assessment checklist for the application of dynamic tilt ... · and application of occupational...
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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
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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
© Health Sciences Centre 2012
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Definitions
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Definitions
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History & Context
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Content of 2010 Tilt Document
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Status as of Spring 2011
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Needs Analysis
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Clinical Applications for Dynamic Tilt
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Assessment Checklist for the Application of Dynamic
Tilt as Temporary Seating
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Assessment Checklist for Tilt
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Goals for Implementation
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Assessment #1: Physical & Medical Screen
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Assessment #2: Sitting Balance
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© Health Sciences Centre 2012
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Assessment #3: Weight-shifting Movements
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© Health Sciences Centre 2012
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Assessment #4: Body Measurements
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Body Measurements & Equipment Selection
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Assessment #5: Skin Evaluation & Sitting Protocol
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© Health Sciences Centre 2012
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Assessment #6: Re-evaluation
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Key Elements with Application
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Education Golden Rules
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Application in Acute Care
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© Health Sciences Centre 2012
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Future Plans
© Health Sciences Centre 2012
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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
© Health Sciences Centre 2012
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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)
© Health Sciences Centre 2012
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Thank-you!
© Health Sciences Centre 2012