Transfers and moving around
| Task or activity | Expected functional outcome | Equipment |
|---|---|---|
| Bed mobility | Total assist |
Motorised height adjustable bed with head raise, knee break and side rails. May require the following options for positioning: bolster with footboard and Trendelenburg function. |
| Transfers | Total assist | Mobile floor or powered ceiling hoist with sling |
| Mobility (Manual) | Independent to some assistance (dependent on ground and floor surface) | Lightweight rigid or folding frame manual wheelchair with modified push rims and push mitts. |
| Mobility (Power) | Independent with highly specialised equipment | Power wheelchair with tilt in space function, head support and specialised hand control (with wrist cock-up splint as required), postural supports. Or power add on or assist device for the manual wheelchair. |
| Transport | Independent driving with highly specialised equipment Assistance with transfers and wheelchair transport required if not driving a fully modified van | Van with modified access and appropriate docking and tie-down system. |
Self-care
| Task or activity | Expected functional outcome | Equipment |
|---|---|---|
| Pressure redistribution and positioning | Total assist. May be independent with equipment | Power wheelchair with tilt in space, postural support, and head control systems. Pressure relieving or redistribution mattress. Resting splints for overnight use. May use soft wrist cock-up braces during the day. Heel suspension device, e.g. boot, pillow or foam cushion. |
| Toileting | Total assist |
Mobile shower commode with custom padded seat. May require tilt in space function and padded arm supports. |
| Showering | Moderate assist to total assist |
Mobile shower commode as above. Handheld shower in cuff. |
| Dressing |
Lower: Total assist Upper: Moderate assist | Adaptive techniques and equipment, e.g. ring pull zippers and clothing loops. |
| Grooming | Moderate to total assist | Adaptive techniques and equipment, e.g. palmar band or universal cuff. |
| Eating or feeding | Total assist for set up, then independent eating with equipment | Wrist cock-up brace Drinking system or drink bottle with C-clips for bed and when in wheelchair. Over bed table with height adjustment. Mobile arm support as required. |
Domestic life
| Task or activity | Expected functional outcome | Equipment |
|---|---|---|
| Meal preparation, housework, shopping, home and garden maintenance | Total assist | |
| Assistive technology and communication | Independent / standby assistance | Environmental control systems accessed from wheelchair and bed, with handsfree access, to operate home appliances, for example. door, intercom, emergency communication device, temperature control and communication devices, such as phone, computer or tablet. |