The Environment Flashcards
Barriers
physical impediments preventing individuals from functioning optimally
Accessibility
degree to which an environment affords use of its resources w/respect to level of function.
Accessible Design
structures that meet prescribed standards for accessibility
Definition of Universal Design
The design of products and environments to be usable by all people to the greatest extent possible, without the need for adaptation or specialized design
Principles of Universal Design
- equitable use
- flexibility in use
- simple and intuitive
- perceptible info
- tolerance for error
- low physical effort
- size and space for approach and use
Ideal outcome of rehab in regards to the environment
patient is as functional as possible in their former environment and lifestyle
components of examination of the environment
accessibility
safety
usability
function
Purpose of examination of environment
- determine degree of patient safety and level of function
- ID design barriers
- make realistic recommendations
- determine need for adaptive equipment or AT
- assist the patient and family for patient’s return and additional services needed
Exam strategy: Interview
- Establish general characteristics of the environment
- ID special problems previously encountered
- Alert the PT to potential safety hazards
- determine need for further tests and measures
Self Report
patient provides information about ability to perform tasks in specific environments
Physical Activity Resource Assessment (PARA)
documents and examines resources that promote physical activity within a neighborhood or community
Home and Community Environment (HACE)
IDs aspects of the patient’s home or community that may affect level of function
Safety Assessment of Function and the Environment for Rehabilitation tool
(SAFER)
designed for elderly. home and functional assessment
Usability in my home
BADLs and IADLs
Housing Enabler
home accessibility
Environmental Analysis of Mobility Questionnaire (EAMQ)
impact of environment on community mobility
Craig Handicap Assessment and Reporting Technique (CHART)
documents functioning within societal context
Craig Hospital Inventory of Environmental Factors (CHIEF)
environmental barriers in home and community
ADL-Staircase
IADLs, BADLs
Aspects of preparation for home visit
- current level of function
- expected progress
- current equipment
- future plans
- ownership vs rental
- insurance coverage, financial resources, other sources for funding.
Exterior accessibility factors
- route of entry
- driveway, walking surfaces
- stairs
- handrails
- ramps needed/space for ramp?
Exterior: stairs
- height, number, condition
- no greater than 7” high
- at least 11” deep
Exterior: Doorway
- Width: 32-34” works for most WCs
- Locks
- Door handle
- Thresholds
Interior Accessibility
- Furniture arrangement and features
- Clearance
- Stuffing
- Electrical controls, floors, doors, windows, stairs, heating untis
Bedroom exam
- stationary bed
- ample space for transfers
- mattress firm, soft, etc
- night stand height, placement, etc
- Closet-clothes ba and accessibility/reach
Bathroom exam
- width of door
- height of toilet seat
- grab bars
- tub height/shower threshold
- hand spray attachment
- antiscald valves
- floor-nonskid adhesive strips
- sinks-room under for WC? height?
Kitchen exam
- height of countertops/workspace
- depth of workspace
- type of faucet
- height of tables
- frequently used items within easy reach?
- electric preferable to gas for safety
- remote controlled smoke and CO detector, portable fire extinguisher
Exam of the workplace
determine feasibility to return to former job, reasonable accomodations
Ergonomics
application of scientific and engineering principles to worker-job-environment to improve safety, efficacy, and quality of movement
Body Mechanics
interaction of muscles and joints in response to forces placed on or generated by the body
Job analysis interview
gather information about:
- functional requirements of the job
- characteristics of the physical space
Job analysis components
- essential functions
- physical environment in which essential functions are performed
- physical requirements
- skills
- social context