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Patient is a 22 year old male who had a boating accident 4 weeks ago. Height is 5'10. Weight is 171 lbs.

PLOF: Avid fisher, boater, and active member of the church since adolescence.

CLOF: Patient presents with muscle denervation below C4 level of injury. Cannot perform ADLs independently and requires total assistance.

Environmental Factors: Sunken living room. Walk in shower with a 1- inch threshold.

Personal Factors: Firm religious beliefs. Relies on best friend's accessible van for transportation, however the best friend works on Sundays. Family owns small car. Struggles with depression and anxiety. Age.

Recommendation: Based upon the patient's Neurological Level of Injury at C4 and ASIA Classification B, we are prescribing a power wheelchair.

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To provide postural stability and conforms to the body to prevent pressure sores. We cannot sacrifrice stability and postural control for our patient so we need to modify the chair elsewhere to provide pressure relief.

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Patient will benefit from rear wheels due the conveniency and easy adaptability of maneuvering this power wheelchair. This system is known to increase patient stability throughout movement and one of the easiest to drive. A few downsides are that it does not go down well and it has a very large turning radius. With training and familiarity, we can progress our patient to what suits their needs in the future.

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A non-proportional drive control such as a sip/puff would be good for someone who wants to go forward, turn, and go backwards until they stop it. A proportional drive control such as a chin joystick would be more suitable for someone with more cervical mobility and stability and for those who enjoy the "fast life". So we chose to opt in for a Proportional drive control due to the active control in the patients cervical musculature and wanting to mimic going fast on a boat again.

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Additional Features: A tablet is an addition to this wheelchair. With this feature, our patient can see church virtually on Sundays without relying on his friend to get him there. Since our patient has a C4 spinal cord injury, they are not able to change positions as frequently as he should. Due to this, a tilt in space will allow him to relieve pressure when needed. He will be able to maintain an optimal posture for him. The chair will also have a feature that allows him to stand to relieve pressure and prevent pressure sores.

*** He will be fully supported when he stands to ensure safety throughout the entire process.

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Headrest: The headrest will be a firm cushion. It will provide stability while the patient has his head propped against the chair. The headrest will be curved so it is comfortable and not stiff while allowing the patient to move his head.

Backrest: Padded backrest to prevent skin irritation. It will be firm for stability and pressure distribution. The backrest will also be slightly curved to promote trunk stability. Five straps will come from the backrest when it is time to execute the sitting-to-standing position.

***Measurements are needed to give our patient the optimal headrest and backrest.

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This is a sip and puff fishing rod. The patient was an avid fisherman, so we would like to use this so he can get back to doing what he loves. This is used to accommodate individuals who lack motor control.

This will allow him to be able to cast the rod and reel in a fish with just a simple sip and puff.