Tag Archives: awareness

Is Your Business Accessible and Safe?

More awareness has been focused on making buildings accessible and safe for those with disAbilities. With the passage of the Americans with Disabilities Act, businesses must provide everyone equal access around their property. However, despite these regulations there are still businesses that have failed to meet federal guidelines. For those failing to comply, fines and penalties can be severe and can potentially lead to the closure of the business if changes are not made in a timely manner. According to the ADA, businesses are required to make reasonable accommodations allowing everyone to enjoy the goods and services provided by the business. In order to comply, several areas must be addressed.

Entryways
Wheelchair users find many businesses almost impossible to enter. If the only access to a building is steps or stairs, the ADA requires that a wheelchair-accessible ramp be provided to allow easy access to the building.

Auxiliary Communication Assistance
For those individuals who are blind or need other assistance with communication, the ADA also requires businesses to make the appropriate accommodations for them as well. Signage outside offices, bathrooms and other areas is required to have words in Braille, and employees who have communication disabilities are also required to have access to closed-captioning and sign-language interpretation if needed.

Bathrooms
For years bathrooms in almost all businesses were obstacles that many found to be nearly insurmountable challenges. However, with the passage of the ADA, using a bathroom has become much easier for both customers and employees with a disability. According to ADA regulations, all bathrooms should have at least one stall that is designed for people with a disability. The door to the stall is required to be wide enough for a mobility device to easily go through, and the stall large enough to have room for the individual and another person if necessary to assist. Hand rails are also required for safety and comfort, and the sinks are to be low enough for a person using a wheelchair to easily reach and use.

Parking
All states require businesses to provide parking spaces that are designated exclusively for drivers with a disability. The parking spaces should be clearly marked and located as close to the business as possible, and are usually near a wheelchair-accessible ramp. The penalties for parking in a handicapped parking space can be severe, often resulting in a fine of $500 and the vehicle being towed away at the owner’s expense.

Aisles
While the least-regulated aspect of most businesses, aisles still fall under ADA rules and must be in compliance with federal regulations. Under ADA rules, aisles in retail businesses or others as well must be free of any barriers that would prohibit a person in a wheelchair from gaining access to that area. However, it’s recommended by most experts that in addition to being barrier-free, all aisles be clear of clutter and be made wide enough for shoppers using a mobility device to easily navigate. While not required by law, doing so is seen as an act of courtesy and respect for employees and customers.

Fines and Penalties
To ensure your business is in compliance with ADA laws, it’s a good idea to have a safety audit. Hiring an expert to conduct a safety and accessibility audit is the best way to ensure your business is in full compliance and is in no way violating ADA regulations. Under Title III of the ADA, the maximum penalty for a first violation of ADA rules is set at $75,000. For a second violation, the fine goes up to $150,000. If the Department of Justice finds evidence of repeated violations, the fines can accrue significantly and can greatly affect businesses that are operating with profit margins that have little or no room for error. The federal government is currently very aggressive with its ADA enforcement, with healthcare businesses currently being targeted for investigation due to the DOJ’s Barrier-Free Health Care Initiative.

While much has been done to make the world an easier place for people of all abilities to live and work, it is clear there is still much work left to be done. However, with continued ADA enforcement equal access is getting easier by the day.

Neuromuscular Disorders

Neuromuscular disorders affect the nerves that control your voluntary muscles. Voluntary muscles are the ones you can control, like in your arms and legs. Your nerve cells, also called neurons, send the messages that control these muscles. When the neurons become unhealthy or die, communication between your nervous system and muscles breaks down. As a result, your muscles weaken and waste away. The weakness can lead to twitching, cramps, aches and pains, and joint and movement problems. Sometimes it also affects heart function and your ability to breathe.

Examples of neuromuscular disorders include

Many neuromuscular diseases are genetic, which means they run in families or there is a mutation in your genes. Sometimes, an immune system disorder can cause them. Most of them have no cure. The goal of treatment is to improve symptoms, increase mobility and lengthen life.

Chronic Fatigue Syndrome

Chronic fatigue syndrome, or CFS, is a devastating and complex disorder. People with CFS have overwhelming fatigue and a host of other symptoms that are not improved by bed rest and that can get worse after physical activity or mental exertion. They often function at a substantially lower level of activity than they were capable of before they became ill.

Besides severe fatigue, other symptoms include muscle pain, impaired memory or mental concentration, insomnia, and post-exertion malaise lasting more than 24 hours. In some cases, CFS can persist for years.

Researchers have not yet identified what causes CFS, and there are no tests to diagnose CFS. However, because many illnesses have fatigue as a symptom, doctors need to take care to rule out other conditions, which may be treatable.

While a single cause for CFS may yet be identified, another possibility is that CFS has multiple triggers. Some of the possible causes of CFS might be:

  • infections
  • immune dysfunction
  • abnormally low blood pressure that can cause fainting (neurally mediated hypotension)
  • nutritional deficiency
  • stress that activates the axis where the hypothalamus, pituitary, and adrenal glands interact (the HPA axis)

Sypmtoms
The primary symptom of CFS is unexplained, severe fatigue lasting at least 6 months that is not improved by bed rest and that can get worse after physical activity or mental exertion. Individuals with CFS experience a fatigue so strong that their activity levels and stamina decline dramatically. However, fatigue is not the only symptom, and for some patients may not be the symptom that bothers them the most.

As stated in the 1994 case definition, the fatigue of CFS is accompanied by at least 4 of 8 characteristic symptoms lasting at least 6 months. These symptoms include:

  • post-exertion malaise lasting more than 24 hours
  • un-refreshing sleep
  • significant impairment of short-term memory or concentration
  • muscle pain
  • pain in the joints without swelling or redness
  • headaches of a new type, pattern, or severity
  • tender lymph nodes in the neck or armpit
  • a sore throat that is frequent or recurring

The symptoms listed above are the symptoms used to diagnose this illness. However, many CFS patients may experience other symptoms, including irritable bowel, depression or other psychological problems, chills and night sweats, visual disturbances, brain fog, difficulty maintaining upright position, dizziness, balance problems, fainting, and allergies or sensitivities to foods, odors, chemicals, medications, or noise.

Traumatic Brain Injury Awareness

Traumatic brain injury, often referred to as TBI, is most often an acute event similar to other injuries. That is where the similarity between traumatic brain injury and other injuries ends. One moment the person is normal and the next moment life has abruptly changed.

In most other aspects, a traumatic brain injury is very different. Since our brain defines who we are, the consequences of a brain injury can affect all aspects of our lives, including our personality. A brain injury is different from a broken limb or punctured lung. An injury in these areas limit the use of a specific part of your body, but your personality and mental abilities remain unchanged. Most often, these body structures heal and regain their previous function.

Brain injuries do not heal like other injuries. Recovery is a functional recovery, based on mechanisms that remain uncertain. No two brain injuries are alike and the consequence of two similar injuries may be very different. Symptoms may appear right away or may not be present for days or weeks after the injury.

One of the consequences of brain injury is that the person often does not realize that a brain injury has occurred.

March Proclaimed Red Cross Month: Red Cross Recognizes Every Day Heroes

President Barack Obama has proclaimed March as Red Cross Month across the country, a tradition upheld by each of our nation’s leaders since President Franklin D. Roosevelt first recognized Red Cross Month in 1943.

“For more than 130 years, the devoted women and men of the American Red Cross have responded to challenges at home and abroad with compassion and generosity. In times of conflict and great tragedy, they deliver humanitarian relief, save lives, and offer hope for a brighter tomorrow,” the proclamation reads. “Their service has meant so much to so many, and it reflects a fundamental American truth: we look out for one another and we do not leave anyone behind. This month, we renew our sense of common purpose and honor all those whose sacrifices have made our society more prepared, resilient, and united.” Read the entire proclamation here.

The Red Cross has a long-standing relationship with the White House dating back to 1913 and President Woodrow Wilson. In 1906 a largely ceremonial office of president was added to the Red Cross leadership. In 1913, President Wilson agreed to serve in this role. This began a tradition that continues today whereby the president of the United States serves as honorary chairman of the American Red Cross. The Red Cross is not a government agency and does not receive a regular appropriation from Congress.

The American Red Cross responds to nearly 70,000 disasters every year. It provides 24-hour support to members of the military, veterans and their families at home and around the world; collects and distributes about 40 percent of the nation’s blood supply and trains millions of people in first aid, water safety and other life-saving skills.

During Red Cross Month, the American Red Cross is recognizing the country’s everyday heroes – heroes who reach out to help people in need. These are the people who –

  • Help disaster victims get on the road to recovery.
  • Give blood to help a hospital patient
  • Brighten the day of an injured service member who is in a hospital far from home.
  • Take one of our lifesaving classes and step forward to assist someone having a heart attack or to save a drowning child.

Red Cross Month is a great time to become part of the Red Cross. You can work on a preparedness plan with members of your household so you are ready for emergencies. You can become a Red Cross volunteer. Or you can give blood or a financial donation.