All Posts By

Mark E. Smith

July 21, 2016

Long-Distance Caregiving, a new American reality

For those of us not yet at retirement age, many of us face an increasingly-common family dynamic: long distance caregiving.

Statistically, as caregivers, not only are we not alone, but long distance caregiving is becoming more common every day. Currently, 19 million Americans are over the age of 75, and by 2020, that number climbs to 23 million. Furthermore, 66% of those who reach 65 have at least one chronic condition, and 20% have 5 or more chronic conditions.

With these realities, caregiving is part of more and more of our lives. However, here’s a secondary situation facing many: how can we provide caregiving from a distance? After all, aspects like careers or economics can prevent loved ones from moving close together.

Fortunately, ingenuity and technology are making caregiving possible from across town or across the country. Let’s look at ways we can effectively care for our loved ones over distance.

long distance caregiving

Caring for loved ones long distance is a new American reality

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July 14, 2016

How to Improve the Comfort of Your Ultralight Wheelchair

This reader wonders how to improve the comfort of your ultralight? Let’s ask Mark.

I have an ultralight wheelchair that I love. It fits perfectly and it meets all of my needs. My only wish is that it could be a little more comfortable. When I say comfortable, I don’t mean “medically,” but just from a normal comfort viewpoint. How do you improve the comfort of your ultralight?

Thanks in advance.

Donald

Adding comfort to your ultralight

TiLite Aero Z Series 2

Donald,

Indeed, when it comes to using an ultralight wheelchair, as you note, there really are two aspects to “comfort.” One is medical comfort, such as a pressure management cushion that prevents pressure sores, and the other is everyday comfort, such as aspects like posture and shock absorption.

In the realm of everyday comfort, there are two primary goals: one is to create a seated environment where you are just that, comfortable. Secondly, the goal with everyday comfort is to reduce fatigue on the body. Both of these obviously make using your ultralight wheelchair far more “comfortable,” and thereby functional.

Let’s look at three ways that you can optimize everyday comfort:

 

 

Add comfort to your ultralight wheelchair

Jay Union Cushion

Comfort In Your Cushion

While seat cushions have medical benefits, such as pressure management, they also play a vital role in everyday comfort. A thicker, softer cushion provides more shock absorption from lumps and bumps as you propel than a thinner, harder cushion. Additionally, a cushion can provide a contoured surface that helps with positioning and balance, reducing fatigue. In this way, looking at a seat cushion not just from a medical perspective but also from an everyday comfort perspective can help improve the comfort of your ultralight wheelchair.

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July 7, 2016

True Equal Access Means Full Social Inclusion

As we near the 26th anniversary of the Americans with Disabilities Act, a question remains; just how inclusive have we truly become as a country towards those with disabilities? The answer is a complex one.

On the one hand, we’ve come remarkably far toward equal rights and acceptance of those with disabilities, from employment to transportation. However, if we are to be candid, we still have a long way to go when it comes to full social inclusion of those with disabilities.

Full Social Inclusion

Interestingly, as a country, the major barriers that remain toward full social inclusion are, in large part, physical. The fact is, while the ADA seeks to ensure architectural access for those who use power and manual wheelchairs, as well as scooters, access remains a barrier in both large and small cities alike. From county courthouses to mom-and-pop businesses, as little as a single step still prevents many who use mobility products from accessing businesses and services vital to full inclusion. From entering a county building to obtain a marriage license, to eating at a local restaurant, many public and private businesses still deny those with mobility needs equal access. The question then becomes, if we are to achieve full social inclusion of those who rely on mobility products, how can that occur without ensuring equal architectural access for all?

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June 30, 2016

The Independence that Mobility Brings

When we celebrate Independence Day, we officially recognize our country’s liberation from Great Britain in 1776.

However, many – from those born with disabilities, to those with later-in-life injuries and conditions, to those who are aging – celebrate another, more personal type of independence day: The day they receive a new mobility product.

Mobility products for independence

 

Mobility products – albeit, a manual or power wheelchair, scooter, or even a lift chair – play remarkable roles in our lives. If we look at the history of mobility products, our understanding of them has profoundly, rightfully changed. Whereas decades ago, a wheelchair, for example, had a stigma attached, that’s no longer the case. Yes, societal changes have brought tremendous level of awareness, inclusion and acceptance surrounding disability and mobility products.

 

However, the real evolution has occurred with each of us who rely on mobility products. Every individual’s experience is different when it comes to making the transition to a mobility product – from a 4-year-old using a manual wheelchair to a 79-year-old using a scooter. Yet, the realization is the same: We go from knowing some form of confinement to a life of liberation through the use of a mobility product.

 

Happy July 4th from your friends at SpinLife!

Happy July 4th from your friends at SpinLife!

 

The desire for independence is universal, and the fact that mobility products contribute to our independence is profoundly life-changing.

 

 

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June 27, 2016

Need Affordable Home Accessibility? Let’s ask Mark

Six simple suggestions on affordable home accessibility from blogger Mark E. Smith.

affordable home accessibility

Dear Mark,

Unfortunately, it’s been determined that my mother can no longer live alone and must use a wheelchair full time. My wife and are moving her into our home on very short notice, and don’t have a lot of means to make our home accessible. One, what are the top aspects and equipment we should look at to make our home accessible. Two, how can it be done very economically? Thanks for your help. –Jim

Jim,

I’m sorry to hear about your mother, and it’s touching that you and your wife are there in this time of need. These transitions aren’t easy for anyone. However, as you suggest, having the right level of accessibility in vital areas of your home can make activities of daily living safer and easier for everyone in your family. And, with so many affordable products, you don’t have to break the bank in doing so.

Access

affordable home accessibility

Portable ramps come in many sizes

I like to start at the front door. Typically, if a home has three steps or less at the entry, a portable ramp  is a very economical access solution. Portable ramps commonly come in lengths from 2’ to 8’ (the higher the porch or entry, the longer the ramp needed), and are easily moved or permanently installed. The non-skid coatings and side lips on portable ramps likewise increase safety. Portable ramps also give you flexibility to take the ramp to a relative’s house or wherever access is needed. Lastly, portable ramps are extremely affordable, so they serve as a great immediate, inexpensive access solution.

Bath Safety Products

The bathroom can possess among the most difficulties for those with strength, balance, and coordination issues, so ensuring safety is vital. Whether you have a bathtub or a shower, a transfer bench is a must. A transfer bench – most of which are height adjustable – allows one to transfer from a wheelchair to a stable, seated surface in a tub or shower. Most transfer benches include a backrest and grab bar for even more safety. When not needed by other family members, the transfer bench is easily removed and set aside. Again, transfer benches are extremely inexpensive.

home accessibility

Transfer Bench

 

Also, while considering bathing, look at installing a hand-held shower nozzle – it’s a very easy, inexpensive do-it-yourself project that increases safety and independence.

The commode is another area of utmost safety and independence needs. If one can transfer to a standard toilet seat, a toilet safety frame (arm-height grab bars that are on each side of the toilet), is a great solution. Additionally, if one needs a taller transfer surface, a raised toilet seat  is beneficial, placing the toilet seat at wheelchair height, with some including side grab bars, as well. Both alternatives clamp or bolt onto the commode, at very little cost for added safety.

From the bathtub to the commode, additional grab bars can prove vital when strategically placed. While, traditional bolt-on, wall-mounted grab bars prove the ultimate in strength, several other non-permanent grab bar solutions can prove equally effective. For the bathtub, clamp-on grab bars attach to the outer edge, adding a handhold for entering and exiting. For shower interiors or on the wall next to the commode, suction cup grab bars are an immediate solution with no mechanical installation required.

affordable home accessibility

Suction Cup Grab Bar

Convenient, Affordable Home Accessibility

When we think of home accessibility for a loved one, it can seem like a daunting, costly endeavor. However, as noted here, if one’s needs are for fundamental home access and safety, a few strategic products can create an accessible, safer home that fosters independence, for less money than one may expect.