L12 Assistive Tech Flashcards
Americans with Disability Act
enacted in 1990
prohibits discrimination against people with disabilities in employment, transportation, public accommodations, communications, and access to state and local programs
Disability is defined as
physical or mental impairment htat substantially limits one or more major life activities, a person who has a history or record of such an impairment, or a person who is perceived by others as having such an impairment
National Health Interview Survey on Disability
revealed 15% of adults have great difficulty with at at least one of nine functional PA performed without help and without use of special equipment
Functional PA
walking 1/4 mi
climbing 10 steps w/out resting
standing for 2 hrs
sitting for 2 hrs
stooping, bending, or kneeling
reaching overhead
using fingers to grasp small objects
lifting or carrying 10 lbs
pushing or pulling large objects
History of AT
tech act was passed in 1988
individuals with disabilities education improvement act of 2004, similar to tech but geared towards students
Tech Act
mandated that states address policies, practices, and structures to promote access to appropriate AT
a civil rights act with assistive tech
Implementation of Tech Act and IDEA limited by
- variability between states in how they are implemented
- No stipulations for ability to trial a device before purchasing or training/ongoing support
- Federal gov never fully funded IDEA act, leaving financial burden to states
- Clear evidence is lacking to support clinical decision making to justify funding
What is AT?
any item, piece of equipment, or product system, whether acquired commercially off the shelf, modified, or customized, that is used to increase, maintain, or improve functional capabilities of individuals with disabilities
WHO –> bridges the gap between impariments of body structure and function and environmnetal factors to allow participation in all areas of life
Commonly covered AT
orthotics and prosthetics
DME mobility
DME respiratory
(DME positioning, in special circumstances)
ADL DME are not covered
Durable medical equipment
reusable devices taht aid users in obtaining a better QOL. DME is covered by most health insurance. DME encompasses a wide range of items, including w/c, shower chairs, walkers, hospital beds, nebulizers, ramps.
DME is a TYPE of AT
ADs for Mobility
positioning and seating systems
ambulation
Hospital beds
Tricycles/bicycles
ADs for ADLs
adaptive seating systems
hygiene and toileting devices
ADs for Positioning
floor/mat positioning for function
standing frames
Types of AT
Orthotics/Prosthetics
DMEs
Control Environment
Communication
Types of DMEs
Positioning
ADLs
Breathing
Mobility
