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Power Mobility and Safety Concerns Power mobility allows those who are in long-term care in their daily activities and leisure pursuits. These devices also raise safety risks, which need to be addressed. Most participants chose to adopt a teleological perspective and provide all residents with the opportunity to test a device, rather than exclude residents with specific diagnoses that could be viewed as a risk management decision that is prejudicial. Mobility A power mobility device allows those who are unable to move around their community or home and engage in daily activities that are otherwise impossible for them. However, these devices may also be a danger to the person using them and also to other people who are in their space. Therapists in occupational therapy must examine each client's safety requirements to make the most appropriate recommendations regarding powered mobility. In an exploratory study (von Zweck, 1999), OTs from three residential care facilities in Vancouver Coastal Health Authority conducted qualitative interviews with residents about their use of power mobility. The goal 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 concerning safety, and (4) solutions. Power mobility can enhance the quality of life for people with limited mobility. This is due to the fact that it allows them to participate in daily activities at home and in the community. Self-care, productive and recreational occupations are vital for mental and physical health of people who are older. For many with advanced illnesses, power mobility offers a way to participate in these essential activities. It was considered unacceptable by the participants to remove a resident's wheelchair because it would alter their life's narrative and direction, and prevent them from performing the same activities that they had prior to their illness worsened. This was particularly applicable to those in the Facility 1 who had only been able use their power chairs for a short time and were now reliant on others to push them. Another possible solution is to limit the speed at which some residents drove their chairs, but this led to a variety of issues, such as a lack of privacy and impact on other people in the community. The most drastic solution to safety concerns was to remove a resident's wheelchair. Safety Power mobility allows people to move around more freely. They can also take part in a broader range of activities and complete around on their own. However, with greater freedom of movement comes a higher risk of accidents. These accidents could result in serious injuries for some. This is why it is vital to think about the safety of your client before suggesting that they use power mobility. First consider determining whether your client is able to safely operate their scooter or power chair. Depending on the nature of their impairment and the state of their health, this could require a physical examination by an occupational or physician therapist, as well as an interview with a mobility expert to determine if a particular device is appropriate for them. In certain situations, your client will need a lift for their vehicle to be able to load and unload the mobility device at workplace, home, or community. Another aspect of safety is to learn the rules of the road. This includes sharing space with other pedestrians, wheelchair users and drivers of cars, trucks or buses. The majority of participants in the study mentioned this theme. Some people learned to drive their wheelchairs along sidewalks instead of driving through the midst of crowds or on curbs (unless the wheelchair was designed for this purpose). For others it meant driving slowly in a busy environment and watching out for pedestrians. The final and least preferred alternative was to take away the chair of a person, which was seen as two-fold punishment loss of mobility independent and preventing access to facility and community activities. This was the opinion of the majority of participants who were able to remove their chairs, including Diane and Harriet. The participants also suggested that residents, family members, and staff members be informed about the proper use of power mobility. This could include teaching the basics of driving (such as which side to walk on in the hallway) and encouraging residents to practice driving while outside and helping them understand how their behavior affects other people's mobility. Follow-Up The capacity and willingness of a child to take part in the world can be profoundly affected by a power mobility device. There has been little research on the experience that children experience when they learn to utilize these devices. greenpower scooter uses an approach that is pre-post to study the impact of six months of experience using one of four early power mobility devices on a group of school-aged children with severe cerebral palsy (CP). Qualitative interviews were conducted with 15 parents and children's occupational and physical therapists. Thematic analysis revealed three key themes. The first, 'Power in mobility explained how the use of powered devices changed more than just locomotor abilities. The experience of learning how to drive a motorized mobility device is usually an emotional and transformative one. The second theme 'There's no cookbook' revealed that learning to make use of a mobility device was a process that took place in a cyclical manner over time. Therapists were required to determine what was realistic depending on the individual's capabilities and needs. Through the training and post-training phases, therapists were also expected to be patient with children and parents. Therapists and parents alike emphasized the need to help families celebrate their accomplishments and solve problems associated with the training process. The third theme, “Shared space”, examined how the use of a power device can impact other people's interactions and lives. The majority of participants in this study believed a person must always be considerate of others when using their power mobility device. This is especially important when driving in public spaces. Participants also shared that they've seen instances where someone else's property was damaged due to the use of a power mobility device or a person had been injured by a driver who failed to yield the right of way. Overall, the findings of this study suggest that short-term socialization and power mobility training is possible for preschoolers with CP in certain classroom environments. Future research should continue to investigate the effects of training and results of this type of intervention for children with CP. This could eventually lead to more standard training protocols for children suffering from CP.