Deck 27: Home Evaluation and Modifications

Question 1

A patient who has right hemiparesis and ambulates with a quad cane is being discharged home to an apartment in a building with an elevator.What concerns would you have about his ability to use the bathroom?

A) Whether he needs a transfer tub bench
B) Whether he needs grab bars installed near the toilet and tub
C) Whether or not the door is wheelchair accessible
D) Both a and b

Answer 1

D
It is typical that those requiring a quad cane will require other bathroom equipment to assure safety in the bathroom.

Question 2

Turning 360 degrees in a wheelchair requires a _____-inch space.

A) 45 × 45
B) 60 × 60
C) 70 × 70
D) 120 × 120

Answer 2

B
This amount of space allows individuals to turn without scraping their feet and without maneuvering multiple times to fully turn.

Question 3

A patient with right hemiparesis is going home using a wheelchair.The entrance to the building has three steps at the entry.Which of the following would you do?

A) Suggest the patient move to an accessible building.
B) Do not do anything concerning the situation and only concentrate on the interior accessibility.
C) Suggest that the patient/family speak with the landlord and social worker to request that a ramp be installed to improve accessibility.
D) Train the family to pop the chair down the steps.

Answer 3

C
A ramp is appropriate to allow access.The ideal ratio of slope to rise is 1:12 (every inch of vertical rise requires 12 inches of ramp).

Question 4

A patient who has left hemiparesis and ambulates with a walker,using a left ankle-foot orthosis,will go home and use his own double bed.He can only transfer from the left side of the bed.Which of the following would you do?

A) Suggest he rearrange the room so he can transfer from the right (uninvolved side).
B) Suggest he get a hospital bed and turn it so he can enter from the right side.
C) Suggest he sleep in the living room, because it is closer to the bathroom.
D) Suggest he move to a nursing home.