SIMS_Environemtal Considerations

Physical impediments that prevent individuals from functioning optimally in their surroundings, and include safety hazards, access problems and home or workplace difficulties

Environmental Barriers

Is the degree to which an environment affords use of its resources with respect to an individual's level of function

Accessibility

Refers to structures that meet the prescribed standards.

Accessible Design

Aka life-span design

Design of products and environments usable by all people, to the greatest extent possible, without the need fro adaptation or specialized design.

Universal Design

emphasizes the use of research to influence the design process and evaluate design innovation.

Evidence Based Design

DISABILITY SYMBOLS

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5 MAJOR AREAS OF ENVIRONMENTAL INTERVENTION STRATEGIES

1. Assistive or adaptive devices

2. Safety Devices

3. Structural Alterations

4. Modification or altered location of environmental objects

5. Task modification

Exterior Accessibility: Route of Entry

• Height & Depth of a stair step?

• Nosings/lips are _____ in overhangs → injuries

• 7in H, 11in depth

• ½ overhangs that can cause injuries

Driveway should be smooth, level surface and entrance should be well-lighted and provide adequate cover for different weather conditions

Exterior Accessibility: Route of Entry

• Handrails min & max length?

• Extension of Handrails ?

• Diameter → min & max?

• 34in - 38 in

• at least 12in

• 1.25 in → 2in

Exterior Accessibility: Route of Entry

• Handrails Clearance from wall ?

1.5 in

Exterior Accessibility: Route of Entry

• What is the minimum ramp grade?

• Min wide of ramp?

• Overall rise of ramp?

• 1:12

  • Every inch of threshold there is corresponding 12 in ramp length

• 36in

• <= 30 in

Exterior Accessibility: Route of Entry

• Vertical platform lifts and stairway inclined lifts

  • How many ft up & down?

approx 8 ft. straight up and down

Exterior Accessibility: Route of Entry

• Area should be at least _____ with door that swings out

• iIf door swings away from patient: ___ deep and ___ ft wide

• Doorway width should be?

• 5×5

• 3 ft deep, 5 ft wide

• 32 to 34 in

Exterior Accessibility: Entrance

• T/F: Door handle should be easily turned & raise threshold must be removed

• Weight of door should be?

• Kick plate Height?

• True

• greater than 8 lb

• 12 in from the bottom of the door

Interior Accessibility: FURNITURE ARRANGEMENT & FEATURES

• Sufficient room for w/c maneuverability.

• Clear passage from one room to the next

• Ideal: Living room chairs should have double arm rest and upright back

• Use of any unstable furniture is discouraged

Interior Accessibility: Electrical Controls

• Unrestricted access should be provided to wall Switches and electrical outlets.

• Voice- and noise-activated (clapping) lighting controls are also available.

  • A ground fault circuit interrupter (GFCI) should be installed in wet locations such as bathrooms to prevent against electrical shock.

True/False:

Patients visual disturbance: higher wattage bulbs, fluorescent lighting, full spectrum bulbs, daylight bulbs, or high- intensity halogen lamps

True → BLINDED = HIGH

Interior Accessibility: Electrical Controls

• Height of standard electrical outlets?

• Height of accessible electrical outlets?

• 12in

• 18in

Interior Accessibility: Electrical Controls

• Floors should be nonslip and level; hardwood floors are ideal.

• Carpets: low level loop, industrial-style recommended.

• Deep joints between floors should not be wider than 0.75in, will cause casters to turn and lodge.

• Scatter rugs should be removed.

Interior Accessibility: Electrical Controls

• Deep joints between floors should not be wider than

0.75 in

Interior Accessibility: Doors

• Doorways should be at least ?

• Use of offset hinges , which swing the open door clear of the frame provide approximately ______ inches (5 cm) of space.

• 32in

• 2 additional inches of space

Interior Accessibility: Doors

• To reduce glare, window films can be installed

• Heavy draperies or shades can also be used with the added benefit of absorbing internal background noise to improve hearing and conversation

Interior Accessibility: Stairs

• All indoor stairwells should have handrails and should be

  well lighted.

• Ideally, handrails should extend a minimum of 12 in. (305

  mm) past the top and bottom of the stairs for added safety.

• For individuals with decreased visual acuity or age- related

  visual changes, adhesive, light-reflective tactile warning strips

  provide contrasting textures on the surface of the top and

  bottom stair(s) to alert them that the end of the stairwell is

  near.

• For patients unable to negotiate stairs who require access

  to the second floor of a dwelling, a motorized stairlift may be

  an option

Interior Accessibility: BEDROOM

• Min height of bed side wc transfers

• Wall switches should be _____ in

• Outlets should be?

• 3 ft

• 36-48 inches

• 18 in above floor

Interior Accessibility: BEDROOM

• The bed should be stationary and positioned to provide ample space for transfers. Stability may be improved by placing the bed against a wall or in the corner of the room.

• The mattress should be carefully examined. It should provide a firm, comfortable surface

• Wardrobe lifts can increase closet storage capacity while

  maintaining accessibility

Interior Accessibility: Bathroom

• Seat height should be?

  • elevated toilet

• Tub seat, non-skid tub surface or mt

• Grab bars height should be?

• 17-19in

• 33-36 in

Interior Accessibility

• Most dangerous area of the house?

• Most common accidents for >50 age group?

• Bathroom

• Shower & tub falls

Interior Accessibility: Bathroom

What should be the height of the toilet which allows Horizontal tranfers from w/c and eases STS?

17-19in

READ PIC

Interior Accessibility: KITCHEN

• Height for countertops for w/c users?

• Counter depth?

• 31 in

• 24 in

Visual Impairment

For our Dementia Peeps

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