assessment checklist for the application of dynamic tilt ... · and application of occupational...

Assessment Checklist for the Application of Dynamic Tilt-in-space as Temporary Seating

December 18, 2012

Jennifer Birt, Specialized Seating & Mobility Clinical Specialist

Lisa Malenfant, Clinical Service Leader, Neurosciences

Sheila Marlow, Clinical Service Leader, Acute Care

© Health Sciences Centre 2012

Learning Objectives1. To gain an understanding of Health Science Centre’s history

and application of occupational therapy’s interim pool of tilt wheelchairs

2. Define and differentiate between the 5 categories of “sitters” with respect to sitting balance

3. Understand the 6 relevant pressure redistribution movements in sitting and how to palpate for their effectiveness

4. Translate relevant body measurements into specifications and parameters for tilt wheelchair selection

5. Describe 3 essential components for completing a skin check & how to use this evaluation to guide a sitting protocol

6. List a minimum of 2 factors that would indicate that an individual no longer requires the use of dynamic tilt


Definitions


History & Context


Content of 2010 Tilt Document


Status as of Spring 2011


Needs Analysis


Clinical Applications for Dynamic Tilt


Assessment Checklist for the Application of Dynamic

Tilt as Temporary Seating


Assessment Checklist for Tilt


Goals for Implementation


Assessment #1: Physical & Medical Screen


Assessment #2: Sitting Balance


Assessment #3: Weight-shifting Movements


Assessment #4: Body Measurements


Body Measurements & Equipment Selection


Assessment #5: Skin Evaluation & Sitting Protocol


Assessment #6: Re-evaluation


Key Elements with Application


Education Golden Rules


Application in Acute Care


Future Plans


Learning Objectives1. To gain an understanding of Health Science Centre’s history

and application of occupational therapy’s interim pool of tilt wheelchairs

2. Define and differentiate between the 5 categories of “sitters” with respect to sitting balance

3. Understand the 6 relevant pressure redistribution movements in sitting and how to palpate for their effectiveness

4. Translate relevant body measurements into specifications and parameters for tilt wheelchair selection

5. Describe 3 essential components for completing a skin check & how to use this evaluation to guide a sitting protocol

6. List a minimum of 2 factors that would indicate that an individual no longer requires the use of dynamic tilt


ResourcesResource Material

1

Assessment Checklist for the Application of Dynamic Tilt-in-Space as Temporary Seating clinical practice enabler (accessed via HSC OT Public Folders for HSC clinicians)

2The Seating Series electronic newsletter (accessed vis HSC OT Public Folders for HSC clinicians or by emailing [email protected]

3RESNA Position on the Application of Tilt, Recline, and Elevating Legrests for Wheelchairs position paper (accessed via RESNA’s website www.resna.org)

4

WRHA Pressure Ulcer Prevention and Management clinical practice guidelines (revised document will be available via WRHA’s website www.wrha.mb.ca by early 2013)


mailto:[email protected]

http://www.resna.org/

http://www.wrha.mb.ca/

Thank-you!


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