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Use of devices for mobility by the elderly
L L Brooks1, J J Wertsch, E H Duthie
1Medical College of Wisconsin.
Summary
Most elderly individuals acquire mobility devices like canes, walkers, or wheelchairs independently. Clinicians must verify the safety and appropriateness of these non-prescribed assistive devices for older adults.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Assistive Technology
Background:
- Mobility devices are crucial for elderly independence and quality of life.
- Understanding how older adults obtain these devices is essential for ensuring safe and effective use.
Purpose of the Study:
- To investigate the acquisition methods and prescription patterns of mobility devices (canes, walkers, wheelchairs) among elderly individuals aged 75 and older.
- To identify the proportion of prescribed versus non-prescribed devices and the healthcare professionals involved in prescription.
Main Methods:
- A survey was conducted with 70 elderly individuals (≥75 years) who currently use canes, walkers, or wheelchairs.
- Data collected included device type, prescription status, prescriber, and method of acquisition.
Main Results:
- A significant majority (94.3%) of elderly individuals obtained their mobility devices without a formal prescription.
- Among prescribed devices, physical therapists were the most frequent prescribers (45%), followed by physicians (32.5%) and nurses (22.5%).
- A high percentage of wheelchair users (93%) in skilled care facilities may be linked to economic factors (free provision) and social benefits.
Conclusions:
- The independent acquisition of mobility devices by the elderly is prevalent.
- Healthcare providers must proactively assess non-prescribed devices to ensure patient safety and optimal mobility support.