Category Archives: Mobility

Mobility needs for wheelchair users including wheelchair vans, ramps, foot and hand controls.

Emphysema Awareness

Chronic obstructive pulmonary disease (COPD) is one of the leading cause of death in the U.S. and affects more than 12 million Americans.  COPD – which includes emphysema and chronic bronchitis – is a term used to describe the obstruction of airflow.

COPD cannot be cured, but it can be treated. Early detection and diagnosis is the key to successful management of this chronic disease.

Emphysema is a long-term, progressive disease of the lungs that primarily causes shortness of breath due to over-inflation of the alveoli (air sacs in the lung). In people with emphysema, the lung tissue involved in exchange of gases (oxygen and carbon dioxide) is impaired or destroyed. Emphysema is included in a group of diseases called chronic obstructive pulmonary disease or COPD (pulmonary refers to the lungs). Emphysema is called an obstructive lung disease because airflow on exhalation is slowed or stopped because over-inflated alveoli do not exchange gases when a person breaths due to little or no movement of gases out of the alveoli.

Emphysema changes the anatomy of the lung in several important ways. This is due to in part to the destruction of lung tissue around smaller airways. This tissue normally holds these small airways, called bronchioles, open, allowing air to leave the lungs on exhalation. When this tissue is damaged, these airways collapse, making it difficult for the lungs to empty and the air (gases) becomes trapped in the alveoli.

Normal lung tissue looks like a new sponge. Emphysematous lung looks like an old used sponge, with large holes and a dramatic loss of “springy-ness” or elasticity. When the lung is stretched during inflation (inhalation), the nature of the stretched tissue wants to relax to its resting state. In emphysema, this elastic function is impaired, resulting in air trapping in the lungs. Emphysema destroys this spongy tissue of the lung and also severely affects the small blood vessels (capillaries of the lung) and airways that run throughout the lung. Thus, not only is airflow affected but so is blood flow. This has dramatic impact on the ability for the lung not only to empty its air sacs called alveoli (pleural for alveolus) but also for blood to flow through the lungs to receive oxygen.

November is Caregiver Awareness Month

Each year, more and more Americans are caring for a loved one with a chronic condition, disAbility, or the frailties of old age.  There are as many as 90 million family caregivers in the U.S. today.

  • Two out of every 5 adults are family caregivers.  39% of all adult Americans are caring for a loved one who is sick or disAbled – up from 30% in 2010.
  • Alzheimer’s is driving the numbers up.  More than 15 million family caregivers are providing care to more than 5 million loved ones with Alzheimer’s disease.
  • But it’s not just the elderly who need caregiving.  The number of parents caring for children with special needs is increasing, too, due to the rise in cases of many childhood conditions.
  • Wounded veterans require family caregivers, too.  As many as 1 million Americans are caring in their homes for service members from the Iraq and Afghanistan wars who are suffering from traumatic brain injury, post-traumatic stress disorder, or other wounds and illnesses.
  • And it’s not just women doing the caregiving.  Men are now almost as likely to say they are family caregivers as women are (37% of men; 40% of women). And 36% of younger Americans between ages 18 and 29 are family caregivers as well, including 1 million young people who care for loved ones with Alzheimer’s.
  • Family caregiving is serious work.  Almost half of family caregivers perform complex medical/nursing tasks for their loved ones – such as managing multiple medications, providing wound care, and operating specialized medical equipment.
  • Family caregivers are the backbone of the Nation’s long-term care system. Family caregivers provide $450 billion worth of unpaid care each year.That’s more than total Medicaid funding, and twice as much as homecare and nursing home services combined.

With the ranks of family caregivers growing every year – tens of millions strong – we recognize the importance to the Nation of the role that family caregivers play.

How To Make Your Kitchen Wheelchair-Friendly For the Holidays

Brisk air, shorter days and finding a pumpkin patch on every corner can only mean one thing—holiday season is upon us and with it come delicious feasts enjoyed with loved ones. For some of us, this also means lots of time spent in the kitchen. Whether you’re cooking, washing dishes or just gathering in the house’s social center, a kitchen that’s accessible to all family members makes for an inviting place to enjoy time together. Making your kitchen space more wheelchair-friendly can seem overwhelming, but with a few adjustments and considerations, you, and any other wheelchair user in your circle, can feel comfortable taking part in holiday traditions.

Kitchen Counters
Because the typical height of a wheelchair armrest is about 29”, a recommended counter-top height for a person using a wheelchair is a minimum of 28” and should be no higher than 34”. There should also be a space of at least 24” in height and 30” in width to accommodate the wheelchair underneath while working at the counter. This way, you, or any person with a disAbility in your family, can easily reach the counter for food preparation, storage or sneaking a bite of that side dish before it’s quite ready.

Sinks
An important tip to keep in mind when installing a wheelchair accessible sink is to place the drain near the back of the sink. This keeps a space clear of obstructions under the sink where a person using a wheelchair can move into without issue. Also be sure any hot water pipes are insulated to prevent burns. Finally, accessible kitchen sinks should be only 5” to 6 ½” deep with a single lever faucet to make for simple operation

Wall Cabinets
Lowering wall cabinets by about 3” (from the standard 18” above the counter to 15”) would make the second shelf accessible for persons in wheelchairs. By also including pullout cutting boards and drawers with full extension glides, your kitchen could be transformed into an accessible haven. An alternative solution would be to install shelving lifts inside cabinets. These will lower the shelves, and their contents, to an accessible height for those with disAbilities.

Appliances
Installing or lowering wall ovens, microwaves or other mounted appliances to approximately 31” from the floor can make them more convenient to operate from a wheelchair. When it comes to a stove-top, positioning control knobs at the front of the appliances eliminates the need to reach across a hot cooking surface and makes it easier for those with mobility limitations to feel more comfortable cooking up something yummy.

These adaptations can help make your kitchen easy to navigate and give you the perfect space to try those holiday recipes you’ve been eying.

10 Early Signs and Symptoms of Alzheimer’s

Alzheimer’s is a brain disease that causes a slow decline in memory, thinking and reasoning skills. There are 10 warning signs and symptoms. Every individual may experience one or more of these signs in different degrees. If you notice any of them, please see a doctor.

  • Memory loss that disrupts daily life
    One of the most common signs of Alzheimer’s is memory loss, especially forgetting recently learned information. Others include forgetting important dates or events; asking for the same information over and over; increasingly needing to rely on memory aids (e.g., reminder notes or electronic devices) or family members for things they used to handle on their own.
  • Challenges in planning or solving problems
    Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have difficulty concentrating and take much longer to do things than they did before.
  • Difficulty completing familiar tasks at home, at work or at leisure
    People with Alzheimer’s often find it hard to complete daily tasks. Sometimes, people may have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game.
  • Confusion with time or place
    People with Alzheimer’s can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there.
  • Trouble understanding visual images and spatial relationships
    For some people, having vision problems is a sign of Alzheimer’s. They may have difficulty reading, judging distance and determining color or contrast, which may cause problems with driving.
  • New problems with words in speaking or writing
    People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word or call things by the wrong name (e.g., calling a “watch” a “hand-clock”).
  • Misplacing things and losing the ability to retrace steps
    A person with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. Sometimes, they may accuse others of stealing. This may occur more frequently over time.
  • Decreased or poor judgment
    People with Alzheimer’s may experience changes in judgment or decision-making. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming or keeping themselves clean.
  • Withdrawal from work or social activities
    A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced.
  • Changes in mood and personality
    The mood and personalities of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work, with friends or in places where they are out of their comfort zone.

Steer Yourself In The Right Direction To Find The Perfect Wheelchair Accessible Vehicle

Purchasing or financing a wheelchair accessible vehicle takes time, money and a little bit of research. Because of the many available options when it comes to handicap vehicles, and the investment they require, knowing where to start your search is crucial and can shape the entire process. NMEDA member dealers work with individuals with disAbilities, as well as their caregivers and families, to ensure we steer you in the direction of the perfect vehicle for you. Here are a few useful tips and resources:

Go to the Pros
By going straight to a NMEDA members dealership, like ourselves, you’ll be sure that you’re getting the best possible care and attention, as well as professional service. All dealerships are required to adhere to strict quality standards under our Quality Assurance Program and, will provide you with the best solutions for your specific needs. Starting your search at a NMEDA dealer near you means you are sure you get behind the wheel of a handicap vehicle that’s right for you.

Establish Your Needs
Who will be the vehicle’s primary driver? Will you be driving from a wheelchair, transferring into the vehicle’s seat or transporting a loved one with a disability? Will you need to enter and exit the vehicle on your own or will help be nearby? Are you looking for a truck, car, minivan or a SUV? The answers to these questions can help determine what kind of adapted vehicle and equipment you need before diving into inventory listings.

Know Your Budget
We know that one of the most difficult parts of purchasing a new vehicle is making sure the cost is within your means. When it comes to finding a wheelchair accessible or adaptive vehicle, there are more options than you might realize. There are several state and government organizations in place to help get you the car you need.