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R Healthcare Access 06A Скачать руководство пользователя страница 19

R Healthcare

Modular

User Guide

Page

19

August 2013 Revision E

www.rhealthcare.co.uk

2.2

GETTING IN AND OUT OF A WHEELCHAIR FACING FORWARDS

For maximum safety, these operations should be carried out with the
help of an attendant. The occupant should always try to assist the
attendant wherever possible to share the total effort.

Carers should not attempt to lift without help.

If this is not possible a hoist may be required.

Getting into the wheelchair.

Make sure that the brakes are on, flip up the footplates, taking care
that the heel support straps (if fitted) are not jammed against the
footrest support frame. On some models, footrests may be detached or
swung away for easier access.

Note that when footrests are detached, the mounting swivels

remain exposed, and care should be taken to avoid the occupant

catching these accidentally.

The occupant may be able to help by pushing on the armrests to
provide support whilst being lowered into the seat. Finally, push the
footplates down, and locate the occupant’s feet on them.

see fig 1.

Getting out of the wheelchair.

Make sure that the brakes are on

,

then flip up the footrests or detach

them. The occupant should place a hand on each armrest, bend
slightly forward and place both feet well back and firmly on the ground,

then push upwards to assist the carer.

2.3

SIDE TRANSFER

When the wheelchair armrest is removed, it will allow sideways entry to
the chair and vice versa, from another chair or car seat.

see fig 2.

Physically active Independent users with upper body and arm strength
should eventually develop skill to carry out this manoeuvre without
help. However, it is advisable that an attendant should be available if
assistance becomes necessary.

Make sure the brakes are on, or that the wheelchair is prevented from
moving, It is easier to transfer when flip up footrest assemblies are
swung back out of the way, or removed so as not to interfere with the
legs. Fixed frame wheelchairs with foot bars, which do not have
protruding brackets and footplates, allow side transfer without the need
for footrest removal. Feet should be firmly on the ground and not on
the footrest. The safest way to transfer is to bend slightly forward.

DO NOT ATTEMPT SIDE TRANSFER ON SLIPPERY OR UNEVEN FLOORS

If there is a gap between the two seat surfaces, it may help to slide
along a smooth transfer board, or to use some other lever point such
as a car hand grip for additional support whilst manoeuvring from one
seat to the other.

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Содержание Access 06A

Страница 1: ...1 August 2013 Revision E www rhealthcare co uk MODULAR WHEELCHAIR ACCESS 06 J A Junior Adult Wheelchair ACCESS 06 H Adult Heavy Duty Wheelchair ACCENT 07 A Adult Wheelchair ACCENT 07 H Adult Heavy Duty Wheelchair User Guide and Information ...

Страница 2: ...vering occupant sizes up to 160Kg The Accent wheelchair incorporates seat depths of 19 and is beneficial for taller users The wheelchair you have received has been built for you The User Guide is in two parts each containing essential information which must be read before attempting to use the wheelchair This first part of the User Guide has been designed to answer any questions users may have abo...

Страница 3: ... P18 2 3 Side Transfer P18 2 4 Brakes P20 2 5 Pushing Techniques P20 2 6 Kerbs P22 2 7 Steps Slopes P24 2 8 Seatbelts also posture belts P24 2 9 Occupant Controlled Mobility P27 Movement Stability P28 2 10 Transportation P28 2 11 Fire Precautions P32 2 12 General Precautions Information P33 2 13 Looking after your Wheelchair General care Maintenance P34 2 14 Service Checklist P35 2 15 Technical Da...

Страница 4: ...Modular wheelchair is packed in a cardboard carton together with User Guidance Information Each wheelchair has its own specific identification code which is on a label at the back of the chair This code should also be noted on the Wheelchair Service Record included in the information package supplied to users Take care that all information supplied is kept in a safe place for your future reference...

Страница 5: ...the possible configurations of R Healthcare Modular wheelchairs R HEALTHCARE ACCESS FULLY MODULAR WHEELCHAIR Diagrammatic representation of modularity with choice of wheel and castor type and position backrest angle seat to ground height and leg angle in addition to seat width which tailor final build specification to meet clinical assessment of user ...

Страница 6: ... to extend or enhance performance in line with the requirements of the wheelchair user These include Large Diameter Spoked Wheels 315mm Attendant Wheels One Arm Drive Mechanism Attendant Controlled Brakes Armrest Options Elevating Leg Rests and Stump Supports Height Adjustable Push Handles Anti tip Stabilisers which must be fitted when rearward stability is measured at less than 10 Cushion Options...

Страница 7: ...ully Modular Wheelchairs have a folding backrest To raise the backrest for use lift both push handles upwards Make sure that the backrest plungers then drop into position as shown above and are fully engaged before use CLOSING THE WHEELCHAIR Remove any cushions To fold the backrest slide up the backrest plunger knob located at the back of the hinge When both plungers have been released the backres...

Страница 8: ...ngage the locking latch after replacing the footrest Both the height and the angle of footrests on the R Healthcare Modular Wheelchair are adjustable The angle of the footplate is adjusted by a jacking screw at the base of the stem The height is adjustable by a clamp screw at the end of the pivoting footrest frame bracket Footrests settings are important A correctly set footrest height will help t...

Страница 9: ...mounting tube and clamping to the frame where required The brake may be mounted above or below the mounting tube above on the Occupant Controlled versions to provide optimum handle position Attendant Controlled versions will usually have them fitted below Attendant hub controlled brakes can be fitted to chairs to assist safe operation when the weight of the occupant is height compared to the stren...

Страница 10: ...cantly reduced and we recommend their use when the attendant person requires a little help in lifting the chair When removing or replacing Q D wheels the brakes should be in the off position Depress the button in the centre of the hub and pull the wheel away from the wheelchair To replace the wheel depress the button in the centre of the hub and enter the wheel spindle into the mounting bush Ensur...

Страница 11: ...hnique which skilled users put to good effect when climbing kerbs Users should be aware that anti tip stabilisers become less effective when the wheelchair is on an upward facing slope It is most important that the Assessment Teams are fully satisfied with user skills before allowing finely tuned balance settings and removal of stabilisers In some instances a helmet may be advisable for head prote...

Страница 12: ...eel is repositioned Anti tip Stabilisers allow the occupant to practice back wheel balancing and skilled manoeuvres Access Build Specification 6 11 Stability Conditions Wheelchairs configured in the rear wheel set back position for high double amputees have a maximum stability of 4 degrees Therefore where slopes of any nature are to be negotiated we advise an attendant is in control of the wheelch...

Страница 13: ...s free to spring lock and insert the armrest into the sockets at the front and back of the frame then push down until the armrest clicks into position The R Healthcare Modular all round armrest locking security ensures that the armrest frame will not become accidentally detached from any of its locations The Modular Access Armrest is shown in the diagram This has an adjustable height setting optio...

Страница 14: ...applications where a back rest cushion or customised seating system is fitted In such cases Access Plus may allow the occupant position to remain at the optimum for balance and propulsion with wheelchair forward and rearward stability to be maintained within the original specification and eliminate the need for castor out rigged modifications or anti tip stabilisers 1 9 Warranty Information Please...

Страница 15: ...aced if assembled in pairs Remploy Healthcare recommends replace both assemblies for continuity of wheelchair in use 1 Refer to stabiliser configuration table and check to see if fitted extension tube 8 is required 2 If required move to point 3 if not required remove wheels 4 by lo0sing bolt 6 and nut 3 Remove extension tube 8 by losing bolt 7 and nut Refit wheels 4 onto tube 2 by using bolt 6 was...

Страница 16: ...er Configuration Table Wheel Type Position Standard Curved Stabiliser Items 1 6 Extended Curved Stabiliser Items 1 9 Hole Position 20 Wheel Forward Mid Extended Centre 22 Wheel Forward Mid Centre Extended Centre 24 Wheel Forward Mid Centre Extended Centre 315mm Wheel Forward Mid Extended Centre ...

Страница 17: ...and carer where applicable ease of use environment safety degree of independence transportation costs Clinical Assessment teams have a responsibility to provide the wheelchair occupant and carer where applicable with a means of achieving effective mobility bearing in mind all the above considerations There are many different types and variations of wheelchairs available today It may not be possibl...

Страница 18: ...their approved distributor if they are having problem in using their wheelchair a simple adjustment or alternative build configuration may help to resolve the problem R Healthcare manual wheelchairs can be divided into two broad categories Attendant Propelled Occupant Propelled This general information section covers safety issues of wheelchair use covering all of these Please read carefully toget...

Страница 19: ...ach them The occupant should place a hand on each armrest bend slightly forward and place both feet well back and firmly on the ground then push upwards to assist the carer 2 3 SIDE TRANSFER When the wheelchair armrest is removed it will allow sideways entry to the chair and vice versa from another chair or car seat see fig 2 Physically active Independent users with upper body and arm strength sho...

Страница 20: ...dular User Guide Page 20 August 2013 Revision E www rhealthcare co uk Figure 1 Getting in out of the wheelchair Figure 2 Side Transfer F i g u r e 4 Attendant Control Figure 3 Maintain a firm grip on the push handles ...

Страница 21: ...hill coming back A combination of slope and camber is common in many areas Try the chair out on typical surface conditions nearby and practice manoeuvres likely to be encountered on a longer trip The pusher should be familiar with the operation of the wheelchair remembering to put the brakes on and steady the chair before the occupant gets in and out Where applicable detachable features such as pu...

Страница 22: ... going down a kerb finish position Fig 5 going down a kerb start position make sure that the front end of the chair is lowered slowly to the floor and that the castors are pointing to the rear castors with small wheels are more liable to dig in than large wheels and require extra care in use ...

Страница 23: ...ection of travel and then pushing forward Note The chair must not be tipped forward or the occupant may fall out When stabilisers have been fitted this operation is more difficult to control and extra care should be taken Going up a kerb First method The chair footplates or occupant feet if longer should be taken to just in front of the kerb edge The pusher should hold the chair handles firmly pre...

Страница 24: ...uide Page 24 August 2013 Revision E www rhealthcare co uk Figure 7 Ensure that push handle locks are fully engaged before using Figure 8 Detachable push handles must be inserted correctly Figure 9 Going down up a flight of steps ...

Страница 25: ...hould first be checked out with an unoccupied chair ENSURE THAT PUSH HANDLE LOCKS ARE ENGAGED BEFORE USE Two attendants at least are required for this operation The attendant supporting the main load should grip the chair at the push handles and repeat the procedure as section 2 6 for getting down a kerb at each step the second attendant at the front will be required to guiding the footrest area a...

Страница 26: ...ing or shortening is affected by slackening and adjusting the webbing as it passes through the male part of the fastener until the desired fit is obtained When adjusted ensure the webbing is tightened the buckle is located centrally and the surplus webbing is secured by the tri glide provided Inspection and maintenance of posture belts and their fittings should be included within the planned preve...

Страница 27: ...sing discomfort 1 2 3 Fig 11 Belt with twin webbing loops shown in the correct orientation Fig 12 WARNING DO NOT disassemble shorten cut or drill this retaining belt it could seriously compromise the belts integrity and invalidate any manufacturers warranty Remove the rearmost Seat Canvas screw and loosen off the remaining screws on both sides of the canvas Take one of the lap strap fixing loops a...

Страница 28: ...cal effort needed to manoeuvre and pull a wheelie can be excessive consequently increasing the risk of accidentally tipping over backwards Maximum efficiency of hand propulsion occurs when occupant centre of gravity and wheel centre coincide and is dependent on the occupant shape and size Physically active people should have wheelchairs with fine wheel position balance settings i e below 10 degree...

Страница 29: ...ould provide permanent wheelchair ramps with a practical slope angle built according to regulations for safe access Technical Test data on stability of wheelchairs should be seen as a tool for comparison Data does not convey actual feel of the wheelchair in the intended environment Initial supervised user training and assessment by a rehabilitation professional with the wheelchair in the intended ...

Страница 30: ...nt of the chair having detachable pushing handles these should be checked for security in the locked in position before attempting this manoeuvre Stabilisers may require removal if they interfere with the chair balance angle on a flight of steps This should first be checked out with an unoccupied chair 2 10 TRANSPORTATION Wherever possible it is recommended that wheelchair occupants transfer to a ...

Страница 31: ...r can reach it but also to remain safely secured during the journey With sideways folding wheelchairs the driver should pull the folded wheelchair into the vehicle into space behind driver or passenger seat see figs 13 14 Fixed frame wheelchairs with quickly detachable wheels can be disassembled once the driver has transferred into the car The parts then being stored safely within the vehicle It i...

Страница 32: ...normal traffic conditions such as cornering or coming to a halt and wheelchairs in vehicles should be prevented from moving by other means Dept of Transport approved designated wheelchair areas in low floor buses with support pillars and hand rails at wheelchair height are the most suitable Users are advised to check availability of wheelchair facilities with the transport vehicle operator and not...

Страница 33: ...ow installation of clamps or fittings 2 11 FIRE PRECAUTIONS DISABLED PERSONS ARE AT GREATER RISK THAN OTHERS IN THE EVENT OF A FIRE THE ENVIRONMENT IN WHICH A WHEELCHAIR IS USED SHOULD INCORPORATE SAFETY PRECAUTIONS TO MINIMISE FIRE RISK TO WHEELCHAIR OCCUPANTS When using the chair both indoors and outside always take precautions against fire risks Avoid smoking and do not park the wheelchair agai...

Страница 34: ...utor Servicing Department and retained by the user as a reference Service checks should be carried out by the Authorised Distributor at the recommended interval specified on the Service Record Batch code and serial numbers are essential for the specification of spare parts If in doubt your Authorised Dealer or Rehabilitation Specialist will be able to provide help and professional advice on correc...

Страница 35: ...ormation received from upholstery manufacturer The fabric used for wheelchair upholstery is easily cleaned in situ However as there are some substances which may affect the material careful attention to REGULAR cleaning will not only prolong its life but will ensure that its appearance is maintained Resistance to stains and chemicals The upholstery is resistant to most mild acids alkalis and house...

Страница 36: ... should be replaced Handrims Check security of fixing and damage to surface which could cause cut fingers Moving Parts Occasional lubrication of sliding parts and pivots We recommend the use of a none toxic lubricant is used eg Superlube Plus from Lubrication Services which is FDA approved for food use will allow easy operation Upholstery The upholstery should be wiped with a damp cloth Marks can ...

Страница 37: ...ND ENVRIONMENTS CORRIDOR WIDTH TURNING SPACE WITH ATTENDANT BEHIND FRAME SEAT ANGLE INFORMATION ACCESS ARMREST INFORMATION FOOTREST INFORMATION WEIGHT INFORMATION REAR WHEEL INFORMATION WHEEL BASE CASTORS TRAILING OVERALL DIMENSIONS CASTOR INFORMATION ISO 7176 IMPACT STRENGTH DYNAMIC TESTS SEATING AREA DIMENSIONS OCCUPANT WEIGHT RANGE 50Kg TO 127Kg ...

Страница 38: ...ACCESS ARMREST INFORMATION FOOTREST INFORMATION WEIGHT INFORMATION REAR WHEEL INFORMATION WHEEL BASE CASTORS TRAILING CASTOR INFORMATION ISO 7176 IMPACT STRENGTH DYNAMIC TESTS SEATING AREA DIMENSIONS OCCUPANT WEIGHT RANGE 50Kg TO 146Kg OVERALL DIMENSIONS FRAME SEAT ANGLE INFORMATION CORRIDOR WIDTH TURNING SPACE WITH ATTENDANT BEHIND 160KG ...

Страница 39: ...IGHT INFORMATION REAR WHEEL INFORMATION WHEEL BASE CASTORS TRAILING OVERALL DIMENSIONS CASTOR INFORMATION ISO 7176 IMPACT STRENGTH DYNAMIC TESTS SEATING AREA DIMENSIONS OCCUPANT WEIGHT RANGE 50Kg TO 127Kg Positive Momentum KG K KG OBSTACLES AND ENVRIONMENTS CORRIDOR WIDTH TURNING SPACE WITH ATTENDANT BEHIND FRAME SEAT ANGLE INFORMATION ...

Страница 40: ...T INFORMATION REAR WHEEL INFORMATION WHEEL BASE CASTORS TRAILING OVERALL DIMENSIONS CASTOR INFORMATION ISO 7176 IMPACT STRENGTH DYNAMIC TESTS SEATING AREA DIMENSIONS OCCUPANT WEIGHT RANGE 50Kg TO 146Kg CORRIDOR WIDTH TURNING SPACE WITH ATTENDANT BEHIND FRAME SEAT ANGLE INFORMATION Positive Momentum KG K KG OBSTACLES AND ENVRIONMENTS 160KG ...

Страница 41: ...R Healthcare Modular User Guide Page 41 August 2013 Revision E www rhealthcare co uk R HEALTHCARE GROUP Distributed by Other Approved Distributors Part Number MSPML500 ...

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