Our Wheelchair Seating and Mobility Assessments are for any patient requiring the use of wheeled mobility in their home, work and community environments. The program enables you to try a wide variety of manual and power wheelchairs, seating and positioning accessories and environmental challenges. You can trial the device and make accurate and informed decisions based on its performance.
The TIRR Memorial Hermann Outpatient Seating and Mobility Clinic at the Kirby Glen Center is a specialty clinic that evaluates individuals for their seating and positioning needs. The licensed occupational therapists on our staff have extensive training and experience with complex rehabilitation seating and mobility needs.
With so many products in the market to choose from, information on the latest technology can be overwhelming.
TIRR Memorial Hermann keeps abreast of new and innovative technologies and monitors federal guidelines in the area of seating and mobility. We also work closely with local, certified and credentialed durable medical equipment providers and manufacturer representatives to provide comprehensive, patient-focused options.
The SmartWheel is a clinical tool used to determine the optimal configuration of a custom manual wheelchair, including its center of gravity, wheel placement and the patient’s overall push stroke. The SmartWheel assessment is used for patients who are having shoulder pain with wheelchair propulsion.
How a person propels a wheelchair is analyzed by a TIRR Memorial Hermann therapist specially qualified to perform the assessment by measuring every push on the hand rim. The SmartWheel then puts the data into easy-to-use automated summary reports to give clinicians better data to help manual wheelchair users improve quality of life.
The SmartWheel is for people with good hand function. Benefits include:
Clinical notes from the physician are required, explaining why pressure mapping or SmartWheel assessments are needed.Most funding sources require the referring physician to have a face-to-face visit with the patient to complete this documentation. The samples included below are for both manual and power wheelchair face-to-face documentation. They contain information that must be gathered on the patient’s need for a certain evaluation and the type of mobility device being recommended. The physician must also rule out lower-level mobility devices that the patient cannot use at home to complete mobility-related activities of daily living, therefore necessitating the referral and recommendation as noted.
[Patient name] is here for evaluation for a manual mobility device. [Patient name] has a history of [diagnosis] and due to functional deficits related to this diagnosis, [patient name] is unable to walk or use a single-point cane or walker
to safely access his or her home environment and requires the use of a custom manual wheelchair with specialized seating system. [Patient name] and caregivers are willing and competent to use a manual wheelchair. [Patient name] is non-ambulatory and is able to functionally propel a manual wheelchair. [Patient name]’s home is accessible for the manual mobility device. Patient [“is independent” or “requires assistance”] for weight shifts for effective pressure redistribution [and the prevention of pressure ulcers]. Referral is being made to a licensed occupational or physical therapist for manual mobility evaluation and trials.
[Patient name] is here for evaluation for a power mobility device. [Patient name] has a history of [diagnosis] and due to functional deficits related to this diagnosis, [patient name] is unable to use a manual mobility device to safely access his or her home environment, work and community, and requires the use of a custom power wheelchair with specialized seating system. [Patient name] and caregivers are willing and competent to use a power wheelchair. [Patient name] is non-ambulatory and not able to functionally propel a manual wheelchair or utilize a scooter (Power Operated Vehicle). [Patient name]’s home is accessible for the power mobility device. Patient [“is independent” or “requires assistance”] for weight shifts for effective pressure redistribution and needs correct seating to address posture and skin protection needs. Referral is being made to a licensed occupational or physical therapist for power mobility evaluation and trials.
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