 5. Tighter turning radius, increased speed

Question 36

What are the two additional criteria for a group 4 powered wheelchair?

Answer 36

1. Improved suspension to minimize pain and triggers of spasticity when driving 2. Requires stable base to safely use functions of seat elevation and standing

Question 37

What three characteristics are included in a group 4 chair than a group 3 chair?

Answer 37

1. Designed for stability to accommodate power tilt, recline, elevating legs, standing 2. Suspension designed for multiple terrains and can decrease transmission of bumps and vibration 3. Batteries last longer

Question 38

What are the thee options for power wheelchair controls?

Answer 38

Joystick, head switch, sip and puff