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Home Modifications The Road to Independence
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Universal Design n Opening every door. It enables everyone not just people with disabilities to navigate, manipulate and appreciate ones environment. n Example: Non-Slip Flooring is safer for all sorts of feet. n UD makes products, communications and the built environment aesthetically pleasing but also more usable by more people - at little or no extra cost.
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ADA and Home Modifications n ADA Guidelines do not have to be followed to the letter, but they are a good reference. n When evaluating a client you should look at the whole picture. Client’s daily routine (work –vs.- home all day). - Home Modifications - ADL within the home - Vehicle Modifications - Seating and Mobility - Jobsite Accommodation n All of these should be addressed and evaluated when looking at the “whole picture” of enhancing the independence of a person with a disability.
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Accessibility n Our purpose is to provide easy and safe access: –Access in and out of the vehicle and into the home –Accessibility within the home environment –Accessibility should provide the greatest degree of independence
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ADA Ramp Guidelines for Ramps and Landings n 1:12 ratio n 3’ minimum for one way traffic n 4’ -Allows one wheelchair and one walking person to pass n 5’ -Allows two wheelchairs to pass n 5’ X 5’ at top of ramp, a change in direction (switchback ramp) and and at the end of the ramp Ramp Width and Landings
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Handrails n Handrails are needed if: –Rise greater than 6 inches or –Run greater than 6 feet n Should be on both sides of the ramp n Continuous n If not continuous, must extent 1 foot (safety)
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Problem and Solution
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What’s wrong with this picture?
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Pros and Cons of Ramps n Pros: - Provide gentle incline when accessing and exiting the home –Provides independence and safe access for a wheelchair user n Cons: - Are large and aesthetically obtrusive –Long - For walker may want to use large steps instead of ramp not an accessible solution for some –Requires maintenance
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Before Example
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After Example
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There is another option - Lift
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Pros and Cons of Lifts n Pros: –Require less space –require less maintenance –Less travel distance –Possibly receive quicker than wooden ramp n Cons: –Depend on electrical power have manual override, but requires assistance- May require battery back up which adds to the cost
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Before Example
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After Example
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Ramp Vs. Lift n Low maintenance n Cost n Sometimes quick and easier access
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Portable Modular Ramps EZ-ACCESS 1704 B Street N.W. Building E Suite 110 Auburn, Washington 98001 Toll free: 1.800.451.1903 Fax: 1.253.939.7125 Toll free fax: 1.800.630.2350 E-mail: customerservice@ezaccess.com customerservice@ezaccess.com
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Doorways n ADA Guidelines Require 32” passageway but we attempt to get 36” passageway n Bathroom Doors are smaller (24”) n Not enough wheelchair clearance from hallway to bedroom and bathroom etc… n Swing Away Hinges is an option/removing door jams
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n If Client can access tub –Tub transfer bench, tub lift –Hand held shower –Grab Bars –Lo tub with cut out and seat Access to Tub
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The Slider Shower/Tub Chair n Walk In Bath Tubs www.ranetubs.com 21"
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Roll in showers/Roll in shower chairs: Custom Tile Prefabricated
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Roll in Shower Chairs
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What’s wrong with this picture? Client information: - 22 year old female with MS and Lupus - Has lost vision completely - Unable to do any transfers independently - Cannot get wheelchair into bathroom - Currently get bed baths from mother
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After Example
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Before Modification Example
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After Modification Example
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After Modification Examples
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Access to Toilet n Client uses wheelchair –wants toilet height at w/c seat height n Client does not use wheelchair –usually want high toilet –standard toilet - 15 inches –ADA guidelines - 18 inches
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Access to Sink n Lever Handles n For Wheelchair users - free knee space with insulate pipes underneath n Mirror should be at eye level n Electrical outlets should be ground fault insulated
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Before Example
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After Modification Example
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Before Example
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After Example
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Miscellaneous Modifications
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Additional ADL Aids SuperPole Stair lift Outdoor stair lift
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Final Thoughts Achieving a client’s ability to be as independent as possible is our goal. Always look at the whole picture of a person’s life from home, work, social and religious environments. The road to independence is a revolving door and one that will need nurturing throughout a person’s life.
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Resources n www.access-board.gov n ADA Hotline –1-800-949-4232 n www.homemods.org n www.dynamic-living.com n www.independentliving.com n www.disabilitymall.com
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