Accessible home design and construction have finally come out of the shadows. In part because it is acceptable to have a disability. In part because contractors can capitalize on a very real need in the community. Our senior citizens, trying to remain safely in their homes, are a huge part of the population seeking accessible design and  equipment.

The hazard in the road is that a ramp, grab bars, and door levers seem to be the focus; 'Universal Design'. Certainly, these are frequently necessary, but are not the whole story. Universal design must be used in conjunction with a clear understanding of a person's current physical limitations and probable future limitations. Design and location of stuff like:

are all influenced by your current and possible future challenges.

The key to success is truly understanding a person's limitations. Sometimes, that means that you have to look reality in the eye. This is frequently difficult. Honest answers to questions like what can I do? / What can't I do? / What is realistic for me to do? / are challenging. Add to that the unpredictability factor of our changing abilities and you realize that easy home modifications are not so easy.

Speak with Occupational and Physical Therapists, nurses, and especially people with similar challenges. The seemingly small details will make a huge difference. Making your home truly accessible is possible with a good, honest assessment of a person's needs. Money will help, too!

Deb and I realized several years ago that making our home the hub of recreational opportunities is the most practical and enjoyable way for us to get our 'kicks'. Three years ago, we had an above ground pool installed. We usually gasp for air when we discuss costs, but, we don't incur the annual vacation road trip expenses, so, it really does equal out quickly.

As it is with EVERY endeavor, my situation ALWAYS creates special challenges and issues. However, we do a great job discussing these issues, our feelings and our concerns before we take the plunge [yes, that was on purpose]. For example, the special challenges for me with the pool:

Admittedly, Deb enjoys the convenience and ability to jump in the water at any time. She makes cleaning the water part of her swim routine and does an excellent job with maintenance. The water always is clear and inviting. Stop by for a dip anytime!

       My wheelchair is 7 years old. It is currently in need of tires, brakes, hand rims and a replacement cushion. It is taking strain in other places as well.
      So, instead of ordering the parts through my service provider and waiting for a technician then hoping  it all falls together, I am ordering a new wheelchair and will keep the old one on stand-by as a 'just in case'.
      Wheelchair purchases can be made easily on line and the prices are excellent. I caution you not to do this for two reasons. If you have insurance coverage, most of these places don't submit the paper work for you. This means that it is cash up front and deal with  the insurer yourself.
       Second and MOST important, you absolutely want a professional to perform an assessment of your needs and physical abilities / limitations to make sure you are getting the correct wheelchair for you. Additionally, the pros assure that your posture is correct and you are not doing yourself continued harm or problems. You get to discuss options and what will suit your needs  best.
     I contacted a local company and let them know I was in the market for a replacement chair. I had to get my doctor to fax medical records and then make an appointment for my assessment at the 'wheelchair clinic'. I was informed that Chad and Tammy would perform the assessment.
      Appointment day arrived and a friend transported me to the Hiram G. Andrews Center. This is an Office of Vocational Rehabilitation facility that provides education and training for people with disabilities. One of the few in the country. Anyway, I was truly pleased to be greeted by Chad who just happened to be a patient in the rehab hospital where I worked 20 years ago. He was working as a Rehab Specialist for the Medical Equipment Provider and would be part of the assessment team. The other half of the team, Tammy, is a licensed Occupational Therapist. She would be assessing my function, taking a medical history and assuring that Chad and I didn't miss anything.
       Tammy did her thing, Chad did his. We discussed my use of the wheelchair, methods of transfer, propulsion and activities of daily living [ADL's for those who are not initiated]. We talked over wheels, tires, arm rests, seat cushion, back support, footrests,  I felt very comfortable that the new chair will meet my needs, keep me safe and as independent as possible. The lesson here: don't try this at home kids, get a professional (s).
       Additionally, it was very gratifying to see that a patient from the rehab was a productive, successful person in the community. Way to go, Chad! I am still envious of him; he could always and still can ride a wheelie forever in his wheelchair.

        Social Security Disability Insurance [SSDI] is being presented by attorneys on their television commercials to be an entitlement to anyone that has some kind of disability. While it does fall under the heading of an entitlement program within the government, there is a list of very clear and specific criteria that need to be met to receive this benefit. [go to Social Security Adminstration for details] The first point being that is an insurance benefit that you must have paid into to be eligible to receive it. They mislead us.
        The second point that irritates me about these commercials is that it continues to promote the idea that if you have an illness or injury, you can't do anything ever again. Your last hope is to let the government take care of you because you're worthless. It lets them define how people with disabilities should respond and react to their situation; the lawyers will make sure that someone pays for your situation [even a facial scar].
        Last, they don't mention that should you use them to seek an SSDI benefit, they take 25% of your first benefit check. This check is usually larger than a monthly benefit amount because most receive this first one months after they became eligible.
        Just because you have a disability doesn't mean your life has ended, but, I'm sure it has changed.