A Comprehensive Guide to the Perfect Wheelchair Selection for Your Loved One: A Family Caregiver's Perspective

A Comprehensive Guide to the Perfect Wheelchair Selection for Your Loved One: A Family Caregiver's Perspective

As a family caregiver, ensuring the comfort, mobility, and independence of your loved one is of utmost importance. When it comes to individuals with mobility challenges, the right wheelchair selection can greatly enhance their quality of life. However, the process of choosing a wheelchair can be overwhelming, considering the various options available. This comprehensive guide aims to provide family caregivers with essential information and practical tips on how to select the best wheelchair for their loved ones. From understanding individual needs and considering important factors to exploring different types of wheelchairs and assessing features, this article will empower caregivers to make informed decisions and find the perfect wheelchair that suits their loved one's unique requirements.

Understanding Individual Needs

Every individual has unique needs when it comes to mobility. Before diving into the selection process, it is crucial for family caregivers to assess and understand their loved one's specific requirements. Consider the following factors:

  1. Mobility Level: Determine the extent of your loved one's mobility limitations. Are they unable to walk or have limited mobility?
  2. Physical Measurements: Take accurate measurements of your loved one's height, weight, and body dimensions. This information will help in selecting a wheelchair that offers optimal comfort and support.
  3. Daily Activities: Assess the activities your loved one engages in regularly. Do they require a wheelchair for full-time use or primarily for specific activities?
  4. Lifestyle Considerations: Consider your loved one's lifestyle and environment. Will the wheelchair be primarily used indoors, outdoors, or both? Are there any specific terrain challenges to consider?
  5. Medical Requirements: Consult with healthcare professionals or therapists to understand any specific medical needs your loved one may have, such as pressure relief cushions, postural support, or specialized seating options.

Choosing the Right Type of Wheelchair

Once you have a clear understanding of your loved one's individual needs, it's time to explore the different types of wheelchairs available. Here are some common options to consider:

  1. Manual Wheelchairs: These wheelchairs are propelled by the user or a caregiver through pushing the wheels by hand. They are lightweight, portable, and suitable for individuals with sufficient upper body strength and mobility.
  2. Power Wheelchairs: Ideal for individuals with limited upper body strength or mobility, power wheelchairs are battery-operated and offer greater independence. They can be controlled using a joystick or alternative control methods.
  3. Transport Wheelchairs: Designed for short-term use and easy transportation, these lightweight wheelchairs have smaller rear wheels and are primarily propelled by a caregiver. They are suitable for individuals who require assistance with mobility but do not self-propel.
  4. Bariatric Wheelchairs: Designed for individuals with higher weight capacities, bariatric wheelchairs offer sturdier frames, wider seats, and increased weight-bearing capabilities.
  5. Pediatric Wheelchairs: Specifically designed for children, pediatric wheelchairs provide appropriate support, adjustability, and size options to accommodate growing bodies.

Assessing Key Features

When selecting a wheelchair for your loved one, it is important to evaluate various features that can contribute to comfort, mobility, and overall well-being. Consider the following aspects:

  1. Seat Size and Comfort: Ensure the wheelchair's seat width and depth are appropriate for your loved one's body size. Look for features such as padded seats, adjustable armrests, and backrests for optimal comfort.
  2. Mobility and Maneuverability: Assess the wheelchair's turning radius, wheel size, and overall maneuverability to ensure it can navigate easily through different environments and spaces.
  3. Adjustable Components: Look for wheelchairs with adjustable footrests, leg rests, and seat heights. These features allow customization for comfort, proper posture, and ease of wheelchair transfers.
  4. Portability and Storage: If portability is a key consideration, look for wheelchairs that are foldable, lightweight, and easy to transport or store.
  5. Durability and Maintenance: Evaluate the build quality, materials, and ease of maintenance of the wheelchair. Opt for wheelchairs that offer durability, require minimal upkeep, and have easily replaceable parts.
  6. Safety Features: Ensure the wheelchair has reliable brakes, secure seat belts, and stability features to provide a safe and secure experience for your loved one.
  7. Specialized Seating Options: Some individuals may require specialized seating options such as pressure-relief cushions, tilt-in-space mechanisms, or customizable backrests. Consult healthcare professionals for recommendations based on your loved one's specific needs.

Consulting Healthcare Professionals and Trying Wheelchair Options

While researching and evaluating wheelchair options, it is crucial to consult with healthcare professionals, therapists, or mobility specialists. These experts can provide valuable insights, recommend suitable options based on your loved one's needs, and assist in the fitting process. They may also facilitate trials or demonstrations of different wheelchairs to ensure the best fit and functionality.

Consider reaching out to wheelchair suppliers or medical equipment providers that offer the opportunity to try different models in various settings. This hands-on experience allows your loved one to test the wheelchair's comfort, maneuverability, and compatibility with their lifestyle.

Financing and Insurance Coverage

Wheelchair expenses can vary significantly, so it's important to explore financing options and insurance coverage. Check with insurance providers to understand the extent of coverage for wheelchair purchases. Additionally, some organizations or programs may offer financial assistance or grants for individuals with specific needs or financial limitations. Research these possibilities to ease the financial burden associated with acquiring a wheelchair.


Selecting the best wheelchair for your loved one involves a thoughtful and comprehensive approach. By understanding their individual needs, exploring different types of wheelchairs, assessing key features, consulting healthcare professionals, and considering financing options, you can make an informed decision. Remember that the perfect wheelchair is one that offers optimal comfort, mobility, and independence to enhance your loved one's quality of life. With careful consideration and proper guidance, you can find the wheelchair that best suits their unique requirements, allowing them to navigate the world with confidence and ease.

Patient no-shows: A big issues for surgical centers

Patient no-shows: A big issues for surgical centers

Efficient ambulatory surgery transportation is vital for optimizing patient care and ensuring smooth operations within medical facilities. However, patient no-shows pose significant challenges, causing financial strain and disrupting schedules. In this article, we will explore the impact of patient no-shows, delve into the primary reasons behind them, and provide actionable strategies to minimize no-shows and enhance ambulatory surgery transportation. By implementing effective measures, such as reminder systems, convenient scheduling, patient engagement, and reliable transportation partnerships, medical practices can significantly reduce patient no-shows and improve the overall patient experience.

Understanding the Impact of Patient No-Shows

Patient no-shows have far-reaching implications for medical facilities, particularly those offering ambulatory surgery services. These instances represent lost revenue opportunities and disrupt the balance of staff allocation. Time slots remain unfilled, causing financial strain and creating an imbalance in staffing levels, with more staff present than necessary. Furthermore, patient no-shows can lead to delays in providing quality care, as staff members may be left waiting for patients who do not arrive. This subsequently affects the experience of punctual patients, who may experience longer wait times and delayed procedures.

Identifying the Primary Reasons for Patient No-Shows

To effectively address patient no-shows, it is crucial to understand the underlying reasons behind them. Several common factors contribute to patients failing to attend their appointments:

  1. Financial Concerns: Unanticipated expenses can deter patients from attending scheduled appointments. Addressing cost-related issues and offering financial assistance programs or transparent pricing options can alleviate this concern.
  2. Anxiety and Nervousness: Patients may experience heightened anxiety and nervousness regarding upcoming surgical procedures. Implementing pre-procedure counseling and offering emotional support can help ease their apprehensions.
  3. Forgetfulness and Cognitive Decline: Busy schedules and age-related cognitive decline can lead to patients forgetting their appointments. Implementing reminder systems, such as text or call reminders, can significantly reduce instances of forgetfulness.
  4. Transportation Challenges: Inadequate transportation options account for a significant portion of patient no-shows, particularly for individuals who cannot drive or lack reliable transportation. Collaborating with local patient transport services can address this issue and provide a reliable transportation solution for patients.

Strategies to Minimize Patient No-Shows

Medical practices can implement several strategies to minimize patient no-shows and optimize ambulatory surgery transportation:

  1. Implement an Effective Reminder System (150 words): Implementing an automated reminder system can significantly reduce no-show rates. Studies have shown that text reminders yield higher response rates compared to email reminders. Leveraging technology to send timely reminders allows patients to confirm or reschedule their appointments, reducing the likelihood of no-shows.
  2. Convenient Scheduling (150 words): Offering patients the first available appointment time that aligns with their schedules increases the likelihood of attendance. By providing flexible scheduling options, including evenings and weekends, medical practices accommodate patients' needs and reduce scheduling conflicts.
  3. Enhance Patient Engagement (150 words): Engaging patients in their care journey is crucial to minimize no-shows. Providing comprehensive pre-procedure instructions, educational materials, and clear communication regarding the importance of their appointment fosters a sense of responsibility and commitment. Engaged patients are more likely to prioritize their appointments and actively participate in their healthcare.
  4. Address Financial Concerns (150 words): To alleviate financial concerns, medical practices can implement transparent pricing models, offer flexible payment options, and provide financial assistance programs. Clearly communicating costs, exploring insurance coverage options, and assisting patients in navigating the financial aspects of their care can minimize the financial barriers that contribute to no-shows.
  5. Incentives for Prepayment (150 words): To encourage commitment and prompt payment, medical practices can offer incentives for patients who prepay for their appointments. Discounts, loyalty programs, or additional services can motivate patients to fulfill their financial obligations and reduce the likelihood of last-minute cancellations or no-shows.

Optimizing Ambulatory Surgery Transportation

Collaborating with a reliable local patient transport service is a pivotal step toward optimizing ambulatory surgery transportation. By partnering with a reputable transportation provider, medical facilities can ensure that patients have access to timely and dependable transportation services. Key benefits of such partnerships include:

  1. Door-to-Door Service: A reliable patient transport service offers door-to-door transportation, eliminating the burden of arranging transportation for patients. This seamless service enhances the patient experience, reducing stress and enabling a smooth transition to and from the facility.
  2. Timeliness and Efficiency: With dedicated transport services, patients can be assured of timely arrival for their appointments. The transport provider can coordinate pickup and drop-off schedules to align with the surgical center's needs, ensuring optimal efficiency and minimizing delays.
  3. Specialized Care: Patient transport services that specialize in ambulatory surgery transportation understand the unique requirements and considerations involved. They employ trained staff who can provide any necessary assistance, ensuring patients' safety, comfort, and dignity throughout the journey.


Patient no-shows significantly impact medical facilities, particularly those offering ambulatory surgery services. By identifying the primary reasons behind no-shows and implementing effective strategies, medical practices can reduce no-show rates and optimize ambulatory surgery transportation. Utilizing reminder systems, offering convenient scheduling, enhancing patient engagement, addressing financial concerns, and partnering with reliable patient transport services are key steps toward achieving these objectives. By prioritizing patient attendance and providing seamless transportation solutions, medical facilities can improve patient satisfaction, enhance operational efficiency, and ultimately deliver optimal care to their ambulatory surgery patients.

Accessible Travel: How To Plan It.

Accessible Travel: How To Plan It.

Where to Find Accessibility Information About Your Travel Destination

In the march toward accessibility, travel is the latest frontier.  Today, more destinations than ever before are becoming wheelchair-friendly.  In fact, the United Nations has prioritized the development of accessible infrastructure to open more destinations to travelers with disabilities each and every year.

There are even Travel guides specifically created to address accessibility needs, from world attractions and sights, to airports, hotels, public transportation, wheelchair taxis (with ramps), sidewalks, footpaths, curb ramps, disability assistance and more.  It’s called Accessible Tourism, and it’s an ongoing endeavor designed to ensure that tourist destinations, products and services are accessible to all people, regardless of any physical limitations, disabilities or age.

From publicly and privately owned tourist locations, the world has never been more accessible.    So, to get started on planning your trip, you can find accessibility information about virtually any travel destination, both domestic and international, through the following resources:

  • American Society of Travel Agents (ASTA), asta.org
  • Accessible Europe, www.accessibleurope.com
  • The Guided Tour, www.guidedtour.com
  • Flying Wheels Travel, www.flyingwheelstravel.com
  • Accessible Journeys, www.disabilitytravel.com
  • Road Scholar, www.roadscholar.org
  • The National Center on Health, Physical Activity and Disability, www.ncpad.org
  • The Society for Accessible Travel & Hospitality, sath.org

These guides, among many others available out there, will help get you started planning your next wheelchair accessible vacation.

What Wheelchair-Bound Seniors Should Look for in Hotel Accommodations

For wheelchair-bound seniors who are traveling, booking hotels is always one of the most challenging hurdles when it comes to planning.  In addition to other key factors that must be taken into consideration, like location, price and amenities, you have to do a bit more research, and look beyond the basic information that’s presented online for guidance.

It’s absolutely essential to take the extra time and consideration to seek out appropriate accommodations that suit your unique needs.  For instance, if you’re traveling with an electric wheelchair, you’ll need to make sure that there are places available to recharge your chair.  And, beyond your physical needs, you’ll want to make sure that you’re dealing with staff who are conscious of your needs. Every detail needs to be considered in order to make your stay as comfortable as possible.

Often, it’s not enough to just book a hotel based off of what’s seen online.  Hotels that are listed as “accessible” could virtually be interpreted to mean just about anything.  So, when booking a hotel, be diligent in seeking out the information that you need, specific to your needs.  The steps you should take to determine whether or not accommodations are in fact wheelchair appropriate include:

  • Browsing options and reviews online
  • Calling the hotel
  • Asking hotels and hotel managers specific questions about accessibility
  • Asking for photos of the room

By taking the time to do your due diligence, you’ll be able to find a hotel that will not only meet your accessibility needs, but hopefully exceed them.

Cost-Saving Tips for Hotel and Transportation Booking

When it comes to travel, it’s easy to overspend and completely throw your budget out the window.  And, we understand.  You’re looking to take a break from reality, so money’s the last thing you’re worrying about.  But, what happens when you get home, and your pockets are a little lighter than expected?

It may seem like a hassle now, but consider the alternative – coming home empty handed or worse, in debt.  Remember, the point is to return from your travels with less stress, not more.  So, take a little time up front to carefully plan your trip, and trust us, it will pay off in the long run and save you money.

It’s all about being flexible.  From travel dates, to lodging, to transportation bookings, do your research before setting strict boundaries so that you may discover the most cost-effective amenities, locations, fees, etc. to help you stay within your budget.  Here are the basic guidelines to finding and sticking to cost-saving bookings:

  • Be flexible
  • Stick to your budget
  • Look for deals and coupons
  • Choose your destination wisely (i.e. is it easy and affordable to get around?)
  • Look into bundling options
  • Find out what amenities are and aren’t included in your hotel
  • Book your hotel and transportation by calling directly

The more time you spend doing research before booking travel, the more cost-savings you’ll come to find for a more enjoyable, stress-free adventure.

Questions to Ask Tourist Attraction Staff Before You Buy Your Ticket

When it comes to booking tours and attractions during your travels, those with mobility disabilities must do a good bit of up-front research before heading to a destination to ensure that their specific needs can and will be met.  And, this means asking a lot of specific questions.

It may take several phone calls to find the right tours or attractions that will work both for you and with you.  Yes, there will be places that aren’t willing to take the time to answer your questions or be specific, but don’t get discouraged.  Move on to the next attraction or tour because there are many, many out there that are willing to work with you and are happy to do so.

So, if you’re not sure where to start, here are a few questions you’ll want to ask and get answers to before you embark on your vacation:

Indoor Tours

  • Is the entryway of the building accessible? Is the rest of the structure accessible?
  • Is there an elevator? Will the elevator fit my mobility equipment?
  • Is the bathroom big enough to fit my mobility equipment? Are there bars in the bathroom?  Which way do the bathroom doors open?

Moving Tours

  • Are the pathways smooth enough for my mobility equipment?
  • Will the cab, car, bus, boat, etc. be able to fit my mobility equipment?
  • Do the train or subway stops have elevator access?
  • How wide and steep are the access ramps?

It may be tedious, time-consuming work to get your questions answered, but it will pay off in the end when your tour is finally booked.

What You Need to Know About Air Travel with a Wheelchair

Traveling on an airplane with a wheelchair is a difficult process these days.  But, worry not.  Here’s what you need to know before you board your next flight:

  • Learn the law – Read the Air Carrier Access Act (ACAA). This is the law that covers access on all flights to and from the US, and it will tell you what accommodations, facilities and services are and aren’t required.
  • Request transport – Request an airport wheelchair. If you travel with your own wheelchair, let the reservation agent know what type of an assistive device you have.
  • Request a transfer-friendly seat – Request a seat with a flip-up armrest to make transfers easier.
  • Pre-plan security - If you can’t walk through the metal detector, tell the TSA agent, and you’ll be hand-wanded and given a manual pat-down. If you have any pre-trip questions or concerns, call the TSA Cares Hotline at (855) 787-2227 at least 72 in advance.
  • Arrive early - Aircrafts with more than 100 seats have a priority storage space aboard for one manual wheelchair which is available on a first-come basis.
  • Consider bathroom options - Most accessible airline lavatoriesare quite small, and you need to be able to walk a few steps to use them.  So, it’s a good idea to use the airport facilities before boarding.

Travel by nature requires planning and preparation, especially when you factor in a disability.  So, take the time to educate yourself on the ins and outs of air travel with a wheelchair to help make your next flight stress-free.

Know Your Rights: Basic Accessibility Laws Every Wheelchair-Bound Traveler Should Know

For wheelchair-bound travelers, air travel can be exceptionally stressful.  Fortunately, to ensure that people with disabilities would not be discriminated against, Congress passed the Air Carrier Access Act that states that all domestic and international flights to and from the US are required to provide certain free accommodations to people with disabilities in a way consistent with providing safe travel for all passengers.  Those basic rights include the following:

  • Accommodations required by law must be provided for free upon request.
  • You don’t need to pre-check with an airline unless traveling by stretcher, with an electronic wheelchair or other battery-powered device, or require a hook-up to flight oxygen.
  • Traveling with an attendant isn’t required unless it’s deemed that a person’s mobility impairment is so severe they’re unable to assist in their own evacuation from the aircraft.
  • Medical certificates aren’t requested unless the person is on a stretcher, needs medical oxygen during flight, or has a medical condition which gives the airline reasonable doubt that they can complete the flight safely.
  • Airlines may provide qualified escorts or allow an unticketed assistant to help a person with a disability through security.
  • Security screening for people with disabilities should be the same as other passengers unless they can’t stand for the scan or can’t stand without the use of a cane, crutch, walker, etc. Then alternate screening techniques will be implemented.
  • Properly trained staff must be available to help people with disabilities board and exit the plane.

Being prepared and knowing your basic rights before traveling can go a long way.

Planning Ahead for Medical Services in Your Destination City

When people go on vacation, they tend to focus on fun things like reserving hotels and tours.  Most of us don’t give much thought to questions like, ‘What happens if I need medical attention or assistance while traveling?’  But, it’s something that should be at the top of your to-do list before traveling, especially for those who are wheelchair-bound.

That’s why it’s important to not only take a health care inventory before you depart but to take the time to research medical services in your destination city before you depart.  Here are a few things that should be on your travel checklist to make sure you’re prepared:

  • Research local hospitals and medical centers around your travel destination so that you know where to go if you have an emergency or require special assistance.
  • Check your health insurance plan to see if they will cover your health needs if traveling out of state or abroad, and consider purchasing additional health insurance for your trip if your plan doesn’t cover your travel destination.
  • Talk to your doctor at least four weeks before your trip to ensure that you have a clean bill of health.
  • Pack your health insurance membership card. You can even download your card on your smartphone now.
  • Travel with a copy of your health profile.  It helps to have all pertinent information on-hand, including your name, age, birth date, allergies, vaccinations, primary care provider’s office phone number, as well as emergency contacts.

Plan ahead for medical services around your travel destination so that if the unexpected does happen, you’re not caught off-guard.

How to Find Non-Emergency Medical Transportation in Your Destination City

Non-emergency medical transportation services are usually able to help people in wheelchairs.  They’re special vehicles led by trained teams that are equipped to transport those who are not only wheelchair-bound but also those who may need a cane, walker or some other assistance to aid in mobility.

You can find these transportation services in every state as well as abroad.  Of course, each program and their individual transportation methods may vary from destination to destination.  That’s why it’s always a smart idea to do some research before you leave for your trip so that you don’t have to worry about how you’re going to safely and easily get around while traveling.

So, how do you go about finding these services in your destination city?  Here are a few ways to start your search:

  • Conduct an Internet search before you leave for your trip
  • Look for, and join online groups for persons with shared disabilities or accessibility difficulties that can provide insight
  • Search local Yellow Pages
  • Ask your doctor, care team or patient advocate for recommendations or help finding services local to your intended destination
  • Contact local medical care facilities for recommendations prior to your arrival
  • Of course if you are traveling to Houston, you can look at our rates here

A little preparation before you arrive can go a long way, making your travel experience all the more enjoyable and hassle-free.

What You Should NOT DO to Reduce Patient No-Show Rates

What You Should NOT DO to Reduce Patient No-Show Rates

Patient no-shows are the physician’s equivalent to getting stood up on a date.  Of course, instead of a no-show date simply wasting your time, a no-show patient ends up costing your practice money, and in most cases, big money.  It’s estimated that individual physicians lose as much as $150,000 each year from patient no-shows.

With such a massive financial toll, it’s essential to do all that you can to reduce no-shows. However, that doesn’t mean that anything goes, as there are certain things that you don’t want to do just to decrease your no-show rates.

Here are some things you should never consider, as you can actually wind up wasting more time, and worse, damaging your patient relationships and your reputation:

  • Don’t disregard patient convenience. Ask when they want to come in.
  • Don’t take transportation for granted. Partner with a reputable company like MedBridge Transport, and offer patient transportation support for those in need.
  • Don’t allow long appointment delays between scheduling. Scheduling should be fresh in their minds.
  • Don’t rely only on reminder phone calls. Consider texts and email, too.
  • Don’t overbook appointments. Long wait times lead to patients delaying their arrival time in anticipation or leaving altogether once they arrive.
  • Don’t have a flimsy no-show policy. Eliminate wriggle room for chronic no-showers, and post your policy in plain sight.
  • Don’t go crazy with no-show fees. Allow a few warnings before incurring fees.
  • Don’t fail to show appreciation towards the patients who do show.

Decreasing patient no-shows can be a tricky task, but avoiding these common deterrents will actually serve your practice and your patients better in the long-run.