Specialized Seating and Pressure Management Principles for the Bariatric Client
|
|
|
- Cora O’Neal’
- 6 years ago
- Views:
Transcription
1 Specialized Seating and Pressure Management Principles for the Bariatric Client Jennifer Birt, OT Reg(MB) Specialized Seating and Mobility Clinical Specialist HSC (p) October 10, 2012
2 Definitions and Context Bariatrics: the branch of medicine that deals with the causes, prevention, and treatment of obesity. bar = weight iatrics = treatment pertaining to Specialized Seating: any individual who requires the use of wheeled mobility (manual or power) full time Bariatric Specialized Seating: any individual who requires the use of wheeled mobility full time and weighs more than 250 lbs Pressure Management for Specialized Seating: assessment and intervention of risk factors for pressure ulcer development related to pressure, shear, friction and microclimate factors in sitting
3 Bariatric Specialized Seating Literature search: 14 results PubMed, CINHAL, Summons, Bison, and Scopus Expert opinion and consensus: RESNA, ISO, ISS, and CSMC Outcomes and EBP: one must have published research outcomes in order to apply evidence-based practice. In order to do research one must have a method of measuring the effectiveness of a particular intervention (Schmeler, 2010) Outcome evaluation parameters for seating: Standardized tools: FEW, WhOM, QUEST, ICF Activity Measure Identify and quantify issues at baseline and compare post intervention: skill performance based (e.g. WST) pressure analysis based (e.g. FSA) clinical observation based (e.g. digital photos) performance component based (e.g. pain VAS) satisfaction based (e.g. comfort and sitting tolerance)
4 Bariatric Pressure Management NPUAP/EPUAP CPGs for prevention and treatment (2009) relevant for seating: Equipment selection: Consider using features that provide air flow over the surface of the skin to facilitate fluid evaporation if the skin is excessively moist Use a wheelchair and chair wide enough to accommodate the individual s girth Assessment & Positioning: Get adequate assistance to fully inspect all skin folds Avoid pressure on skin from tubes and other medical devices Use pillows or other positioning devices to offload pannus or other large skin folds and prevent skin on skin pressure
5 The Seating Process
6 Seating Pre-Screen Information gathering Presenting issues Apple shape issues Pear shape issues Gluteal shelf issues Pressure/skin issues Endurance and fatigue Environmental accessibility and transportation True weight history (1-2 years) Secondary medical conditions and diagnoses that impact strength, mobility, circulation, respiration
7 Initial Assessment 4 components: 1.Seating assessment 2.Pressure assessment 3.Mobility assessment 4.Environmental assessment Staff safety Weight capacity of evaluation tools Proper type of evaluation tools Palpation challenges Correlation of soft tissue in supine vs sitting Force behind destructive postural tendencies with soft tissue distribution Measurement considerations Rear wheel axle location and adjustability Overall width and depth of mobility base
8 Initial Assessment 4 components: 1.Seating assessment 2.Pressure assessment 3.Mobility assessment 4.Environmental assessment Visual inspection & palpation Primary & secondary weight bearing surfaces in sitting Seating skin folds Standardize digital photos for outcome comparison pressure mapping calibration range and sensor mat size Heat and moisture skin indicators Friction and shear skin indicators
9 Initial Assessment 4 components: 1.Seating assessment 2.Pressure assessment 3.Mobility assessment 4.Environmental assessment Center of mass and correlation with rear wheel axle position Caster loading Mobility tolerance vs mobility for exercise Popliteal clearance with foot propulsion Wheel access for pear shapes spatial awareness with manoeuvrability Effectiveness of pressure redistribution movements wear on equipment Effectiveness of transfer movement wear on equipment
10 Initial Assessment 4 components: 1.Seating assessment 2.Pressure assessment 3.Mobility assessment 4.Environmental assessment Universal design codes minimum standards vs ideal access Understand implication of mobility base width on access: Manual wheelchairs = seat base + 8 Power wheelchairs = armrest/joystick width Understand implication of mobility base length on access: Depth accommodation for gluteal shelf = longer turning radius Community challenges: washrooms & elevators Transportation challenges: weight capacity of loading equipment loading and unloading heavy duty equipment
11 Equipment Trial Outcome measurement Goal-oriented weight capacity AND sizing considerations availability through suppliers mobility base considerations: - overall width - folding vs rigid - adjustability cushion considerations: - microclimate - durability - pre-contoured shapes backrest considerations: - integrated laterals - gluteal shelf accommodation
12 Prescription Prognosis considered Goal-oriented Outcome driven Advocacy Weight capacity AND sizing considerations Take home message: weight capacity should not be the only reason for selection consider ALL product parameters related to pressure management, positioning, comfort, mobility, & function Bariatric = expensive valid justification essential Use objective outcomes to evaluate success with equipment to justify prescription
13 Fitting Equipment set-up Education & training Establishing functional performance Equipment set-up for: - propulsion & driving efficiency - transfers - balance and posture Goals achieved Graduated sitting and skin protocol Effective strategies established for: - transfers - functional mobility - positioning and repositioning service schedule for maintenance and repairs guidelines for performing skin checks
14 Follow-up and Re-evaluation Durability of goal achievement compared to fitting Common indicators for re-evaluation: - change in medical status - secondary medical condition complications - significant weight changes - equipment breaking down - change in skin condition - deterioration in mobility
15 Resources 1. Stan Arledge, ATP, et. al. RESNA Wheelchair Service Provision Guide, ( 2. Mark R. Schmeler, Phd, OTR/L, ATP. The Need for an Outcome Management System in Complex Rehabilitation Equipment, Online publication through the National Registry of Rehabilitation Technology Suppliers (NRRTS) ( 3. Jane Fontein, OT (M). The Medical Benefits of Tilt and Bariatric Manual Mobility: The Issues, 2010 power point presentation. Can be accessed through PDG Mobility s website ( 4. Laurie Watanabe. The Anatomy of Bariatric Mobility. Understanding the Unique Clinical, Accessibility & Funding Challenges, June Online publication Mobility Management ( 5. Pressure Ulcer Prevention Collaborative, Queensland Health. Pressure Ulcer Prevention and Management Guideline. Specialty fact sheet for practical considerations for the severely obese patient, ( 6. National Pressure Ulcer Advisory Panel (NPUAP) and European Pressure Ulcer Advisory Panel (EPUAP). Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline, ( 7. Jane Fontein, OT (M) and Stephanie Tanguay, OTR, ATP (M). Seating and Mobility Solutions for Bariatric Customers, Presented at the 25 th International Seating Symposium (ISS) ( 8. Maxine Steinman. The bariatric client: Understanding and management, Online publication Rehab & Community Care ( 9. Stephanie Tanguay, OTR, ATP/S and Jane Fontein, Bsc. OT. Prescribing wheelchairs for bariatrics, Online publication Rehab & Community Care ( 10. Jean L Minkel, PT, Susan Johnson Taylor, OTR/L, and Brenda Canning, OTR/L. Seating and Mobility, Presented at the 23 rd ISS ( 11. Weibin Yang, MD, MS, Leslie Wilson, OTR, MOT, ATP, Ijeoma Oda, MS, OTR, and Jingsheg Yan, PhD, MP. The Effect of Providing Power Mobility on Body Weight Change, American Journal of Physical Medicine & Rehabilitation. 12. Bill Miller, PhD, MscOT, Margo B. Holm, Phd, OTR/L, and Craig Velozo, PhD, OTR. Wheelchair Outcome Tool Briefs, 2005 (volume 7, issue 3). Online publication International Journal of MS Care ( 13. Louise Demers, Rhoda Weiss-Lambrou, and Bernadette Ska. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0): An overview and recent progress, Technology and Disability 14 (2002)
16 Questions
Presented By: Jennifer Birt, OT Reg(MB) Specialized Seating & Mobility Clinical Specialist
Presented By: Jennifer Birt, OT Reg(MB) Specialized Seating & Mobility Clinical Specialist 2013 1. Define and understand the concept of practical pressure management and categorizing individuals at different
Presented by: Jennifer Birt, OT Reg(MB) Specialized Seating and Mobility Clinical Specialist Rehabilitation Day Program
Pressure Management Assessment Tool (PMAT): Development and Implementation of a Comprehensive Clinical Evaluation for Managing Pressure from a 24 Hour Perspective Presented by: Jennifer Birt, OT Reg(MB)
07/13/2017. Introduction. What Does Bariatric Mean? Learning Objectives. Bariatric vs Heavy Duty
Introduction Bariatric Manual Wheelchairs Cindy Duff PT, ATP/SMS July 18, 2017 Cindy Duff, PT, ATP/SMS cynthia.duff@dhha.org 29 years as a physical therapist; at Denver Health, a level one trauma, safety
11/2/2017. Individualized Seating and Wheeled Mobility for the Older Adult
1 2 3 4 for the Older Adult Course Objectives Upon completion of this course the participant will be able to: Recognize the need for individualized seating and wheeled mobility Understand seating as it
The Basics of Wheelchair Seating and Positioning. Benefits of a Proper Seating Evaluation for Individuals with SCI
Objectives Allison Greenwood, OTR/L, ATP Senior Occupational Therapist Outpatient Neurologic Therapy The Basics of Wheelchair Seating and Positioning 1. Identify criteria for referral for a seating evaluation
SUPPORT SURFACES AND POSITIONING
SUPPORT SURFACES AND POSITIONING American Medical Technologies Irvine, CA 1 Disclaimer The information presented herein is provided for educational and informational purposes only and to promote the safeand-effective
COMPLEX SEATING SPECIALISTS
COMPLEX SEATING SPECIALISTS Dedicated to improving your lifestyle At Specialised Wheelchair Company (SWCo) we are passionate about providing the best service for our clients. We have established a team
Functional Mobility. What does that mean? 6/26/2013. Evaluation for Seating and Wheeled Mobility
Evaluation for Seating and Wheeled Mobility Mark R. Schmeler, PhD, OTR/L, ATP Jeannie Minkel, PT, ATP Kendra Betz, MSPT, ATP VA-Polytrauma 14 th Grand Rounds University of Pittsburgh Functional Mobility
1. Can self-propel, or use their foot to push (punt), a standard manual wheelchair 1 and be safe and able to do essential daily tasks.
Disability Support Services Equipment and Modifications Competency Framework Wheeled Mobility and Postural Management Introduction The Wheeled Mobility and Postural Management Credential recognises that
2/25/13. Obesity: having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher.
International Seating Symposium 2013 Ginger Walls, PT, NCS, ATP/SMS Medstar National Rehabilitation Network Washington, D.C. Jeff Cupps, ATP ATG Rehab, Baltimore, Maryland Participants will be able to
Wheelchair Seating: Are We Speaking the Same Language?
Universal Language Wheelchair Seating: Are We Speaking the Same Language? Andrée Gauthier, OT Reg. (Ont.) Seating Clinic, Lyndhurst Centre Toronto Rehab Institute University Health Network andree.gauthier@uhn.ca
The Seated Patient 15 th Biennial Conference New Orleans
The Seated Patient 15 th Biennial Conference New Orleans Track 1 March 11, 2017 Christine Berke MSN APRN-NP CWOCN-AP Nebraska Medicine cberke@nebraskamed.com 2017 National Pressure Ulcer Advisory Panel
2017 Portland/Seattle Nu Fair Class and Speaker Information
2017 Portland/Seattle Nu Fair Class and Speaker Information A1 2 Hours (0.2 CEUs) / The Art and Science of Seating: The Mat Evaluation Sponsor: Numotion Speaker: Susan Johnson Taylor, OTR/L Course Description:
BRODA CHAIRS YOUR BRODA CHAIR SPECIALISTS PROVIDING SOLUTIONS FOR YOUR SPECIALTY NEEDS
WWW.CLICKDME.COM Online Ordering DME Management Utilization Reports Financial Reporting PROVIDING SOLUTIONS FOR YOUR SPECIALTY NEEDS BRODA CHAIRS YOUR BRODA CHAIR SPECIALISTS WWW.ADVACARESYSTEMS.COM CUSTOMER
A New Approach to Pressure, Friction, Shear and Microclimate Management in Wheelchair Seating Imagine the Possibilities
A New Approach to Pressure, Friction, Shear and Microclimate Management in Wheelchair Seating Imagine the Possibilities Marty Carlson, MS(Engr.), CPO, Mark Payette, CO, ATP, Wieland Kaphingst, Dipl.-Ing.,
Understanding Tilt-in-Space Use in Shepherd Center Clients
Understanding Tilt-in-Space Use in Shepherd Center Clients Sharon Eve Sonenblum, ScM Monday, August 18th, 2008 Shepherd Center In-service What DO we know about Tilt-in-Space? Seating clinic prescribed
The Seating Interface For The Individual With SCI: Minimizing Risk and Maximizing Function
The Seating Interface For The Individual With SCI: Minimizing Risk and Maximizing Function Disclosure of PI- RRTC Grant James S. Krause, PhD, Holly Wise, PhD; PT, and Emily Johnson, MHA have disclosed
The Complex Rehab Technology Company. Focused on Providing Specialized Products and Related Services to People with Disabilities
The Complex Rehab Technology Company Focused on Providing Specialized Products and Related Services to People with Disabilities The Complex Rehab Technology Company What is Complex Rehab Technology and
A. PROCEDURE FOR REQUESTING WHEELCHAIR SEATING COMPONENTS
DISABILITY AND HEALTH SUPPORTS UNIT WHEELCHAIR SEATING MANUAL Department of Families Provincial Services Disability and Health Supports Unit As of April 2017 The Disability and Health Supports Unit (DHSU)
Do Not Live in Fear of Pressure and Shear
Do Not Live in Fear of Pressure and Shear Thomas Hetzel, PT, ATP Ride Designs, Denver, Colorado 2016, Aspen Seating/Ride Designs Course Objectives 1. Discuss the difference between posture and postural
Growth Capable. Mike 6 tall in a Granstand III MSS. Nichole 42 tall in a Kidstand III MSS
Growth Capable Granstand III MSS / Kidstand III MSS is Growth Capable! Unprecedented growth capability in one product - the Granstand III Modular Standing System is just that - A System! Granstand III
Managemen. Pressure Ulcer Prevention and Treatment. Guidance. Posture. Posture. Posture. Posture. Posture
men menm Pressure Ulcer Prevention and Treatment Guidance Post ture Manag The reduction of the numbers of s is a high priority for Southern Health NHS Foundation Trust Purpose of this guidance is to help:
Changes in Functional Mobility Outcomes of Individuals Receiving a New Seating/Mobility Device
Changes in Functional Mobility Outcomes of Individuals Receiving a New Seating/Mobility Device Virginia Fly Miranda Law Stacey Lindsley Lacey Little Spence Tomlinson Penny Powers, PT, ATP Renee Brown,
DEFINITION OF PRESSURE. Pressure = Force / Area
PRESSURE & POSTURE IN WHEELCHAIR SEATING DEFINITION OF PRESSURE Pressure = Force / Area ANATOMY OF THE SKIN Epidermis Dermis Subcutaneous Layer EFFECTS OF PRESSURE Occludes capillaries Restricts flow of
HAUSMANN SPACE PLANNING GUIDE A helpful guide to make the most of your space
HAUSMANN SPACE PLANNING GUIDE A helpful guide to make the most of your space Featuring Typical Treatment Furniture/Equipment Space Plans for Rehabilitation and Therapy Departments rev. 08.10.2016 2006-2016
PRODUCT GUIDE. Cardon Rehabilitation & Medical Equipment Ltd.
PRODUCT GUIDE Cardon Rehabilitation & Medical Equipment Ltd. 2015 Upholstery: We ve got over 80 upholstery color options to choose from! Convenience: Our patented Soft Touch Footswitch has been strategically
SEATING FOR CLIENTS WITH DEMENTIA AND CHALLENGING BEHAVIOURS CARMEN MURRAY AND KATHERINE MOROS Hamilton Health Sciences-St.
SEATING FOR CLIENTS WITH DEMENTIA AND CHALLENGING BEHAVIOURS CARMEN MURRAY AND KATHERINE MOROS Hamilton Health Sciences-St. Peter s Hospital Introduction The Behavioural Health Program is a 63 bed, specialized,
MOBILE AIR CHAIR. A new era in mobile pressure management. aspire for... Comfort Support Relief. S.W.L 180kg.
MOBILE AIR CHAIR A new era in mobile pressure management aspire for... Comfort Support Relief S.W.L 180kg World s leading high stretch, durable and breathable healthcare fabric Integrated Postural Support
Professional Development Workshops
Training Professional Development Workshops Pressure Injury Prevention & Management Breakfast in Bed Are You Sitting Comfortably Move It, Move It! Meet your presenter... Julia Salmon is a highly experienced
DO NOT SIT WITHOUT PROPER FIT. Objectives. Recommendations 4/23/2014 CSMC Participants will be able to:
DO NOT SIT WITHOUT PROPER FIT CSMC 2014 Presented by: Elizabeth Cole, MSPT, ATP Director of Clinical Rehab Services Objectives Participants will be able to: Match each anatomical measurement to the corresponding
Bear of a Problem: Who should be sleeping in which bed?
Bear of a Problem: Who should be sleeping in which bed? Dianne Mackey MSN, RN, CWOCN Wound/Skin Coordinator Kaiser Permanente San Diego California Evan Call MS, CSN (NRM) Adjunct Faculty Weber State University
Spinal Cord Injury Info Sheet An information series produced by the Spinal Cord Program at GF Strong Rehab Centre.
Spinal Cord Injury Info Sheet An information series produced by the Spinal Cord Program at GF Strong Rehab Centre. What does skin do? 1. It protects you. 2. It provides sensory information. 3. It helps
Blood Flow and Pressure Changes that Occur with Tilt-in-Space. Sharon Eve Sonenblum, PhD RESNA June 28 th, 2010
Blood Flow and Pressure Changes that Occur with Tilt-in-Space Sharon Eve Sonenblum, PhD RESNA June 28 th, 2010 Background Justification: lack of ability to independently reposition or do pressure reliefs
ENCOURAGING AND EDUCATING THERAPISTS
MEETING THE UNMET NEED: ENCOURAGING AND EDUCATING THERAPISTS INTERNATIONAL SEATING SYMPOSIUM 2017 AMBER L. WARD, MS, OTR/L, BCPR, ATP/SMS STACEY MULLIS, OTR/L, ATP DISCLOSURES Amber L. Ward, MS, OTR/L,
S I G N AT U R E S E R I E S
S I G N AT U R E S E R I E S Since 1983, JAY has engineered products that provide the optimal combination of support, comfort and protection through progressive design and advanced materials. As industry
What s the Support, for Support?
What s the Support, for Support? Evan Call, MS, CSM 2017 National Pressure Ulcer Advisory Panel www.npuap.org A Note About Standards S3I Terms and Definitions were now 9 years old Should we find a different
Background BLOOD FLOW AND PRESSURE CHANGES THAT OCCUR WITH TILT-IN-SPACE. Tilt-in-Space for Pressure Relief. Pressure Ulcer Development
d 9/2/2009 BLOOD FLOW AND PRESSURE CHANGES THAT OCCUR WITH TILT-IN-SPACE Sharon Eve Sonenblum, Ph.D. European Seating Symposium September 15 th, 2009 Pressure Ulcer Development Possible mechanisms for
PRESSURE INJURIES WHAT S IN A NAME?
PRESSURE INJURIES WHAT S IN A NAME? LINDA NORTON MScCH, PhD candidate, OT Reg.(ONT) Motion Specialties, University of Toronto and University of Western Ontario The term pressure ulcer has been replaced
FSA Bed Assessment. Clinical. Retail. With FSA Clinical Bed mats you can: With FSA Retail Bed mats you can: Review patient position
Clinical With FSA Clinical Bed mats you can: Review patient position Adjust the surface interface FSA Bed Assessment Educate patients and staff Keep up-to-date Quick and simple to use, FSA Bed mats allow
Simple Seat Satisfaction Questionnaire (SSSQ)
Simple Seat Satisfaction Questionnaire (SSSQ) Radwan, A., Buell, J., Merchant, M., Oeser, M., Smith, J., Spilka, J., Wood, J. & Wydysh, J. (0). Validation of a Simple Seat Satisfaction Questionnaire. Journal
OCT 1100H April 27, 2017 WHEELCHAIR SERVICE STEPS
OCT 1100H April 27, 2017 WHEELCHAIR SERVICE STEPS Introduction Speakers/Facilitators: Pearl Gryfe, MScOT, OT Reg. (Ont.), Assistive Technology Clinic Marlene Adams, OT Reg. (Ont.), UHN, Toronto Rehabilitation
CLINICAL TEST CONCEPT
CLINICAL TEST CONCEPT Alu Rehab AS Bedriftsvegen 23 4353 Klepp Stasjon Norway T: +47 51 78 62 20 F: +47 51 42 58 25 post@my-netti.com Org.nr: NO 941 181 953 MVA Bank: 9688 05 00047 29.09.2015 Edited by;
CLINICAL BENEFITS OF TILT-IN-SPACE RESOURCE GUIDE
CLINICAL BENEFITS OF TILT-IN-SPACE RESOURCE GUIDE TABLE OF CONTENTS TILT-IN-SPACE CLINICAL JUSTIFICATIONS 2 CRITERIA, CLINICAL JUSTIFICATION AND FUNCTIONAL BENEFITS 3 MEDICAL CRITERIA AND JUSTIFICATIONS
VISTA400 REMOVABLE FOOT PLATE. Instructions For Use. Step on yellow pedals to close and open legs to go around chairs & ambulate.
VISTA400 Instructions For Use Squeeze the yellow bar & push down/pull up to activate pneumatic stand assist. Step on yellow pedals to close and open legs to go around chairs & ambulate. Pull yellow levers
11/27/2017. Wheelchair Seating for Clients with Low Muscle Tone. Low muscle tone - definitions. Learning Objectives
Tamara Kittelson-Aldred MS, OTR/L, ATP/SMS Missoula, Montana Wheelchair Seating for Clients with Low Muscle Tone Addressing Potential Orthopedic Challenges Posture 24/7 Eleanore s Project Occupational
AGILITY BACK SYSTEM. Durable, Versatile Wheelchair Back Systems Featuring ROHO AIR FLOATATION Technology
AGILITY BACK SYSTEM TM Durable, Versatile Wheelchair Back Systems Featuring ROHO AIR FLOATATION Technology What s AGILITY BACK SYSTEM? Table of Contents AGILITY Back System Features 2-3 AGILITY Minimum
Disability Support Services Equipment and Modifications Competency Framework Wheeled Mobility and Postural Management Introduction The Wheeled Mobility and Postural Management Credential recognises that
Pressure Ulcers ecourse
Pressure Ulcers ecourse Module 4.1: Prevention of Pressure Ulcers Handout College of Licensed Practical Nurses of Alberta (Canada) CLPNA.com and StudywithCLPNA.com CLPNA Pressure Ulcers ecourse Module
Sensory. Physical. Cognitive. Language 4/12/2016 LEARNING OBJECTIVES AT ASSESSMENT: SKILLS EVALUATION OVERVIEW
ASSISTIVE TECHNOLOGY ASSESSMENT: SEATING AND POSITIONING FOR ACCESS Anne Cronin 2016 LEARNING OBJECTIVES Describe the principles related to assessment and intervention in assistive technology (AT) service
To Whom It May Concern:
To Whom It May Concern: J is a 44 year old male with a diagnosis of Type 2 Spinal Muscular Atrophy. He is 5 5.5 in height and weighs 130 lbs. He lives in a wheelchair accessible home. J is physically unable
OPNAVINST G 30 Dec 05
Appendix 23-B Computer Workstation Checklist The computer workstation checklist is one method available for performing computer workstation assessments. The checklist is designed to be printed as two double-sided
Occupational Therapy: INTERVENTION AND INDEPENDENCE
Occupational Therapy: INTERVENTION AND INDEPENDENCE What is Occupational Therapy? A therapy to help people find ways to do things that matter to them Dressing, bathing, toileting Housekeeping Leisure Community
Body Mechanics and Safe Patient Handling
Body Mechanics and Safe Patient Handling Body Mechanics means using the body in an efficient and careful way involves good posture, balance, and using your strongest and largest muscles for work good body
CLINICAL BENEFITS OF TILT-IN-SPACE RESOURCE GUIDE
CLINICAL BENEFITS OF TILT-IN-SPACE RESOURCE GUIDE TABLE OF CONTENTS TILT-IN-SPACE CLINICAL JUSTIFICATIONS 2 CRITERIA, CLINICAL JUSTIFICATION AND FUNCTIONAL BENEFITS 3 MEDICAL CRITERIA AND JUSTIFICATIONS
PURPOSE OF A COMFORT WHEELCHAIR
PURPOSE OF A COMFORT WHEELCHAIR PURPOSE OF A COMFORT WHEELCHAIR FEEDBACK AND ANSWERS FROM DISCUSSIONS WITH HEALTH PERSONNEL Get up from bed and be more healthy Long term passive seating is dangerous. A
9/6/2017. Cushion and Back Comparison: What s New? Disclaimers. Objectives
Cushion and Back Comparison: What s New? Presented by: Erin Michael, PT, DPT, ATP/SMS Manager, Patient Advocacy and Special Programs International Center for Spinal Cord Injury Kennedy Krieger Institute
Moving The Patient. From Our Perspective. From the Patient s Perspective. Techniques, Tips, and Tools
Moving The Patient From Our Perspective From the Patient s Perspective Techniques, Tips, and Tools From The Perspective of the Health Care Provider Does our training, clinical experience, and knowledge
Ergonomics. For additional assistance, contact the Occupational Safety office to schedule an evaluation.
Ergonomics 1. Purpose: Virginia Commonwealth University Department of Safety and Risk and Risk Management (SRM) developed this program to improve the health and happiness of it s employees by assisting
Adult Manual Wheelchairs. Etac Prio. Time to shape up!
Adult Manual Wheelchairs Etac Prio Time to shape up! Etac Prio - shape and support It s a matter of individual ability. Our aim is to make the most of the users ability, using shaping and supportive features.
Mobility Products Co.
2018 PARTNERS 2018 EXHIBITORS Company Name Booth Advanced Mobility Systems....................... 222 Altimate Medical Inc.............................. 109 Amylior Inc.......................................
Ottobock Custom Seating OBSS Tru-Shape, OBSS Ortho-Shape, NUTEC Seating. Reimbursement Reference Guide
OBSS Tru-Shape, OBSS Ortho-Shape, NUTEC Seating Reimbursement Reference Guide Reimbursement Reference Guide (Effective 11/1/2015) s Custom Seating works continually to improve the independence and quality
Adult Manual Wheelchairs. Etac Prio. Time to shape up!
Adult Manual Wheelchairs Etac Prio Time to shape up! Etac Prio - shape and support It s a matter of individual ability. Our aim is to make the most of the users ability, using shaping and supportive features.
Pressure Ulcer Prevention Guidelines
EUROPEAN PRESSURE ULCER ADVISORY PANEL Pressure Ulcer Prevention Guidelines INTRODUCTION Pressure damage is common in many healthcare settings across Europe, affecting all age groups, and is costly both
A wheelchair is a body orthosis on wheels. Understanding basic principles of seating. Seating REQUIREMENTS OF SEATING
Understanding basic principles of seating A wheelchair is a body orthosis on wheels. Bengt Engström Orthosis = splint FUNCTIONS OF AN ORTHOSIS Maintaining alignment Protecting weak muscles Protecting joints
MANUAL THE EXERCISE WHEELCHAIR. Movement-Enabling Rehab Equipment
Movement-Enabling Rehab Equipment MANUAL THE EXERCISE WHEELCHAIR Neurogym Technologies Inc. 2017 100-1050 Morrison Drive, Ottawa, ON, Canada neurogymtech.com ? FOR SERVICE OR PART INFORMATION CALL: + 1.877.523.4148
Course Objectives Shape Matters: Jackie Casey Darrell Burnett What kind of referrals do we get? Example of the Problem NOW referral Sally Referral
Shape Matters: Meeting complex posture and skin care needs through custom seating Jackie Casey, OTR/L & Darrell Burnett ATP Clinical Specialist Human Mobility Ottobock North America Email: Jackie.casey@ottobock.com
Sidewalk Roughness Standards Development
Sidewalk Roughness Standards Development Jon Pearlman Human Engineering Research Labs Assistant Professor @ Pitt Research Biomedical Engineering @ VA Human Engineering Research Labs Mission: To continuously
Assessment of the complex client from postural support to alternative driving options
Assessment of the complex client from postural support to alternative driving options Jean L. Minkel, PT, ATP Michelle Lange, OTR/L, ATP, SMS RESNA Conference July, 2018 Washington, DC THE EVALUATION PROCESS
Draft of Recommendations for Training and Use of Power Tilt systems
Draft of Recommendations for Training and Use of Power Tilt systems Chris Maurer, MS PT, ATP Sharon Sonenblum, PhD Offered by Stephen Sprigle, PhD, PT WHY? NO ONE TILTS(for pressure reliefs)! Medically
Adult Manual Wheelchairs. Etac Prio. Time to shape up!
Adult Manual Wheelchairs Etac Prio Time to shape up! Etac Prio - shape and support It s a matter of individual ability. Our aim is to make the most of the users ability, using shaping and supportive features.
Kinetic Seating: From the Office to the Wheelchair
Abstract Number: 50 Kinetic Seating: From the Office to the Wheelchair Farricielli, S Susan Farricielli P.O. Box 935 Branford, CT 06405 USA susan.farricielli@yale.edu Summary: Many manual wheelchair users
WOUND MANAGEMENT WHITE PAPER
WOUND MANAGEMENT WHITE PAPER Overview Occupational therapists and occupational therapy assistants 1 routinely work with individuals and populations who are at risk for or have sustained wounds. In 2000,
24 Hour Positioning, Passive Movements, Shoulder pain, Splinting, Use of Assistive Technology, Early Mobilisation, and the Home Environment.
24 Hour Positioning, Passive Movements, Shoulder pain, Splinting, Use of Assistive Technology, Early Mobilisation, and the Home Environment. Christine Hogg Physiotherapy Team Leader and Vicky Thomas Senior
Chapter 13. Body Mechanics. Elsevier items and derived items 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Chapter 13 Body Mechanics Body Mechanics Body mechanics means using the body in an efficient and careful way. It involves good posture, balance, and using your strongest and largest muscles for work. 2
Evaluation of the new flexible contour backrest for wheelchairs
Department Veterans Affairs Journal of Rehabilitation Research and Development Vol. 37 No. 3, II/lay/June 2000 Pages 325 333 Evaluation of the new flexible contour backrest for wheelchairs Frederic Parent,
Alberta Health. Alberta Aids to Daily Living Seating and Wheelchair Accessories Benefits Policy & Procedures Manual
Alberta Health Alberta Aids to Daily Living Seating and Wheelchair Accessories Benefits Policy & Procedures Manual October 1, 2016 Alberta Health, Alberta Aids to Daily Living Revision History Description
THERAPY AND EXAMINATION COUCHES GYNAECOLOGY CHAIRS
THERAPY AND EXAMINATION COUCHES GYNAECOLOGY CHAIRS sales@btlnet.com www.btlnet.com All rights reserved. Although every care has been taken to provide accurate and up-to-date information, no responsibility
INTRODUCING THE FROM
INTRODUCING THE FROM ERGONOMICS; A MEDICAL DEFINITION HUMAN ENGINEERING OR HUMAN FACTORS ENGINEERING An applied science concerned with the characteristics of people that need to be considered in designing
Effective Seating Assessments
Effective Seating Assessments Amy Barber @Yorkshire_Care #YORTRAINGOLD2017 www.yorkshirecareequipment.com Effective Seating Assessments A M Y B A R B E R O C C U PAT I O N A L T H E R A P I S T Y O RT
Update on Pressure Ulcers: Utilizing an Interdisciplinary Approach to Pressure Ulcer Prevention. Charlene A. Demers GNP-BC, CWOCN
Update on Pressure Ulcers: Utilizing an Interdisciplinary Approach to Pressure Ulcer Prevention Charlene A. Demers GNP-BC, CWOCN Scope of the Issue Cost $9 billion to $11 billion $20,000-$150,000 per ulcer
DON T JUST PROVIDE A BAND-AID ELIZABETH COLE, MSPT, ATP U.S. Rehab / VGM
DON T JUST PROVIDE A BAND-AID ELIZABETH COLE, MSPT, ATP U.S. Rehab / VGM Selecting the most appropriate product solutions for specific postural problems should be a thoughtful exercise in analyzing the
Ergonomics and Patient Handling Employee Training Modules. For the Fit Responder Injury Prevention Program
Ergonomics and Patient Handling Employee Training Modules For the Fit Responder Injury Prevention Program Key Points review: 1) There are a certain percentage of calls where a crew can control the environment.
Laboratory Ergonomics Self- Evaluation Checklist. Standing & Sitting Benches Yes No Change/Modification Comments
Standing & Sitting Benches Yes No Change/Modification Comments 1. Is the height of the bench appropriate for the work performed? A. Work should be positioned close to elbow height (36-40 ) B. Work should
International Pressure Ulcer Guidelines Update Aamir Siddiqui, MD, FACS Division of Plastic Surgery Henry Ford Hospital Detroit MI
International Pressure Ulcer Guidelines Update 2015 Aamir Siddiqui, MD, FACS Division of Plastic Surgery Henry Ford Hospital Detroit MI Disclosure Aamir Siddiqui has listed no financial interest/arrangement
Chapter 23 Body Mechanics, Positioning, and Moving
Chapter 23 Body Mechanics, Positioning, and Moving Question Is the following statement true or false? Good body posture distributes gravity through the center of the body over a wide base of support. Answer
2017 Seating & Wheeled Mobility: A Clinical Resource Guide. Slack Inc., Thorofare, NJ. Co-editor: Jean Minkel, PT, ATP.
APPENDIX A: PUBLICATIONS Presented by the following sections: Editorship, Texts, Text Chapters, Peer Reviewed articles, Non-Peer Reviewed articles and Other Publications in reverse chronological order
The revolutionary. Standing Chair
The revolutionary Standing Chair Chair colour on cover - Wasabi Chairs on this spread - Silver Bespoke Every chair is tailor made to fit you. With over 30 years of experience crafting chairs, we truly
Ergonomics Checklist - Computer and General Workstations 1
Ergonomics Checklist - Computer and General Workstations 1 Information to collect before conducting the Ergonomics Assessment 1. Evaluation Completed by 2. Date 3. Employee Name(s) observed 4. Department
Getting Comfortable with Managing Pain and Pressure Care in individuals with Motor Neuron Disease Stephanie Williams Occupational Therapist
Getting Comfortable with Managing Pain and Pressure Care in individuals with Motor Neuron Disease Stephanie Williams Occupational Therapist State-wide Progressive Neurological Diseases Service Calvary
The Exercise Wheelchair
NeuroGym Technologies Inc. The Exercise Wheelchair Product Manual NeuroGym Technologies Inc. 2012 1644 Bank Street, Suite 103 Ottawa, Ontario, Canada K1V 7Y6 Toll Free: 1-877-523=4148 www.neurogymtech.com
PRESSURE IQ EVOLVE NON-POWERED MATTRESS SOLUTION FOR THE PREVENTION AND TREATMENT OF STAGE I-IV PRESSURE ULCERS
PRESSURE IQ EVOLVE NON-POWERED MATTRESS SOLUTION FOR THE PREVENTION AND TREATMENT OF STAGE I-IV PRESSURE ULCERS... with people in mind 10542_Arjo_EVOLVE_Brochurer_USA_215.9x279.4.indd 1 RAISING THE STANDARD
Why are we here? Overview 10/30/2010. Rehabilitation Engineering in Clinical Practice VA-PRC 7 th Virtual Grand Rounds
Rehabilitation Engineering in Clinical Practice VA-PRC 7 th Virtual Grand Rounds Carmen DiGiovine, PhD, RET, ATP, Ed Lopresti, PhD, ATP and John Coltellaro, MS, ATP Why are we here? Increase the overall
Setting up Your Home Office
Setting up Your Home Office The home office is becoming more and more prevalent. Even those who do not work from home on a regular basis have computer workstations set up in the home for personal activities.
THE DANCE - CLIENT, THERAPIST, VENDOR, CUSTOM SEATING, MOBILITY BASE
THE DANCE - CLIENT, THERAPIST, VENDOR, CUSTOM SEATING, MOBILITY BASE SHEENA SCHOGER OTReg.(Ont.) John McGivney Children s Centre and Community Care Therapy CINDY FUERTH E.M.C.A. Motion Specialties, Windsor
ANDREW J. RENTSCHLER, Ph.D. PROFESSIONAL BIOGRAPHICAL OUTLINE
ANDREW J. RENTSCHLER, Ph.D. PROFESSIONAL BIOGRAPHICAL OUTLINE BACKGROUND Dr. Rentschler received a Bachelors of Science in Mechanical Engineering with a minor in Biomedical Engineering from Carnegie Mellon
ALAPTA 2014 FALL CONFERENCE. August 22-23, Renaissance Ross Bridge Birmingham, AL EARLY BIRD DEADLINE JULY 20, 2014
ALAPTA 2014 FALL CONFERENCE August 22-23, 2014 Renaissance Ross Bridge Birmingham, AL EARLY BIRD DEADLINE JULY 20, 2014 PROGRAMMING TRACK I THE INTERPLAY OF DEVELOPMENTAL ORTHOPEDICS AND POSTURAL CONTROL
Your Economics of Ergonomics Playbook. Definition of Ergonomics. Anthropometric Design. Ergonomics: 4/26/2016. Jerome J. Congleton, PhD, CPE, PE
Your Economics of Ergonomics Playbook Jerome J. Congleton, PhD, CPE, PE 2016 Jerome J. Congleton Definition of Ergonomics Ergonomics: The study of the work to prevent and control injury and illness while
PERSONAL COMPUTER WORKSTATION CHECKLIST
PERSONAL COMPUTER WORKSTATION CHECKLIST Last Revised: 6/26/17 A. Summary Use the following checklists to assess your own computer workstation. If you say No to any items within the lists, it may indicate
Lifting and Separating
Lifting and Separating Implementing a 24 - hour Posture Management Program ISS 2018 Lauren Rosen, PT, MPT, MSMS, ATP/SMS and Lee Ann Hoffman, OT, MSc Rehab: Posture Management 1 Learning Objectives 1.
SHAPED TO SUPPORT YOUR EVERY MOVE
SHAPED TO SUPPORT YOUR EVERY MOVE OPTIMA SERIES FEATURES & BENEFITS The nxt Back Support Series provides a range of back Support models, with Pelvic or thoracic shapes and posterior, posterior lateral