Precautions for Electric Wheelchairs on Steps

Precautions for electric wheelchairs on steps
1. When there is one step, you should practice to lift the small wheel in front of the wheelchair upwards, so that the wheelchair is tilted backward, put the small wheel on the step first, and then push the big wheel over the step;
2. To prevent pressure ulcers, patients who go out in a wheelchair for a long time should decompress the buttocks every 30 minutes, that is, support the armrest of the wheelchair with both hands, keep the buttocks suspended for about 15 seconds, and pay attention to all bony protrusions. site pressure;
3. Safety education Provide safety education to patients to help patients develop the habit of braking the wheelchair handbrake; strengthen maintenance. The appropriate parts of the wheelchair (breast, hip) are equipped with maintenance belts to facilitate the immobilization of the patient;
4. Make the patient sit in the middle of the wheelchair, lean back and look up, and keep the hip joint at 90° as far as possible. Those who cannot maintain their balance by themselves should be fastened with a seat belt to ensure the safety of the patient;
5. Muscle strength exercises Strengthen trunk muscle strength and control to ensure that patients can safely sit in a wheelchair for various activities. Exercises are often selected such as bridge movement, swallow balance, sit-ups and so on. Use dumbbells, barbells, etc. to strengthen the muscles and endurance of the upper limbs to ensure that the upper limbs have sufficient support;
6. Wheelchair handling practice In order to enable the patient to use the wheelchair independently to complete various handling, it is necessary to guide the patient to carry out special rehabilitation exercises. Teach the patient to independently use a variety of handling skills such as moving from bed, moving up and down, sitting up in bed to wheelchair, wheelchair to bed or getting up from wheelchair or moving to another chair.