ENVIRONMENTAL CONSIDERATIONS Flashcards
Defined as physical impediments that prevents individuals from functioning optimally in their surroundings
Environmental Barriers
What is included in environmental barries?
safety hazards, access problems, home/workplace difficulties
the degree to which an environment affords use of its resources with respect to an individual’s level of function
accessibility
this refers to the structures that meet the prescribed standards
accessible design
this term emphasizes the use of research to influence the design process and evaluate design innovation
evidence-based design
this refers to the design of products and environments usable by all people, to the greatest extent possible, s the need for adaptation/specialized design
universal design
these are produced by the graphic artists guild foundation with support and technical assistance from the office or special constituents
disability access symbols
the 5 major areas of environmental intervention strategies
- assistive/adaptive devices
- safety devices
- structural alterations
- modification/altered location of environmental objects
- task modification
in the rout of entry, driveways should be ______, and entrance should be _______
smooth & level surface; well-lighted & provide adequate cover for different weather conditions
stair step height and depth
7in (180mm) height
11in (280mm) depth
What part of the stairs can cause injuries?
nosings/lips
minimum and maximum length of handrails
34 in (865mm) minimum, 38 (965mm) maximum
min and max diameter of handrails
1.25in (32mm) minimum, 2in (51mm) max
distance/clearance of handrails from the wall
1.50 in (38mm)
t/f: every inch of ramp height should have a corresponding 12 inch in ramp length
true
overall rise for ramps
no greater than 30 in (760mm)
vertical platform lifts & stairway inclined lifts should be )))))))
approximately 8 ft straight up & down; 30x40 inches (76 x 102 cm)
area should be at least ____ with a swing out door
5x5 feet
___ deep and ____ wide if a door swings away from the patient
3ft deep; 5ft wide
doorway width
32-34 inches
door handle should be _____ and raised threshold should be ______
easily turned; removed
weighted door to aid closing should not be _____
greater than 8 lbs
kick plate should be _______ from the ______
12in in height; bottom of the door
furniture arrangement and features should always leave ______
sufficient room for w/c maneuverability
ideal for living room chairs
double arm rest and upright back
standard outlets are ___ from the floor, while accessible outlets are ____ from the floor
12 inches; 18 inches
what is recommended for pts c visual disturbances in terms of electrical controls
higher wattage bulbs, fluorescent lighting, full spectrum bulbs, daylight bulbs, or high-intensity halogen lamps
ideal for floors
hardwood floors
what will happen if deep joints between floors are wider than 0.75 inches
casters will turn and lodge
what rugs should be removed
scatter rugs
type of hinge that swings the open door clear of the frame and provide approximately 2 additional inches of space
offset hinges/swing-clear hinges
to reduce glare, what could be installed?
window films
to improve hearing and conversation, this is recommended as it has the added benefit of absorbing internal background noise
heavy draperies or shades
all indoor stairwells should ____-
have handrails and be well lighted
in stairs, handrails should extend a minimum of ____ past the top and bottom of the stairs
12 inches
used for pts who are unable to negotiate stairs but needs to access the 2nd floor
motorized stairlift
what does adhesive, light-reflective tactile warning strips provide
contrasting textures on the surface of the top and bottom stairs to alert the individual that the stair’s ending is near
minimum distance from the sides of the bed for w/c transgers
3ft
height of wall switches
36-48 inches
the bed should be ____ and positioned to provide ample space for transfers
stationary
what can improve bed stability
placing the bed against wall/corner of room
mattresses should provide ____
firm and comfortable surface
what can increase closet storage capacity while maintaining accessibility
wardrobe lifts
usual height of grab bars in the bathroom
33-36 inches
tub seat should be
non-skid surface
seat height of toilets should be
17-19 in
most dangerous area of the house
bathroom
third leading cause of accidents in individuals above 50y/o
shower and tub falls
what will 17-19 inch height of toilets allow
horizontal transfers from w/c and eases STS
bathroom lighting should be
non-glare lighting
appropriate height of countertops in the kitchen for w/c users
31 inches
counter depth in the kitchen should be
at least 24 inches
meaning of IMAGE
Illumination
Magnification
Altered Contrast
Glare reduction
Expanders of visual field
Give at least 3 recommendations/adaptations for patients with mild dementia
- environmental cues to address safety, memory, and communication
- personal emergency response system, automatic medication system
- smoke alarms hot-wired c battery backup
- emergency lighting
- daily calls to monitor ability to care for one’s self
- meals on wheels
- electric range/microwave oven. avoid using gas stove
- posted instructions on step by step use of appliances
- tape recorder for daily instructions
