Adaptive Equipment

Question 1

Physical Environment Built Objects

Answer 1

buildings/structures created by humans

Question 2

natural objects

Answer 2

other humans
geographical objects
–mountains/rivers/uneven terrain

Question 3

Whole environment-components affecting human function

Answer 3

home 
neighborhood
community
method of transportation
educational environment
workplace 
commerical settings
natural settins

Question 4

environmental barrier

Answer 4

physical impediments preventing people from optimal function in their environment

Includes:

• safety hazards
• access problems
• home/workplace design difficulties

Question 5

Accessibility

Answer 5

degree to which an environment allows use of its resources with respect to any persons level of function

Question 6

accessible design

Answer 6

refers to structures that meet the prescribed standards for accessibility

Question 7

purpose of a PT home visit examination

Answer 7

determine level of pt. safety and function in d/c environment

identify design barriers for normal tasks

make realistic recs and accommondation requests to pt/family/landlord/employer

determine need for adaptive equipment or assistive technology to promote function

determine if further services may be needed such as outpt. or home health

Question 8

data collection

Answer 8

interviews with pt. and/or family
self-reports
observation of function
measurements of environment compared to ADA standards
photos/videotapes of environment 
viewing on site or from remote site

Question 9

exterior accessibility:: route of entry

Answer 9

driveway smooth/level/free of cracks
entrance level/well lit/cover from adverse weather/place to place things to free hands
stairs: height/number/condition/rails
ramp: ensure grade follows ADA guidelines
stair lifts

Question 10

exterior accessibiilty: entrance

Answer 10

wide enough for w/c or AD -32-34"
platform area safe for w/c or AD
door locks accessible
door handle accessible
door open smoothly or functionally
threshold safety

Question 11

interior accessibility: furniture

Answer 11

sufficient room to move around furniture within a room

clear passage from one room to another

sturdiness of furniture: arm rests/upright back/firm seat/height

presence of unstable furniture-rocking chair or mechanical elevating recliner

Question 12

interior accessibility: electrical controls

Answer 12

unrestricted access
switches access
lighting appropriate
is there a need for night lights or remote control lighting

Question 13

interior accessibility: floors

Answer 13

nonslip and level-carpetig impedes w/c and other AD

in good repair or cracks

remove scatter or throw rugs: large area rugs can be secured with quality carpet tape

matte finishes better than glossy-glare can affect vision

Question 14

interior accessibility: doors

Answer 14

remove raised thresholds

doorway wide enough

door swing open enough

handles accessible

Question 15

interior accessibility: windows

Answer 15

too much glare? may need window films

draperies or shades accessible and safe

remote systems accessible

opening/closing windows accessible

Question 16

interior accessibility: stairs

Answer 16

all should have handrails-should extend 12” beyond top/bottom of stairs for safety

all should be well lit

free of clutter

is depth perception an issue

if need for stairlift, is there space?

Question 17

interior accessibility: other

Answer 17

thermostat accessible

heating source clear of combustible material? discourage space heater usage

smoke alarms accessible/available

carbon monoxide alarms accessible/available

phone accessibility

Question 18

interior accessibility: bedrooms

Answer 18

beds: stationary/mattress/mattress cover

room to move around bed/height of bed

nightstand available? free of clutter?

closet accessible?

Question 19

interior accessibility: bathroom

Answer 19

doorframe width
toilet seat height
grab bars for toilet and or tub
tub bench or shower chair
nonskid strips on tub/shower area
handspray attachment
sink accessible? knee space below/hot water pipes insulated
medicine cabinet/storage accessible
mirrors accessible

Question 20

interior accessibility: kitchen

Answer 20

height of countertops
sink accesssible/ sink equipment safe and accessible
is a cart needed to carry things
table heights
equipment/food storage and food prep areas accessible
dishwasher accessible

Question 21

adaptive equipment for ADLs

Answer 21

bathing
personal care
dressing 
meal prep
eating
general house tasks

Question 22

assitive technology for functional capabilities

Answer 22

adaptive equipment
augmentative communication
computer apps
environmental control units
hearing tech
mobility
seating/positioning
vision technology

Question 23

work place accessibility

Answer 23

job analysis interview:

• job requirements
• physical work space
• union involvement

Job analysis:

• essential functions for job
• physical environment
• skills needed
• social context of job

functional capacity evaluation:

• objective tests and measures designed to identify work-related capabilities and activity limitations
• measures ROM/flexibility/strength/force generation/ posture/ coordination/ manual dexerity
• usually performed on-site

Question 24

work hardening- conditioning

Answer 24

treatment interventions to improve worker capabilities and function

interventions to improve: joint/soft tissue mobility: motor functions: functional skills: coordination of work tasks: strength: ROM : flexibility: cardio status

guided practice/instructions as stimulated activities

education on body mechanics and injury prevention

Question 25

community access

Answer 25

transportation
parking areas
laundromats
restaurants
churches
theaters
community organizations