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Power Mobility and Safety Concerns Power mobility improves participation in daily activities as well as recreation for those who are in long-term care. However, the devices could also cause safety issues that need to be addressed. Most participants chose to adopt a teleological perspective and give all residents the opportunity to test devices, not to restrict residents with certain diagnosis which could be considered a risk management decision that is prejudicial. Mobility A power mobility device is an option for those with limited mobility to move around their community or home, and to participate in daily activities that they would not be able to perform. These devices cause danger not only to the individual using them, but also to those who are in their environment. Occupational therapists need to carefully examine each client's safety requirements to provide the most appropriate recommendations regarding powered mobility. In an exploratory study conducted by OTs at three residential care facilities of the Vancouver Coastal Health Authority, qualitative interviews were conducted with residents to assess their power mobility use. The objective was to develop a framework for client-centred power mobility prescribing. The results revealed four major themes: (1) the meaning of power mobility, (2) learning the rules of the road, (3) red flags concerning safety, and (4) solutions. Power mobility can dramatically improve the quality of life for individuals who are mobility-challenged by allowing them to participate in a variety of everyday living activities, at home as well as in the community (Brandt, 2001; Evans, 2000). Participation in self-care or leisure activities, as well as productive ones is vital for physical and mental health of older adults, and for a lot of people who are suffering from progressive illnesses power mobility can be an opportunity to continue taking part in these important activities. It was considered unacceptable by the participants to remove a wheelchair from a resident's home in order to alter their life story and trajectory, and prevent them from performing the same things they were doing before their condition worsened. This was especially true for those in the Facility 1 who had only been allowed to use their power chairs for a brief period and were now dependent on others to push them. Another option is to limit the speed at which residents drive their chairs. However it could create several issues, including privacy and the impact on the rest of the community. In the end, taking away a resident's chair was considered the most drastic and least desired solution to safety concerns. Safety Power mobility lets people move around more freely. They can also take part in a broader range of activities, and do the errands. However, with greater freedom of movement comes a greater risk for accidents. For some, these accidents could cause serious injuries to themselves and others. It is essential to consider the security of your clients prior to recommending power mobility. First, determine whether your client is able to safely operate their scooter or power chair. Based on the severity of their disability and the state of their health, this could involve a physical assessment by a physician or occupational therapist, and an interview with a mobility expert to determine if a specific device is suitable for them. In some cases it is necessary to have a vehicle lift. be required to allow for your client to unload and load their mobility device at home in the community, or at work. Understanding the rules of road safety is a further aspect of safety. This includes sharing space with other pedestrians, wheelchair users and the bus drivers. Most participants in the study mentioned this theme. Some people learned to drive their wheelchairs along sidewalks instead of driving through busy areas or on curbs (unless the wheelchair was specifically designed for this). For others it meant driving cautiously in a noisy environment and watching out for people walking. green scooters and least popular option was to remove a person's chair, which was seen as two-fold punishment: losing independent mobility and preventing access to facility and community activities. Diane and Harriet, among others, were among the participants who were stripped of their chairs. Other suggestions made by participants included educating other residents as well as family members and staff on the proper operation of power mobility. This could include teaching basic driving skills (such as which side to walk on in a hallway) and encouraging residents to practice driving techniques when they go outside, and helping them recognize how their behavior affects the mobility of others. Follow-Up The ability of a child and their willingness to be a part of the world can be profoundly affected by a power mobility device. However, there isn't much research on the experience of children who learn to use this device. This study uses the pre-post method to investigate the effects of six months of use with one of four early power mobility devices on the children in school with severe cerebral palsy (CP). We conducted interviews in qualitative format with 15 parents, and also occupational and physical therapists who work with children. Thematic analysis revealed three main themes. The first theme, 'Power for Mobility The theme described how the use of a powered device affected more than just the child's locomotor skills. Learning to drive a mobility device was often an emotional, transformative journey for the participants. The second theme, 'There's not a cookbook,' revealed that learning to utilize the power mobility device was an individual process that evolved over time in a cycle. Therapists were required to determine what was feasible in light of the child's capabilities and needs. During the training phase and after, therapists had to be patient with children as well as parents. Therapists and parents alike emphasized the need to assist families celebrate their successes and solve problems associated with the process of training. Finally, the third theme, 'Shared space was a look at the ways in which using an electric device can have an impact on the lives of other people and their interactions. The majority of the participants in this study believed that people should be mindful when using a power mobility device. This was particularly applicable when driving on roads that are public. Participants also said that they had seen situations in which property belonging to someone else had been damaged by the use a power mobility device or an individual had been injured by a motorist who did not 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 settings. Future research should continue to explore the effects of training and results of this kind of intervention with young children with CP. This will hopefully lead more standardized training protocols for children who have CP.