Get the free power mobility skills checklist form - curesma

POWER MOBILITY SKILLS CHECKLIST DIVISION OF SPECIALIZED CARE FOR CHILDREN Instructions Check the appropriate box to indicate whether the child is able to complete the skill independently with age-appropriate supervision and infrequent 25 of time verbal cueing. This should be accomplished with the instructor standing away from the controller 5 10 feet providing no hands-on assistance to the child. Verbal cueing may be provided to the child intermittently and only to direct the child s...

How to fill out power mobility skills checklist

Who needs power mobility skills checklist?

1. Individuals who use power mobility devices, such as wheelchairs or mobility scooters.
2. Physical therapists or occupational therapists who work with individuals using power mobility devices.
3. Caregivers or family members who assist individuals using power mobility devices.

How to fill out power mobility skills checklist:

1. Start by reviewing the checklist thoroughly. Familiarize yourself with the different skills and tasks that need to be assessed.
2. Observe the individual using their power mobility device in various environments, such as indoors, outdoors, or on different terrains.
3. Assess the individual's ability to start and stop the device smoothly and safely. Note any challenges or difficulties they may encounter.
4. Evaluate their ability to navigate obstacles, such as curbs, ramps, or uneven surfaces. Consider their balance, coordination, and decision-making skills.
5. Assess their proficiency in maneuvering the power mobility device in tight spaces, such as hallways or crowded areas. Take note of any difficulties they may face.
6. Evaluate their ability to operate any additional features or controls specific to their power mobility device, such as tilt or recline functions.
7. Consider their ability to maintain proper posture and positioning while using the device. Take note of any postural challenges or compensatory movements.
8. Assess their awareness of surroundings and ability to anticipate and respond to potential hazards or obstacles.
9. Evaluate their independence and confidence in using the power mobility device. Note any limitations or areas where additional training or assistance may be required.
10. Finally, summarize the individual's performance on each skill or task in the checklist. Provide any recommendations or suggestions for improvement if necessary.

Remember, the power mobility skills checklist is an important tool to assess an individual's ability to use a power mobility device effectively and safely. It helps identify areas of strength and areas that may require further training or support.

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What is power mobility skills checklist?

The power mobility skills checklist is a document that assesses an individual's ability to safely operate a power mobility device.

Who is required to file power mobility skills checklist?

Individuals who are prescribed a power mobility device and wish to use it must file a power mobility skills checklist.

How to fill out power mobility skills checklist?

The power mobility skills checklist can be filled out by a healthcare professional or therapist who is familiar with the individual's mobility needs and capabilities.

What is the purpose of power mobility skills checklist?

The purpose of the power mobility skills checklist is to ensure that individuals using power mobility devices are able to operate them safely and confidently.

What information must be reported on power mobility skills checklist?

The power mobility skills checklist must report the individual's name, date of birth, medical conditions, and a detailed assessment of their mobility skills and abilities.