Appropriate AT Devices

After gathering general information on client’s goals, functional assessments, physical assessments, and recommendations are made in the appropriate AT device. I think the appropriate goal for OT to write for a client needed and used an assistive device include providing education and training in client’s environment to use the AT device. For example, if client AT device is a wheelchair, the therapist will teach client “how to apply brakes, propel the wheel to go straight line or make a turn, and how to remove foot and armrests” (Cook & Polgar, 2015. P.106). Also, the therapist will design therapeutic exercise needed for the client to use the AT device. For instance, the client using a wheelchair needs upper extremities' strength, endurance,
flexibility, ROM and posture to operate the wheelchair. Yes, there would be differences in the outcome that both the OT and client would work toward. For example, “when the needs of a client with complex seating and mobility needs may not match the services provided by the OT. Also, if the client does not have the necessary expertise in AT device used. Or if the AT is not working or has been abandoned by the client, and the client is seeking a referral to see if modifications to the system can aid in making it more functional” (Cook & Polgar, 2015.p. 95). According to Fuhrer et al. 2003, the outcomes that specialist might need to report are effectiveness, efficiency, and satisfaction with the device. These outcomes provide useful information on how services are being delivered (Cook & Polgar, 2015.p.110). Therefore, clients’ feedback on AT device is important because it determines whether the device does what it is intended to do.