Please answer the following questions for a person with visual impairment:
1. How did the person find out about the assistive device or assistive devices (i.e. referral source)? Primary provider at the VA
2. Who referred the person (referral person)?
Occupational therapy at the VA
3. The name of the device. nova walker and cane
4. Purpose of the assistive device(s). to facilitate his autonomy and independence by helping with move around, going places, with ADL’s
5. Manufacture of the assistive devices(s). McKesson and Cane?
6. Who or how did the person receive training on how to use the assistive device?
VA and through occupational therapy
7. Is the person knowledgeable of where the assistive device can be serviced or repaired? Yes and the blind clinic for veterans at the VA.
8. Does the product have a warranty? If so, how long is the warranty? Yes, and 5 years on the wheel rollator and the VA will check to replace the cane. If a problem arises.
9. If the product’s warranty has expired, does the person have the financial means to have the assistive device repaired? Yes, He is 100- percent service-connected, so his services are free.
10. Does the assistive device do what it is intended to do? Yes
11. Does the device serve the person’s needs? Yes
12. Are there any changes that can be made to the assistive device that will help the device to perform more efficiently (i.e., better)? Yes, the seat can be more softer or comfortable on the roller chair.
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