Steve: MS diagnosis (Adaptations to home: (Verdone, 2018). (Ramp for his…
Steve: MS diagnosis
Adaptations to home: (Verdone, 2018).
Ramp for his front and back door for his power wheelchair.
Widen the door frames/ take off doors to allow for wider areas to get in and out of rooms in the house.
Easy access 911 contact device. If he is on his own and needs help, this device is a easy way to contact for an emergency.
Grab bars for shower.
Adjust height for toilet seat. This allows Steve to access toilet independently and allow for comfort.
Transfer bench for shower so he can sit down while showering and transfer in and out of the shower to his wheelchair.
Pulldown shelves in the kitchen to help with reaching food, pots/pans, hard to reach items, restocking shelves, and organizing.
Front door camera/ lock system so he can visually see who is at the door and does not have to necessarily wheel to the door.
Possible problems with aid:
He may feel like he will get judged if he pulls out his magnifying glass in a store, restaurant, or community event.
Negative perceptions of who he is as a person from other people around him.
The magnifier may not solve all of his problems to seeing better. Some things may still be blurry or unable to use due to the small size of the device.
Muscle strength and endurance will come into play when having to hold the magnifier up for a long period of time like during reading. He may fatigue quicker as he is getting older.
We can help with these barrier by providing a training on the ease of access as well as going out in public and using the magnifier together. He can try the aid out and if he is truly unhappy, the therapists can create another way to improve his visual field.
Interview client to determine priorities and expectations.
Questions to ask:
What areas of the house to do you spend most of your time in?
When do you have the most difficulty seeing, during what activities?
Who will you be living with/what assistance are you going to receive?
Do you sleep on the first floor? How is your sleep pattern?
Watch the client perform a transfer from wheelchair to shower and wheelchair to couch/recliner.
Perform a house tour/evaluation to determine accessibility options.
ADL's (AOTA, 2014)
Bathing & showering
IADL's (AOTA, 2014)
Home establishment & management
Safety & emergency maintenance
Leisure (AOTA, 2014)
American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1– S48.
Benavente, G. (2018). Sensory aids: visual. [PowerPoint slides] Retrieved from
Verdone, A. (2018). Home accommodations: modification and alternative to structural changes. [PowerPoint slides] Retrieved from
Visual sensory aid
Magnifier (Benavente, 2018)
This will allow Steve to be able to read better due to a larger font while looking into the magnifier.
Magnifier will help in reading, eating, paying pills, using a computer, most ADL's, and leisure activities like puzzles, crosswords, and magazines.
Vision is the ability to see a clear perception of detail, color, contrast, and distinguish objects visually (Benavente, 2018).
Steve has recently been diagnosed with Glaucoma and is having blurry vision.
Universal design cell phone features
Apply text zoom, larger font, and speak to text features.