Guidelines on the Provision of Manual Wheelchairs in Less Resourced Settings PDF Download

Author: World Health Organization, WHO
Publisher:
ISBN: 9789241547482
Category : Developing countries
Languages : en
Pages : 127

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Book Description
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.

Author: World Health Organization
Publisher: World Health Organization
ISBN: 924007452X
Category : Medical
Languages : en
Pages : 108

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Book Description
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.

Author: Christopher John Stanfill
Publisher:
ISBN:
Category :
Languages : en
Pages : 334

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Book Description
The World Health Organization estimates that nearly twice as many people in the developing world are in need of wheelchairs compared to other mobility aids (e.g., prosthetics). Wheelchairs currently being manufactured in less resourced areas are rarely designed to withstand rural conditions with poor infrastructure, which leads to increased rates of product failure and/or abandonment. Global recognition of the need for more durable and efficient wheelchairs created a movement in evaluating how patients in these settings interact with various designs. This growing body of literature focuses primarily on the impact of wheelchair models in terms of performance and perception. Performance measures are often defined by physiological and biomechanical testing, while user perception outcomes are generated through feedback assessments, surveys, and interviews. Although the results from this literature suggests a preference toward tested wheelchairs compared to locally manufactured counterparts, it is necessary to expand on methodologies that can uncover further detail on product effectiveness. For example, wheeled mobility is a new effectiveness measure that has yet to be applied in less resourced settings. Additionally, it is important to continue implementing mixed methods study designs as these approaches yield the most comprehensive information about the relationship between performance and perception. In this series of studies, I expand upon the existing literature on wheelchair use in the developing world utilizing the mixed method approach and our purpose is threefold. The first study is an objective evaluation of previous work in the field that summarizes the brief history of this research and reveals the quality level of each respective piece of literature. In the second study, wheeled mobility is used to test the effect of different wheelchair designs that each feature different propulsion systems. Finally, the third study is an investigation of perceived quality of life among wheelchair users in rural areas of the Lao PDR with the use of semi-structured interviews. The combination of outcomes from these studies highlight the importance of mixed methods approaches when evaluating patients' interactions with wheelchairs and assistive technologies as a whole. This research also serves as a reminder of the complexities associated with working in less resourced settings, but provides a framework of strategies that can guide improvements in global wheelchair service delivery.

Author: World Health Organization
Publisher:
ISBN: 9789241548052
Category : Medical
Languages : en
Pages : 452

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Book Description
Volume numbers determined from Scope of the guidelines, p. 12-13.

Author: R. Lee Kirby
Publisher: CRC Press
ISBN: 1498738826
Category : Business & Economics
Languages : en
Pages : 443

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Book Description
This book provides a wide spectrum of readers with comprehensive but easily understandable protocols for the assessment and training of wheelchair skills. The Wheelchair Research Team at Dalhousie University and the Capital District Health Authority in Halifax (lead by the author) have focused on wheelchair safety and performance for three decades, as exemplified through the Wheelchair Skills Program. This is considered the top such program in the world. This new book is largely based on this program which has been accessed and utilized by over 75,000 people in 177 countries since 2007.

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030945784X
Category : Medical
Languages : en
Pages : 503

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Book Description
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.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309104726
Category : Medical
Languages : en
Pages : 619

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Book Description
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.

Author: Public Health Agency of Canada. Division of Aging and Seniors
Publisher:
ISBN:
Category : Electronic books
Languages : en
Pages : 68

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Book Description
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.

Author: Michelle L. Lange
Publisher: Taylor & Francis
ISBN: 1040137652
Category : Medical
Languages : en
Pages : 979

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Book Description
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 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. The fourth section provides in-depth clinical applications for each category of mobility devices. Also addressed is proper documentation to assist in the funding of these devices. The fifth section provides population-specific information regarding the clinical application of position, pressure management, and functional mobility as it applies to the pediatric, geriatric, and bariatric populations, as well as persons with both degenerative and complex neuromuscular impairments. The last section presents additional considerations when working with persons who are aging with a disability, environmental assessments, transportation, and the application of standards. Seating and Wheeled Mobility: A Clinical Resource Guide provides the depth and breadth of the clinical practice of wheelchair seating and mobility to both those who are new to the field, as well as seasoned professionals.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309063744
Category : Medical
Languages : en
Pages : 423

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Book Description
The most recent high-profile advocate for Americans with disabilities, actor Christopher Reeve, has highlighted for the public the economic and social costs of disability and the importance of rehabilitation. Enabling America is a major analysis of the field of rehabilitation science and engineering. The book explains how to achieve recognition for this evolving field of study, how to set priorities, and how to improve the organization and administration of the numerous federal research programs in this area. The committee introduces the "enabling-disability process" model, which enhances the concepts of disability and rehabilitation, and reviews what is known and what research priorities are emerging in the areas of: Pathology and impairment, including differences between children and adults. Functional limitationsâ€"in a person's ability to eat or walk, for example. Disability as the interaction between a person's pathologies, impairments, and functional limitations and the surrounding physical and social environments. This landmark volume will be of special interest to anyone involved in rehabilitation science and engineering: federal policymakers, rehabilitation practitioners and administrators, researchers, and advocates for persons with disabilities.