Client 1:
In case of Alexa, who had a hip replacement, the anatomical approach is the large 20” wide wheelchair as the anatomy of the wheelchair is comfortable for her. The contoured gel seat could reduce her pain and make her comfortable during seating. The lateral support could meet her requirement and provide external support during movement (Rushton et al., 2013).
The standard wheelchair is approachable in this case from the other approaches as it could provide head rest which would be comfortable for the patient.
Other equipment includes crutches or walking accessories could be provided by the hospital that could help her in walking without the help of others (Fang et al., 2014).
Client 2:
In case of Bill the anatomical approach is the tilt in place wheelchair as the anatomy like presence of O2 holder in the wheelchair is required as he is suffering from COPD, due to which shortness of breath occurs, thus the wheelchair could reduce the restlessness and help him to carry oxygen cylinder.
Other approaches are not required in this case as the patient has ability to transfer himself and walk short distance.
Other mobility related equipment like rolling walker could be availed by him from various equipment stores and from online, for example from quickie wheelchair in order to use it in the workplace to show car to the customers (Ewing, Grande & National Association for Hospice at Home, 2013).
Client 3:
Hemi wheelchair is appropriate for Cecelia according to her height and weight. It provides wedges seat that is beneficial for her. The seat belt in the wheelchair could reduce the risk of fall and the alarm clock in the wheelchair is helpful as she is suffering from short time memory deficit (Mitchell et al., 2014).
The short 16” wide wheelchair can be applicable from the other approaches as she likes drinking coffee continuously, the lap board in the wheelchair could be comfortable for her.
Other walking equipment is not appropriate for Cicilia as she has a history of falling while using front-wheeled walker.
Client 4:
Dahli has intension to lean to right as he had a profound stroke that has affected his right side. Thus, the anatomical approach of hemi wheelchair would be helpful for him due to the presence of contour back and seat belt that could prevent him from leaning to right and the alarm clock could be used during emergency.
Position changing could be introduced through reclining wheelchair as it provides abductor wedge that could help him to positioning his right leg to the leg rest.
Other mobility related equipment could not be beneficial in this case as the patient had stroke due to which his right side got affected.
Client 5:
In the case of Lupe the occupational approach of standard wheelchair is preferable as she is not suffering from any serious mobility related issue except rheumatoid arthritis and occupational therapy with the wheelchair would help her to improve her movement. The head rest and adjustable feature of the wheelchair could be beneficial to her as it would reduce the pain due to using laptop or computer for a long time (Rushton et al., 2013).
Position change and other approaches are not required in this case.
Other equipment like wheel walker could be provided by the hospital to make her able to visit other elders in the facility (Fang et al., 2014).
Client 6:
The anatomical approach of large 20” wide wheelchair is appropriate for Fatima as she wants to sleep in the wheelchair. The large place, removable arm rest and break extensions could facilitate her to sleep in the wheelchair and reduce the risk of skin integrity. The lateral support could provide relaxation to the spinal cord injury (Rushton et al., 2013).
Positioning change could be introduced through using tilt in space wheelchair as it also facilitates her sleep in the wheelchair.
Additional equipment like wheelchair scooter could be availed by her that is available in equipment stores and online stores like quickie wheelchair in order to reduce worry related to getting back to work (Ewing, Grande & National Association for Hospice at Home, 2013).
Client 7:
Richard is a 65 years old man who had faced an accident while returning home from his workplace. He is unable to move without the help of care providers as his right leg has been broken. Due to brain injury he is suffering from cognitive impairment that increases his risk of fall. Thus his family members want to provide him a wheelchair until his recovery to facilitate his movement and reduce the risk of fall. Richard is 5’5” tall and weighs 135 lbs.
In this case the occupational approach of hemi wheelchair is applicable as the therapy could help the patient in improving mobility. The seat belt could reduce the risk of fall and the alarm clock could be used to monitor any fall case or the patient could use it during emergency (Mitchell et al., 2014).
From the other approaches standard wheelchair could be provided to the patient as he is not suffering from severe mobility issue and the adjustable feature of the wheelchair could facilitates the position change of the patient.
Other equipment like crutches and wheel walker could be provided by the hospital in order to improve the mobility of the patient (Fang et al., 2014).
Reference:
Ewing, G., Grande, G., & National Association for Hospice at Home. (2013). Development of a Carer Support Needs Assessment Tool (CSNAT) for end-of-life care practice at home: a qualitative study. Palliative Medicine, 27(3), 244-256.
Fang, H., Zhang, G., & Jian, J. (2014). Design and Movement Simulation to the Cam of the Testing Device for capacitor encapsulation equipment. Open Journal of Modelling and Simulation, 2(04), 138.
Mitchell, I. M., Viswanathan, P., Adhikari, B., Rothfels, E., & Mackworth, A. K. (2014, June). Shared control policies for safe wheelchair navigation of elderly adults with cognitive and mobility impairments: Designing a wizard of oz study. In American Control Conference (ACC), 2014 (pp. 4087-4094). IEEE.
Rushton, P. W., Miller, W. C., Kirby, R. L., & Eng, J. J. (2013). Measure for the assessment of confidence with manual wheelchair use (WheelCon-M) version 2.1: reliability and validity. Journal of rehabilitation medicine, 45(1), 61-67.
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