Use of devices for mobility by the elderly.

Our study examined the use of devices for mobility by the elderly. We looked at whether the device was prescribed, who prescribed it, and how it was obtained. Seventy elderly people, age 75 years or older, who were current users of canes, walkers, or wheelchairs were interviewed. Seventy-one percent of the devices had been prescribed. The prescribed devices were chosen 45% of the time by physical therapists, 32.5% by physicians, and 22.5% by nurses. An exceptionally high percentage of wheelchair users (93%) in the skilled care facility may reflect economics (wheelchair and standard walkers are provided free) and perceived socialization benefits. This study shows that many elderly begin using devices for mobility on their own (94.3%). Clinicians need to be alert to these non-prescribed devices to assure their appropriateness and safe use.