Mastery of the environment (ch 16) Flashcards
Omnibus Budget Reconciliation Act (OBRA) mandates…
that restraints cannot be used without proper justification, agreement, and documentation.
7 Principles of universal design
- Equitable use- design is useful and marketable to people with diverse abilities.
- Flexibility in use- design accommodates a wide range of individual preferences and abilities
- Simple and intuitive use- design is easy to understand, regardless of user’s experience, knowledge, language skills, or current concentration level.
- Perceptible information- design communicates necessary info effectively to the user, regardless of ambient conditions or the user’s sensory abilities.
- Tolerance for error- design minimizes hazards and the adverse consequences of accidental actions.
- Low physical effort- design can be used efficiently and comfortably with a minimum of fatigue.
- Size and space for approach and use- appropriate size and space is provided for approach, reach, manipulation, and use regardless of user’s body size, posture, or mobility.
Railings (interior) should be mounted ______ inches from the wall to ease grasp
1.5
Exterior railings should be waist high for those who walk… _________ inches depending on person’s height
34-38
Railings should be _______ inches in diameter with non-skid surfaces.
1.5-2
Space to accommodate door swing must be available… a min of ____ inches needed for those using walkers
18
Space to accommodate door swing must be available… a min of ____ inches needed for those using wheelchairs
26
Safety Assessment Scale (SAS) (focus, method, scoring, population)
- focus- assesses the potential safety risks of people with dementia who live at home.
- method- observation of person, caregiver interview (19 question screen; 32 question for tx)
- scoring- 4-point rating scale for each question; results used to help caregivers diminish safety risks in home.
- population- older adults with cognitive impairment living at home.
Fall Efficacy Scale (FES) (focus, method, scoring, population)
- focus: measures person’s fear of falling during non-hazardous ADLs.
- method: asks how confident the person feels about completing the FES activities without falling.
- scoring: person’s level of concern about falling is measured on a 4-point Likert scale with 1= not at all concerned to 4=very concerned.
- population: community-dwelling older adults with/without hx of fear or falling.
Average wc width is ___-___ inches rim to rim
24-26
Minimal clearance width for doorways and halls for wc use is ____ inches, with ideally ____ inches
min: 32
ideal: 36
Replacing door hinges with offset hinges can add ___-___ inches in width
1.5-2
Hallways should be ___ inches wide for wc.
36
Average wc length is ____-____ inches
42-43
A 360 degree wc turn requires a space of ___ feet by ___ feet.
5x5
Max height a person in wc can reach forward from sitting is ____ inches; height should be at least ___ inches off ground to prevent tipping wc.
48; 15
Maximal height for reaching sideways in wc is ___ inches
48
Maximal height for countertops in wc should be ___ inches
31
Pathways and walkways should be ___ inches wide for wc.
48
Ramps should be min of ___ inches wide for wc
36
The ratio of slope to rise is ____ for wc ramp
1:12
Railings on ramp for wc should be between ___ and ___ high depending on person’s arm reach. Average is ____ inches.
29-36 inches; Average= 32 inches
Curbs on ramps for wc should be at least ___ inches high
4
If ramp is excessively long, ___ft by ___ft landings are required to allow for rest.
4ft x 4ft
A 90 degree turn in a wc ramp requires a __ft by __ft landing; a 180 degree turn requires a __ft by __ft landing.
4x4; 4x8
If wc ramp leads to a door, must have __ft by __ft platform before the door that extends at least __inches along the ide of the door to allow for door swing without backing up
5x5; 12 inches
Standard wc dimensions (seat width, depth, and height):
Adult
18 wide
16 deep
20 high
Standard wc dimensions (seat width, depth, and height):
Narrow adult
16 wide
16 deep
20 high
Standard wc dimensions (seat width, depth, and height):
Slim adult
14 wide
16 deep
20 high
Standard wc dimensions (height):
Hemi/low seat
17.5 high
Standard wc dimensions (seat width, depth, and height):
Junior
16 wide
16 deep
18.5 high
Standard wc dimensions (seat width, depth, and height):
Child
14 wide
- 5 deep
- 75 high
Standard wc dimensions (seat width, depth, and height):
Tiny tot
12 wide
- 5 deep
- 5 high
how to measure person for wc seat width
measure the widest point across hips and thighs, then add 2 inches
how to measure person for wc seat depth
measure both LE and take the greatest length, measuring from posterior portion of butt to popliteal fossa, then subtract 2 inches.
A standard wc weighs more than ___ pounds
50
A lightweight wc weighs between ___ and ___ pounds
25-40
The bariatric client has a center of body mass that is positioned several inches ______ in comparison with the non-obese person.
forward
AFO=
ankle-foot orthosis
KAFO=
knee-ankle-foot orthosis
HKAFO=
hip-knee-ankle-foot orthosis
s/p total hip replacement, patient may not be permitted to roll on the _______ side because…..
non-operated side because it may result in internal rotation of the operated hip, which may cause dislocation.
ATDs=
assistive technology devices!
An expansion of adaptive equipment; can be low-tech or high-tech. Its any equipment/product used to increase, maintain, and improve functional capabilities of individuals with disabilities.
EADLs=
electronic aids to daily living!
A means to purposefully manipulate and interact with the enviro by alternately accessing one or more electrical devices via switch, voice activation, remote control, computer interface…
AAC=
augmentative alternative communication!
methods of communication that do not require speech.
