Week 4: Home Assessments Flashcards

1
Q

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

A

enviroment

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2
Q

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

A

environmental assessment

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3
Q

What are two legislation acts for the home assessment?

A

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

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4
Q

What is SAFER-HOME V3?

A

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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5
Q

Time required for SAFER HOME?

A

45-60 minutes

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6
Q

Description of SAFER-HOME v3?

A

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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7
Q

Self-assessment guides:

A

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

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8
Q

Assessments of community

A
CHIEF
CHEC-M
facilitators and barrier survey
measure of QOL
Multidimensial scale of percieved social support
Home & community environment instrument
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9
Q

__________: 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).

A

Home modifications

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10
Q

____________: 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.

A

Universal design

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11
Q

Principles of universal deisgn:

A
  1. Equitable use.
  2. Flexibility in use.
  3. Simple and intuitive use.
  4. Perceptible information.
  5. Tolerance for error.
  6. Low physical effort.
  7. Size and space for approach and use.
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12
Q

Equitable use

A

equal for all

Ex: Automatic doors in grocery stores

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13
Q

Flexibility in use

A

provide choice in the method of use

ex: scissors for right and left hand users

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14
Q

Simple and intuitive use

A

minimize complexity

Ex: Instruction manual with illustrations no text

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15
Q

Perceptible Information

A

Different modes

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

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16
Q

Tolerance of error

A

Minimize hazards of action

Ex: undo key on computer

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17
Q

Low physical effort

A

Minimize physical effort

Ex: Lever handle on door

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18
Q

Size & Space for approachable use

A

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

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19
Q

What are some guidelines for universal design in housing?

A
  • 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*
20
Q

Home modification strategies:

A
  • 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
21
Q

Benefits of home modification:

A

ADL Safety
Reduction in injury
Reduction in health
Preventing institutionalization

22
Q

Most critical home modifications

A
Hand rails
Stair railings
Bathroom modifications
Ramps or street level entrances
Accessible parking or drop-off site
23
Q

Examples of home modifications

A

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

24
Q

Scheme to prioritize environmental interventions:

A
Assessment of home and individuals
Design
Maintenance
Social support
Safety Independence
Comfort
25
Q

The most common problems of home modifications include:

A
  • Elevations
  • Doorway width
  • Inaccessible environmental controls including switches for illumination, windows, doors/locks, hallway width, storage (shelves, cabinets, closets) thermostats, counter heights, appliances-controls
26
Q

Stairs: should have

A

3-way switch

27
Q

Ramps: ONLY WORK if there is

A

one foot of ramp for every inch of rise

28
Q

Visibility goal:

A

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

29
Q

The width of the ramp is:

A

at least 3 feet

30
Q

Turning platform:

A
  • 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.
31
Q

Considerations for stairs:

A
  • addition of a handrail
  • provide adequate lighting
  • height of the stairs consistent
32
Q

Doorways:

A

Minimum of 32 inches

- as close to 36 as possible

33
Q

Saddle at door is

A

no more than 1/2 inch

34
Q

Widening doorways low-cost solution is?

A

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

35
Q

Parking

A
  • 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
36
Q

Every ______ spot should be 1 handicap spot

A

25 spots

37
Q

Handles, pulls, locks, and latches:

A
  • 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.
38
Q

Doorways width =

A

32-inch width minimum

39
Q

Threshold =

A
  • 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
40
Q

Bathroom approach and doorway

turning radius

A

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

41
Q

Bathroom stall should be:

A

Stall should be 60 inches wide, 56 inches deep

42
Q

Flush controls should be no more than

A

36 inches above the floor

43
Q

Dispensers should be installed:

A

min-14-max-19 inch above the floor

44
Q

Depth of bathroom sink

A

max 6 1/2 inch deep

45
Q

Clear floor space

A

At least 30 in by 48

46
Q

Exposed pipes and surfaces:

A

Hot water and drain pipes exposed under sinks

47
Q

Faucets:

A

Lever-operated, push-type, touch type