Fully updated and expanded in its second edition, Seating and Wheeled Mobility: A Clinical Resource Guide presents clinical assessment considerations when working with a person with a mobility disability. The book provides a wide spectrum of information, from foundational information for those practitioners who are new to the field, to in-depth, population-specific information for practitioners who perhaps have not worked with a particular population in the past. The book is divided into sections, each section addressing a different area of clinical practice in wheelchair seating and mobility. The first section is an in-depth presentation of the assessment process and pressure management. The range of available seating supports is presented as part of the product selection process, including matching the person`s needs with available technology. The second section focuses on 24-hour postural care. Three types of sitters are presented: hands-free, hands-dependent, and prop sitters. Included is the most current method to measure and describe the seated person and related support surfaces needed when recommending a device. The third section lays the foundation for clinical decision making around the selection and fit of the most appropriate wheeled mobility device - manual/power wheelchair or scooter. The fourth section provides in-depth clinical applications for each mobility category. On-time mobility for the very young, power seating, and mobility skills training are addressed. The fifth section provides population specific clinical application of position, pressure management, and mobility for the pediatric, geriatric, and bariatric populations, as well as persons with both degenerative and complex neuromuscular impairments. The sixth section presents additional considerations when working with persons who are aging with a disability, considerations of the environment of use, safe transport of a wheelchair, and the application of wheelchair standards in the clinic. Finally, measuring outcomes throughout the service provision process and a look at the past, present, and future of complex rehab technology is included. Richly illustrated throughout, this book has been carefully designed to support occupational and physical therapists, suppliers/distributors, and funders/payers who are interested in wheelchair seating and mobility assessment and applications. TABLE OF CONTENTS Postural Support and Pressure Management Seating and Mobility Evaluations for Persons with Long-Term Disabilities Focusing on the Client Assessment Pressure Management for the Seated Client Seating System Categories and Clinical Indicators Postural Support and Pressure Management Clinical Applications Postural Support and Pressure Management Considerations for Hands-Free Sitters Postural Support and Pressure Management Considerations for Hands-Dependent Sitters Postural Support and Pressure Management Considerations for Prop Sitters Standardized Measures of the Person, Seating System, and Wheelchair The Mobility Algorithm Manual (Self-Initiated) Mobility Categories and Clinical Indicators Power Mobility Categories and Clinical Indicators Dependent Mobility Categories and Clinical Indicators Wheeled Mobility Optimally Configuring Manual Wheelchairs for Self-Propulsion Power Mobility Assessment Determining Readiness and Providing ON Time Mobility Power Seat Functions Putting Evidence into Practice Power Mobility Optimizing Driving Power Mobility Power Mobility Advanced Features and Applications Training Manual and Power Wheelchair Mobility and Maintenance Skills Putting It Together Considerations When Working with the Geriatric Population Considerations When Working with the Bariatric Population Considerations When Working with Degenerative Neurological Conditions Considerations When Working with Complex Neurological and Orthopedic Presentations Related Content Considerations When Working with a Person Who Is Aging with a Disability Environmental Assessment Wheelchairs and Transportation What Are Standards for Wheelchairs and Wheelchair Seating? Documentation of the Seating and Mobility Assessment Measuring Seating and Wheeled Mobility Outcomes Complex Rehab Technology in North America
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