What are seating clinicians thinking?

In response to an influx of commercially available seating product, research was undertaken to examine how clinicians, experienced in seating prescriptions make decisions when assisting their clients to choose the most appropriate seating systems for their wheelchairs. This paper will present findings from research undertaken in 2005, into the decision-making processes (known as Clinical Reasoning) used by six clinicians working in Victoria. The paper will discuss the successes and barriers these clinicians encounter when selecting ready-made products, off the shelf, to trial and what parameters arose that required custom-made products. The research findings illuminate the clinicians' considerations for successful client collaboration and the essentials for effective supplier-clinician partnerships when selecting from an overwhelming array of new products and available technologies to accommodate generally a more informed consumer base. The availability of ready-made product has altered consumer perceptions that wheelchair seating is no longer a specialized area and that all clinicians should be competent to prescribe. This paper will reveal how experience seating clinicians assess, make decisions and evaluate the client's needs when undertaking equipment trials and prescribing seating products for complex consumer needs. This is of interest to all who are involved in prescribing and supplying products for wheelchair consumers.<br />