Adaptive Equipment and Accessibility PDF

Adaptive Equipment And Review of the Environment O’Sullivan (8th ed.) Ch 9 Objectives Explain the role of Occupational Therapy in rehabilitation Identify adaptive equipment and explain proper use Discuss ADA guidelines for home design Identify splints for common upper ext...

Adaptive Equipment And Review of the Environment O’Sullivan (8th ed.) Ch 9 Objectives Explain the role of Occupational Therapy in rehabilitation Identify adaptive equipment and explain proper use Discuss ADA guidelines for home design Identify splints for common upper extremity conditions The Role of Occupational Therapy What is Occupational Therapy? “… occupational therapists and occupational therapy assistants help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities (occupations). Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, helping people recovering from injury to regain skills, and providing supports for older adults experiencing physical and cognitive changes.” https://www.aota.org/About-Occupational-Therapy.aspx Occupational Therapy “Occupational therapy services may include comprehensive evaluations of the client’s home and other environments (e.g., workplace, school), recommendations for adaptive equipment and training in its use, and guidance and education for family members and caregivers. Occupational therapy practitioners have a holistic perspective, in which the focus is on adapting the environment to fit the person, and the person is an integral part of the therapy team. ” https://www.aota.org/About-Occupational-Therapy.aspx Occupational Therapy “Occupational therapy services typically include Customized treatment programs to improve one's ability to perform daily activities Comprehensive home and job site evaluations with adaptation recommendations Performance skills assessments and treatment Adaptive equipment recommendations and usage training Guidance to family members and caregivers.” https://www.aota.org/About-Occupational-Therapy/Patient s-Clients.aspx Adaptive Equipment Devices that assist in activities of daily living (ADLs) such as bathing, dressing, feeding and general mobility Dressing Eating Ambulating Transferring Hygiene IADLs Instrumental ADLs (IADLs) are activities of daily living that are less fundamental, but still useful in patients’ lives. Shopping Housework Accounting Food Preparation Transportation  Bathroom Equipment Tub Transfer Bench Wide base of support Secure, supportive back rest Long seating surface for easier transfers Bathroom Equipment Shower chair Bathroom Equipment Grab Bars Mount grab bars for toilet transfers 33 to 36in from the floor. Bathroom Equipment 3 in 1 commode/ elevated toilet seat Elevated toilet seat Bedside commode Chair/shower chair Bathroom Equipment Motion sensor plumbing/faucets Scald-guard valves or volume control mechanisms can help prevent burns. Bathroom Equipment Hand held shower head Dressing Given THR patients to help them perform their ADL’s within hip precautions (aka Hip Kit) Long handled reacher, long handled sponge, long handled shoe horn, dressing stick, sock aid Eating Built up handles on utensils Scoop bowls Dycem under plate Types of foods Mobility Hoyer lift Not a functional transfer Can be used as a tool to get to another surface to tolerate being OOB or to begin transfer training https://www.google.com/imgres?imgurl=https%3A%2F %2Fimages.squarespace-cdn.com%2Fcontent %2Fv1%2F573a808b746fb94c0d7756e4%2F1476672355783- 5KYVL1YGYFF3FN0BDHHG%2Fuohl.JPG&imgrefurl=http%3A%2F %2Fenablingengineering.org %2Fprojects2015%2F2016%2F10%2F16%2Fuser-operated-hoyer- lift&tbnid=VjLI1ldDpM9saM&vet=12ahUKEwihnIqssIzzAhXfg3IEHSpsCGcQM ygVegUIARDyAw..i&docid=PtaVS7p5LLQ8UM&w=351&h=436&q=hoyer %20lift&ved=2ahUKEwihnIqssIzzAhXfg3IEHSpsCGcQMygVegUIARDyAw Augmented Communication Communication boards Voice recognition computer programs Telephone adaptations Insurance Coverage Of these modifications, what will insurance cover? Americans With Disabilities Act (ADA) “The design standards issued under the Americans with Disabilities Act (ADA) by the Department of Justice and the Department of Transportation are used to ensure access to the built environment for people with disabilities. The ADA Standards apply nationwide, in addition to any applicable state or local codes, where facilities are newly built or altered. Most facilities in the public and private sectors are covered by the ADA.” U.S. Access Board. (n.d.) Guide to the ADA accessibility standards. https://www.access-board.gov/ada/guides/chapter-1-using-the-ada-standards/ ADA Home Guidelines ADA does not apply to personal, private housing except for government owned or public accommodations. Home modifications are based upon the ADA guidelines Safety Convenience Ease of accessibility Inside and outside of the home ADA Home Guidelines Entrance to home: Lifts: 30”x40” clearance Unassisted access to users No greater than ½” carpet (if applicable) One side fully unobstructed Sensors to stop if obstructed Battery back up https://www.google.com/imgres?imgurl=https%3A%2F %2Fwww.accessiblemed.com%2Fwp-content%2Fuploads %2F2020%2F02%2Foutdoor-wheelchair-lift-e.jpg&imgrefurl=https %3A%2F%2Fwww.accessiblemed.com%2Fproducts%2Foutdoor- wheelchair-lifts%2F&tbnid=8o4Cqyk5feel- M&vet=12ahUKEwjh4Y2hqozzAhUGCFkFHfbICLkQMygBegUIARCsAg..i&docid=6FkvtXJOYtfWdM&w=1000&h=1000&q=outside %20homewheelchair%20lifts %20&ved=2ahUKEwjh4Y2hqozzAhUGCFkFHfbICLkQMygBegUIARCs Ag ADA Guidelines Ramps: No more than 1”:12” rise to run ratio Must have landing for any run longer than 30 feet Landings must be 60”x60” if changing direction At least 36” min width (allows 2 WC to pass) Handrails: required on both sides of ramp for rise greater than 6” or run greater than 6 feet 5’x5” landing on top and bottom of ramp Note: Standard step height is 7-7 ¾ inches https://encrypted-tbn0.gstatic.com/images? q=tbn:ANd9GcTD03WWccvo7str5yS7EHCC-3dfcCLOVXMzzg&usqp=CAU Home Guidelines continued Doorways: 32” minimum (most bathrooms are 24”) Option – swing away hinges Hallways: 48” minimum width Bathrooms: Toilet height – 18” min. (most are 15”) Sink – lever handles and free clearance under sink with insulated pipes Kitchen: Countertop height 28-34”, no more than 2” thick and at least 24” deep Wall cabinets 44” from the floor Electrical outlets 15” from the floor Universal Design Design of homes and products usable by everyone Useful for aging in place ADA designs are built into the home Examples: No step entry Single story living Wide doorways, hallways Non-slip flooring Good lighting Lever door handles, rocker light switches https://www.nahb.org/other/consumer-resources/What-is-Universal-Design Other home modifications https://www.google.com/imgres?imgurl=http%3A%2F %2Fwww.howtoadapt.com%2FHinges%2Fb6.jpg&imgrefurl=http%3A%2F https://www.google.com/imgres?imgurl=https %2Fwww.howtoadapt.com%2FHinges %3A%2F%2Fwww.accessiblemed.com%2Fwp- %2FHinges.shtml&tbnid=6SoECB6ZWhWorM&vet=12ahUKEwiPmajJr4zzAhX content%2Fuploads trHIEHSOEDEAQMygBegUIARDQAg..i&docid=YTCWkWa- %2F2020%2F02%2Fstairlifts- fH3sYM&w=800&h=600&q=swing%20away%20door 1.jpg&imgrefurl=https%3A%2F %20hinges&ved=2ahUKEwiPmajJr4zzAhXtrHIEHSOEDEAQMygBegUIARDQAg %2Fwww.accessiblemed.com%2Fstair-lifts- chair-glides %2F&tbnid=PAl6CDa1MZhALM&vet=12ahUKEw jQ_ZuBrIzzAhWRqXIEHaugAU4QMygFegUIARDQ Ag..i&docid=iS48aDJCAASGAM&w=1000&h=10 00&q=stair%20lifts %20&ved=2ahUKEwjQ_ZuBrIzzAhWRqXIEHaugA U4QMygFegUIARDQAg