Mr. Jones Disability Case Study

In the give case study, Mr. Jones is 58 year old, his height is 6feet, and 2inches with body weight 195 pounds. He diagnosed with multiple sclerosis about ten years ago and he has good upper extremity strength and less strength in lower extremity. He works at post office as a clerk and he is independently performs his ADLs with some assistant. The features required in a wheelchair depend upon user characteristics and intended activities. The components include for Mr. Jones wheelchair are wheels, tires, frames, materials, construction details, seats, backrests, brakes, hand rims, footrests and armrests(Dellabiancia, Porcellini, and Merolla,2013). According to Mr. Jones living situation, he requires manual reclining custom wheelchair because

Jones wheelchair are seat width, seat height, seat depth, back height, and armrest height. In the case study, Mr. Jones hip width has given 20 inches, so he needs 22 inches seat width for his wheelchair in consideration of potential weight gain or loss, consideration of bulky clothing, and to avoid pressure on side of thigh. The wheelchair seat depth is the measurement from Mr. Jones posterior buttock to popliteal fold while he sits in erect position and subtraction of 2inches form the measured reading to avoid pressure from front edge of the seat against the popliteal space (Proper Wheelchair Fit – MCCC). The case study has given Mr. Jones bottom to back of knee sitting depth measurement 22inches, so he requires seat depth of 20inches. Next, wheelchair seat height is the measurement of heel to popliteal fold distance while Mr. Jones sitting on chair with 90-degree hip flexion (Proper Wheelchair Fit – MCCC). If client knees are too high, it will increase the pressure at ischial tuberosity; put him on risk of skin breakdown and pelvic deformity (Pedretti, Pendleton, and Schultz-Krohn, 2013). Mr. Jones is 6ft 2inches tall so he requires seat height more than 19.5 to 20.5 inches, which is normal, seat height for an average adult (height 5ft 9 inches) (Proper Wheelchair Fit – MCCC). In addition, he needs leg rest, which is 2inches above the floor to provide ground clearance over varied surfaces. The back height for Mr. Jones wheelchair should be seat of his chair to the inferior angle of scapula during sitting position with shoulder flexion (Proper Wheelchair Fit – MCCC). For average adult, the wheelchair back height should be 16-16.5 inches, but Mr. Jones wheelchair height needs to be higher than 16.5 inches because of his height (Proper Wheelchair Fit – MCCC). Next, the armrest height is the distance from seat of the chair to olecranon process of the elbow with elbow flexion of 90 degree and subtraction of 1inch from the