D. I need clarification because the question is really in two parts. 1. Does the patient require a wheelchair
2. Does the patient use a wheelchair Ron =============================================================== On 9/25/2003,[EMAIL PROTECTED] wrote: dz> To me, it seems that the answer is YES and that you have dz> justified the reasons.� He is presently ambulating via a walker and dz> crutches, however this is not safe for him (as he has fallen) and it dz> has��resulted in OA.� Because of all this, a power chair is dz> necessary to safely and independently ambulate within his home, not dz> to mention, to�prevent further damage/deterioration of his dz> shoulders.�� Did that make any sense?� Let me know if you'd like dz> alittle more clarification. dz> D���� >>From: Ron Carson >>Reply-To: [EMAIL PROTECTED] >>To: [EMAIL PROTECTED] >>Subject: [OTlist] Medical Necessity for a Power Wheel Chair >>Date: Wed, 24 Sep 2003 19:58:23 -0400 >> >>I am struggling to complete a Certificate of Medical Necessity (DMERC >>form 02.03A) for a power wheel chair. >> >>Question 1: Does the patient require and use a wheelchair to move around >>their residence? >> >>The client in question has an old spinal cord injury that left him with >>incomplete lower extremity paralysis. He has been ambulating in the >>house via a 4-wheel rolling walker and/or Lofstrand crutches while >>placing almost 100% of his body weight through his arms/shoulders. His >>adapted form of ambulation has resulted in developing OA in his left >>shoulder with a resultant decrease in ROM secondary and significant >>increase in pain. He only uses a manual wheelchair in the house >>infrequently because he can't push it secondary to shoulder arthritis. >>he has fallen 6-8 times this past year while ambulating with his walker. >> >>It appears that the answer to question 1 is a 'no'. If this is true, >>does this mean that a power wheelchair is not medically necessary for >>this client? >> >> >>*****************************��********************************** >> >>To remove yourself from the OTnow mail list, send a message to: >> >>[EMAIL PROTECTED] >> >>In the message, indicate what address you want removed from OTnow >> >>- >> >>List messages are archived at: >> >>http://www.mail-archive.com/[EMAIL PROTECTED] >> >>*****************************��*********************************** >> dz> The new MSN 8: smart spam protection and 2 months FREE* dz> *****************************��********************************** dz> To remove yourself from the OTnow mail list, send a message to: dz> [EMAIL PROTECTED] dz> In the message, indicate what address you want removed from OTnow dz> - dz> List messages are archived at: dz> http://www.mail-archive.com/[EMAIL PROTECTED] dz> *****************************��*********************************** *****************************��********************************** To remove yourself from the OTnow mail list, send a message to: [EMAIL PROTECTED] In the message, indicate what address you want removed from OTnow - List messages are archived at: http://www.mail-archive.com/[EMAIL PROTECTED] *****************************��***********************************
