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Home Modifications The Road to Independence. Universal Design n Opening every door. It enables everyone not just people with disabilities to navigate,

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Presentation on theme: "Home Modifications The Road to Independence. Universal Design n Opening every door. It enables everyone not just people with disabilities to navigate,"— Presentation transcript:

1 Home Modifications The Road to Independence

2 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.

3 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.

4 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

5 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

6 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)

7 Problem and Solution

8 What’s wrong with this picture?

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11 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

12 Before Example

13 After Example

14 There is another option - Lift

15 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

16 Before Example

17 After Example

18 Ramp Vs. Lift n Low maintenance n Cost n Sometimes quick and easier access

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20 Portable Modular Ramps EZ-ACCESS 1704 B Street N.W. Building E Suite 110 Auburn, Washington Toll free: Fax: Toll free fax:

21 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

22 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

23 The Slider Shower/Tub Chair n Walk In Bath Tubs 21"

24 Roll in showers/Roll in shower chairs: Custom Tile Prefabricated

25 Roll in Shower Chairs

26 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

27 After Example

28 Before Modification Example

29 After Modification Example

30 After Modification Examples

31 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

32 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

33 Before Example

34 After Modification Example

35 Before Example

36 After Example

37 Miscellaneous Modifications

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43 Additional ADL Aids SuperPole Stair lift Outdoor stair lift

44 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.

45 Resources n n ADA Hotline – n n n n


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