Adaptive Equipment Flashcards
Physical Environment Built Objects
buildings/structures created by humans
natural objects
other humans
geographical objects
–mountains/rivers/uneven terrain
Whole environment-components affecting human function
home neighborhood community method of transportation educational environment workplace commerical settings natural settins
environmental barrier
physical impediments preventing people from optimal function in their environment
Includes:
- safety hazards
- access problems
- home/workplace design difficulties
Accessibility
degree to which an environment allows use of its resources with respect to any persons level of function
accessible design
refers to structures that meet the prescribed standards for accessibility
purpose of a PT home visit examination
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
data collection
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
exterior accessibility:: route of entry
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
exterior accessibiilty: entrance
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
interior accessibility: furniture
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
interior accessibility: electrical controls
unrestricted access
switches access
lighting appropriate
is there a need for night lights or remote control lighting
interior accessibility: floors
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
interior accessibility: doors
remove raised thresholds
doorway wide enough
door swing open enough
handles accessible
interior accessibility: windows
too much glare? may need window films
draperies or shades accessible and safe
remote systems accessible
opening/closing windows accessible
interior accessibility: stairs
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?
interior accessibility: other
thermostat accessible
heating source clear of combustible material? discourage space heater usage
smoke alarms accessible/available
carbon monoxide alarms accessible/available
phone accessibility
interior accessibility: bedrooms
beds: stationary/mattress/mattress cover
room to move around bed/height of bed
nightstand available? free of clutter?
closet accessible?
interior accessibility: bathroom
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
interior accessibility: kitchen
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
adaptive equipment for ADLs
bathing personal care dressing meal prep eating general house tasks
assitive technology for functional capabilities
adaptive equipment augmentative communication computer apps environmental control units hearing tech mobility seating/positioning vision technology
work place accessibility
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
work hardening- conditioning
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
community access
transportation parking areas laundromats restaurants churches theaters community organizations
