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Handling of Heavy occupants 

Using  a  manual  wheelchair  with  a  very  heavy 
occupant  demands  a  lot.  Accessibility  to  and 
from the wheelchair ,and pushing or turning a 
total  heavy  weight  requires  a  lot  of  effort. 
Comparative strength of the carer to push and 
control  occupant  weight  may  be  a  deciding 
factor for safe use. 

A    small  lightweight  carer  may  not  be  able  to 
safely  control  a  wheelchair  with  an  occupant 
over 125Kg on a slope of 5 degrees or even less, 
without additional assistance.

Safe operation with a very heavy occupant may 
limit  manual  wheelchair  use  to  level  surfaces 
only, with slopes and kerbs being avoided. Very 
heavy occupants should understand that carers 
cannot  put  themselves  at  risk  through  unsafe 
handling practice.

Accessibility  factors  in  the  intended  usage 
environment such as doors, kerbs or ramps may 
demand  additional  handling  equipment, 
teamwork or other mobility solutions. 

Build specifications for heavy occupants 

We are all getting bigger. Supply of wheelchairs 
for  a  very  heavy  occupant  is  an  increasing 
requirement. When a seating system is fitted the 
total  occupant  weight  can  also  be  increased 
significantly.  The  Greencare  DB1  can  be 
individually  built  in  a  relatively  lightweight 
specification that will meet the identified needs 
of both occupant and carer. 

Greencare  have  specific  component  features 
that will enable a wheelchair to be individually 
built to meet an identified need. In achieving this 
result,  the  assessment,  trial,  and  handover 
process,  together  with  ongoing  preventative 
maintenance  procedures  become  increasingly 
important. This should be advised to the user at 
the handover. 

The  total  occupant  weight  loading  on  the 
wheelchair structure requires strengthening of 
load carrying components in keeping with the 
individual  person,  distributing  and  absorbing 
the occupant weight over the entire frame.     

Integrated  frame  features  for  suppression  of 
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specifications, in assessed combinations, for 
strength,  are  included  in  the  final  wheelchair 
build for a very heavy occupant. 

Positioning the wheel relative to the occupant, 
for  ease  of  manoeuvrability  by  a  carer  are 
important features. This needs to be trialed on 
an individual basis.

Larger diameter wheels are recommended for 
heavy  occupant  wheelchairs  because  they 
reduce  the  effort  to  push.  Greencare 
recommend the availability of spare wheels for 
wheelchairs  when  the  assessment  indicates 
an increased level of vulnerability.  

A  buckled  wheel,  which  for  an  independent 
l i g h t w e i g h t   u s e r   m a y   b e   a   s m a l l  
inconvenience, becomes a serious issue for a 
heavy weight person, creating increased risk 
for  both  occupants  and  carers.  The  final 
specification  for  an  original  heavyweight 
occupant  wheelchair  may  also  include 
additional  service  spares,  that  can  be  made     
immediately  available,  when  required  in  an 
emergency.

In some circumstances it will be necessary to 
reduce the warranty on component parts to 12 
months  because  of  the  high  usage  levels  in 
heavy  occupant  applications.  This  will  be 
advised at the time of assessment.

GETTING AROUND SAFELY WITH HEAVY OCCUPANTS  

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Summary of Contents for DB1J 13

Page 1: ......

Page 2: ...ers understand the wheelchair and get the best performance out of it in safety Different users may have specific requirements relating to them individually and their environment both indoors and outdo...

Page 3: ...ation reference and is important in the provision of spares and for advice regarding your specific wheelchair Serial number of this chair is as indicated Other important information can be found on la...

Page 4: ...handles Backrest latches on each side will click into position when the push handle is fully up provided that the back brace tension is released When the backrest catches locate push down on the back...

Page 5: ...e and occupant load This brace has a central folding feature which should be lifted to release when folding Backrests may be built with specially re enforced components for very heavy occupants or tho...

Page 6: ...e controlled by operating levers on the push handles The support height of reclining backrests will normally have an extension to the level of the occupants head according to assessed need Backrest ex...

Page 7: ...e This is set by means of three fixing screws on the underside of each unit Each DB1 footrest has a choice of three alignment positions This will normally be set to meet user need with the central gap...

Page 8: ...s available to reduce the operating effort This extended handle unit can be set up rigidly or to allow folding down if handle height reduction is required for side transfer When the extended handle is...

Page 9: ...locations and pivoted at the rear of the backrest location They can be released at the front and pivoted upwards and back for transfer in and out of the chair They are not be removable from the chair...

Page 10: ...ransfers 8 The thoracic supports can be used singly or as a pair depending on the users needs Greencare support pads are manufactured in a wipe clean durable material They should be kept clean using a...

Page 11: ...es The quick release axle allows the lifting weight to be reduced by removal the wheels for storage e g in a car boot Other wheel specifications to meet environmental or user preferences are available...

Page 12: ...om technical data measurements A lighter weight option for hemiplegic operation is a sprung loaded connecting strut between quick release wheels This strut has a recess that engages on the end of each...

Page 13: ...o information provided in this guide PREPARING THE WHEELCHAIR FOR USE Professional guidance and skills training should also be provided through the wheelchair issuing centre Users are recommended to e...

Page 14: ...e chair Footrests may be detached or swivelled away inwards or outwards for easier access The occupant may be able to help by pushing on the armrests to provide some body support whilst being lowered...

Page 15: ...swung back out of the way or removed so as not to interfere with the legs Where possible feet should be firmly on the ground The safest way to side transfer is to bend slightly forward when shifting t...

Page 16: ...he assessment trial and handover process together with ongoing preventative maintenance procedures become increasingly important This should be advised to the user at the handover The total occupant w...

Page 17: ...pace at the side of the seat frame and a seat cushion must always be fitted over this open space Front outriggers offer a choice of footrest positions This can be inboard for a compact turning or outb...

Page 18: ...attention to the surface conditions avoiding uneven or soft ground Uneven ground effects the weight distribution and control of the wheelchair and should be avoided Kerbs and Active Occupant control P...

Page 19: ...kerb in this method direction of travel is maintained but effort required is greater than in method 2 The chair castors should be taken to the edge of the kerb The carer should hold the chair handles...

Page 20: ...can eliminate difficult manoeuvres and steps kerbs or soft ground may then be avoided and the journey less exerting Safe slope up to 8 Degrees For a carer and occupant pushing a wheelchair can be an e...

Page 21: ...gaps in the pavement If the wheelchair is crashed forwards into a kerb or similar impact castors should be checked for security and damage If in doubt users should contact the service department Acce...

Page 22: ...with a low seta to ground height to accommodate an assessed cushion thickness and maintain the stability of the wheelchair when the occupant is seated Pressure relieving cushions are often thicker th...

Page 23: ...slope We recommend that wheelchairs are not used on slopes greater than 8 degrees Before taking a wheelchair outside routine user safety checks on the main components and occupant security should be...

Page 24: ...of the optional Greenrim a practical feature which improves safety and confidence in use Alternatively propelling wheel builds which reduce overall width of the wheelchair using inwards mounted alumin...

Page 25: ...the independent occupant who choses to travel in a wheelchair good accessibility into confined spaces is important when using the allocated spaces on public transport such as low floor buses Greencar...

Page 26: ...original specification item or approved restraints fitted as part of the transport equipment Transportation crash tested tie down restraints for both wheelchair and occupant are part of the actual ro...

Page 27: ...HOLSTERY LABELLING ACCESSORY OTHER CHECKERS INITIALS DATE Greencare Mobility For safety users should be aware of routine maintenance responsibilities Riverside Park Road Technical check reference info...

Page 28: ...TECHNICAL DATA MEASUREMENTS 26 GREENCARE DB1 TECHNICAL DATA...

Page 29: ...0mm hex height 520mm six o clock offset 150mm 405mm 22 24 26 std height A type M14 thread x 10mm hex height 500mm twelve o clock offset 150mm 405mm 20 22 24 low height B type M14 thread x 10mm hex hei...

Page 30: ...ur statutory rights Greencare wheelchairs are designed with the needs of disabled people in mind We hope that our wheelchairs provide their users with the reliability comfort and independence needed f...

Page 31: ...ISSUE 31 07 11...

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