ISS 2017 Program


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PO1.15: Eleanore's Project: Wheelchairs and 24-Hour Postural Care in Peru

For twelve years Eleanore's Project has utilized skilled seating volunteers to provide equipment and demonstration clinics for children and young adults with disabilities in Peru. Working closely with Peruvian partners, a year-round wheelchair service and 24 hour postural care programs were developed. This poster outlines the evolution of a postural care program at Yancana Huasy incorporating responsible wheelchair provision with night-time postural care done by the families.

This session is supported by a company with reported interest in the sale of Assistive Technology products. The content has been reviewed by ISS personnel and determined to be appropriate for continuing education purposes.


Learning Objectives:

Upon completion of this session, attendees will be able to;



Thelma (Sammie) Wakefield, OTR
Eleanore's Project
Missoula, Montana
United States

Sammie has worked in seating and mobility for over 35 years. She is a founding mother of New Hampshire ATECH - an assistive technology program serving clients in New Hampshire for over thirty years. Now semi-retired she has volunteered with Eleanore's Project for the past ten years sharing her knowledge and skills with students and therapists in Peru. She has degrees from Berea College and Texas Woman's University.

Tamara Lee Kittelson-Aldred, MS, OTR/L, ATP/SMS
Posture 24/7
Missoula, Montana
United States

Tamara is an occupational therapist, RESNA certified ATP/SMS and passionate about the power of 24 hour postural management. Tamara has given presentations, webinars and workshops in the United States and Peru, and is Project Director for the Montana Postural Care Project. Her most memorable teacher was her daughter, Eleanore, who was born with complex needs. Tamara provides positioning and mobility equipment services integrating 24 hour postural care for children, youth and complex adults in Montana.



    1. World Health Organization (2008). Guidelines on the provision of manual wheelchairs in less resourced settings. Geneva: World Health Organization.
    2. Latimer, R.W. (2015). We Have To Invest Ourselves. NRRTS Directions. 5, 28-31.
    3. Winn, N. & Wickham, J. (2009). Night-time positioning for children with postural needs: what is the evidence to inform best practice? British Journal of Occupational Therapy. 543-550.

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