Wheelchair users' problems with community living.

Those confined to wheelchairs face many frustrations when attempting to become more active in their communities. Many community and health facilities are inaccessible and available transportation is limited. Wheelchair users may have difficulty obtaining appropriate wheelchair prescriptions. Their quality of life and health may be jeopardized by pressure sores. Painful conditions in the arms may further increase the degree of disability. A special approach to fitness training may be required. The wheelchair user's self-image will be affected by society's general negativism toward the disabled. Knowledgeable and sympathetic medical care can reduce the stresses inevitable for patients confined to wheelchairs.