Tag Archives: wheelchair

How To Choose An Accessible Vehicle For A Child

Wheelchair vans are often needed by families who have children with disAbilities. Vehicles with special features are available and/or can be converted to accommodate them. The most important step is to start with an appointment with a mobility specialist.

Here are a few facts needed to help determine which accessible option best fits the needs of your child and your family.

The Child’s Size
A mobility consultant should be incredibly thorough in compiling the details such as wheelchair width and height, your child’s height while seated in the wheelchair, and other essential information, which should help identify the perfect van for your family.

Your child’s age and size are factors, too. If your child is young/small the vehicle that they easily fit into now could possibly be out grown. It is important to not only think of their needs now, but also to keep in mind that their needs may change in the future.

The Family’s Size
Consider the size of your family. A big family (5-7 children) might need the extra room provided by a full-size van. For smaller families, an adapted minivan should work nicely, and both vehicle styles can be equipped for wheelchair accessibility. Keep in mind that even an only child will have friends who will join you for an occasional outing.

The Child’s Condition
Along with wheelchair size, your child’s condition has tremendous bearing on vehicle selection. When a child with limited mobility travels with a ventilator or feeding tube, the vehicle must accommodate it. In such situations, rear entry access is often the better option.

Side entry vans require the wheelchair user to maneuver into position; an operating ventilator or feeding tube on an independent portable stand can easily make positioning awkward. Rear entry access eliminates the need to maneuver–the wheelchair and ancillary equipment roll directly into position from the back of the van.

Seating
If you or a caretaker needs to assist your child, it would be helpful to have a seat right next to the wheelchair, as the front passenger seat can make interaction awkward.

Now is a good time to talk about the front-passenger seat, which can be adapted for portability, so you can remove it completely. With a wheelchair docking system installed, the coveted front-passenger position is wheelchair-ready.

That said, size definitely matters here. The laws in some states restrict the size of a child riding in that position, with a typical recommendation of 50 lbs.+ and the ability to tolerate the force of a deployed airbag. A child with a frail or sensitive physical condition should be seated in the middle of the vehicle for safety. Make sure to familiarize yourself with your state’s seat-belt laws for wheelchair passengers.

Passengers
When there are several passengers in the van, middle seating in the vehicle would put your child at the center of attention and always part of the fun. The side entry accessible van has an array of configuration possibilities, including jump seats and the potential for passenger seating in front, alongside, and behind the wheelchair user in any accessible van.

Focus on the Future
When you find the accessible vehicle that fits the needs of you, your child and family now but are concerned about the changes that may come over time, discuss them with your mobility consultant. Future you has a few options. Keep in mind that additional modifications can be made to your vehicle to better fit you and your family. Another option future you will have is to trade in your vehicle for a newer one that will fit your needs better.

Full Sized Accessible Wheelchair Vans

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Ask people with disAbilities—when purchasing a handicap or accessible van—size matters. The full-sized van is a good option for those with a large family, those who travel often, those with additional equipment and accessories, those who need to tow large loads, or big or tall passengers or drivers.

Most minivans do not have roof modifications so you don’t have as much interior space. Roomy full-size vans gain space by raising the roof, lowering the floor or both, and also have the advantage of more power and load carrying capacity.

Full-sized van:

Its weight-carrying capacity is significantly more than a minivan’s. It can hold the weight of a power wheelchair and even accommodate two individuals in wheelchairs.
It offers a lowered floor for the center, passenger or driver position; raised roof, raised doors; lifts and adaptive driving aids.
A raised roof makes it easy for someone to enter the van seated in a wheelchair or for a caretaker to tend to them or walk in and out of the entrance.
Doors are raised in conjunction with a roof to enable a person in a wheelchair to enter without having to bend over or have a caretaker tilt the wheelchair back.
Larger wheelchairs or motorized wheelchairs require floor-lowering or roof-raising modifications that a full-size van allows.

Invisible DisAbilities

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In general, the term disAbility is often used to describe an ongoing physical challenge. This could be a bump in life that can be well managed or a mountain that creates serious changes and loss. Either way, this term should not be used to describe a person as weaker or lesser than anyone else. Every person has a purpose, special uniqueness and value, no matter what hurdles they may face.

In addition, just because a person has a disAbility, does not mean they are disAbled. Many living with these challenges are still fully active in their work, families, sports or hobbies. Some with disAbilities are able to work full or part time, but struggle to get through their day, with little or no energy for other things. Others are unable to maintain gainful or substantial employment due to their disAbility, have trouble with daily living activities and/or need assistance with their care.

According to the Americans with Disabilities Act of 1990 (ADA) an individual with a disAbility is a person who: Has a physical or mental impairment that substantially limits one or more major life activities; has a record of such an impairment; or is regarded as having such an impairment (Disability Discrimination).

Furthermore, “A person is considered to have a disability if he or she has difficulty performing certain functions (seeing, hearing, talking, walking, climbing stairs and lifting and carrying), or has difficulty performing activities of daily living, or has difficulty with certain social roles (doing school work for children, working at a job and around the house for adults)” (Disabilities Affect One-Fifth of All Americans).

Often people think the term, disAbility, only refers to people using a wheelchair or walker. On the contrary, the 1994-1995 Survey of Income and Program Participation (SIPP) found that 26 million Americans (almost 1 in 10) were considered to have a severe disAbility, while only 1.8 million used a wheelchair and 5.2 million used a cane, crutches or walker (Americans with Disabilities 94-95). In other words, 74% of Americans who live with a severe disAbility do not use such devices. Therefore, a disAbility cannot be determined solely on whether or not a person uses assistive equipment.

The term invisible disAbilities refers to symptoms such as debilitating pain, fatigue, dizziness, cognitive dysfunctions, brain injuries, learning differences and mental health disorders, as well as hearing and vision impairments. These are not always obvious to the onlooker, but can sometimes or always limit daily activities, range from mild challenges to severe limitations and vary from person to person.

Also, someone who has a visible impairment or uses an assistive device such as a wheelchair, walker or cane can also have invisible disAbilities. For example, whether or not a person utilizes an assistive device, if they are debilitated by such symptoms as described above, they live with invisible disAbilities.

Unfortunately, people often judge others by what they see and often conclude a person can or cannot do something by the way they look. This can be equally frustrating for those who may appear unable, but are perfectly capable, as well as those who appear able, but are not.

The bottom line is that everyone with a disAbility is different, with varying challenges and needs, as well as abilities and attributes. Thus, we all should learn to listen with our ears, instead of judging with our eyes.

Winter Weather Tips for People with DisAbilities: Don’t Get Left Out in the Cold

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From commuting to work in your wheelchair accessible vehicle to visiting friends and family following the busy holiday season, here are some winter safety tips for people living with disAbilities.

Function Over Fashion
Dress in layers. Air gets trapped between the layers and acts as insulation. Wearing multiple layers of clothing also gives you the ability to remove layers when you perspire or add them when you get chilled.

Try to avoid wearing cotton clothing, as it will stay wet once it gets wet. Consider moisture wicking, polypropylene and other lightweight, man-made fabrics.

Wear warm gloves. Gripper driving gloves not only keep your hands warm but can help prevent slipping when sleet or ice stick to wheelchairs and other surfaces. Carry an extra pair of gloves with you, in case one pair gets wet.

Protect Your Face
Use sunscreen. People don’t think about it but when the sun reflects off of snow, severe sunburns can occur.

Another good idea is to use Vaseline on exposed areas of your face. It helps prevent your face from getting dry or chapped by acting as a moisture insulator.

Getting Around
Using a wheelchair in snow can be very strenuous, especially if you’re not accustomed to it. Always be careful when maneuvering through the snow, as the extra exertion could have negative effects on your body. If possible, have somebody with you to help.

Pneumatic tires or those made from soft rubber can give wheelchairs better traction on snow and ice. An alternative is to use mountain bike tires that have knobby treads.

Always take your time on slippery surfaces so you don’t go into a slide and lose control. Be especially mindful while driving a mobility vehicle and keep winter driving tips for maneuvering over slush, ice and snow in mind.

Batteries can lose 60% of their charge when temps get cold, so keep them warm with covers.

Make sure you take proper care of your handicap accessible vehicle by following the appropriate winter car-care suggestions.

Don’t Forget Your Pets
Dogs can suffer from hypothermia and frostbite, too. If you’re accompanied by a service animal or taking a pet outside, consider a dog coat and boots for their feet. It’s also a good idea to keep a blanket in your vehicle for your pet.

Be Prepared For Natural Disasters

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Natural disasters can take place at any moment and can come in any form from floods, severe weather, earthquakes and more, yielding unfortunate outcomes without warning. Being prepared can save lives and planning is important; know who will help you if you need assistance or if you need to evacuate.

Be Informed
Ensure you have the proper equipment to stay up-to-the-minute on breaking news and changing weather patterns. You may need a radio for this, specifically one that runs on batteries so be sure you have extras. Know when, where and what local branches of organizations like American Red Cross, have planned in your specific location, and find out how they can help. Also, ensure you can maintain contact with those outside of your home, having a phone car charger and jumper cables could be essential.

Make a Plan
For people with mobility challenges, assistance can be crucial.

If are a caregiver, or if you have assembled a “Help Team” to assist a person in need:

Be helpful in letting others know exactly what you need and when you need it.
Contact family, friends, neighbors or social service agencies if and when possible.
Try to have someone available who can lift and carry heavy objects such as wheelchairs or other medical equipment.
Give at least one other person a key to the person’s home.
Each team member should have the contact information for the others.
Name a substitute caregiver in case the original is unavailable.

Develop an evacuation strategy with your “Disaster Team,” and consider the following:

Where are the closest special needs emergency shelters and what are the different routes you can take to reach them?
What supplies must you take with you that are used every day?
Whom should you inform that you are evacuating?
How much gas do you have and how much will much will you need? Be sure to keep your vehicle’s gas tank over 1/2 full at all times.

Make a Kit
Assemble your kit well in advance with the help of a list and be sure to include:

Water – Keep one gallon of water per person (and per pet) per day for at least three days. Make sure you replace the water every six months.
Food – Keep at least a 3-day stock of non-perishable food that requires little cooking and no refrigeration in a safe place. Include a manual can opener and eating utensils.

For those with mobility disAbilities:

Pair of heavy gloves to use while wheeling or making your way over glass and debris
Extra battery for your motorized wheelchair or scooter
Jumper cables or specific recharging device to be connected to an automobile’s cigarette lighter
Patch kit or can of “seal-in-air product” to repair flat tires
Spare cane or walker
Food, medicine, favorite toy, and other care items for your service animal
Plastic bags, disposable gloves, and other items for the animal’s care

Find out if you qualify for assistance and fill out a form in advance to ensure your safety should the need arise. And be aware of FEMA resources in your area, including their capabilities and the best way to reach them.