Nurse Aide NNAAP Exam Prep

Category - Physical Care

Wanda is a 28-year-old sheltered workshop client with quadriplegic cerebral palsy. She uses an electric wheelchair with a seat belt and lap tray. She continuously slouches forward and to her right side when operating her joystick. What type of adaptations might you see on Wanda’s wheelchair?

  1. Tilt back and lateral supports
  2. Solid back insert and lateral supports
  3. Lateral supports and shorter joystick mount
  4. H-style shoulder harness and lateral supports
Explanation

Answer: D. In Wanda's case you might see H-style shoulder harness and lateral supports. The shoulder harness buckles across the chest, keeping the upper torso upright in the wheelchair. The lateral supports prevent slouching to the side. Both of these devices would help Wanda stay upright and in the center when she is driving her wheelchair.  This type of recommendation would likely come from the OT or PT department, but you will likely see this type of support and this explains some of the rationle.

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