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Get Seating/mobility Evaluation
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How to fill out the Seating/Mobility Evaluation online
Filling out the Seating/Mobility Evaluation form online is crucial for ensuring proper assessment and recommendations for mobility needs. This guide provides clear instructions to help users navigate each section effectively.
Follow the steps to complete the form accurately.
- Press the ‘Get Form’ button to access the form, which will allow you to open it in the editor.
- Begin by entering the patient information, including name, date seen, date of birth, and contact details of relevant medical personnel.
- Provide the caregiver's name and contact information, as well as the primary therapist and equipment supplier company.
- Explain the reason for referral and outline the patient and caregiver goals including specific limitations that affect care.
- Detail the medical history by including relevant ICD9 codes, diagnoses, and any recent or upcoming surgeries while noting height and weight changes.
- Describe the home environment, specifying the type of residence, caregiver situation, and accessibility features (e.g., ramps, entrances).
- Complete the community activities and transportation section by detailing the type of transport and any necessary dimensions for wheelchair storage.
- Fill in the section on functional/sensory processing skills, noting any concerns that might interfere with safe wheelchair operation.
- Describe communication abilities and any equipment needs required for effective interaction.
- Assess sensory and skin issues, documenting any complaints and existing conditions.
- Indicate the patient’s status regarding activities of daily living (ADLs) in relation to wheelchair use.
- Detail the current seating and mobility devices being used, including their condition and dimensions.
- Evaluate and justify recommendations for new seating and mobility equipment based on the patient’s needs.
- Once all sections are completed, save changes, and proceed to download, print, or share the form as needed.
Complete the Seating/Mobility Evaluation online to ensure the best mobility solutions for your needs.
The basic mobility assessment tool is a structured questionnaire or scale used during a Seating/Mobility Evaluation. It helps healthcare professionals measure and analyze a patient’s movement abilities and limitations. These tools aid in consistently tracking improvements and adjusting interventions as needed to promote mobility.
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