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Power Mobility and Safety Concerns Power mobility allows those who are in long-term care to take part in their routine activities and leisure activities. However, the devices could also pose safety risks that must be addressed. Instead of excluding residents with a specific diagnosis from the use of power mobility as it could be viewed as risk management that is prejudicial, the majority of participants chose to take a teleological approach and let all residents trial the power mobility device. Mobility A power mobility device enables people who are unable to move about their homes or communities and participate in daily living activities that might otherwise be impossible for them. These devices can be a danger not just for the person who uses them, but also to those who share their space or surroundings. Occupational therapists need to carefully evaluate the safety needs of each client to make the most appropriate recommendations regarding powered mobility. In an exploratory study (von Zweck 1999), OTs from three residential care facilities of the Vancouver Coastal Health Authority conducted qualitative interviews with residents about their use of power mobility. The objective was to develop a framework for client-centred power mobility prescribing. The results revealed four major themes: (1) power mobility meaning, (2) learning road rules, (3) red flags safety concerns, and (4) solutions. Power mobility can greatly improve the quality of life for those who have limited mobility, giving them the opportunity to participate in a variety of daily life activities, both at home and in the community (Brandt, 2001; Evans, 2000). Self-care, productive and recreational activities are essential to the physical and mental well-being of people who are older. For many with advanced illnesses, power mobility allows them to take part in these vital activities. It was considered unacceptable by the participants to remove a resident's wheelchair, as this would disrupt their life's narrative and direction, and prevent them from engaging in the same activities that they did before their disease advanced. This was especially applicable to those in the Facility 1 who had been in a position to use their power chair for a brief period and were now reliant on others to push them. Another possible solution is to limit the speed at which some residents drove their chairs, however this led to a variety of concerns, including privacy issues and impact on other people in the community. The most drastic solution to security concerns was to take away the wheelchair from a resident's. Safety Power mobility allows people to move more easily. They are also able to participate in a wider range of activities, and run errands. However, with increased freedom of movement comes a greater chance of accidents. For some, these incidents could result in serious injuries to themselves or others. This is why it is important to consider the safety of your client before suggesting they use a power mobility. The first step in assessing safety is to determine whether your client is safe to operate their power scooter or power chair. Depending on the severity of their impairment and current health, this may involve a physical evaluation by an occupational or physician therapist, as well as having a conversation with a mobility specialist to determine if a particular device would be appropriate for them. In some instances, your client will need a lift for their vehicle to be capable of loading and unloading the mobility device at home, community or workplace. Understanding the rules of road safety is a further aspect of safety. This includes sharing space with other pedestrians, other wheelchair users and drivers of trucks, cars or buses. Most participants in the study mentioned this theme. Some people learnt to drive their wheelchairs on sidewalks instead of driving through busy areas or on curbs (unless the wheelchair was designed for this purpose). For others this meant driving more cautiously in a noisy environment and watching out for pedestrians. The final and least preferred option was to remove a person's chair, which was seen as two-fold punishment: losing independent mobility and preventing access to facilities and community activities. Diane and Harriet, among others, were among the participants who were stripped of their chairs. Participants also suggested that residents, family members, and staff members be trained on the safe use of power mobility. This could include teaching basic driving skills (such as the correct side to walk on in the hallway) and encouraging residents to practice driving when they leave, and helping them understand how their behavior affects the mobility of others. Follow-Up A power mobility device can have a profound impact on the child's ability to function and be a part of life. However, very little research has been conducted on the experiences of children who are learning to use this device. This study uses the pre-post method to investigate the effects of six months of experience with one of four early power mobility devices on the children in school with severe cerebral palsy (CP). Qualitative interviews were conducted with 15 parents and children's occupational and physical therapists. Thematic analysis identified three major themes. The first theme, 'Power for mobility The theme described the ways that using an electric device impacted more than just the child's motor skills. mymobilityscooters of learning how to operate a powered mobility device is often an emotional and transformative one. The second theme, 'There isn't a recipe book,' showed that the process of learning to use the power mobility device was an individualized process that unfolded over time in a cycle. Therapists were required to discover what was realistic for each child's needs and capabilities. During the training phase, and following, therapists were required to be patient with children as well as parents. Parents and therapists alike described the need to help families celebrate their accomplishments and solve problems associated with the process of training. Finally, the third theme called 'Shared space The study explored how the use of devices that power us can affect the lives of others and how they interact. The majority of participants in this study believed that people should be considerate when using a power device. This was especially applicable when driving on roads that are public. Participants also shared that they've seen instances where property of someone else's was damaged due to the use of a power mobility device or an individual had been injured by a driver who didn't yield the right of way. The results of this study show that power mobility and socialization training for preschoolers with CP can be carried out in a variety of classroom settings. Future research should be focused on the training and outcomes of this type of intervention with young children with CP. This should hopefully lead to the development of more standard training protocols for this population.