What is the best choice for wheelchair prescription for a patient recovering from a right cerebrovascular accident resulting in severe left hemiplegia and a diabetic ulcer?

A hemiplegic chair with elevating leg rest on the left is the most appropriate choice for a patient recovering from a right cerebrovascular accident with severe left hemiplegia and a diabetic ulcer. This type of wheelchair is specifically designed for individuals with hemiplegia, offering features that accommodate their needs.

The chair’s specific orientation allows the patient to efficiently utilize their functional right side for steering and propulsion, while providing necessary support and positioning to their left side, which is affected by paralysis. The elevating leg rest on the left helps manage and relieve pressure on the diabetic ulcer, promoting healing by reducing weight and friction on the affected area.

Other options may not provide the specialized support or the balance needed for this patient’s unique condition. For example, a powered wheelchair, while offering independence, might not be necessary given the patient's current recovery phase and could be more complex than needed. Lightweight active duty chairs or one-arm drive chairs may not adequately address hemiplegia-specific needs and could compromise safety and comfort during recovery. Selecting a chair that directly addresses the challenges of hemiplegia and pressure management while supporting recovery is critical for this patient.