The Environment

Question 1

Barriers

Answer 1

physical impediments preventing individuals from functioning optimally

Question 2

Accessibility

Answer 2

degree to which an environment affords use of its resources w/respect to level of function.

Question 3

Accessible Design

Answer 3

structures that meet prescribed standards for accessibility

Question 4

Definition of Universal Design

Answer 4

The design of products and environments to be usable by all people to the greatest extent possible, without the need for adaptation or specialized design

Question 5

Principles of Universal Design

Answer 5

1. equitable use
2. flexibility in use
3. simple and intuitive
4. perceptible info
5. tolerance for error
6. low physical effort
7. size and space for approach and use

Question 6

Ideal outcome of rehab in regards to the environment

Answer 6

patient is as functional as possible in their former environment and lifestyle

Question 7

components of examination of the environment

Answer 7

accessibility
safety
usability
function

Question 8

Purpose of examination of environment

Answer 8

1. determine degree of patient safety and level of function
2. ID design barriers
3. make realistic recommendations
4. determine need for adaptive equipment or AT
5. assist the patient and family for patient’s return and additional services needed

Question 9

Exam strategy: Interview

Answer 9

1. Establish general characteristics of the environment
2. ID special problems previously encountered
3. Alert the PT to potential safety hazards
4. determine need for further tests and measures

Question 10

Self Report

Answer 10

patient provides information about ability to perform tasks in specific environments

Question 11

Physical Activity Resource Assessment (PARA)

Answer 11

documents and examines resources that promote physical activity within a neighborhood or community

Question 12

Home and Community Environment (HACE)

Answer 12

IDs aspects of the patient’s home or community that may affect level of function

Question 13

Safety Assessment of Function and the Environment for Rehabilitation tool
(SAFER)

Answer 13

designed for elderly. home and functional assessment

Question 14

Usability in my home

Answer 14

BADLs and IADLs

Question 15

Housing Enabler

Answer 15

home accessibility

Question 16

Environmental Analysis of Mobility Questionnaire (EAMQ)

Answer 16

impact of environment on community mobility

Question 17

Craig Handicap Assessment and Reporting Technique (CHART)

Answer 17

documents functioning within societal context

Question 18

Craig Hospital Inventory of Environmental Factors (CHIEF)

Answer 18

environmental barriers in home and community

Question 19

ADL-Staircase

Answer 19

IADLs, BADLs

Question 20

Aspects of preparation for home visit

Answer 20

1. current level of function
2. expected progress
3. current equipment
4. future plans
5. ownership vs rental
6. insurance coverage, financial resources, other sources for funding.

Question 21

Exterior accessibility factors

Answer 21

1. route of entry
2. driveway, walking surfaces
3. stairs
4. handrails
5. ramps needed/space for ramp?

Question 22

Exterior: stairs

Answer 22

1. height, number, condition
2. no greater than 7” high
3. at least 11” deep

Question 23

Exterior: Doorway

Answer 23

1. Width: 32-34” works for most WCs
2. Locks
3. Door handle
4. Thresholds

Question 24

Interior Accessibility

Answer 24

1. Furniture arrangement and features
2. Clearance
3. Stuffing
4. Electrical controls, floors, doors, windows, stairs, heating untis

Question 25

Bedroom exam

Answer 25

1. stationary bed 2. ample space for transfers 3. mattress firm, soft, etc 4. night stand height, placement, etc 5. Closet-clothes ba and accessibility/reach

Question 26

Bathroom exam

Answer 26

1. width of door 2. height of toilet seat 3. grab bars 4. tub height/shower threshold 5. hand spray attachment 6. antiscald valves 7. floor-nonskid adhesive strips 8. sinks-room under for WC? height?

Question 27

Kitchen exam

Answer 27

1. height of countertops/workspace 2. depth of workspace 3. type of faucet 4. height of tables 5. frequently used items within easy reach? 6. electric preferable to gas for safety 7. remote controlled smoke and CO detector, portable fire extinguisher

Question 28

Exam of the workplace

Answer 28

determine feasibility to return to former job, reasonable accomodations

Question 29

Ergonomics

Answer 29

application of scientific and engineering principles to worker-job-environment to improve safety, efficacy, and quality of movement

Question 30

Body Mechanics

Answer 30

interaction of muscles and joints in response to forces placed on or generated by the body

Question 31

Job analysis interview

Answer 31

gather information about: 1. functional requirements of the job 2. characteristics of the physical space

Question 32

Job analysis components

Answer 32

1. essential functions 2. physical environment in which essential functions are performed 3. physical requirements 4. skills 5. social context