tag:blogger.com,1999:blog-28826929773466507622024-02-18T17:59:47.969-08:00Total Home Access Solutions - Omaha, NE - BevVan PhillipsIt's our goal to help you live as independently and safely as possible with customized accessible home modifications in Omaha, NE.Unknownnoreply@blogger.comBlogger94125tag:blogger.com,1999:blog-2882692977346650762.post-58563901126254019142014-07-08T13:01:00.000-07:002014-07-10T07:15:17.920-07:00How You Can Ease Your Transition Home from Rehab<center>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">Who is in Charge with the Return Home from Rehab?</span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">We often work with people who are returning home from rehab. There are so many things going on when someone is attempting to return home, especially if their abilities have changed and they are using new mobility equipment like walkers or wheelchairs. People may also have different priorities when they go back home. Some want to simply change as little as possible and try to live as much the same as before. Others throw themselves into change, challenging themselves to create new ways of accomplishing tasks. </span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">It often takes effort to communicate what needs to get done in the home and get that work done quickly enough. Therapists in rehab do a fantastic job of helping people regain and build skills, but beyond a discharge visit, they aren't often able to spend time planning modifications and people may often need to solve many problems by themselves. Discharge visits often occur just before a person returns home, which doesn't leave much time for construction professionals to provide quotes and get the work done. Home Health Therapists need to focus on the person's recovery and may not have the therapy time available or expertise to manage any construction that is needed. Traditional contractors may be knowledgeable about building but not understand how to design an environment that bests matches an individual's abilities or where to find the best technology for use in the home. </span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">So, with all the changes, different goals, and people involved, what is most important? Who is in charge? The answer? You, the client are the most important part of the homecoming process and things work out best in the long run if you are involved in what is going on. </span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">The therapists attempting to help you get stronger, the contractors making changes in your home, and the caregivers (family or professional) assisting with activities of daily living are all working to make you as comfortable, independent, and safe as possible. You have some responsibilities as well, though. It’s very likely that you are going to be the only one who is participating in the whole process from beginning to end. It's up to you to learn what you can from your therapists and incorporate what you learn from them with your own goals for living. It's up to you to make sure the recommendations from the therapists are conveyed to and understood by the contractors who you work with. It’s up to you to make sure that the equipment and modifications put in by contractors are used safely by the caregivers. You are the one in the unique position of being able to steer your own recovery. Don’t hesitate. Take charge and establish communication. Let people know what you need, and what everyone’s recommendations are. The better your team works together, the more successful your return home will be.</span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">Rehab and remodeling can both be overwhelming experiences. Follow these tips to make your transition home much smoother</span><br />
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<li><span style="font-family: Arial, Helvetica, sans-serif;">Understand your needs. Before reaching out to a contractor, it's important to understand your </span><span style="font-family: Arial, Helvetica, sans-serif;">unique needs. Your therapists can help you plan for the near and far future.</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Find the right contractor for the job. Not everyone is experienced in the type of home </span><span style="font-family: Arial, Helvetica, sans-serif;">modifications and equipment you need. It's important to find a contractor who can accommodate </span><span style="font-family: Arial, Helvetica, sans-serif;">your specific needs so that you can be as comfortable as possible in your home. Rehab staff may have </span><span style="font-family: Arial, Helvetica, sans-serif;">a list of people they've worked with in the past. You can also check with the <a href="http://www.nahb.org/" target="_blank">National Association of </a></span><span style="font-family: Arial, Helvetica, sans-serif;"><a href="http://www.nahb.org/" target="_blank">Home Builders</a> for availability of a Building Professional with a designation called Certified Aging in </span><span style="font-family: Arial, Helvetica, sans-serif;">Place Specialist (CAPS)<u>.</u> You may be able to locate a company that works with home </span><span style="font-family: Arial, Helvetica, sans-serif;">modifications in your area through <a href="http://www.homemods.org/" target="_blank">National Resource Center for Supportive Housing and Home </a></span><span style="font-family: Arial, Helvetica, sans-serif;"><a href="http://www.homemods.org/" target="_blank">Modifications</a>. Some companies like ours specialize in home modifications by </span><span style="font-family: Arial, Helvetica, sans-serif;">combining therapists and contractors in one service.</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Don't forget training in the new environment. Once your home modifications have been </span><span style="font-family: Arial, Helvetica, sans-serif;">installed, you still need to learn how to use them effectively in your daily life. It takes training and time </span><span style="font-family: Arial, Helvetica, sans-serif;">to get familiar with any new addition to your home. </span></li>
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<span style="font-family: Arial, Helvetica, sans-serif;">So, share the news and share the video. You or one of your caregivers are really in charge of your </span><span style="font-family: Arial, Helvetica, sans-serif;">recovery, from your first steps to your return to a safe home. Everyone working with your is part of </span><span style="font-family: Arial, Helvetica, sans-serif;">your team, and it’s your responsibility to help them coordinate, cooperate, and help you. If you live in </span><span style="font-family: Arial, Helvetica, sans-serif;">the Greater Omaha, Lincoln, or Council Bluffs, Iowa areas, Total Home Access Solutions, a division of </span><span style="font-family: Arial, Helvetica, sans-serif;">Total Respiratory and Rehab home modifications services are available to you. We would love to help </span><span style="font-family: Arial, Helvetica, sans-serif;">you through the process of getting home from rehab. Give us a call for any questions or to go over your </span><span style="font-family: Arial, Helvetica, sans-serif;">options, we'd be honored to help.</span>Unknownnoreply@blogger.comOmaha, NE, USA41.2523634 -95.99798829999997541.0614744 -96.32071179999997 41.4432524 -95.675264799999979tag:blogger.com,1999:blog-2882692977346650762.post-68562081456607816822014-06-26T13:19:00.000-07:002014-07-01T07:32:01.540-07:005 Things You Must Know About Grab Bars<center>
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<span style="font-family: Arial, Helvetica, sans-serif;">Grab bars are one of the most versatile, frequently used, and easily available home modifications on the market today. They’re sold not only in specialty stores, but also are available from both major and local hardware stores. More houses are even starting to be built with grab bars ready for use. Despite becoming more common, there are still many misconceptions about grab bars. Mistakes are still being made that effect a person’s safety and quality of life. </span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;"><b>Here are five things everyone should know about grab bars before they recommend one or buy one.</b></span><br />
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<li><span style="font-family: Arial, Helvetica, sans-serif;"><b>Grab bars are not magic, nor are they one size fits all. </b>Grab bars, like any other home modification, work best if they are placed where they are needed. Location will be determined by the difficulty a person has (if any) with balance or strength, how far they can safely reach, and the environment. If you aren't simply planning for the future, you can consult with an occupational therapist, physical therapist, or a certified aging in place specialist before deciding exactly where to put a grab bar.</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><b>Grab bars don’t just have to go into studs. </b>Grab bars can be secured with reliable new technology. Blind fasteners rated for grab bars can be used to place grab bars exactly where they need to be if a stud or blocking is not available. </span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><b>Grab bars don’t have to be permanent to be secure. </b>Many people worry about the resale value of their house if they get a grab bar, or are afraid that they will have to move and won’t be able to take their grab bars with them. Traditional wall mounted grab bars can be beautiful, but they are not the only choice for balance support. Floor to Ceiling poles like the <a href="http://healthcraftproducts.com/healthcraft-products/superpole/" target="_blank"><b>Superpole from Healthcraft</b></a>, bars that attach or clamp to fixtures like the tub and toilet, and even high quality suction bars may be used on the right surfaces. </span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><b>US Accessibility Standards or the American with Disabilities Act Guidelines and other codes may not apply to your home. </b>Many people are not sure what codes apply to them. Many guidelines cover placement of grab bars in commercial or multi-family homes. If you don’t live in a home like this, you can put grab bars exactly where you need them. If you live in a place where codes define where grab bars are located, you can usually still exceed the guidelines and put in more grab bars in additional locations. This is a good thing, as the codes are designed to appeal to as wide a base as possible, but individual people benefit from individual customization with home modifications like grab bars.</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><b>Grab bars are not just for people who are aging or have a disability. </b>Grab bars can help anyone in the bathroom. People of all ages can fall. Nearly a quarter of a million people are injured each year in the bathroom, and 80% of those are from slipping and falling. A grab bar will reduce the risk a fall will occur. Having a grab bar or bars installed can not only make the home more safer and more accessible, it may actually increase value to certain markets.</span></li>
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<span style="font-family: Arial, Helvetica, sans-serif;">So, share the news and share the video. Here are 5 very important things people should know about grab bars. You may be surprised how many people will be amazed that there is anything to know about grab bars at all!</span>Unknownnoreply@blogger.comOmaha, NE, USA41.2523634 -95.99798829999997541.0614744 -96.32071179999997 41.4432524 -95.675264799999979tag:blogger.com,1999:blog-2882692977346650762.post-10651903820455183072014-05-13T09:34:00.000-07:002014-05-15T11:04:57.626-07:002 Important Safety Features in Our Vertical Platform Lifts<center>
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<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;">Vertical Platform Lifts can help people with mobility problems get in and out of their house and from one floor to another. Whether it is a few inches or several feet, stairs present problems for people. When we are considering alternatives to ramps or elevators, people often ask what makes a vertical platform safe. I’d like to highlight two of the safety features, in our video today. </span></span><br />
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<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;">Bruno vertical platforms that we install come with an <b>interlock, which keeps the door or gate closed when the platform isn’t positioned right behind the gate or door.</b> The door can’t be opened which reduces the risk of falling.<br /><br /><b>A second important feature of a vertical platform lift is the safety panel under the lift. </b>If something rolls under the lift, the pad will touch it as the platform is lowered. The switch under the panel will then stop the lift. This is very important as the person who is riding a lift can’t see what is under the lift.<br /><br />There are many reasons to consider a vertical platform lift and these are just two of the safety features that will let you use a lift with confidence over the years. Email or call if you would like more information.<br /><b><br /></b></span></span>Unknownnoreply@blogger.comOmaha, NE, USA41.2523634 -95.99798829999997541.0614744 -96.32071179999997 41.4432524 -95.675264799999979tag:blogger.com,1999:blog-2882692977346650762.post-7472781799669969792014-04-21T11:55:00.001-07:002014-04-24T08:01:49.461-07:00Accessible versus Universal Designs<div style="text-align: center;">
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<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;">I am often in construction zones because I deal with <b>home modifications</b>. When I am doing these modifications, I am asked if the modifications are <b>accessible designs or universal designs – and what’s the difference?</b></span></span><br />
<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;">An <b>accessible design</b> is geared towards a person with a <b>specific disability</b>. This is determined by the<b> goals of the homeowner, their abilities, their mobility equipment and transfer style.</b> This allows us to customize the modification to perfectly fit the client’s needs.</span></span><br />
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<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;">On the other hand, a<b> universal design</b> makes the home <b>as usable as possible for as many people as possible, no matter what their abilities.</b></span></span><br />
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<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;">No matter what you do with home modifications, you are typically blending<b> accessible</b> <b>design</b> and <b>universal design</b>. When you’re ready to make your modifications, we will determine which blend works best for you!</span></span><br />
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<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><i><span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><b>Would you refer us to your friends?</b>
If you have any friends, family, or co-workers who would benefit from
our home accessibility solutions would you reach out to us with their
contact information? We really appreciate your referrals - we'll take
excellent care of them!</span></span></i>
<i> </i> </span></span>Unknownnoreply@blogger.comOmaha, NE, USA41.2523634 -95.99798829999997541.0614744 -96.32071179999997 41.4432524 -95.675264799999979tag:blogger.com,1999:blog-2882692977346650762.post-24756655459042554632014-03-24T12:54:00.000-07:002014-04-03T12:34:59.629-07:00Shoes and Quality of Life<div style="text-align: center;">
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<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><b>I recently met with Jack Pietenpol of Diabetic Outreach to learn more about how shoes play a pivotal role in the quality of life.</b> As a professional who helps with accessibility and safety in the home, I was aware of how shoes affect balance and mobility. I wanted to learn more about what makes a shoe fit well and where people can go for customized shoes. Jack was a terrific help and I know you will a learn a lot from the interview like I did.</span></span><br />
<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><br />People with diabetes and many other medical conditions really need the exercise of walking. <b>Shoe choice and fit may make the difference in how safely a person moves around and how comfortable they are moving which affects the amount of walking or exercising they choose to do.</b> Jack covered some of the features in the therapeutic shoes he fits that contribute to skin health and balance. He also shared some helpful tips: </span></span><br />
<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><br /><b>Don't assume your size never changes over time and from brand to brand.</b> Shoes should always be measured whenever you go to a shoe store and if all possible, have your fitting done late in the afternoon. This is because, no matter how healthy we are, feet tend to swell as the day goes on.</span></span><br />
<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><br /><b>Shoes do not last forever.</b> Shoes may be aesthetically pleasing, but time brings odor, bacteria and worn out support from the abuse. You may not be able to see how the support is worn, but if you wear your shoes seven days a week, Jack states that they will only last about 18 months. </span></span><br />
<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><br /><b>Avoid premature aging.</b> A great tip that jack offers is to have a at least a second pair of shoes that you can switch out to ensure your other shoe is airing out in order to prevent premature breakdown.</span></span><br />
<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><br /><b>The footwear that Jack handles is classified as therapeutic, however anyone can wear them for support, comfort and to accommodate depth issues.</b> When you make an appointment with Jack, you will complete a 15-30 minute evaluation that will determine your goals, your level of ambulation, the footwear you seek and what you expect out of that footwear. From there, Jack will determine what type shoe fits you best. <br /><br />Custom fitted shoes sound great, but people often wonder how they price in comparison to normal shoes. I was amazed to find they were less than I thought they'd be. They are certainly worth checking into if a person is walking less because of pain or discomfort. <b>As Jack explains, in some cases, Medicare and Medicaid will cover the costs once a year.</b></span></span><br />
<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><br />If you have any questions for Jack, his phone number is (402) 477-1110. Jack also offers in-home appointments for patients with mobility and transportation issues! </span></span><br />
<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><br /></span></span><i><span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><b>Would you refer us to your friends?</b> If you have any friends, family, or co-workers who would benefit from our home accessibility solutions would you make sure they know about us? We really appreciate your referrals - we'll take excellent care of them!</span></span></i>Unknownnoreply@blogger.comOmaha, NE, USA41.252363400000029 -96.00073488203122541.06147440000003 -96.32345838203122 41.443252400000027 -95.678011382031229tag:blogger.com,1999:blog-2882692977346650762.post-49094855256332279562014-02-26T08:51:00.003-08:002014-02-26T12:06:40.319-08:00Grab Bars: Proper Location and Installation May Be the One Thing Keeping You From Misfortune! <iframe allowfullscreen="" frameborder="0" height="281" src="//www.youtube.com/embed/Uxe5ygliBmY?rel=0" width="500"></iframe><br />
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<span style="font-size: small;"><span style="font-family: inherit;"><b>Grab Bars: Proper Location and Installation May Be the One Thing Keeping You From Misfortune!</b></span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">As you know, I am always telling people that the location of the Grab Bar is critically important.<b> The location is determined by the person’s medical condition, their abilities, where they’re having difficulties in the process of sitting down and standing up, their level of balance and the surrounding environment.</b> However, we can’t forget the basics! How can you tell if the grab bar is installed properly until it actually comes out unexpectedly?</span></span><br />
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<span style="font-size: small;"><span style="font-family: inherit;">You are the mercy of the people performing the installation. <b>Grab Bars need to be secured into the structure of the house, like a stud, or use new technology that has been tested and proven to hold the weight of human beings when they’re holding on and moving quickly.</b> The grab bar and the way it’s installed may the only sitting between you and a future catastrophe!</span></span><br />
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<span style="font-size: small;"><span style="font-family: inherit;">Use trained installers who work as part of a team to not only get the bar where it is needed, but also have the knowledge to make sure that it <u><i>stays</i></u> where it is needed. </span></span><br />
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<span style="font-size: small;"><span style="font-family: inherit;">Thanks and have a great day!</span></span><br />
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<span style="font-size: small;"><span style="font-family: inherit;"><i><b>Would you refer us to your friends? </b>If
you have any friends, family, or co-workers who would benefit from our
home accessibility solutions would you make sure they know about us? We
really appreciate your referrals - we'll take excellent care of them!</i></span></span></div>
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Unknownnoreply@blogger.comOmaha, NE, USA41.2523634 -95.99798829999997541.0614744 -96.32071179999997 41.4432524 -95.675264799999979tag:blogger.com,1999:blog-2882692977346650762.post-67844792714470954152014-02-19T12:33:00.000-08:002014-02-20T12:01:45.255-08:00Proper Training: Correct Training Provides for Safe Care!<iframe allowfullscreen="" frameborder="0" height="281" src="//www.youtube.com/embed/UCTTpd0NkR0?rel=0" width="500"></iframe><br />
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<span style="font-size: small;"><span style="font-family: inherit;"><i><b>Would you refer us to your friends? </b>If
you have any friends, family, or co-workers who would benefit from our
home accessibility solutions would you reach out to us with their
contact information? We really appreciate your referrals - we'll take
excellent care of them!</i></span></span></div>
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<b>Proper Training: No one can afford to learn from trial and error</b><br /><br />Today I wanted to talk to you about the importance of training on new equipment. You could have the best equipment possible, and it may not perform how you expect it to unless you how to use it properly. Total Home Access Solutions offers on-site training for people with our equipment once it’s installed. <b>We train family and professional caregivers in how to get the best use of our equipment. </b>Even experienced professional caregivers benefit from training on new equipment. We cover how the equipment works, practice using it, and cover basic troubleshooting and maintenance. This takes time on our part compared to services that simply drop ship or just delivery and hand you the owner's manual. We think it is worth it. You can't afford to learn from trial and error when you are using equipment in healthcare. <br /><br />We love to participate as team members with our client's and their care givers. For example, in this video we are working in one of our client's home with her care staff from Prestige Premium Homecare in Omaha, 402-933-1694, on how to use a portable ceiling lift from SureHands Lift and Care systems. <b>The SureHands system is not hard to use, but the person being lifted and the caregiver benefit from learning good techniques and from understanding how the equipment works.</b> During training, even people who have used lifts before learned some things that were unique to using this type of lift system, techniques that were specific to this client, and methods of working in her bedroom and bathroom needed to work around furniture and fixtures. We believe that our training has helped make safe transfers even more comfortable for the person being lifted and the staff working with them. <br /><br /><i><b>Please, share the news and share the video! Proper training with equipment after it is installed is just as important as selecting the right equipment in the first place. Thanks and have a great day!</b></i>Unknownnoreply@blogger.comOmaha, NE, USA41.2523634 -95.99798829999997541.0614744 -96.32071179999997 41.4432524 -95.675264799999979tag:blogger.com,1999:blog-2882692977346650762.post-74941062489136621092014-02-12T13:42:00.001-08:002014-02-14T12:12:01.736-08:00Changing Your Daily Routine: We Make this Strenuous Process Easy for You!<iframe allowfullscreen="" frameborder="0" height="281" src="//www.youtube.com/embed/ej8BJRb2oEM" width="500"></iframe><br />
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<b>Changing Your Daily Routine: We Make this Strenuous Process Easy for You!</b><br />
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<i style="font-family: inherit;"><strong>Would you refer us to your friends? </strong><span style="font-size: small;">If
you have any friends, family, or co-workers who would benefit from our
home accessibility solutions would you reply to this email with their
contact information? We really appreciate your referrals - we'll take
excellent care of them!</span></i></div>
<br />At Total Home Access Solutions, <b>I work with people who have to change the way they’re doing things and try new equipment;</b> it is sometimes a scary process! I like to believe that we are comfortable to work with and that we help people feel good about using new tools and equipment to allow them to do what is important to them.<br />
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As you can see in the video, our client had a very small bathroom so we had to conserve as much space as possible. Since he only has the use of one side of his body, we introduced him to this clamp-on, sliding tub transfer bench. <b>This ensures adequate space in front of the toilet, no trip hazards and that he has enough space to maneuver himself in and out of the tub.</b><br />
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With the toilet seat elevated and using one side of the toilet safety frame, our client tells that <i>“With my disability on the right side, I am able to sit down comfortably and safely.”</i> He went on to say that <i>“With the height of the toilet being raised, it is working out excellent. It’s smoother and easier to where I don’t have to dip down too far.”</i><br />
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Our client also praised the grab bar we installed in front of the toilet. <b>To maximize the grab bar’s effectiveness, we used the clamp-on sliding tub transfer bench.</b> Our client tells us that this has created a safer, easier shower experience in comparison to his previous method of freestanding. He also commented on how well the support of the transfer bench is working out for him.<br />
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As for working with me and Total Home Access Solutions, our client applauded us for our ease and willingness to answer any of his questions as soon as they arose. <b>He added that the entire process was easy, relaxing and an overall wonderful experience.</b><br />
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<b><i>Please share the news and share this video! We know it can sometimes be uncomfortable changing the way you do something, however choosing the right people to work with will make you feel comfortable, explain enough, show you enough, train you and life will be good.</i></b>Unknownnoreply@blogger.comOmaha, NE, USA41.2523634 -95.99798829999997541.0614744 -96.32071179999997 41.4432524 -95.675264799999979tag:blogger.com,1999:blog-2882692977346650762.post-14215078863484857482013-12-18T12:08:00.000-08:002013-12-19T07:00:01.172-08:00Technology Can Make Staying at Home Possible: An Interview<iframe allowfullscreen="" frameborder="0" height="248" src="//www.youtube.com/embed/2N530HiNFK8?rel=0" width="440"></iframe>
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<br />
Sharing this season with loved ones is a blessing we hope that all of you are getting to enjoy this year. Helping people stay at home and stay with family is the core of what we strive to do, when we provide technology and home modifications. We believe that if you can make activities of everyday living easier and safer, people will have the time and energy to accomplish great things, whether that is writing a book or being able to spend time happily with family. <br />
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We are grateful to one of our clients who has so eloquently shared how technology has made it possible for him to have more time with his family than he was afraid he might have had otherwise. He has used technology ranging from our lift systems to commercially available computer programs to live his life well.<br />
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We strongly encourage anyone who is afraid that this might be their last season with their loved ones before aging or a disability forces them to change where they live to take hope. It is our goal and mission, year round, to use technology to help people stay as safe and independent as possible. More than anything else, we want people to think about what they’re going to do with their friends and family instead of how they’re going to get in and out of bed, or to the bathroom. Getting older or a disability can turn what were once simple tasks into impossible obstacles that get between someone and what is truly important in their life. Our technology and a few simple changes can often turn these insurmountable obstacles back into manageable hurdles.<br />
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If you or a loved one feels that they are going to be unable to stay safe or independent, we strongly encourage you to look into what technology or home modifications are available. It will not solve every problem, but you won't know if it will help you unless you investigate your options. We’re always happy to answer questions and provide solutions. <br />
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So please share the news, and share the video. Technology exists that can keep people where they belong for the holidays: At home with family, friends, and other loved ones.Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-5035056869616012222013-12-03T08:42:00.001-08:002013-12-03T09:00:07.111-08:00Automatic Door Opener<iframe allowfullscreen="" frameborder="0" height="281" src="//www.youtube.com/embed/_OypvT_Rv7A?rel=0" width="500"></iframe><br />
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<b>Automatic door opener</b><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEge5MTNs3kVxC5DfLsquQl5wMqPhUt61V9Qiv3VhK4UDNKet4nGRXnCs2fisum_QgzHHKN8q3vmGikEv0pdF0vrNcBBsSGvDdcmRAfngnwEw4tPpzTToWO00DWWU1447VSpCZa5DIX9pDX8/s1600/door+at+end+of+hall+difficult+to+widen.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEge5MTNs3kVxC5DfLsquQl5wMqPhUt61V9Qiv3VhK4UDNKet4nGRXnCs2fisum_QgzHHKN8q3vmGikEv0pdF0vrNcBBsSGvDdcmRAfngnwEw4tPpzTToWO00DWWU1447VSpCZa5DIX9pDX8/s320/door+at+end+of+hall+difficult+to+widen.jpg" width="241" /></a>Is a power door opener a luxury or a necessity? Frankly it depends upon how much effort it takes to open the door another way. I have plenty of friends and clients who use mobility equipment who might say they've gotten used to the extra steps they use to open and close doors compared to those of us who stand and walk. We don't have to think about our balance, backing up with our mobility equipment to get out of the way when we are moving the door, or having to turn our walker or wheelchair around and approach the door again in order to close it.<br />
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Lever handles and building in some space beside the door when possible, so a person can stand or sit to the side of the door while it swings open past them are two manual ways to make opening a door easier for some people. Of course sometimes it isn't practical to provide additional space beside the door.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjn8AV3U5O_mplsNXjkp0mt_TyokjHczyIB1p4wqTQakqKqA_VB1vjQCCM6lJtTEdStnixjsxxefZj510NMGP7maB5YyZ980DIk0Z8EtjfLMKdBphx0_x_myzbS6vG1v4x3j811lqW4-rYS/s1600/door+with+string+from+site+how+to+adapt.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjn8AV3U5O_mplsNXjkp0mt_TyokjHczyIB1p4wqTQakqKqA_VB1vjQCCM6lJtTEdStnixjsxxefZj510NMGP7maB5YyZ980DIk0Z8EtjfLMKdBphx0_x_myzbS6vG1v4x3j811lqW4-rYS/s1600/door+with+string+from+site+how+to+adapt.jpg" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5c-p6F6tfM0aWtrciPyReFC8HO4ZN1Vom-g6PgH-X7FUg9qLHgV153pXW180EoLs2_Nbx8qjCSpRa_aivXXbd2Az1qhsoGOIL_ljKsr8TiJ97nXpK0ee1mh05bOoAO1k4ig_6-je_-otP/s1600/extra+door+knob+how+to+adapt.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5c-p6F6tfM0aWtrciPyReFC8HO4ZN1Vom-g6PgH-X7FUg9qLHgV153pXW180EoLs2_Nbx8qjCSpRa_aivXXbd2Az1qhsoGOIL_ljKsr8TiJ97nXpK0ee1mh05bOoAO1k4ig_6-je_-otP/s1600/extra+door+knob+how+to+adapt.jpg" /></a>Two manual approaches to closing the include tying a string to the door and catching it with your hand or wheelchair as you pass through and adding an extra handle. These pictures from <a href="http://www.howtoadapt.com/">www.howtoadapt.com</a> shows both. When I work with people who choose to add a handle whether it is screwed in, magnetic, or suction, I strongly suggest they take the extra time to turn around and reach forward to get hold of the handle in order to protect their shoulders, but that of course takes time.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMMWIeQ-NO9PQGwMYyexnDIOie46_USqwRBRygRbS9E5y3P3ZY-ILMKe1lcfGFhyphenhyphenLUonRoBtgVImJHA5RWLU-EJKidx9LA6xWFOxYed8gXiHDn3RkdO3TDd_auwy1ZnaFI9lWULdTWpaX2/s1600/open+sesame+door+opener+out+swing.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMMWIeQ-NO9PQGwMYyexnDIOie46_USqwRBRygRbS9E5y3P3ZY-ILMKe1lcfGFhyphenhyphenLUonRoBtgVImJHA5RWLU-EJKidx9LA6xWFOxYed8gXiHDn3RkdO3TDd_auwy1ZnaFI9lWULdTWpaX2/s1600/open+sesame+door+opener+out+swing.jpg" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuURbWBYxN_womMpYtYTdLB0ycZTk0fQlala3-dnenCXzR4fDFjji8vtDeBeIfQmZuUsPz-cqOiyxjgSSTVyvGTIj_g_U2d6ONZR2qDTcZwamichBMxBq5Wyl3G7Aqv3B7CRxgfdP8vOE0/s1600/open+sesame+door+opener+residential+door+in+swing.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuURbWBYxN_womMpYtYTdLB0ycZTk0fQlala3-dnenCXzR4fDFjji8vtDeBeIfQmZuUsPz-cqOiyxjgSSTVyvGTIj_g_U2d6ONZR2qDTcZwamichBMxBq5Wyl3G7Aqv3B7CRxgfdP8vOE0/s1600/open+sesame+door+opener+residential+door+in+swing.jpg" /></a>Opening and closing a door with the push of a button seems like a really good idea to me. It could protect a person with poor balance, save a person time and aggravation, and frankly make it possible for some people to handle the task on their own. Total Home Access Solutions, installs Open Sesame Power Doors in private homes and residential communities.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiE6rHr7ZbeTJW7lGRdNaGJzLKZa58XEGoQzXGsmvwajAuwDl7FQFdeTNeFdnK7h4zsxzWADbXv4BIv5-E8jeUsAUWRrzg7-x0qFTtTppjRoRP-yK5Bs4Z8rFSDhkAy8Ez19aAUUFtBMcIj/s1600/open+sesame+door+opener.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiE6rHr7ZbeTJW7lGRdNaGJzLKZa58XEGoQzXGsmvwajAuwDl7FQFdeTNeFdnK7h4zsxzWADbXv4BIv5-E8jeUsAUWRrzg7-x0qFTtTppjRoRP-yK5Bs4Z8rFSDhkAy8Ez19aAUUFtBMcIj/s320/open+sesame+door+opener.jpg" width="240" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhf1M5U79fYxxRmfzQcKYH0wrEKw_hsaDDR_3aXxzFC5cpGgLT0IX1uBVs-Kk_I_KNvAgTCZYgQns-zaMYnPPrveDuZQ8Yf4pVRMNpq5LFjuUXv7nrfQBOxB4rT3PEraoe7526GAPdRvMg2/s1600/door+with+room+beside+it+.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhf1M5U79fYxxRmfzQcKYH0wrEKw_hsaDDR_3aXxzFC5cpGgLT0IX1uBVs-Kk_I_KNvAgTCZYgQns-zaMYnPPrveDuZQ8Yf4pVRMNpq5LFjuUXv7nrfQBOxB4rT3PEraoe7526GAPdRvMg2/s1600/door+with+room+beside+it+.jpg" /></a>This American company provides a reliable door opener that is flexible enough to work with in-swinging or out swinging, right hand or left hand doors, which allows my clients to re-use their opener if they move. We can provide a variety of switches which best meet a person's requirements. These openers don't interfere with another person's manual use of the door and charge themselves so they are always available even if the power goes out. Give us a call if you want more details about how these doors work. <br />
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Is a power door opener a luxury or a necessity? If you can't open the door any other way; If the cost of remodeling to provide room around the door exceeds the cost of a power opener; if you run the risk of falling when you operate the door; or if you would like to get through the door and close it behind you with the same effort that most people expend, I think you'll be among the people who consider a power door opener a necessity for successful independent living. <br />
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Let us know what you think! BPhillips@Totalrr.com<span id="goog_1214781442"></span><br />
<span id="goog_1214781441"></span>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-20202835696889614472013-11-05T08:06:00.004-08:002013-11-05T08:46:10.186-08:00The SureHands Lift and Care Systems Body Support Can Help with Clothing Adjustments at the toilet<iframe allowfullscreen="" frameborder="0" height="281" src="//www.youtube.com/embed/w6ZvIx-6QTQ" width="500"></iframe><br />
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It takes more than just getting into the room to be able to make use of the toilet. You need to deal with your clothing as well. What if you can’t stand up or balance while standing? What if you are a caregiver for someone who depends upon you to transfer or move from one surface to another?<br />
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One solution is the SureHands Lift& Care System Body Support. It can be used with any of the ceiling based or wall based motors. Unlike many slings, the body support leaves the buttocks area clear during the secure transfer. This makes this a great lift support for speedy, secure, and often independent transfers, but it is also great for clothing adjustments during toileting.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhiGPMBRiAUQXkyZqDZAZl7Ft8Jg8qmf0Y-3a37yUrDVZi46nLLnsCGR6_iBVTs_OUoGBc2JzwoHRQt9l75Qt3rXASekWU8mmCcQjeBCnWSiiZU_YIB6nxf_yyfNGiel1bEUBzL5s9_yInL/s1600/body+support+over+toilet+from+sh.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhiGPMBRiAUQXkyZqDZAZl7Ft8Jg8qmf0Y-3a37yUrDVZi46nLLnsCGR6_iBVTs_OUoGBc2JzwoHRQt9l75Qt3rXASekWU8mmCcQjeBCnWSiiZU_YIB6nxf_yyfNGiel1bEUBzL5s9_yInL/s320/body+support+over+toilet+from+sh.jpg" width="284" /></a></div>
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Once a person is positioned over the toilet, pants can be moved over the hips to the level of the body support. This is easier with looser pants. Individuals with sufficient hand strength and dexterity and arm mobility may be able to do this themselves. It is a relatively easy task for most caregivers. Once the person is lowered to the toilet, the thigh and chest cuffs become loose. As the thigh cuff is removed the pants can be pulled further down each leg. Some caregivers find it helpful for hygiene to lift a person into the air slightly for cleaning. Other people can accomplish cleaning while seated.<br />
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When the person is ready for pants to be pulled up, the top of the pants are gathered and pulled up as high on the thigh as possible. Work with one leg at a time. Sometimes you will need to repeat this process. If a person’s leg can’t be lifted high enough to clear enough space to pull the pants up, a caregiver can prop their leg up on something or lean them slightly to the side. The goal is to gather the pants up so that most of the fabric needed to pull over the hips is over mid thigh. Place the thigh cuffs just below the gather of material and lift the person slightly. With the cuffs at mid thigh the person’s buttocks will be lower than usual so best practice is to lift just high enough to clear the toilet and work fairly quickly to pull the pants up over the hips. Depending upon how tight the pants are, this step may take a little tugging to clear any folds of fabric at the thigh cuff. Lower to the toilet and reposition the thigh cuffs correctly as high up on the legs toward the hips as possible.<br />
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The body support makes dressing during toileting activities possible for many people. Give us a call today if you have any questions or wish to schedule a private consultation.<br />
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402-291-9514Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-64699853648344573952013-10-23T13:05:00.002-07:002013-10-25T07:45:48.521-07:00Is your bathroom the scariest room in your house?<iframe allowfullscreen="" frameborder="0" height="281" src="//www.youtube.com/embed/vgOyuBAiMDE?rel=0" width="500"></iframe><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBuhpBdTmxFQWweRcw0i-4gZUqXu79e0n22R15-kLSukmrqOjuuA47YzYzvP4XY7Nqh9NKhvXIK3z-nKwbHzXGqRJqjdp2UdGxQVLYDIMUhqdDAYbJObP_4l7pL_TFVIQP6K44c4D8b6Nz/s1600/scary_bathroom.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" class="CSS_LIGHTBOX_SCALED_IMAGE_IMG" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBuhpBdTmxFQWweRcw0i-4gZUqXu79e0n22R15-kLSukmrqOjuuA47YzYzvP4XY7Nqh9NKhvXIK3z-nKwbHzXGqRJqjdp2UdGxQVLYDIMUhqdDAYbJObP_4l7pL_TFVIQP6K44c4D8b6Nz/s200/scary_bathroom.jpg" width="160" /></a></div>
<b><i>Are you afraid of what may happen when you are in your bathroom?
Do you stay up at night wondering just how safe your older parents are
in their bathroom?</i></b><span class="Apple-style-span" style="color: black;"> If
so, you are not alone. Ask anyone what is the scariest place in their
home and if they have a disability or mobility/balance </span><span class="Apple-style-span" style="color: black;">issues, they will
probably tell you it is the bathroom. It doesn’t have to be that way.</span><br />
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We know instinctively that the bathroom is a dangerous place. Falls occur from slips and trips. <b>Slips occur most often on wet surfaces.</b>
What floor do we tend to drip water on most often? Trips come from
obstructions we don’t see. Which room is often small with limited
storage so things may be placed on the floor or on storage shelves
placed in the walkway? <b>Many falls occur when lighting is inadequate.</b>
What room in older homes is usually lit by a single set of lights
that we reduce even further when we close shower curtains? Better yet,
if we wear glasses, what room do we routinely take them off in? <b>Other falls occur when a person’s ability to balance isn’t adequate for the tasks they are engaged in.</b>
What room requires us to step over a 15” high barrier such as the side
of a tub, get on the floor such as getting into a tub, bend over such
as pulling up pants after toileting? <b>To top it all off, which room
of our house is so small that if we fall on the floor we are likely to
block the door shut with our body so no one can get in to help us?</b> Of course we know the bathroom is a scary place, but it doesn’t have to be.<br />
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Safety can be improved in most bathrooms with careful attention to
matching the environment to a person’s abilities and a willingness to
try something new. <b>It may be as simple as a well placed grab bar or a
rug to absorb moisture that is really slip resistant to. For some
homes, it may be a little more involved such as replacing a standard
tub with a barrier free or walk in shower, or adding a walk in tub.</b> Thinking about making a change may be difficult, but consider the alternative.<br />
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Take a look at these facts from the article Falls Among Older Adults: An Overview the Center for Disease control <a href="http://www.cdc.gov/">www.cdc.gov</a><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgM65vNhYDER-6jUgNHi5x872lRjpJWrHHbEMpDFiL4evjhw35SaP9WSQOBDxSGXE444SyP5OsFD0Vcl07Y-xMHkSJNPSBiVHRxZOf8nNhSocEVIpqTg6boihfvwC22P9uPFQPLAN9_k_7H/s1600/cdc_logo.jpg" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="153" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgM65vNhYDER-6jUgNHi5x872lRjpJWrHHbEMpDFiL4evjhw35SaP9WSQOBDxSGXE444SyP5OsFD0Vcl07Y-xMHkSJNPSBiVHRxZOf8nNhSocEVIpqTg6boihfvwC22P9uPFQPLAN9_k_7H/s200/cdc_logo.jpg" width="200" /></a>• More than one third of adults 65 and older fall each year in the United States (Hornbrook et al. 1994; Hausdorff et al. 2001).<br />
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• Among older adults, falls are the leading cause of injury deaths. They
are also the most common cause of nonfatal injuries and hospital
admissions for trauma (CDC 2005).<br />
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• In 2005, 15,800 people 65 and older died from injuries related to
unintentional falls; about 1.8 million people 65 and older were treated
in emergency departments for nonfatal injuries from falls, and more than
433,000 of these patients were hospitalized (CDC 2005).<br />
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• The rates of fall-related deaths among older adults rose significantly over the past decade (Stevens 2006).<br />
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How can we look at facts like these, know the bathroom is one of the
most useful, but most dangerous places in our home, and still not take
action to save ourselves and people we love?<br />
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<b><i>Take action today. Educate yourself on ways to make your bathroom
safer. It may be easier and less expensive than you think it will be.
If you want some help planning a functional and beautiful bathroom
experience give us a call. You are worth it.</i></b>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-45403208690829408272013-10-04T13:59:00.001-07:002013-10-07T12:14:01.516-07:00Access client shares his wood working access ideas with a web site!<iframe allowfullscreen="" frameborder="0" height="281" src="//www.youtube.com/embed/tf_VwWt2goQ" width="500"></iframe><br />
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<b>Another Reason Why We Love Touching People’s Lives!</b><br />
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When Bob contacted me to improve the accessibility of a house he and his wife had recently purchased, we sat together and discussed what was important for him to do in the house. His determination to resume woodworking was clearly almost as important to him as being about to move through the doorways of the home and to be able to use the fixtures in the bathroom safely. He had us work on access through the house while he worked on creating a workshop that was accessible to him.<br />
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A recent amputation meant he needed to use a wheelchair at times and he was having difficulty using his wood working techniques designed for a person who can stand and balance. He went on line for some helpful ideas and found only one article related to wood working and access. Bob did not let this stand in his way. He took the initiative and started the website <a href="http://wheelchairwoodworker.net/">http://wheelchairwoodworker.net/ </a>to share his innovations of making his wood working shop safer and more accessible with other people who had similar disabilities.<br />
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Bob’s website is active in two ways; he is first documenting the transformation of his workspace from the large traditional shop he had in his previous house to two separate rooms in his house. The second way Bob uses his website is to bring people to together so they have a platform to share their thoughts and input. Bob states that his website has been an overwhelming success and encourages people to not be afraid to speak up on his site. Bob gives a great deal of thanks to his wife, who happens to be an occupational therapist and was not afraid to encourage and push him toward recovery.<br />
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Accessibility is about making your home a place where you can do what is important to you. Please contact me if you have any questions about removing barriers for daily activities like bathing or cooking, but also about removing barriers to enjoying recreation too.Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-20613177890580726352013-08-28T09:00:00.000-07:002013-08-28T09:00:34.145-07:00Oasis Seated Shower System™ a new way to bathe people<iframe allowfullscreen="" frameborder="0" height="330" src="//www.youtube.com/embed/_JnGRqjCgOA?rel=0" width="440"></iframe>
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<br />
<b>Oasis Seated Shower System™ a new way to bathe people </b><br />
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Helping people bathe is not one of those activities that most of us spend much time worrying about. Of course <b>we were taught the importance of good hygiene from our parents and our mentors</b> as we growing up. Of course we are influenced by the multitude of advertisements for personal cleaning products. For the most part though, we jump in and out of our showers and tubs without a lot of effort or thought about what we are doing.<br />
<br />
When a person is unable to clean themselves, the bathing activity requires a great deal more attention. <b> Even if a health professional is the person doing the bathing, being undressed and allowing someone to touch you is a process that is uncomfortable socially for most people. If a person is unable to stand up, getting really clean around the genitals and anus may be very hard to accomplish. </b> Health professionals such as Nurses and Occupational Therapists spend a great deal of time and energy devising procedures and ways to help keep other people clean. The consequences of inadequate hygiene such as UTIs (urinary tract infections) can be very debilitating, or even life threatening for people.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmIjc0P0bp150EPv8fDPXscXuIrbjmLPNAtOLJxP3qJ25N4NeF_NIwyof9b9nCMewyEQE-8_92sGlL5hDU7QBZkE1cT9rklm_1bMFbOJYgWLZTUHmRvB2IuwG0zbiKs-KF2DIht2bbi3qX/s1600/OasisAD.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="264" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmIjc0P0bp150EPv8fDPXscXuIrbjmLPNAtOLJxP3qJ25N4NeF_NIwyof9b9nCMewyEQE-8_92sGlL5hDU7QBZkE1cT9rklm_1bMFbOJYgWLZTUHmRvB2IuwG0zbiKs-KF2DIht2bbi3qX/s320/OasisAD.jpg" width="320" /></a></div>
If reading my last paragraph made you a little uncomfortable, imagine what trying to clean someone else must be like or what having someone bathe you must be like. <br />
<br />
<b>I'm really excited to present the Oasis Seated Shower System™ because I love to help people find solutions. This technology allows really excellent cleaning with less hands on touching during the process. </b> People are still present and still helping with moving a person, drying them, doing little extra touches with hair, hands, or feet so there is still the one to one human contact, but some of the most uncomfortable and difficult cleaning is taken care of with no touching. Dangerous things like having a person with poor balance standing or leaning to the side to clean the buttocks area are eliminated. <br />
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The Oasis is easy to use and set up. It uses the existing shower water supply and drain so there is no construction. It actually uses less water than a traditional shower or tub and because water doesn't circulate inside the seat, it is a very clean and low maintenance piece of equipment. <br />
<br />
Here is a link to another cool video about the Oasis. <a href="http://www.youtube.com/watch?v=ZfOsPTtWsPI">http://www.youtube.com/watch?v=ZfOsPTtWsPI</a><br />
Remember, in a few short years, you will be able to say, "I was among the first to see the Oasis. It was the start of how we bathe people today!". <br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgjMDPZwra4CDODXPr64XiDU453VAtocL7QT1JYllmPVtFNjl4zC-jQNqlWl1q8Y8DZOPWtsxVCq5BVvMvI2S9XOrQdFpL5tLCnBvDCoDgzVSa5hLoRiz7sIy3fWOYbE6T3kIlhiDNidWT7/s1600/bevvan-thing.jpg" style="margin-left: 1em; margin-right: 1em;"></a><br />
<br />
Right now I have a loaner I can take to facilities and let a few people try it out for themselves to see how much better their residents and bathing staff feel using the Oasis than they do using the old fashioned methods. If you have any questions about how it might fit for you, give me a call 402-291-9514 or email, BPhillips@Totalrr.com.<br />
<br />
Check out our flyer! <br />
<br />
<img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgjMDPZwra4CDODXPr64XiDU453VAtocL7QT1JYllmPVtFNjl4zC-jQNqlWl1q8Y8DZOPWtsxVCq5BVvMvI2S9XOrQdFpL5tLCnBvDCoDgzVSa5hLoRiz7sIy3fWOYbE6T3kIlhiDNidWT7/s640/bevvan-thing.jpg" width="490" /><br />
<br />
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"></span>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-12089931812953047562013-08-07T14:22:00.000-07:002013-08-22T08:46:43.793-07:00SureHands Lift and Care System and Therapeutic Riding<iframe allowfullscreen="" frameborder="0" height="281" src="//www.youtube.com/embed/Iwlh4aDwDG8" width="500"></iframe>
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<br />
Normally, you can find me in someone’s home, trying to make it better suit their needs. This week though, you could find me in a barn instead! We are visiting the Heartland Equine Therapeutic Riding Association, also known as HETRA of Omaha/Valley. Created in 1989, HETRA has helped both adults and children with disabilities participate in therapeutic riding activities. You can learn more about them <a href="http://www.hetra.org/">www.hetra.org</a>.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdZJQNF531AFmgFv-2YBG3aKXon9DdYaBEO3WguReP-VBdw5hWL3GHpiE4EsRXqqD3r639QnodPi0z5NyHFyjkc-s3cKH6iGOkfwudH9FK_MSBfjKK2z4M28ekTOzdOiZE94c_h9ltaMGP/s1600/IMG_0729.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="111" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdZJQNF531AFmgFv-2YBG3aKXon9DdYaBEO3WguReP-VBdw5hWL3GHpiE4EsRXqqD3r639QnodPi0z5NyHFyjkc-s3cKH6iGOkfwudH9FK_MSBfjKK2z4M28ekTOzdOiZE94c_h9ltaMGP/s200/IMG_0729.JPG" width="200" /></a></div>
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As Edye Godden, OTR/L, the Executive Director explains, Hippotherapy is an exciting and different form of therapy that many people participate in, which not only helps with posture and balance, but helps release tense muscles and provides stimulating social contact. It’s also a very exiting experience that many people who are not fully mobile would otherwise never get to participate in. However, helping people with disabilities onto horses is not always easy. Transfers like this can be hard on the riders, the therapists, the volunteers, and the horses. That’s where we were able to help with a SureHands Lift and Care System.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgy4TVUe8lKqoCN-hc5wzP0sc5tPMee49V-7SQLqqHZvF4l757b4d_8qOpRmIREB2vae1eF0sO0eW1TB9kfY7fUEF0Ux63Fr3BqZsPU7_EZKqiMcCuqZYWT5spWGnHvXWeO4kzjy3mg48PW/s1600/IMG_0751.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="111" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgy4TVUe8lKqoCN-hc5wzP0sc5tPMee49V-7SQLqqHZvF4l757b4d_8qOpRmIREB2vae1eF0sO0eW1TB9kfY7fUEF0Ux63Fr3BqZsPU7_EZKqiMcCuqZYWT5spWGnHvXWeO4kzjy3mg48PW/s200/IMG_0751.JPG" width="200" /></a></div>
We installed a lift system very similar to one that someone could get in their house. The lift makes it much easier and safer to help larger people onto and off of the horses, which help them relax and enjoy the therapy faster and get more benefit out of it. So, share the news and share the video! HETRA and Total Home Access Solutions can help get you on top of things. Like a horse, for instance!Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-30874245559372951282013-07-29T07:37:00.001-07:002013-08-22T08:46:31.831-07:00What to do about doorways?<iframe allowfullscreen="" frameborder="0" height="248" src="//www.youtube.com/embed/sM3XnjVjwJw?rel=0" width="440"></iframe>
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<br />
Hi everyone. I want to talk to you about doorways, mainly getting through the doorway. I work with a lot of people who use wheelchairs and walkers; sometimes they find out they are just a little bit wider than the door.<br />
<br />
What do you do?<br />
<br />
When you are wider than the door, you have two choices. You can do construction. You can take the door out of the frame and widen it. However, if the doorway is only an inch too small, we can do an amazing thing just by replacing the hinges!<br />
<br />
You can see the door takes up space in the door jam. If we use a product call an offset hinge and replace the current hinges on the door, we can use the same door, the same door jam and knob. What that offset hinge does is move the door out of the doorway when it’s open. That gives you another inch of usable space!<br />
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We also can add a receiver for your doorknob in the wall. This gives some space for the doorknob to go when the door is open.<br />
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So share the news and share the video! You have some choices if you are a little wider than the doorway. You can do full construction or you can try and offset hinge!Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-73456044637713849262013-06-20T07:38:00.000-07:002013-08-22T08:46:21.095-07:00What is the cost of NOT using a stair glide?<iframe allowfullscreen="" frameborder="0" height="275" src="http://www.youtube.com/embed/Pckq7FH6ZlU?rel=0" title="YouTube video player" width="440"></iframe><br />
<br />
<a href="http://youtu.be/Pckq7FH6ZlU">Watch on your mobile device >> </a><br />
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Stair
glides do cost money, especially if you buy them from a reputable,
experienced dealer who can provide product knowledge and service. I
see my clients tempted everyday to save a little money and just keep on
struggling up and down the stairs. I think this falls into the “penny
wise, pound foolish” category of thinking.<br />
<br />
Sometimes it
is easier for a person to see the need when they’ve experienced a
traumatic event and go from having no problems on the stairs to
difficulty with them over a short period of time. They feel the impact
that problems moving within their homes cause more keenly, and they are
looking for solutions. <br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgN4DpN2q6uPlwSG_6cmQ6pdzR1pWmjfdgd_Voifla-DNI2idt5C7LNg8EXA7uVr4kLi1vhJQ-zQ7dmTtGGeAmfj7WbJ4EfgRoETpdkCX9_wwSI0QhNuJo62eN6wEMssh3KYhwH47cdJoqw/s1600/chair-stair-lift-1.jpg" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgN4DpN2q6uPlwSG_6cmQ6pdzR1pWmjfdgd_Voifla-DNI2idt5C7LNg8EXA7uVr4kLi1vhJQ-zQ7dmTtGGeAmfj7WbJ4EfgRoETpdkCX9_wwSI0QhNuJo62eN6wEMssh3KYhwH47cdJoqw/s200/chair-stair-lift-1.jpg" width="155" /></a></div>
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When
the problem with negotiating steps comfortably has developed over a
long period of time it is usually harder for a person to see the need
for equipment like a stair glide. They may or may not have noticed that
it simply takes more effort to go up and down the stairs. Perhaps
they accept their arthritis pain as normal and aren’t aware of the
stress that the stairs puts on their joints. Or they stumble one day
and realize that they really haven’t felt comfortably balanced while
maneuvering on stairs for quite a while. I will usually suspect a
problem with the stairs when a person describes their daily routine in a
way that makes it evident that they are arranging their lives around
avoiding the stairs. I’ve met people living in older 2 story homes,
who limit the amount of water they drink during the day because they
don’t want to have to use the stairs to get upstairs to the bathroom. I
know so many people who gradually become recluses simply because it
takes too much effort or is too frightening to navigate steps to get
outside. <br />
<br />
Other people have told me quite proudly that
they would never consider a stair glide. When I ask why they tell me
that they believe they need the exercise or that they believe that
they’ve been told by their physician or therapist that the stairs are
good exercise for them. Now, I rarely come right out and disagree
with another health professional, but I think there is a time and place
for exercise and an area where the consequence of a mis-step is a tumble
down the stairs is not it! If you have balance or strength problems,
exercise somewhere else in your home where a fall is less likely to kill
you.<br />
<br />
Here are a few things we look for other than
stairwell width, height, and length when we are recommending stair
glides. These factors influence they type of options and features we
recommend as well as the cost.<br />
<br />
• Can the client get up and down out of chair safely? Do they need things like handles or grab bars for balance?<br />
<br />
•
Is there room at the top and bottom of the stairs for wheelchairs or
walkers now and in the future? If the client uses mobility equipment,
are they prepared to have duplicate equipment at the top and bottom of
the system?<br />
<br />
• Are there any structural changes that
need to be made such as moving handrails, modifying doors around the
track, or providing convenient electrical outlets?<br />
<br />
•
Will the track itself create a trip hazard at either the top or bottom
of their stairs? Will the track present a hazard to others on the
stairs?<br />
<br />
• Is there clearance for their head and knees
when they are riding? We have modified door casings at the top of a
stairwell to provide a vital 1.5” of space for a tall person.<br />
<br />
•
What is the client’s weight? Larger weight capacity chairs cost more,
but are worth it in the long run for safety, and a longer useful life if
a person is close or over the manufacturer’s posted weight limit.<br />
<br />
• Where are good locations for call/send switches.<br />
<br />
•
What safety improvements can we make around the chair glide such as
removal of clutter, removal of loose throw rugs, and improvement of
lighting?<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjcmi1BfHyXA_ji10J7peZB95AjEJfpESHTMfBDMAuIScUlzG1Ni1XYlxUJAOQyiCl4u4IuASK9JlmLehgGtFt0-YfoQy1j4p8Vkfs1XqdfkDxXQCUbQZYSzg2oPSvgxluVIa9StMRlJpkW/s1600/stair-glide.jpg" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjcmi1BfHyXA_ji10J7peZB95AjEJfpESHTMfBDMAuIScUlzG1Ni1XYlxUJAOQyiCl4u4IuASK9JlmLehgGtFt0-YfoQy1j4p8Vkfs1XqdfkDxXQCUbQZYSzg2oPSvgxluVIa9StMRlJpkW/s200/stair-glide.jpg" width="200" /></a></div>
<br />
Compared
to your safety, your independence, and the quality of every day living,
a stair glide for a straight stairwell is usually pretty cheap. Curved
stairwells or stairwells with landings are more expensive as the track
is often customized but is still usually less expensive than moving or a
trip to the emergency room and rehab. We think the quality of your
life is worth at least considering a safe way to have use of every level
of your home.Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-85199595564399078442013-05-22T09:05:00.002-07:002013-05-22T13:54:12.475-07:00Accessibility Doesn't Come at The Price of Attractiveness<iframe allowfullscreen="" frameborder="0" height="248" src="http://www.youtube.com/embed/skGlJIrLaWs?rel=0" width="440"></iframe>
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<br />
<a href="http://youtu.be/skGlJIrLaWs">Watch on your mobile device >></a><br />
<br />
How much difference does a bathroom that works for you make in the quality of your life? We took a retrospective look at some clients who we helped improve the safety of the bathroom while modernizing it and helping her achieve her vision of beauty. She was happy with the way her new bathroom allowed her husband to be more independent and able to shower mostly by himself now in security. She’s been able to truly relax, and not be afraid that her husband would fall. He enjoys the privacy.<br />
<br />
As we improved the accessibility of the bathroom, we kept budget and aesthetics in mind as well. Rather than widening the door and moving walls, we were able to use much more economical swing-clear hinges to provide the extra 1 and a half of door way width we needed. Our grab bar placement was designed to allow him to move through the bathroom and to help him up off the toilet, but matches the theme of the room without looking out of place or disruptive. <br />
<br />
In the shower, we were able to use a pre-blocked Best Bath shower to place grab bars where he needed them, and to ensure he could place the showerhead wherever he wanted it most. Best Bath showers are beautiful, durable, and low maintenance, but their functionality and practicality, as well as their ability to be changed in the future as needed, is something else that we love about them. Here, we made use of their adaptability with a temporary threshold. It’s secured and caulked down now, but if they ever need a roll-in shower, it’s a simple matter to remove it and for a simple, elegant conversion to a roll-in shower. You can think about Best Bath System’s life time shower concept as two showers for the price of one.<br />
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So, share the news and share the video. Accessibility doesn’t come at the price of attractiveness. It’s possible to have a bathroom that is a pleasure to be in for both its safety and its beauty.Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-22048962967447350582013-05-06T10:15:00.002-07:002013-05-06T12:48:54.714-07:00Magic Wand of Accessibility<iframe allowfullscreen="" frameborder="0" height="248" src="http://www.youtube.com/embed/H6JRY38DaEk?rel=0" width="440"></iframe>
<br />
<span style="font-family: inherit;"><a href="http://youtu.be/H6JRY38DaEk">Watch on your mobile device >></a><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #333333; line-height: 16.890625px;"><br /></span></span><br />
<span style="font-family: inherit;"><span style="background-color: white; color: #333333; line-height: 16.890625px;">Sorry Virginia, there is no magic access wand.</span><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #333333; line-height: 16.890625px;">Sometimes we can tell that we are disappointing the person standing in front of us at a health fair or talking to us on the phone. </span><b style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;">We are simply too responsible to attempt to solve their home accessibility answer without more information and usually without going to their home.</b><span style="background-color: white; color: #333333; line-height: 16.890625px;"> Sometimes they’ve given long explanations of what is going on and what isn’t working, and we have listened. But even when they can accurately describe their abilities and what their home looks like, they are only able to give us their perspective of those things. </span></span><br />
<div class="separator" style="background-color: white; clear: both; color: #333333; line-height: 16.890625px; margin: 0px 0px 0.75em; padding: 0px; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiR-Ef9AlKu91r9IrWYu8WSg6f93ye1D7KAA7lbVNyOr1VVeu342BNwhZGCq94Gs1Nr7uIjma9znMtiEO1PfE151a-q8P5dNkYs9rM0wyd-bpgtX2n8i0gUc-yXuf017nh99PINRlj5Qnmq/s1600/magic_wand.jpg" imageanchor="1" style="clear: right; color: #336699; float: right; margin: 0px 0px 1em 1em; padding: 0px;"><span style="font-family: inherit;"><img border="0" height="138" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiR-Ef9AlKu91r9IrWYu8WSg6f93ye1D7KAA7lbVNyOr1VVeu342BNwhZGCq94Gs1Nr7uIjma9znMtiEO1PfE151a-q8P5dNkYs9rM0wyd-bpgtX2n8i0gUc-yXuf017nh99PINRlj5Qnmq/s200/magic_wand.jpg" style="border: 1px solid rgb(255, 255, 255); margin: 0px; padding: 4px;" width="200" /></span></a></div>
<span style="font-family: inherit;"><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><b style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;">While our client’s perspective is critical and plays a huge role in the recommendations we make, they deny themselves the benefit of our objectivity and experience over the years if they ask us to rely solely on their impressions. </b><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #333333; line-height: 16.890625px;">Here are a few reasons why a responsible access consultant won’t just attempt to solve problems for people without a good individual and on-site review:</span><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #333333; line-height: 16.890625px;">1. There are accessibility guidelines that some people think can be used like a cookbook for access such as the </span><a href="http://www.access-board.gov/adaag/html/adaag.htm" style="background-color: white; color: #336699; line-height: 16.890625px; margin: 0px; padding: 0px;">Americans with Disability Accessibility Act Guidelines</a><span style="background-color: white; color: #333333; line-height: 16.890625px;">, but these are not designed to meet the personal need of every individual and they aren’t required in private residences unless they’ve been incorporated into a building code.</span><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #333333; line-height: 16.890625px;">2. Every person is different from others and should be treated individually. Even two people with the same medical condition, same age, same size, and same sex, will have different goals, preferences and abilities.</span><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #333333; line-height: 16.890625px;">3. Houses are very different from each other.</span></span><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi52B1HjhzWSzvm0KUbRP8AK0vZpkXWI7RbiJ_6RZmf-EwWs3TcbXnEbN69krPsF5QcOkvikq4v0Zqz0chobukH5QGVeOcaM6LwUipEB4hCGcLUyFCE_LZOLSxHlzMMIXzPCdMLJ0nGOd1m/s1600/Wheelchair+Kitchen.JPG" imageanchor="1" style="background-color: white; clear: right; color: #336699; float: right; line-height: 16.890625px; margin: 0px 0px 1em 1em; padding: 0px;"><span style="font-family: inherit;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi52B1HjhzWSzvm0KUbRP8AK0vZpkXWI7RbiJ_6RZmf-EwWs3TcbXnEbN69krPsF5QcOkvikq4v0Zqz0chobukH5QGVeOcaM6LwUipEB4hCGcLUyFCE_LZOLSxHlzMMIXzPCdMLJ0nGOd1m/s200/Wheelchair+Kitchen.JPG" style="border: 1px solid rgb(255, 255, 255); margin: 0px; padding: 4px;" width="140" /></span></a><span style="font-family: inherit;"><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #333333; line-height: 16.890625px;">In short, there really is no notebook or cookbook that says what is exactly right for every person and we know there is really no such thing as accessibility magic wands so we have to rely on good old evaluation, knowledge about a multitude of options, and the experience to match those options with the individual’s needs. </span><b style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;">We feel like the best way to solve an access issue is to listen to a person to understand their goals and observe them in the environment they want to change.</b><span style="background-color: white; color: #333333; line-height: 16.890625px;"> So if you give us a call with an access question, we really don’t want to disappoint you. Expect a thorough residential access answer to include a visit to you in your residence. </span><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><br style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;" /><span style="background-color: white; color: #333333; line-height: 16.890625px;">If you want an objective, professional solution to your residential access problem, call us and set an appointment with one of our designers. </span><b style="background-color: white; color: #333333; line-height: 16.890625px; margin: 0px; padding: 0px;">We provide in-home assessments with no travel fee in the Greater Omaha, Nebraska area. All other areas in Nebraska and Iowa are possible with a travel fee. </b><span style="background-color: white; color: #333333; line-height: 16.890625px;">We will give you a firm estimate of your costs for consultation when you call to make an appointment.</span></span>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-6669014877543319342013-04-19T08:33:00.005-07:002013-04-19T08:41:38.075-07:00"I’d recommend them for about anything."<iframe allowfullscreen="" frameborder="0" height="248" src="http://www.youtube.com/embed/UPApy8qrH4w?rel=0" width="440"></iframe><br />
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<a href="http://youtu.be/UPApy8qrH4w">Watch on your mobile device >></a><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjn0soFAE_re1Oh6gEIAC2vf8CgnhDJak5nHWn0tSUS3EoIs-26OAc0f3qzihEPg8MbX9bKJ6nuisbulGFu96GPtjir5TpAUCSXvTYTPsyegdpOnX5-aXwzsCv2FwwPZAfbZ2cPlz1rs7Xn/s1600/modified+bathroom.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjn0soFAE_re1Oh6gEIAC2vf8CgnhDJak5nHWn0tSUS3EoIs-26OAc0f3qzihEPg8MbX9bKJ6nuisbulGFu96GPtjir5TpAUCSXvTYTPsyegdpOnX5-aXwzsCv2FwwPZAfbZ2cPlz1rs7Xn/s200/modified+bathroom.JPG" width="98" /></a>We first met the Xs (obviously not their name) when Mr. X was in rehab and couldn’t return home as Mrs. X had no way to get him and his wheelchair into the house. They’d called someone about a ramp, but there was no room for it. It would have taken all the space in the garage and then some. They called us, and we took a look at the situation. We ended up suggesting a vertical platform lift. It would take less effort for both of them to use, it fit better in the garage, and it would still be helpful if he was able to regain the ability to use a walker or cane. We also provided Mrs. X with some tips for a friend of theirs who was widening their doors. The special hinges saved them several hundred dollars a door. Better yet, Mr. X was able to return home!<br />
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After living with the wheelchair for about a year, they called us to help figure out whether they should make modifications to their current house, try to find one that was more accessible already, or if they should start building from the ground up. The process for this consultation is to listen carefully not only to what people can do in order to determine what environmental modifications will increase independence and safety, but also to how they want to live and what is important to them. The bathrooms, and Mr. X’s need for Mrs. X’s help to transfer had been the worst trouble. The stress was starting to take a toll. Despite that, they didn’t want to leave this house behind. They loved the neighborhood, their yard, and had invested much time in making their house their home. With that in mind, we recommended changing the house for accessibility. They were pleased to have options available that would make living easier in the home they loved. We worked together designing exactly how we’d increase his independence around the home.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEWNxsugN42au4NbXocJC1SUsmfFkPabBOxXYNo3vnhuhYtd166HEpsl5EpsdBjCS-EW2vkBZCfhUvIgupm3RP9uon0rSfeCgj60hk9KTbLoQtwrWewXtmYTgkcOT_WHHt7bGf7o2N7WhC/s1600/steps+before.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEWNxsugN42au4NbXocJC1SUsmfFkPabBOxXYNo3vnhuhYtd166HEpsl5EpsdBjCS-EW2vkBZCfhUvIgupm3RP9uon0rSfeCgj60hk9KTbLoQtwrWewXtmYTgkcOT_WHHt7bGf7o2N7WhC/s200/steps+before.JPG" width="189" /></a>Since the entrance to the home had already been addressed right after his stay in Rehab, the major changes were modifying the bathroom and providing an independent transfer method. We found a solution which solved both problems in combination. We installed a SureHands ceiling track with a body support. Mr. X can transfer independently, and can move between the bathroom and the bedroom at will. Furthermore, we didn’t have to rob any other rooms or closets for space which, was important for Mrs. X.<br />
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We used a Best Bath shower with a threshold in the bathroom to obtain maximum useable space and water control within the existing shower pocket and bathroom. We ordered a custom width and depth seat and placed grab bars strategically to assist with sitting balance when Mr. X uses the ceiling lift to enter the shower. We replaced the traditional sink with a roll under sink after calculating that Mr. X would have just enough room to swing his legs under it once the door was widened. The toilet is accessed by a rolling shower commode chair, a solution customized for Mr. X . If a person needed access to the toilet on a more regular basis, we could have used a track splitter in the bathroom to help him transfer there. He didn’t feel he needed it, however, and picked an option that was simpler and more economical to him.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQXhtfBmR-fN7fwoxqCrqP-aFcEjmJUCFTWNSd6YXJG79Y3Nfpg8uQWpl4dwC3x8IhH5YANOLILVjaVajcQh4OOYjO1X7uuk6OV_Kpzd1HKygfwcL26xh6L4fZ67JNduFsQ7KmRX8Tyt4e/s1600/vertical+platform+lift+in+the+garage.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="171" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQXhtfBmR-fN7fwoxqCrqP-aFcEjmJUCFTWNSd6YXJG79Y3Nfpg8uQWpl4dwC3x8IhH5YANOLILVjaVajcQh4OOYjO1X7uuk6OV_Kpzd1HKygfwcL26xh6L4fZ67JNduFsQ7KmRX8Tyt4e/s200/vertical+platform+lift+in+the+garage.JPG" width="200" /></a>Once the lift system and the bathroom was remodeled, there were just a few smaller jobs we did which at first seem minor, but often small things have a big impact. Mr. X has two dogs, which he loves dearly. However, dogs being dogs, they love to go outside and come back in frequently. Having to get the door constantly for those two was a major physical effort. So, he planned an elegant little solution to that problem: We installed a doggie door to the fenced yard which gives them boosted accessibility too! If you watch the video closely you can see one of them coming and going through the door since we weren’t including it in the conversation. The second job was a specialized doorbell. It has a built in camera, speaker, and microphone that allow Mr. X to see who’s at the door and let them know he’s on the way without having to yell across the house.<br />
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So, at the end of over a year and a half on and off of working with us, their house has undergone both major and minor changes and transformed from a place filled with barriers to a place that is easy for them to live in. Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-22186776725067469442013-04-04T08:31:00.001-07:002013-04-04T08:44:13.612-07:00Bigger’s Not Always Better When It Comes to Toilets<iframe allowfullscreen="" frameborder="0" height="248" src="http://www.youtube.com/embed/Y8UHiWHNgEg?rel=0" width="440"></iframe>
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<a href="http://youtu.be/Y8UHiWHNgEg">Watch on your mobile device >></a><br />
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Having trouble getting up off the toilet or easing gently onto it is no laughing matter! A toilet that is high enough for you to sit with your hips just a little higher than your knees usually takes less physical effort to sit on if you have weakness in your legs or pain in the joints of your back or legs. <br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAXuGtphr-lRquKBDcAGP_yg1nIzW4yZ4PXgAV4FFzS7BCQ61cCthWFSilTNsRVSu3Cruj2R5PWr9nqOpgWA9Itb-9ZimXEWYUy4qybrsuY5MQBtyidA7koyF3hzmtI_JEKUiE06xm-dhO/s1600/toilet+riser+1007.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAXuGtphr-lRquKBDcAGP_yg1nIzW4yZ4PXgAV4FFzS7BCQ61cCthWFSilTNsRVSu3Cruj2R5PWr9nqOpgWA9Itb-9ZimXEWYUy4qybrsuY5MQBtyidA7koyF3hzmtI_JEKUiE06xm-dhO/s200/toilet+riser+1007.jpg" width="154" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Calibri;">The toilet riser increases
height <br />economically, but needs to be cleaned.</span></td></tr>
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There are a lot of ways to get a toilet seat higher. Many folks will add a riser to the top of the toilet either replacing the toilet seat or lifting the toilet seat. These risers work, but they don’t feel the same as a regular toilet seat and they require cleaning. <br />
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Another way to get a taller toilet is to lift the whole toilet with a product like a toilevator. This can give almost any toilet a 3.5” boost and it doesn’t add an extra toilet cleaning chore.<br />
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It is also fairly inexpensive now to simply replace a short toilet with an ADA compliant height toilet. Some manufacturers have started calling this “comfort height” and it is truly more comfortable for most Adults who are over 5’ tall to get up and down from 17” high toilets. If you check out the height of most of the chairs in your home, you’ll notice that most of them are around 17” high or even higher than that. No wonder a standard 15” high toilet seems short!<br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPT8_w6z1Vsrv8JQgeEvD-jEjPcSZm5q2NN5ru_cTRfxHYHlAKwrMAysaBbSQJ3KlPBo0mXfmvzTw6c7vTHU-9-KeJFndyS9DdT_NGJOLfG2XPOlpRewhiaYo-YXOb38tdSMTpJf3h0G_3/s1600/toilet+vator+and+grab+bars.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPT8_w6z1Vsrv8JQgeEvD-jEjPcSZm5q2NN5ru_cTRfxHYHlAKwrMAysaBbSQJ3KlPBo0mXfmvzTw6c7vTHU-9-KeJFndyS9DdT_NGJOLfG2XPOlpRewhiaYo-YXOb38tdSMTpJf3h0G_3/s200/toilet+vator+and+grab+bars.jpg" width="133" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Calibri;">The toilevator lifts the
entire toilet. <br />Here a round bowl toilet is used <br />because the space in front
of the toilet is limited.</span></td></tr>
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One thing people don’t realize is that they don’t necessarily need to purchase an elongated bowl when they replace a short toilet with a taller one. There is nothing wrong with an elongated bowl. Frankly, there are a lot of great reasons to go with an elongated bowl if you have the room. For instance, people with larger buttocks or extremely tall people will feel more comfortable and find an elongated bowl more functional. <br />
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The problem with elongated bowls usually pops ups in two situations. When the toilet is between the door and other fixtures in the room, an elongated bowl will take up an additional 1 ½” of the path. That may not seem like much but if you have a 5’ wide room and the toilet takes up 30” of it, you only have 30” left for a walker or wheelchair. Other things in the room like vents and doors can take up some of those precious inches too. If you have a bathroom where the door has just enough room to swing by the standard toilet, switching over to an elongated toilet may actually block the door. Whoops! <br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSNZlIDDYbItfplXbSO74uSOw6ZIp0t50Zi_ba-RbOZU4TeFW-XovpftV_TaKuImkA79vJN45e1PF-8jODF5AHk9ZnVYGjat364-gSZO5XDc2U9-PBW5Qr1bUyuHOBcCI-jRiAhx0rFHeG/s1600/toilet+with+room+in+front+of+it.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSNZlIDDYbItfplXbSO74uSOw6ZIp0t50Zi_ba-RbOZU4TeFW-XovpftV_TaKuImkA79vJN45e1PF-8jODF5AHk9ZnVYGjat364-gSZO5XDc2U9-PBW5Qr1bUyuHOBcCI-jRiAhx0rFHeG/s200/toilet+with+room+in+front+of+it.jpg" width="133" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Calibri;">There is room to spare in front <br />of
this elongated bowl toilet.</span></td></tr>
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So by all means raise the height of your toilet. You will love it as long as you can keep your feet on the ground. Just make sure you look at all your options so you don’t create other problems.Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-3691630447009000682013-03-15T07:39:00.002-07:002013-03-15T07:40:46.653-07:00I Want to Transfer Anywhere - Absolutely Anywhere!<iframe allowfullscreen="" frameborder="0" height="248" src="http://www.youtube.com/embed/Zu6MCVfNojk?rel=0" width="440"></iframe><br />
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<a href="http://youtu.be/Zu6MCVfNojk">Watch on your mobile device >></a><br />
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Imagine that you aren’t able to get up out of that chair that you are sitting in right now. How long could you stand it? Would you be happy to even get a little help after an hour or two, even if it was only enough to move you into one other spot? What if you could move even more?<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiY13miAouqjbcggLu5FkNb4_trAOOTg19ReJTknlkV9HS5MTzMvC2JIC-ZJlMju2qRKFHr-N5IqVo5M-VHfKw0NIkx4QBSDqciRNwUyoTiMJgPbV2SzUkz_xm0w-ZXnFRftxnFSGI_eDZB/s1600/graphic+house+with+track.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="172" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiY13miAouqjbcggLu5FkNb4_trAOOTg19ReJTknlkV9HS5MTzMvC2JIC-ZJlMju2qRKFHr-N5IqVo5M-VHfKw0NIkx4QBSDqciRNwUyoTiMJgPbV2SzUkz_xm0w-ZXnFRftxnFSGI_eDZB/s200/graphic+house+with+track.jpg" width="200" /></a></div>
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The thing that I like most about a ceiling or wall based motorized transfer system is the freedom it can provide to a person with a disability and their caregivers. A reliable system can free a person from fear of being dropped or fear of injuring a caregiver and can provide the freedom to move from seat to seat as many times a day as they want or need to. Even a basic straight piece of track over a bed and the space beside it can be life changing for a person who could not move from bed or wheelchair without it.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOh_QFAUVBiHr16A9f0C_su0Ix_xd6caABnYwGhn85rFSDPaFoKhyphenhyphenSrLpycAT7TLRs_aI-8VFgW-DPg-O5Rywv1NTeQd-3uBo5ASKrPWGj6iY32yrj0tY4QmRbx245G0rhobTBZtOVnaaF/s1600/IMG_2421.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOh_QFAUVBiHr16A9f0C_su0Ix_xd6caABnYwGhn85rFSDPaFoKhyphenhyphenSrLpycAT7TLRs_aI-8VFgW-DPg-O5Rywv1NTeQd-3uBo5ASKrPWGj6iY32yrj0tY4QmRbx245G0rhobTBZtOVnaaF/s200/IMG_2421.JPG" width="200" /></a>That said, imagine the freedom if a person could move anywhere they want to within a room. A traverse Track System accomplishes that. The traverse track system consists of two fixed ceiling or wall mounted parallel rails and one traverse rail that moves back and forth of the parallel rails. The manual version shown in our video can be moved almost effortlessly by a caregiver. SureHands Lift and Care Systems as usual has many options to allow us to match a person’s abilities and environment. There is an electric version that can be operated independently by a person sitting in the body support or sling. We can also connect a traverse rail to another rail and a person can move outside of the room. While a traverse track system may not be able to move a person anywhere in the physical environment, such as down their outside ramp, all over the yard, or up and down the stairs, it can come very close to moving a person anywhere inside they want to go within their home.<br />
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If you’d like to learn more about the possibility of transferring anywhere, give us a call or visit the SureHands Lift and Care Systems web site <a href="http://www.surehands.com/">http://www.surehands.com</a>. Imagine the freedom!<br />
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<br />Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-44917165393258656462013-02-28T12:05:00.002-08:002013-02-28T12:05:25.394-08:00Power Toilet Aid Elevates Toilet Seats<iframe allowfullscreen="" frameborder="0" height="248" src="http://www.youtube.com/embed/muc8BbCAXRc?rel=0" width="440"></iframe><br /><br /><a href="http://youtu.be/muc8BbCAXRc">Watch on your mobile device >></a><br /><br />
<b><span style="font-size: large;">Elevate your bathroom experience</span></b><br />
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There are few worse places to get stuck than on the toilet. Being able to go to the bathroom on your own is one of the first real forms of independence people develop, and being denied that ability due to injury, disability, or age can be frustrating and heartbreaking. And not all of us have people who can come to the rescue at a moment’s notice! Being unable to stand up and move from the toilet while alone at home can be just as dangerous (or lead to) a fall.<br />
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Fortunately there are a variety of solutions that can help people recover bathroom independence. <br />
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Sometimes, raising the toilet seat and adding grab bars is enough to give people the boost they need to get back on their feet. Sometimes people need more help than that! The Stand Aid power toilet may be the answer. The Stand Aid power toilet is meant for situations where the person in question needs to be nearly standing again to get on and off the toilet. It can lift 13” vertically to help someone back to their feet, but slowly lowers them to toilet level for both safety and cleanliness. <br />
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If you or someone you know is having trouble on the toilet, don’t be afraid to get help. There are so many solutions that will take your bathroom experience back to the level it should be. Share the news and share the video.<br />
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-29751476987135855192013-02-08T09:40:00.001-08:002013-02-08T10:39:21.214-08:00Tub Cut at Harrison Heights Senior Village<iframe allowfullscreen="" frameborder="0" height="248" src="http://www.youtube.com/embed/aCv5MEIgxzI" width="440"></iframe><br />
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<a href="http://youtu.be/aCv5MEIgxzI">Watch on your mobile device >></a><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjrMzJGQMS9kjLtdkMpm1a-oUK_ptaK-e5DkUGQJizmYzVGXXtcoWdS2o8NW7ZiIFW1Sth3eHqw0JTZkuIppG3lWfbg8GdxsB361FByYROWNyvwf-ilioCofbRyxw9zrQVQYP9GCxt9_Cih/s1600/client+tub+cut.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjrMzJGQMS9kjLtdkMpm1a-oUK_ptaK-e5DkUGQJizmYzVGXXtcoWdS2o8NW7ZiIFW1Sth3eHqw0JTZkuIppG3lWfbg8GdxsB361FByYROWNyvwf-ilioCofbRyxw9zrQVQYP9GCxt9_Cih/s200/client+tub+cut.JPG" width="150" /></a></div>
<b><span style="font-family: Cambria, serif; font-size: 11pt;">At first, you might assume that cutting an 18” wide opening in the side
of a bathtub would ruin it, but think again.</span></b><span style="font-family: Cambria, serif; font-size: 11pt;"> If
the tub is unusable as a tub or shower because a person feels unsafe stepping
over the side, or doesn’t use it for soaking because they can’t get up if they
sit on the floor of the tub, what good is it?
<b>It is a big useless waste of
space! Why not cut the side out of it,</b>
especially if you know what you are doing and you install a Tubcut™ which is
strong, economical, and reversible?<o:p></o:p></span></div>
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<span style="font-family: Cambria, serif; font-size: 11pt;">This month, we visited our
friend <b>Pam Jackson, the property Manager
at Harrison Heights</b> <b>Senior Village</b> (402) 933-8080 to talk about her with the Tubcut™ we
did for some of the people who live there. We had three major questions for her
to determine if the process had been successful </span><span style="font-family: Cambria, serif;"><o:p></o:p></span></div>
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<span style="font-family: Cambria, serif; font-size: 11pt;">1)</span><span style="font-family: Cambria, serif; font-size: 7pt;"> </span><span style="font-family: Cambria, serif; font-size: 11pt;">Did the Tubcut™
improve the safety and independence of
the person who had to use it?</span><span style="font-family: Cambria, serif;"><o:p></o:p></span></div>
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<span style="font-family: Cambria, serif; font-size: 11pt;">2)</span><span style="font-family: Cambria, serif; font-size: 7pt;"> </span><span style="font-family: Cambria, serif; font-size: 11pt;">Was the
Tubcut™ good for helping her get the apartment filled, and for the community?</span><span style="font-family: Cambria, serif;"><o:p></o:p></span></div>
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<span style="font-family: Cambria, serif; font-size: 11pt;">3)</span><span style="font-family: Cambria, serif; font-size: 7pt;"> </span><span style="font-family: Cambria, serif; font-size: 11pt;">If the
opportunity arose, would she arrange a Tubcut™ for another person who needed or
wanted one?</span><span style="font-family: Cambria, serif;"><o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFoVufeTdGGPdjWzjq8oXoGA4vpt_2Uhqa65JOz00hGBN1iGvOU7AH2wLpQo5eE-1bWRvHOMUkBud4psKyBTgb61-Xtdzy4KBJCK29NGyCbZPJMxbEBC4QjvbDbZYmD_Ip54z4I-fQqV5V/s1600/IMG_2887.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFoVufeTdGGPdjWzjq8oXoGA4vpt_2Uhqa65JOz00hGBN1iGvOU7AH2wLpQo5eE-1bWRvHOMUkBud4psKyBTgb61-Xtdzy4KBJCK29NGyCbZPJMxbEBC4QjvbDbZYmD_Ip54z4I-fQqV5V/s200/IMG_2887.JPG" width="150" /></a><b><span style="font-family: Cambria, serif; font-size: 11pt;">The answers to all three questions were resoundingly positive.</span></b><span style="font-family: Cambria, serif; font-size: 11pt;"> “[The Resident] doesn’t have
to worry about falling or anything like that when he gets into the tub, but the
option is also open where we have the piece and can put it back if another
resident wants the full tub…Our whole office likes it.” </span><span style="font-family: Cambria, serif;"><o:p></o:p></span></div>
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<span style="font-family: Cambria, serif; font-size: 11pt;">We are
always thrilled to help out our friends at Harrison Heights, and help keep
their residents safe and independent. If you know people who could use a little
extra security getting in and out of the tub, but want to be able to convert it
back to a regular tub if need be, share the news, and share the video. <b>The Tubcut™ is the economical solution they
need.</b></span><b><span style="font-family: Cambria, serif;"><o:p></o:p></span></b><br />
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<span style="font-family: Cambria, serif; font-size: 11pt;"><b><br /></b></span>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-2882692977346650762.post-82056762161601666702013-02-01T10:17:00.001-08:002013-02-01T10:17:36.788-08:00The RIGHT Way to Get into the Tub or Shower<iframe allowfullscreen="" frameborder="0" height="248" src="http://www.youtube.com/embed/DhruQrp8nn8?rel=0" width="440"></iframe>
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<span style="font-family: 'Times New Roman', serif; font-size: 11pt;"><br /></span>
<span style="font-family: 'Times New Roman', serif; font-size: 11pt;"><a href="http://youtu.be/DhruQrp8nn8">Watch on your mobile device >></a></span><br />
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<span style="font-family: 'Times New Roman', serif; font-size: 11pt;">Have you ever run into
someone who does a simple, trivial task so differently from you that it blows
your mind? When we perform an action day in and day out for years, it becomes
second nature, and we hardly realize what we are doing, much less be able to
articulate why. <b>Getting in the tub is an
action like that. We do it all the time, so regularly, that we build up habits
that we don’t even notice, even when they become detrimental to our health and
safety.</b></span><b><span style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></b></div>
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<b><span style="font-family: 'Times New Roman', serif; font-size: 11pt;">Now, the only right way to get in and out of the tub
is the way in which you are the safest.</span></b><span style="font-family: 'Times New Roman', serif; font-size: 11pt;"> Some people will only get in at the back
of the tub, others only in the front. Some will have the water running; others
will only turn it on once they are settled in. As an access designer, I need to
know how you prefer to move into the tub, because I don’t want to assume
everyone does it “my way.” I want to be able to put a grab bar right where you
are going to reach for support based on your preferences.</span><span style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 11pt;">There are times where I
will suggest a change. It is usually in circumstances in which someone’s
abilities have changed, but their habits have not, or in a situation in which
new equipment makes their old methods hazardous or unsafe. It’s never to try
and make someone do it “the right way,” because there is no wrong way, so long
as you aren’t in danger.</span><span style="font-family: 'Times New Roman', serif; font-size: 15px;">So, share the news, and share the video. </span><b style="font-family: 'Times New Roman', serif; font-size: 15px;">The right way to get into a tub is based on your equipment, the layout of your bathroom, your skills, and your preferences, and is always the way that makes you safest and most comfortable.</b><span style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div>
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Unknownnoreply@blogger.com