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The guidelines focus on manual wheelchairs and the needs of long-term wheelchair users. The recommendations are targeted at those involved in wheelchair services, ranging from design and planning, to providing or supplying wheelchairs and their maintenance.
These Wheelchair provision guidelines aim to support improved accessto appropriate wheelchairs, for all those in need, including children, older persons, people with mobility disabilities, and those with chronic health conditions. They are relevant for all countries and apply to all wheelchair users and types of wheelchairs. They emphasize that the best outcomes in wheelchair access occur when wheelchair users have the benefit of an individual process of assessment, fitting, training and follow up, provided by trained personnel. Their purpose is to ensure that wheelchair users have timely access through wheelchair services that are people-centred and responsive to their needs. Target audiences are those with a role in planning, delivery, monitoring and evaluation of wheelchair provision. This includes policy-makers, wheelchair service personnel, and wheelchair user representative organizations.
Volume numbers determined from Scope of the guidelines, p. 12-13.
4. EVIDENCE-BASED BEST PREACTICES FOR THE PREVENTION OF FALLS: 4.1 Existing practice guidelines ; 4.2 Best practices for fall prevention ; 4.3 Selecting appropriate approaches according to setting; 4.4 Recovery from a fall ;4.5 Factors influencing client compliance in fall prevention . 5. SUPPORTING FALL PREVENTION STRATEGIES. 6. THE WAY FORWARD; References; List of tables and figures; Appendix A: Risk factors for falls and fall-related ; Appendix B: List of the Public Health Agency of Canada's resources on seniors' falls.
The Wheelchair Evaluation: A Clinician’s Guide, Second Edition is an updated, practical, and concise reference on the wheelchair prescription process. It’s perfect for students and clinicians in the health fields who work with physically disabled individuals in need of a wheelchair. This book is a portable, hands-on manual that implements a real-world approach to patient evaluation, choice of wheelchair components, documentation, and funding.
(a) Design and construction. (1) Each facility or part of a facility constructed by, on behalf of, or for the use of a public entity shall be designed and constructed in such manner that the facility or part of the facility is readily accessible to and usable by individuals with disabilities, if the construction was commenced after January 26, 1992. (2) Exception for structural impracticability. (i) Full compliance with the requirements of this section is not required where a public entity can demonstrate that it is structurally impracticable to meet the requirements. Full compliance will be considered structurally impracticable only in those rare circumstances when the unique characteristics of terrain prevent the incorporation of accessibility features. (ii) If full compliance with this section would be structurally impracticable, compliance with this section is required to the extent that it is not structurally impracticable. In that case, any portion of the facility that can be made accessible shall be made accessible to the extent that it is not structurally impracticable. (iii) If providing accessibility in conformance with this section to individuals with certain disabilities (e.g., those who use wheelchairs) would be structurally impracticable, accessibility shall nonetheless be ensured to persons with other types of disabilities, (e.g., those who use crutches or who have sight, hearing, or mental impairments) in accordance with this section.
The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.
The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.
This manual helps the therapist to identify a positioning problem and perform a thorough assessment of the client to determine the cause of the problem. It also enables the therapist to assess available appliances and techniques to determine the most effective solution. It is intended to assist with clients who have mild to moderate positioning problems. A listing of manufacturers and distributors of existing and new equipment is included. This second edition assures optimal quality of life for the disabled adult by meeting the following objectives: Maximization of participation and independence in performing activities of daily living. Promoting the ability to interact with the environment. Prevention of pressure sores and alleviation of pain. Prevention of deformities. Provision of comfort. Facilitation of transfers and mobility. Assurance of safety.
"Seating and Wheeled Mobility: A Clinical Resource Guide presents clinical assessment considerations when working with a person with a disability who may need wheelchair seating for postural support, skin integrity, or a wheelchair base to best meet dependent or independent mobility needs. Michelle L. Lange and Jean L. Minkel have designed this text to support occupational and physical therapists, complex rehabilitation technology suppliers, and even third-party payers who are interested in wheelchair seating and mobility assessment and applications. Seating and Wheeled Mobility 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. Information sharing, opportunities for demonstration and trial, and patience on the part of the clinician working with the person with a disability are all critical precursors to the actual process of making equipment recommendations. Seating and Wheeled Mobility is divided into sections, each addressing a different area of clinical practice: - The first section is an in-depth presentation of the assessment process and the critical understanding of pressure management needed by the clinical team when working with a client population who rely on wheeled mobility. - The second section focuses on postural support. Also included is a completely updated 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 assessment for and application of the most appropriate wheeled mobility device"--Provided by publisher.