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Power Mobility and Safety Concerns Power mobility can enhance participation in daily activities as well as activities for people in long-term care. These devices also raise safety concerns, which must be addressed. Rather than exclude residents with a specific diagnosis from the use of power mobility that could be considered risk management prejudicial, most participants chose to take an approach based on teleology and let everyone try out the power mobility device. Mobility A power mobility device allows people with limited ability to move about their community or home and participate in daily living activities that are otherwise unavailable to them. However, these devices can also pose a risk for the person who uses them, and also to other people who share their environment or space. Occupational therapists must carefully assess the safety needs of each client prior to making recommendations about powered mobility. In an exploratory study conducted by OTs at three residential facilities of the Vancouver Coastal Health Authority, qualitative interviews were conducted with residents to evaluate their power mobility use. The objective was to develop a framework for client-centred power mobility prescribing. The results revealed four main themes: (1) the meaning of power mobility, (2) learning the rules of the road, (3) red flags concern about safety and (4) solutions. Power mobility can greatly improve the quality of life for those who have limited mobility, allowing them to participate in a variety of daily living activities, both at home and in the community (Brandt, 2001; Evans, 2000). Self-care, active and recreational jobs are essential for the physical and mental well-being of people who are older. For those suffering from chronic illnesses, power mobility can be a means to participate in these essential activities. Participants found it unacceptable to remove a wheelchair from a resident's home, as this would disrupt their life's story and progression and hinder them from performing the same things that they had prior to their illness progressed. This was particularly relevant to those in Facility 1 who were able to maintain their power chairs for short durations and were forced to rely on others to move them around the facility. Another potential solution was reducing the speed at which some residents drove their chairs, but this raised a number of issues, such as a lack of privacy and the impact on other residents in the community. Ultimately, removing the chair of a resident was deemed the most drastic and least desired solution to security concerns. Safety Power mobility allows those with disabilities to get around more freely and take part in a wider variety of activities, and even complete around. With the increased mobility comes an increased chance of accidents. For some, these accidents can cause serious injuries to themselves and others. This is why it is vital to think about the safety of your client prior to recommending that they use a power mobility. First, determine if your client is able to safely operate their power chair or scooter. This could include an assessment of physical health by a physician or occupational therapist, or a mobility specialist, based on the nature of your client's disability as well as their current health. In some instances, a vehicle lift will be required to allow for your client to unload and load their mobility device at home, in the community or at work. Another aspect of safety is learning the rules of the road. This includes sharing space with other pedestrians, wheelchair users and the drivers of buses or cars. This topic was mentioned by most participants in the study. For some, this required learning to use their wheelchairs on sidewalks instead of driving through areas that were crowded or over curbs (unless specifically designed for doing this). For others it meant driving slowly in a busy environment and keeping an eye out for people walking. The last and least preferred option that was to take away the wheelchair of a person, was viewed as a double-punishment as it would mean losing mobility, and also preventing the person from participating in activities with the community or at facilities. Diane and Harriet among others were among those who had their chairs removed. The participants also suggested that family members, and staff members be trained on the safe use of power mobility. This could involve teaching the fundamentals of driving (such as using the right side of a hallway) and encouraging residents to practice driving skills while out, and helping them to understand how their behavior can influence the mobility of others. Follow-Up A power mobility device can significantly impact a child's ability to function and take part in life. There isn't much research into the experiences children go through when they first learn to use these devices. This study employs a pre-post design to examine the effects of six months of experience using one of four early power mobility devices on the children in school with severe cerebral palsy (CP). are green power mobility scooters any good conducted qualitative interviews with 15 parents and also occupational and physical therapists who work with children. Thematic analysis revealed three major themes. The first, 'Power in mobility,' explained the ways in which a powered device changed more than just the locomotor abilities. Learning to drive a mobility device was often a transformative, emotionally charged experience for those who participated. The second theme , 'There's no recipe book' showed that learning to make use of an equipment for mobility was a process that took place in a continuous manner over time. The therapists were asked to determine what was realistic based on each child's abilities and needs. In the initial phase of training and afterwards, therapists needed to be patient with children as well as parents. Many parents and therapists mentioned the need to assist families celebrate their successes and solve problems that arise from the process of training. electric power scooters , 'Shared space The study explored how the use of an electric device can affect the lives of others and how they interact. The majority of participants in this study believed that people should be considerate when using a power device. This is particularly true when driving in public areas. Participants also shared that they've witnessed situations where property of someone else's had been damaged by the use of a motorized device or a person had been injured by a driver who did not yield the right of way. Overall, the results of this study suggest that short-term power mobility and socialization training appears feasible for preschoolers with CP in certain classroom environments. The next research study should investigate the training and outcomes for this kind of intervention for children with CP. This could lead to more standard training protocols for children with CP.