Mastering Environment

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Author:
chalford23
ID:
228055
Filename:
Mastering Environment
Updated:
2013-08-03 20:31:18
Tags:
env mods bed mobility
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Description:
Environment
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  1. Bed mobility aids
    1.
  2. Keyboard used for ind. with limited ROM, smaller keys, have functional motor (arthritis)
    Contracted keyboard
  3. Keyboard for ind. with low vision; allow for customized overlays (enlarged letters U numbers
    Keyboard for ind. with cog. impairments that have graphics, symbols
    Programmable Keyboards
  4. Keyboard that provide large keys for ind. with limited motor accuracy & control (ataxia)
    Expanded Keyboard
  5. Keyboard for decreased strength and/or mobility (MS)
    light-touch keybaord
  6. keyboard for ind. with poor motor control (athetoid movements)
    Delayed touch keyboard activation system
  7. Keyboard consisting of few keys which generate standard characters by pressing various combinations for ind. with one-handed use (hemiplegia)
    chorded keyboard
  8. What are the minimum accessibility standards for door width
    32 inches
  9. What is the preferred door width
    36 inches
  10. T/F A lapboard isn't considered a restraint even when the person is unable to self-direct it's use in a SNF
    F-lapboard may only be used is the person gives informed consent & he can direct staff on it's removal & desired use.  A lap board can enhance fun. perf. when an ind. can self-direct.
  11. Adult standard W/C
    • 18" wide
    • 16" deep
    • 20" heigh
  12. Narrow Adult W/C
    • 16" wide
    • 16" deep
    • 20" high
  13. Slim adult W/C
    • 14" wide
    • 16" deep
    • 20" high
  14. Junior W/C
    • 16" wide
    • 16' deep
    • 18.5" high
  15. Child W/C
    • 14" wide
    • 11.5" deep
    • 18.75" high
  16. Tiny tot
    • 12" wide
    • 11.5 deep
    • 19.5" high
  17. How to measure seat width
    • 1. Measure widest point across hips & thighs
    • 2. Add two inches
  18. How to measure seat depth
    • 1. Measure posterior portion of buttocks to popliteal fossa (take greatest lenght after measureing B LE)
    • 2. Subtract 2 inches
  19. How to measure back height to W/C
    Depends on need for postural stability, UE movements, & potential for I propulsion.
    • 1. Mid-back under scapula
    • 2. mid-scapula or axialla
    • 3. top of shoulder
  20. Seat height
    • 1. Knees & ankles should be at 90 degrees from distal thigh to heel
    • 2. Footrests-2" clearance from floor
  21. Recommended seat angles for W/C
    80-110
  22. What types of seat are contraindicated for ulcers in W/C
    Soft seats-firm seats provide stability, prevent ulcers & contractures, & increase sitting tolerance.
  23. T/F A one-arm drive W/C is contraindicated for ind. with cognitive & perceptual deficits.
    T-confusing to learn, both drive mechanisms located on one wheel
  24. T/F A hemiplegic chair has a higher seat
    F-lower seat (17.5) where the pt. can use both the unaffected leg & hand to use the W/C.
  25. A 360 degree turning radius requires a minimum clerance of at least
    5X5 feet
  26. _______ inches is needed beside door for door swing
    26"
  27. Max height when reaching forward or to side
    With obstruction
    • 48"
    • 46"
  28. long ramps require _________ landing ro for those with limited UE strength or poor cardiopulmonary
    4X4
  29. 90 degree turn ramp requires
    4x4
  30. 180 degree turn ramp requires
    4X8
  31. Ramp leading to door requires _______ platform and extended ________ for door swing
    • 5X5
    • 12" (18" preferred)
  32. Min height when reaching down
    15"
  33. Hallways and ramps should be _______ wide
    36"
  34. Max height countertop
    31"
  35. Steps to encourage used/acceptance of change
    • 1. Identify options & consequences of each option
    • 2. allow time for reflection & consideration of options
    • 3. practice with demo device
    • 4. reassess the decision
    • 5. If acceptable, order the equipment.
  36. T/F Progression of meal prep
    prepare cold meal
    prepare hot beverage, soup, or prepared dish
    prepare hot one dish meal
    prepare hot multi-dish meal
    • T-cold meal, like fruit salad is less challenging-no cooking involved
    • prepare toast
    • prepare canned soup
    • baking brownies-progression from stove top to over & several ingredients
    • make apple pie
  37. curved utencils help what population
    • ind, who can bring utensils to mouth but cant orient into mouth/properly
    • can also help ind. who cant supinate
  38. auto repeat defeat mechanism
    stops repetition of letters/numbers caused by overusing or involuntary depression of keys
  39. one finger access software
    allows ind. to lock certain keys such as shift or enter
  40. 1. spinner knob 
    2. palmar cuff helps what population
    • 1. those that need to steer with one hand
    • and
    • 2. need constant contact with wheel
  41. Tactile Aspects of driving
    1. What do you need to be able to respond to &
    2. What skill needs to be intact
    • 1. ability to respond to changes in road conditions, & traffic & driving risks.
    • 2. cognitive skills
  42. Operational aspects of driving include ability to ________, _________, & _________
    2. What skills are assessed for this
    • 1. ability to steer, brake, & turn
    • 2. Physical abilities & ergonomic aspects of driving
  43. Where do you place W/C seatbelt.
    Extend across hips and onto lap at 45 degree angle.

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