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Seating and Mobility within the Long Term Care Setting

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1.  According to the US Census in 2010, how many people in the US depend on a wheeled mobility device? 300,000 people 1 million people More than 3.6 million people 2.8 million people

2.  A long-term care facility provides all of the following EXCEPT: Nursing Rehabilitation Financial support Dietary

3.  Which of the following is true regarding seating and mobility services in a LTC? Medicare Part B covers power-operated vehicles (scooters) and manual wheelchairs All people with Medicare Part B are covered You must have a face-to-face examination and a written prescription from a doctor or other treating provider for Medicare to pay for a wheelchair All of the above

4.  Who renders services for seating and mobility services in a LTC? Only PT Nursing manager OT/PT/OTA/PTA/ATP/ATP-SMS Social services

5.  Which team members are a part of a client's mobility needs in a LTC setting? Physical therapist, Occupational therapist and Speech therapist Nursing staff MD, PA, NP All of the above

6.  Common results of kyphotic posture include all of the following EXCEPT: The immediate onset of anterior pelvic tilt The gradual onset of posterior pelvic tilt and the onset of upper extremity pain from poor kinematic propulsion of the wheelchair using the upper extremities Poor respiratory functions and obstruction of the visual field Cervical and lower lumbar pain

7.  With age related changes, many clients go through both subtle and rapid changes within their functional capacities that may effect their wheeled mobility, including ____________________________. Orthopedic changes in the spinal column (kyphosis, scoliosis, and lordosis) Deterioration in visual capacities Decrease in stamina/endurance All of the above

8.  All of the following interventions for kyphosis are recommended EXCEPT: Drop the rear seat to floor height as this will increase hip flexion and allow for the rise in cervical extension Lower the leg rests Open the back angle of the wheelchair to increase spinal extension and facilitate a posterior pelvic tilt Utilize a curved backrest with a deeper contoured back height

9.  A pelvic obliquity can be caused by a leg length discrepancy, hip contractures, and/or structural issues with the spine. True False xxx xxx

10.  All of the following are factors to consider during wheelchair/mobility assessment EXCEPT: What are the present and future morbidities that may effect mobility? Is there a risk of pressure development? Does the wheelchair look pretty? What is the client's behavioral tendencies?