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Power Mobility and Safety Concerns Power mobility allows people in long-term care to participate in their daily activities and leisure pursuits. However, these devices can also cause safety issues that need to be addressed. Instead of excluding residents with certain diagnoses from the power mobility option that could be considered prejudicial risk management, most participants preferred to take a teleological approach and allow all residents to trial the device. Mobility A power mobility device is a way for people who are unable to move about their community or home, and also to take part in everyday activities that they might not otherwise be able to participate in. However, these devices could also be a danger to the person using them, and other people who share their space or space. Occupational therapists need to carefully evaluate the safety needs of each client to make the best recommendations for powered mobility. In an exploratory study carried out by OTs in three residential care facilities of the Vancouver Coastal Health Authority, qualitative interviews were conducted with residents to determine their power mobility use. The aim was to create 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: concerns about safety and (4) solutions. Power mobility can dramatically improve the quality of life for individuals who have limited mobility, giving them the opportunity to participate in a range of daily living activities at home as well as in the community (Brandt 2001; Evans, 2000). Self-care, productive and leisure occupations are vital for mental and physical health of people who are older. For many who suffer from advanced illnesses, power mobility allows them to take part in these essential activities. Many participants considered it unacceptable to take away a resident's chair, as this would cause a major change in their life or course of action, and ultimately stop them from continuing with the same activities they used to do prior to their disease progression. This was particularly true for those in the Facility 1 who were only allowed to use their power chairs for a brief period and were now reliant on others to push them. Another option is to reduce the speed at which some residents drove their chairs, however this led to a variety of concerns, including privacy issues and the impact on other residents in the community. The most drastic solution to security concerns was to take away the wheelchair of a resident. Safety Power mobility allows people with disabilities to move more freely, participate in a wider range of activities and do around. With increased mobility comes an increased risk of accidents. These incidents can result in serious injuries for some. This is why it is vital to think about the security of your client before recommending that they use power mobility. The first step in determining safety is to determine whether your client is able to safely operate their power wheelchair or scooter. Depending on the nature of their disability and the condition of their current health, this might involve a physical evaluation by a doctor or occupational therapist, as well as a discussion with a mobility specialist to determine whether a specific device would be appropriate for them. In some instances, your client will need a vehicle lift to be able to load and unload the device at their workplace, home, or community. Learning the rules of road safety is a further aspect of safety. This includes sharing space with other pedestrians, wheelchair users, and drivers of cars, trucks or buses. The majority of participants in the study have mentioned this issue. Some people learned to drive their wheelchairs along sidewalks instead of driving in the midst of crowds or on curbs (unless the wheelchair was designed to be used in this way). Others drove more slowly and paid attention to pedestrians in a crowd. The final and least desired option was to remove a person's chair, which was seen as two-fold punishment that would result in losing mobility independently and preventing access to facility and community activities. This was the opinion of most participants who had their chairs removed and included Diane and Harriet. The participants also suggested that residents, family members, and staff members be trained on the safe use of power mobility. This could involve teaching the basics of driving (such as driving on the right side of a hallway), encouraging residents to practice driving strategies when they leave and assisting them in understanding how their actions can affect other people's mobility. Follow-Up The capacity and willingness of a child to be a part of the world can be profoundly affected by a device that can power them. However, very little research has been done on the experience of children who learn to use this equipment. This study employs an approach that is pre-post to study the impact of six months' experience with 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 pediatric occupational and physical therapists. Thematic analysis revealed three major themes. The first, 'Power in mobility,' described how the use of a powered device changed more than just a child's locomotor abilities. The experience of learning to drive a motorized mobility device can be an emotional and transformative experience. The second theme, 'There's not a recipe book,' showed that learning to use a power mobility device was an individualized process that evolved over time in a cycle. Therapists were required to discover what was appropriate for each child's needs and capabilities. Throughout the training and post-training phases, therapists were also required to be patient with children and parents. power electric scooter and parents alike emphasized the need to help families celebrate their successes and resolve issues that arise from the process of training. The third theme, “Shared space”, looked at how the use of a power device can impact the lives of others. The majority of the participants in this study believed that it is important to be mindful when using a device that is powered by electricity. This was especially relevant when driving on public roads. Participants also said that they've seen instances in which property belonging to someone else was damaged due to the use a power mobility device, or a person has suffered injuries from a driver who didn't 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 effectiveness of training and outcomes of this kind of intervention with young children with CP. This could lead to more standard training protocols for children suffering from CP.