Unit 1: Wheelchair Service Flashcards Preview

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Flashcards in Unit 1: Wheelchair Service Deck (19)
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1
Q

What are the 2 wheelchair referral patterns

A

Direct referral for a specific chair

Referral for full assessment

2
Q

What pattern does age distribution of wheelchair referral show

A

Biphasic: peaks in early age and in elderly

3
Q

What are the 2 main problems that lead to wheelchair use

A

Neurological deficit

MSK problems

4
Q

What are the priority cases to be seen in clinic

A
Children
All cases requiring special seating
All self-propelling chairs
All potential power-chair users
All patients from Dundee (local) area
5
Q

What form is typically used in patient documentation

A

Wheelchair Prescription Form

6
Q

What is measured during physical assessment for wheelchair prescription

A
Height and weight
Hip width
Thigh length
Shank or calf length
Shoulder to seat length
Arm height 
Cushion needs
7
Q

What 3 main factors should be considered when prescribing a wheelchair

A

Needs of the user and their future aspirations
Needs of the carer
The environment that the wheelchair will be used in

8
Q

What is the ideal chair width

A

Hip width plus 4cm

9
Q

What is ideal chair depth

A

Thigh length minus 2cm

10
Q

What is ideal footplate position

A

Feet flat on the plate with thighs horizontal

11
Q

What is ideal back rest height

A

Back of the wheelchair just below the edge of the scapula

12
Q

What is ideal arm rest height

A

Should allow user to rest arms on arm rest comfortably

13
Q

What is the most common optimum wheel size

A

24inch

14
Q

When are armrests appropriate/not appropriate

A

Appropriate for elderly who need extra support when transferring in and out of chair
Not appropriate for young active users

15
Q

When should an electric chair be considered

A

When the user cannot self-propel easily with their hands or feet

16
Q

What important assessments are used before electric wheelchair prescription

A

Spatial awareness
Psychological stability
Road test

17
Q

Why is a domiciliary visit useful before wheelchair prescription

A

Assess how suitable home environment is for wheelchair
Builds confidence in using chair in own environment
Team can assess implications of topography
Allows practice of using chair/getting chair in/out of car
Ensures user can understand safety features of an electric chair

18
Q

What are 4 potential dangers of wheelchairs

A

Tipping back
Tipping forwards
Brakes
General electric chair use (esp when going up and down kerbs)

19
Q

When is wheelchair follow-up necessary

A

In children
In patients with changing medical/domestic conditions
In patients who have follow-up needs identified in clinic