Pacific Mobility Center

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Technological Innovations in Accessibility

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A disability is any physical, sensory, or cognitive impairment that makes daily activities more difficult. Many people are born with a disability. Others acquire a disability later in life, from an accident, an illness, or the aging process. Many older individuals are diagnosed with chronic conditions that lead to functional or cognitive disabilities. Pacific Mobility Center specializes in products that give those with disabilities freedom and independence.

Over a billion people globally have some form of disability: 360 million people worldwide have moderate to profound hearing loss; 285 million people are visually impaired (39 million of whom are blind) and 75 million people need a wheelchair (of which, only 5-15 percent actually have access to one).

In recent decades, new and innovative technologies have helped lower the barriers that people with disabilities encounter in their daily lives, helping them with tasks that able-bodied people take more or less for granted, such as speaking, travelling, reading, and writing. These new technologies can be classified as assistive, adaptive, or accessible.

Assistive technology

Assistive technology is technology designed specifically to improve a disabled person’s functional capabilities, and includes a wide range of devices and services, including IT-enabled prosthetics and implants, custom computer interfaces, and accessible communication tools. Adaptive technology provides a mechanism that allows people with disabilities to use technology that would otherwise be inaccessible to them. Text-to-speech technology, for example, helps users with vision impairments to be able to “read” materials that are written. Computer screen readers and screen magnifiers help make computer output accessible for visually impaired users. Accessible technology helps remove barriers and make the world more accessible for people with disabilities. Speech recognition software, for example, has many uses such as dictation or automated telephone systems; however, the technology can also provide independence for quadriplegics by allowing them to control a computer with their voice. Consumer Electronics Shows annually feature these types of products.

While there remains a long way to go before all new technologies are made accessible to people with disabilities, in recent years there has been a great deal of progress. Mainstream technologies are becoming increasingly adaptable, and specialist technologies have, in many cases. become increasingly affordable.

Some examples of innovative new products that further help disabled people function more easily, while acquiring more independence, include:

• Dot: the world’s first Braille smartwatch
• Talkitt: an innovative application that translates unintelligible pronunciation into understandable speech
• The Sesame Phone: designed to be used with small head movements, tracked by its front-facing camera
• Uni: a tool that detects hand and finger gestures that it converts into text
• The Finger Reader: a wearable tool that can scan a text and give real-time audio feedback of the words it detects
• Be My Eyes: an application that connects blind people with volunteers from around the world who can help with simple tasks
• AXS map: an app that carries information about wheelchair-accessible ramps and restrooms in public places
• Transcence: an app that converts spoken words into text in real time for group messaging
• Liftware: a self-stabilizing handle on which one can attach an eating utensil like a fork or spoon for patients who suffer from Parkinson’s disease or other forms of motion disorders that causes hand tremors.

Some other new and/or emerging technologies include:

• Driverless cars
• Smart glasses that include facial recognition software which interprets facial expressions and tells the wearer how the person in front of them is feeling. This could be particularly useful for people Asperger’s Syndrome, for instance, who struggle to interpret facial expressions unassisted
• Prosthetic limbs that allow wearers to “feel” touched objects, while offering better control and efficiency
• All terrain wheelchairs, capable of scaling uneven surfaces
• Smart belts that can detect when a person is falling in order to deploy air cushions prior to impact
• Medical exoskeletons which can be used to assist people who have trouble walking
• Smart canes that can alert a user’s relative is there is any unusual use or movements of the cane

Contact Pacific Mobility Center with any questions about how you and/or your loved ones can benefit from the best accessibility products available today: Stairlifts, Residential Porch Lifts, Vehicle Lifts, Ceiling Lifts, Shower Buddy, Electric Door Opener, Ramps, Scooters, Lift Chairs, Wheel Chairs, Power Electric Wheel Chairs, Walkers, Turning Automotive Seats, Automotive Hand Controls, Pool Lifts and Other Aids to Daily Living.

Slings

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A sling is an item that, when used in conjunction with a mechanical lift, helps to facilitate the transfer of an individual who is mobility-challenged. A sling is comprised of a specially designed and constructed piece of fabric that is placed under and around its user, and then attached by hooks, clips, straps, chains, or loops to the appropriate part of the lift mechanism in order to raise, move, and/or lower the person in it. A sling lift allows patients to be transferred safely while decreasing the risk of injury to the caregiver.

There are many different types of slings that can be attached to different types of lifts, such as floor lifts and overhead lifts, in order to accomplish different tasks. So when choosing a sling, it is necessary to establish its compatibility with the lifting system to which it will be attached, how it will be used, and the frequency of the transfer task desired. For example, a sling that is to be used for toileting will require a commode opening, while bariatric slings are designed for very heavy people.

Some basic types of slings are the Universal Sling and the Hammock Sling. The Universal Sling is also known as the “Quick Fit Sling” due to the ease of application, or the “Horseshoe Style Sling” due to the large horseshoe shaped opening created by the leg straps. The Hammock Sling design is also known as the “Split Leg Style” sling due to its small “L-Shaped” leg straps. The Hammock Sling is acknowledged by professionals as one of the most comfortable and supportive sling for both home and institutional use.

Some specialized kinds of slings are walking slings, standing slings, amputee slings, quadriplegic slings (contain additional head support), showering slings, re-positioning slings (for turning or sliding patients in bed), disposable slings (for enhanced infection control), and stretcher slings (for supine transfer).

Just as it is important for the sling to fit the task it is intended to accomplish, it must also precisely fit its user. Having the correct-sized sling ensures that the person being lifted feels safe and comfortable. Thus, a professional assessment of the user’s size, weight, and medical condition is absolutely necessary. In addition, the user’s caregiver must feel confident that he or she can safely employ the sling and the lift to which it is attached. Some slings are more complicated than others and a caregiver may be reluctant to use a sling if the process of fitting it is too complex. Nurses and Certified Nursing Assistants often receive specialized training in order to use slings and lifts safely and effectively.

A sling is made of fabric, and as such, it can wear out or get torn. Because a sling failure can have catastrophic consequences, the condition and integrity of a sling should be visually inspected prior to each and every use. Possible factors affecting the condition and lifespan of a sling include: client weight, frequency of use, frequency of laundering, washing and drying methods, washing and drying temperature, detergent used, disinfectant used, and any misuse it has experienced.

Choosing the right type and size of sling is crucial for the health and safety of its user and his or her caregiver. The professionals at Pacific Mobility can help you understand how different slings work and which one may be your most appropriate choice. Call or visit us for a free consultation.

Making Your Multi-Story Home More Accessible

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Seniors or individuals with mobility challenges may find living in a multi-story home difficult. Getting up and down stairs can be impossible for some, while potentially dangerous for others. And moving to a one story house or a senior living facility may not be an option for a variety of reasons. If it becomes necessary or preferable for an individual disabled by age, infirmity, or accident to stay in a multi-story abode, there are practical and affordable solutions.

The easiest and least expensive option, if practicable, would be to simply relocate all multi-floor activities to the ground floor. Of course, that would require that the ground floor be made convenient for eating, sleeping, bathing, and all the other normal activities of daily life. Minor modifications may need to be made, such as widening doorways, making a downstairs bathroom more usable, etc. But in terms of difficulty and expense, it is certainly the most cost-effective and convenient way for a disabled person to remain in his or her multi-story home.

However if living exclusively on the ground floor is not possible, then it may become necessary to investigate how the home can be adapted in order to provide safe access between floor levels. The three most common alternatives are residential elevators, stairlifts, and inclined platform lifts. Each option has advantages and disadvantages, but if employed correctly either one can help keep a mobility-challenged person in his or her own home.

A residential elevator is a lift that is enclosed in a shaft and travels vertically between floors. Elevators can range from an unfinished platform to a fully- enclosed cabin with safety gates and a finished interior. Residential elevators are either cable operated or hydraulically powered. They are typically used when the vertical change between two or more floor levels is significant and there is not enough room in the house to install a usable stairlift or ramp. There must, however, be enough room in the house to accommodate the needed shaft space.

A stairlift consists of a seat that travels up and down a stairway on a track or rails mounted either on the surface of the stairs or on an adjacent wall. stairlifts can be installed on most stairways and come in a wide array of sizes and styles. They are fairly easy to retrofit into existing homes and are considerably less expensive than elevators – especially if the staircase is a single straight run. They require a clear floor space at the top and bottom of the staircase so that the user can get on or off, and they will reduce the usable width of the stairs – a particular concern if the staircase is narrow to begin with.

Inclined platform lifts consist of a platform that moves up and down over an existing stairway. They are usually employed by people who use wheelchairs, but some models incorporate a fold-down seat for people who do not use a wheelchair but have difficulty using stairs. The platform is typically supported by rails that are mounted to a wall on one side of the staircase. Platforms on stairlifts come in various sizes, but they are always much wider and larger than seated stairlifts and thus need more room at the top and bottom of the staircase, as well as enough headroom throughout the entire traveled distance. They are easier to install and less expensive if the staircase is a single, straight run. There are platform stairlifts available that will turn corners on curved staircases, but they require wider staircases to accommodate the platform as it turns and are far more expensive.

We understand that staying in the home you love is important to your overall well-being. If you need expert advice on the most appropriate and affordable option for your multi-story home, the professionals at Pacific Mobility are always available for a free consultation. Call or visit us, today.

Driving Adaptations

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In this day and age, travelingby automobile is virtually a necessity for the majority of American adults. Most of us use our cars daily to commute to and from work, to go shopping and complete other chores, to chauffeur our children to their activities, to visit our friends and family members, or merely to get away for relaxation or vacation.

And the good news is that modern technology has offered people with physical impairments, who might not believe they can navigate a car safely, the opportunity to remain independent and mobile. Almost every automobile manufacturer, as well as a vast number of after-market product suppliers, has created a wide variety of automobile adaptations that can place almost every impaired, disabled, or mobility-challenged adult behind the wheel and on the road.

For example, pedal adaptations are available for individuals who have lost the use of their right leg and cannot utilize the standard accelerator. Left foot accelerators can be fitted to the left of the brake so that accelerating with the left foot becomes possible. For individuals who cannot reach the pedals at all when driving, pedal extenders can bring them closer to the driving seat.

For individuals who have lost the use of both legs, there are many ways in which a car’s traditional pedal functions – braking and accelerating – can be accomplished with hand controls. Push-pull hand controls allow the driver to operate the brake and accelerator functions by pushing and pulling a lever. There are various hand controls available from most manufacturers and suppliers, but the basic function is the same across most models. They range from more basic mechanical push/pull systems to electronic or air compression systems. Most can be fitted with “cutting” devices which automatically cut the accelerator when the brake is applied. And some can even be mounted on different locations inside the car. Some variations of the electronic hand control system include:

• The Trigger Accelerator – With a trigger accelerator you pull with your finger to accelerate, and push away to brake.
• The Over Ring Accelerator – The over ring accelerator is fitted in front of the steering wheel. You push it down toward the steering wheel to accelerate.
• The Under Ring Accelerator – The under ring accelerator is fitted behind the steering wheel. You pull it towards the steering wheel to accelerate.
• The Ghost Ring Accelerator – The ghost ring accelerator is fitted behind the steering wheel. You control the speed by using your fingers in side to side movements.
• The Twist Grip Accelerator – The twist grip accelerator is comparable to the hand grip accelerator on a motorbike. You twist it to accelerate and push it forward to operate the brake.

The bottom line is this: there is absolutely no reason for a disabled, but otherwise competent, adult to believe that he or she cannot safely operate an automobile. Here at Pacific Mobility, we can help you choose the most appropriate driving adaptation to meet your needs. Call or visit us today and allow our mobility experts to get you into the driver’s seat.

Swimming Pool Lifts

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Swimming is great exercise as well a great way to relax. And spending time in a swimming pool can be very therapeutic for most people. However, for individuals with certain disabilities or mobility challenges, getting in and out of a pool can be very difficult, or even impossible without some type of aid. Fortunately, over the years, there have been many in almost any situation.

Basically, a pool lift is any mechanized seat with the ability to lower and raise a disabled or injured person into and out of a swimming pool. Pool lifts can either be permanent or portable. Permanent pool lifts can be installed on the edge of a pool, or onto an anchor embedded in the pool deck, while portable lifts, which usually have wheel attachments, can be placed anywhere around the pool, and then put in storage when not in use.

As with any type of product, different types of pool lifts have their own advantages and disadvantages. For example, permanent pool lifts are preferable in instances where the individuals needing them are heavier than normal, but, unlike portable lifts, they are always open to the elements.

The first commercially successful water-powered, swimming pool lift hit the market around 1980. By 1997, manufacturers had perfected a battery-powered, free-standing pool lift that was designed to work with more contemporary swimming pool designs. All types of patient lift systems, including pool lifts, are regulated by the U.S. Food and Drug Administration and must meet certain standards in their design and manufacture.

Swimming pool lifts can be categorized as follows: • Non –cantilevered lifts have seats that are attached to and rotate around an anchor point. Most early lifts were of this type as they are limited to simple pool designs that feature either no gutter of recessed gutters. They are fairly inexpensive and easy to operate, but they must be fixed in place to a deck or anchor and connected to a water supply to power them.
• Cantilevered lifts are designed to allow the seat to extend out from the anchor point. They can be fixed, anchored or free standing. Cantilevered lifts provide access to a greater number of pool designs, including rim-flow gutters, roll out gutters, or any type of design where there is a substantial horizontal distance from the loading point to the water. They are further categorized as non-rotational and rotational: o Non-rotational cantilevered lifts extend the seat directly out from the loading point.
o Rotational cantilevered lifts have the added ability to raise and rotate the seat position over the pool deck and extend it over any obstacle in the path to the water. This type of lift provides the greatest versatility of any of the different designs. They can be anchored or free standing, with free standing models generally the most expensive.

Pool lifts in public pools are regulated by the American with Disabilities Act, and as such, cannot be manually operated, as the law requires that they be capable of unassisted operation. However, manually operated pool lifts can be used in a residential setting.

Pacific Mobility has many pool lift options to choose from. We invite you to talk to one of our professional staff members who will help you determine what kind of pool lift best suits your needs and budget. Call us today for a free consultation.

Hand Rail Systems Can Make the Home More Safe

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grab rail

While many seniors prefer to live in their homes for as long as possible, most homes are not designed for maximum safety. As people age, their balance, stability and muscle strength tend to wane. This diminishing vitality, coupled with a concomitant decrease in visual acuity, is the cause of many home accidents. Indeed, falls are the number one cause of injury among seniors, responsible for almost three million emergency room visits and more than 25,000 deaths in Canada and the U.S., annually.

One type of home modification that can help make the home safer is a handrail system. There are three major reasons to install handrails:
• To support walking
• To support overall mobility
• To prevent falls

It is important to understand that railings and banisters are not handrails and should not be confused with them. Railings and banisters may provide some support, but they are generally not strong enough to prevent a fall should a person grab onto it in extremis. A true handrail must withstand at least 500 pounds of force.

In addition, according to the Americans with Disabilities Act, a handrail needs to be:
• 1¼” – 2″ in diameter
• Round (or equivalent)
• 1½” minimum from the wall
• At least 1½” above any horizontal protrusion
• Continuous on and between stairs, ramps, landings and horizontal extensions at the tops and bottoms of slopes

Handrails can be installed in many different areas of a house. For example, a handrail can be installed on the wall above the bath tub; in a shower or just outside it; next to a sink or toilet; alongside a bed; on a staircase; in a kitchen or work space, or anywhere else where a senior or anyone else who is mobility challenged, requires or desires one. Usually, they are made of metal, such as aluminum, but they can also be made of wood or heavy plastic.

More important than the actual handrail material is the strength of the bracket that attaches it to the wall.Therefore, it is highly advisable that handrail systems be installed by professionals using the appropriate fasteners and fixtures. Do-it-yourself installations may also be available, but instructions must be followed carefully when putting them up. Also, there may be cases where handrails would impede movement or create risks for the elderly if they are installed in an inappropriate location.

At Pacific Mobility, we can assist you in planning the best and most appropriate type of handrail system for your home. Our experienced staff can also install your handrails, providing you the best in safety and reliability.

Knee Walker vs. Crutches – Pros and Cons

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Knee Walker

If you had to choose between using a knee walker versus using crutches after recovering from a broken ankle, foot surgery, or any other operation or injury, you might wish you had the option to choose neither. After all, any assistive mobility device is going to be something that you’re going to have to learn to control and maneuver, not to mention drag around. Of course, choosing neither is an option if you have the time and ability to stay completely off your feet for an extended period of time. However, most people want and need to be able to get around, and the thought of being totally immobilized until well enough to walk unassisted is far from a pleasant thought.

And so, these two devices are really your best choices. Let’s consider their pros and cons:

• Crutches – the Pros: If you have decent upper body strength and mobility, you can usually walk faster with crutches, once you’ve figured out how to use them. Also, walking with crutches will certainly take some work, and there’s nothing wrong with getting some exercise when recuperating from an operation or injury. Also, crutches are fairly inexpensive. You can even rent them from a medical supplier.

• Crutches – the Cons: Crutches can be difficult to maneuver. And because all your weight must be carried on your armpits, you certainly risk irritating them – not to mention the wear and tear on your shoulders, wrists and lower back. Many people with injured legs find crutches too unsteady and unsafe for their use. Also, when your arms and hands are occupied clutching your crutches, you will have more difficulty in using them to open doors, pick things up, etc. Stairs can be particularly difficult to navigate with crutches, especially at the beginning. Finally, crutches are clunky items that are constantly falling over and don’t always fit through doorways, car doors, etc.

• Knee Walkers – the Pros: Knee walkers, because they are low to the floor are generally more stable than crutches. They are cushioned for comfort with space to let you rest a cast or injured leg, without having to put your weight on it. You can zoom around pretty quickly, once you get the steering figured out, and once you stop, you have both hands free. They are fairly simple to use and don’t require any upper body strength. They are less clunky than crutches and the possibility of slipping on slick or wet surfaces is diminished.

• Knee Walkers – the Cons: Knee walkers can be unstable if you lean back or forward too far or too much to one side. Also, they take a while to learn how to go straight. They are slower going than crutches on many surfaces. You cannot go up or down stairs on a knee walker, and if the front wheel base is too wide, you may not be able to go through narrow doorways or halls. Knee walkers are more expensive than crutches.

At Pacific Mobility, we can help you choose the best option for your post-operative or post-injury recovery. We will only sell you what you need, and within your budget, to help you get back on your feet in the quickest time possible. Call us today for a free consultation.

Staying in the Home You Love vs. Moving to Assisted Living

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Most seniors, if given the choice, would choose to remain in their own home for as long as possible rather than move to an assisted living facility. In fact, one study puts the number as high as 90 percent. This is not a mystery. For most of us – seniors included – home is where we’re comfortable; where it’s safe and familiar. We get to sleep in our own bed, eat what and when we like, and have a certain amount of privacy.

By and large, an elderly person who remains at home has a greater measure of independence than a contemporary who lives in an assisted living situation and giving up one’s independence can be difficult. In fact, for some seniors, transitioning to an assisted living community can be psychologically devastating, as it portends the end of one of life’s chapters, and the beginning of an unknown experience out of one’s comfort zone.

However, some seniors who do choose to remain at home may experience social isolation and poor nutrition which can contribute to cognitive decline, health problems, depression, and a diminished quality of life – especially if some of the activities of daily living (ADLs), like dressing, bathing, cooking, cleaning, going up and down stairs, etc. become too difficult. These seniors must come to terms with the situation that is facing them. Either they can stay in the home they love, or they can make the move to assisted living.

Luckily, today, more and more seniors have the option of “aging in place,” as long as they are willing to make certain modifications in the way they live and to the houses in which they live.

For example, even if one is not completely healthy, with home-healthcare, seniors can have their medical needs attended to most satisfactorily without having to leave home. In fact, one study found that those seniors who received in-home care visited the doctor 25 percent fewer times than those that didn’t receive in-home care. Clients with Alzheimer’s or other dementia diseases made almost 50 percent less trips to the doctor. In addition, other in-home services such as housecleaning, non-medical care, shopping, transportation, and food services can help offset the need for an elderly individual to have to struggle with common, everyday chores.

Making the home more “senior-safe” is another tactic that will allow an elderly individual to remain longer in the home he or she loves. Some general home alterations include the widening of doorways, and the installation of grab bars in the bathroom and/or shower, bed rails, and some type of stairlift in homes that contain more than one story. For seniors restricted to a wheel chair, an outdoor ramp or porch lift can enable them go in and out safely and at will. In addition, home monitoring equipment can let family members keep an eye on an aged loved one from a distance.

None of this should suggest that a transfer to assisted living can’t be a viable option for some seniors. There are certainly some advantages for the elderly individual whose needs – both medical and mundane – can be attended to in a professionally operated assisted living facility staffed by competent and caring people. However, for those seniors who wish to stay at home, and know the necessary modifications that are available, aging in place is certainly easier to accomplish now than ever before.

At Pacific Mobility, we are the aging in place experts. Our staff has the knowledge and experience to help you design and implement your home modifications so that you can continue to remain in the home you love for as long as possible. Call us today for a free consultation.