wheelchair mb
Patient has mobility limitation that significantly impairs {formmenu: default=his; her; name=his/hers} ability to participate in one or more mobility related activities of daily living such as toileting, feeding, dressing, grooming and bathing in customary locations in the home due to {formtext: name=diagnosis}. Mobility limitations cannot be sufficiently and safely resolved by use of appropriately fitted cane or walker. The home provides adequate access between rooms as well as maneuvering space and surfaces for use of the manual wheelchair. I feel the use of a manual wheelchair will significantly improve {=`his/hers`} ability to participate in mobility related activities of daily living and will be used on a regular basis in their home. {formmenu: He; default=She} has a willingness to use the wheelchair and has sufficient upper body strength, physical and mental capabilities to safely propel the manual wheelchair and/or has a care giver that can assist if needed.