Week 4: Home Assessments Flashcards by Emily Okun

Occupational functioning is influenced by the context of the client’s->

enviroment

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Occupational therapists complete analysis of occupational performance, including __________ to determine the client’s abilities and capacities

environmental assessment

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What are two legislation acts for the home assessment?

United Nations Convention on the Rights of Persons with Disabilities and ADA

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What is SAFER-HOME V3?

Assess client’s ability to safely carry out functional activities in the home and evaluates the effectiveness of interventions as a pre-discharge assessment

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Time required for SAFER HOME?

45-60 minutes

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Description of SAFER-HOME v3?

Using interview and observation of client participating in the activity assesses 75 items around the home divided into 12 categories
-level of safety risk is rated on 4 point scale

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Self-assessment guides:

maintaining senior independence & a consumer’s guide to home adaption

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Assessments of community

CHIEF
CHEC-M
facilitators and barrier survey
measure of QOL
Multidimensial scale of percieved social support
Home & community environment instrument

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__________: a set of interventions and actions that create a safer and more accessible home environment, and increase competence in task performance by adapting a home to promote independence in activities of daily living (ADL’s).

Home modifications

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____________: the design of products and environments to be usable by all people, to the greatest extent possible, without the need for adaptation of specialized design.

Universal design

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Principles of universal deisgn:

Equitable use.
Flexibility in use.
Simple and intuitive use.
Perceptible information.
Tolerance for error.
Low physical effort.
Size and space for approach and use.

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Equitable use

equal for all

Ex: Automatic doors in grocery stores

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Flexibility in use

provide choice in the method of use

ex: scissors for right and left hand users

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Simple and intuitive use

minimize complexity

Ex: Instruction manual with illustrations no text

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Perceptible Information

Different modes

-Ex: Tactile, visual, and audible cues on thermostat

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Tolerance of error

Minimize hazards of action

Ex: undo key on computer

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Low physical effort

Minimize physical effort

Ex: Lever handle on door

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Size & Space for approachable use

Provide a clear sightline to important elements for a seated or standing user
Ex: Wider doors to accommodate wheelchairs

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What are some guidelines for universal design in housing?

No steps at entrances
Max rise of 1/2 inch at thresholds
View of visitors
Surface for packages when opening the door
Weather protection when opening the door
Communication of visitors with residents
Space at entries when opening and closing doors
illumination at entries
house number visible from the street
At least one bathroom on the first floor
All door width at least 36 inch
Accessible bathroom* kitchen* laundry* storage* garage* carport* bedroom* entries*

Home modification strategies:

Organizing the home
Supplementing the individual (ex. Hearing aid)
Structuring the individual’s day by establishing routines
Protecting the residents
Working around home’s limitations or deficits
Enhancing the home environment
Transitioning to a new home setting

Benefits of home modification:

ADL Safety
Reduction in injury
Reduction in health
Preventing institutionalization

Most critical home modifications

Hand rails
Stair railings
Bathroom modifications
Ramps or street level entrances
Accessible parking or drop-off site

Examples of home modifications

Improved lighting, both ambient and task illumination
Nightlights; 2 or 3-way light switches
Doorbell chimes located throughout the house
Lever faucet handles and doorknobs
Non-skid mats in tub/shower
Non-slip strips on stairs
Handrails on both sides of all stairs
Installing reachers or barbecue tongs throughout the home for availability to pick things up off the floor
Bedroom and bathroom to the first floor
Widening of doorways
Installation of ramps
Installation of an angle adjustable mirror above the cook top to see into pots at wheelchair level

Scheme to prioritize environmental interventions:

Assessment of home and individuals
Design
Maintenance
Social support
Safety Independence
Comfort

The most common problems of home modifications include:

- Elevations - Doorway width - Inaccessible environmental controls including switches for illumination, windows, doors/locks, hallway width, storage (shelves, cabinets, closets) thermostats, counter heights, appliances-controls

Stairs: should have

3-way switch

Ramps: ONLY WORK if there is

one foot of ramp for every inch of rise

Visibility goal:

To improve social interaction, particularly in single-family detached homes -lighting

The width of the ramp is:

at least 3 feet

Turning platform:

- minimum of 5 x 5 - There must be a level landing at the bottom and top of the ramp: a minimum of 3’x5’ (WxL) - No one straight section can be longer than 30’ without a resting platform.

Considerations for stairs:

- addition of a handrail - provide adequate lighting - height of the stairs consistent

Doorways:

Minimum of 32 inches | - as close to 36 as possible

Saddle at door is

no more than 1/2 inch

Widening doorways low-cost solution is?

offset hinges increase the clearance of the door an addition 2 inches

Parking

- at least one route that does not require steps - spots at least 96 in wide - Passenger loading zones shall provide an access aisle at least 60 in wide and 20 long adjacent and parallel to the vehicle pull-up space

Every ______ spot should be 1 handicap spot

25 spots

Handles, pulls, locks, and latches:

- Handles, pulls, latches, locks and other operating devices on accessible doors must have a shape that is easy to grasp with one hand and does not require tight grasping, tight pinching, or twisting of the wrist to operate. - Lever-operated mechanisms, push-type mechanisms, and U-shaped handles are acceptable designs. - When sliding doors are fully open, the operating hardware must still be exposed and usable from both sides. - Hardware must be mounted no higher than 48 inches above finished floor.

Doorways width =

32-inch width minimum

Threshold =

- must not exceed 3⁄4 inch in height for exterior sliding doors or 1⁄2 inch for other types of doors. - If the changes in level are greater than 1⁄2 inch, the threshold must be equipped with a ramp

Bathroom approach and doorway | turning radius

approach- 36 inches doorway- 32 inches turning radius- 60 inch clear path to toilet

Bathroom stall should be:

Stall should be 60 inches wide, 56 inches deep

Flush controls should be no more than

36 inches above the floor

Dispensers should be installed:

min-14-max-19 inch above the floor

Depth of bathroom sink

max 6 1/2 inch deep

Clear floor space

At least 30 in by 48

Exposed pipes and surfaces:

Hot water and drain pipes exposed under sinks

Faucets:

Lever-operated, push-type, touch type

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Week 4: Home Assessments Flashcards

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