Assistive Technology

Comprehensive Assessment Process

The prescription begins with an in-depth assessment that considers the whole person and their unique circumstances. OTs evaluate:

• Physical Abilities: Strength, coordination, balance, and endurance (e.g., Can the client stand briefly? Can they grip objects?). 

• Cognitive and Perceptual Skills: Memory, attention, problem-solving, and spatial awareness (e.g., Can they sequence tasks? Do they recognize hazards?)..

• Emotional and Social Factors: Motivation, confidence, and support networks (e.g., Are they anxious about falling? Do they have family to assist?). Emotional resilience can influence willingness to adopt new tools.

• Functional Goals: What the client wants to achieve (e.g., showering independently, returning to work, gardening), ensuring equipment aligns with their priorities.

• Environmental Context: Home layout, community access, and lifestyle (e.g., Are there stairs? Doorway width? Do they travel often?). 

Our OTs gather this information through hands-on observations (e.g., watching a client transfer from bed to chair), standardized tools (e.g., Functional Independence Measure), client and family interviews, and trial sessions with potential AT and devices. This holistic process ensures prescriptions are practical, safe, and meaningful, often supporting funding applications by documenting specific needs.

Types of Assistive Technology and Equipment

Based on the assessment, OTs prescribe from a broad array of assistive technologies, each tailored to address specific challenges:

Mobility Aids:

• Manual Wheelchairs

• Powered Wheelchairs

• Refer to complex seating and positioning
  
  

Seating and Positioning Systems:

• Specialized Seating: Tilt-in-space chairs or custom cushions (e.g., gel or air-filled) to relieve pressure and support posture for clients with spasticity or prolonged sitting.

• Positioning Aids: Wedges or rolls to maintain alignment and prevent contractures

• [Refer to complex seating and positioning - link]
  
  

Transfer Equipment:

• Slide Boards: For scooting between surfaces.

• Hoists: Portable or ceiling-mounted lifts for clients with minimal mobility.

• Standing aids: Manual and powered standing machines or hoists.

• Transfer Belts: To assist carers with safe lifting, reducing injury risk.
  
  

Beds and Mattresses:

• Adjustable Beds: Electrically powered beds with customizable height, head, foot and tilt adjustments to simplify getting in and out, improve comfort, and support repositioning—ideal for managing issues like nighttime muscle spasms, joint stiffness or breathing difficulties. 

• Pressure-Relieving Mattresses: Alternating or static air, hybrid o or foam mattresses to prevent pressure injuries in clients with limited movement and improve comfort.
  
  

Adaptive Controls:

• Environmental Control Units (ECUs): Voice-activated or switch-based systems to operate lights, TVs, or doors.

• Communication Devices: Eye-gaze, adaptive switches and mounting systems for clients with limited speech or hand use.
  
  

Adaptive Tools for Daily Living:

• Self-Care Aids: Long-handled reachers, button hooks, or enlarged handles for weak grip.

• Kitchen Tools: One-handed cutting boards, rocker knives, or jar openers for cooking independence.

• Writing/Tech Aids: Large-grip pens, adaptive keyboards, or phone mounts for fine motor or tremor difficulties.

  
  

Collaborative and Ongoing Process

Our OTs work with clients, families, physiotherapists, speech pathologists and suppliers to trial equipment, refine choices, and train users. Follow-ups ensure devices remain effective as needs evolve—vital for progressive conditions. This collaborative, adaptable approach empowers clients to thrive in their homes and communities, living life on their terms.