73 years old man diagnosed with Parkinson’s Disease (PD), x 7 years. Recent onset of macular degeneration.
Two mobility aids: 1) Rollator with slow-down brakes and 2) standard frame walker with 4 fixed wheels. A single mobility aid isn’t sufficient to meet the patient’s needs for safe support.
Inside his home, the patient uses both walking aids to continue living independently. The patient began using the rollator throughout most of the home but at night a walking frame with more stability than the rollator is required for night time toileting. At night he is at an increased risk for falls due to grogginess and decreased vision. Various accessories were trialed on a standard frame walker including combinations of fixed and swivel wheels of different sizes, autostop brakes, and plastic skis.
He concluded he felt most secure with four 3” fixed wheels. The widest base of support was maintained by placing the wheels on the outside of the frame rather than the inside for maximum stability. This configuration of walker was still able to pass through the bathroom door. Slow-down brakes were added to his rollator to increase his control on the ramp, in the driveway and at the community centre where his classes are held.
You’ll need to consider much more than physical ability.
What about the environment and social supports?
And if so, how do you find a therapist?
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