Wheel chair van

Status
Not open for further replies.

JAM

Distinguished member
Joined
Aug 21, 2024
Messages
236
Reason
CALS
Diagnosis
00/0000
Country
US
City
Racine
Hello,
In planning ahead once my PAL’s gets his PWC I assume we need to purchase a van as that is only option to take him anywhere, correct? For those who have one please chime in with what I will need. Hoping to find something reasonably priced do any suggestions there would help too. TIA
 
Get the pwc first and make sure it fits. My sister who was petite bought a van that had been used by an adult male ( so likely bigger than my tiny sister). In spite of that it did not fit. Fortunately they were able to resell to another pals and get another van. They got the lead through their alsa. I think it was a kind of bulletin board thing.

You can get side ramp or rear ramp. We had side you need space obviously to unload and handicapped spaces will have van spaces as long as people observe the marked spaces.

There are people who manage without a van. Some places have decent public transit ( Boston does) or at least paratransit. Also you might be able to borrow or rent a van if you don’t plan to use it that often. ccals in MA has a loan program. Now is a good time to explore options in your area

Pretty much everyone I know who doesn’t have va benefits buys used.
 
I hope this doesn’t sound like a stupid question, but do they sit in their chair while I drive? Or do they transfer into their chair?
 
Almost everyone stays in their chair . Easier for everyone and more comfortable for the pals. My bil wanted my sister to transfer but soon realized it was better not to
 
We did public transit, but rented a van (which they will drop off as an option) to go where public transit doesn't. Side note: Amtrak and regional light rail are accessible as well as normal buses, streetcars, etc.

For sure, also look into paratransit (that looks to be available in Racine) if only as a backup.

On the private sector side, if you are in a bind needing to get to a medical appointment and it's last-minute, there are "cabulances" that are wheelchair-accessible and in some cities, accessible taxis.
 
Lori,
When you say rented a van, it was not a normal van, correct? They rent mobility accessible vans? To get chair in & out?
 
Yes, they rent wheelchair vans. Some companies give a discount to PALS. There are also lease options and payment plans. Your local ALSA chapter should be able to direct you to dealers, but there is a big secondary market as well.
 
Yes, we are all talking about wheelchair-accessible vans with lifts or ramps. The rental was quite reasonable for us compared with buying, since most of the time we could use transit or sidewalks (lived downtown). But transit access is not available for every location.
 
There are many things to think about when considering a wheelchair van. In addition to the normal considerations like color, amenities, interior decor, reliability, and maintenance costs, here are some major categories:

1. Ramp or Lift? Ramps may be easier to navigate with a wheelchair using a joystick mounted on the back (assistant control). Lifts are typically used on taller vehicles like full sized vans. The wheelchair must be rolled onto the lift, the lift must be raised or lowered, and the wheelchair must be rolled off the lift. I have a lift. It took a bit of getting used to it, but I am pretty comfortable with it now.

2. Side or Rear? Vehicles with a ramp or lift in the rear are not practical when parallel parking in congested urban areas, because you need space behind the vehicle to deploy the ramp/lift and get the wheelchair out. In other places, unloading from the rear means unloading into traffic. I have a side entry van, which works for the area I live in. Before getting it, we did a tour of the places I was likely to need to park and concluded a side-entry van was right for me.

3. Power or Manual? Power ramps and lifts can be more convenient, but that convenience comes with mechanical/electrical complexity. In my opinion, they are less reliable than manual ones. Of course, a manual ramp must be manually deployed by an able-bodied person, which can take away the independence of the PALS. As PALS progress, of course, this is not much of an issue, because they will not be travelling by themselves. Note that even my wheelchair lift, which is powered by electric motors, has a manual capability to get me in and out of the fan if something fails with the motor mechanisms.

4. Electric or Hydraulic? My lift is electric and is somewhat simple. That makes it more reliable. The downside is that it uses a LOT of battery power. If the van's engine is not running, the lift cannot get enough power from the battery to raise me up when the temperatures are below freezing. Note that I replace the battery every year. So, we must start the engine to load me into the van in cold temperatures. Hydraulic mechanisms put less of a load on the batteries, but can have reliability issues.

5. Under or In Vehicle? Some mechanisms live in the vehicle and thus are not exposed to road grime that can cause reliability issues. The ones that live in the vehicle take up precious space. I chose to go with one that lives in the vehicle rather than one that is mounted under the vehicle.

6. Ride in the wheelchair or Transfer to a seat? I still have the ability to transfer to a seat in the van, so rarely ride in the wheelchair. Others will always ride in the wheelchair. In either case, the wheelchair must be securely connected to the van. I use an EZLock. A competitor is a Q'Straint lock. When riding in the wheelchair, you must have an additional way of securing your PALS. My van has a separate seatbelt configured to use when I am in the wheelchair. Note that when riding in the wheelchair, your PALS' eyes will be high enough they may not be able to see through the windows. I can't in my van, which is a major reason why I prefer to transfer to a normal seat.

7. Garageable or not? I have a full size chevy van with a raised roof. It will not fit in our garage, so it lives outside. We live where it snows a lot (typically over 300 inches each year), so we have to clear the snow off of it before we can use it. That is a major inconvenience. I would love to have one that fits in our garage. Even better, would be to have a vacant space in the garage on the passenger side of the van so I could load into the van while it is in the garage. To do this, I would need to get a new van and a new house!

8. Does the wheelchair fit? This is the single most important criteria. My wheelchairs (I have several to choose from) will not fit in many vehicles. I strongly encourage you to get the wheelchair first and then test the wheelchair in whatever vehicle you are considering BEFORE purchasing the vehicle.

9. Amount of Modifications. My full sized van is close to stock. It has an EZLock base in it which locks the wheelchair to the van. It has a lift as well. It also has a setup for a special seatbelt for me when riding in the wheelchair. But, no structural or suspension elements of the vehicle have been modified. Many vehicles, including all minivans I know of, will have significant modifications to the structure, suspension, and sometimes the driveline of the vehicle. Most minivans will raise the body by about a foot and then lower the floor by that much or more. They often have a kneeling feature to get the van lower so the ramp has a shallower angle when deployed. All those modifications compromise reliability and durability (in my opinion).

10. Van or Pickup? OK, this is probably just because I am a guy who would love to have a pickup. There is one company (All Terrain Conversions) that does a wheelchair lift conversion on GM pickup trucks. They are expensive and in many ways impractical. I have dreamed about getting one for years, but finally concluded my primary wheelchair will not fit, they are not cost effective, and are just not practical for my needs.

I am sure I have left some things out, but is a reasonable starting point.

Steve
 
Last edited:
Thanks so much Steve! Lots to consider. I think I can put it on the back burner for now until he gets his PWC (which is great advise from all of you on this thread). Plenty of other things to keep me busy anyway!
 
There is a national company MobilityWorks which sells/services new and used pwc vans. We were pleased with our used side entry purchase
 
I got a PWC from "Gleason" it's a Jazzy Carbon that weighs only 43lbs. I haven't unboxed it but when I do at 43 lbs I should be able to put it in the back of our SUV. I guess getting a van comes in when/if she can't transfer
 
There is more to the difference between a jazzy and a custom power chair than the transfer. The jazzy sounds like it will work well for her now and it is great you were able to get it. She will at some point need the custom chair for its support and its ability to tilt and recline. The jazzy is usually a transition chair while you wait for your custom chair.

It is possible because of her mobility issues being in a good part her knees that jazzy will work longer. Was a custom pwc discussed at temple? If they thought her legs strong probably not? Getting it paid for by insurance is often not easy. Btw I think you know but do not use insurance for any mobility device except the pwc. Make sure it doesn’t happen during the tkr process
 
Nikki I'm not sure what you mean when you say "Make sure it doesn’t happen during the tkr process"
I was thinking of getting the custom wheel chair process started ASAP
 
I meant while she is in rehab don’t let someone order her another wheelchair that gets charged to insurance

If your clinic will order a custom chair now great. Did they discuss it? Just keep an eye on rehab if you are still waiting for delivery which usually takes about four months. If you got a manual chair ordered by rehab in the meantime that would be billed first if you didn’t have to power chair yet
 
Status
Not open for further replies.
Back
Top