Power Seat Elevator: A Case Study

P.R. is a 34 year-old male from Guatemala who went to a lake for cliff diving. He dove off of a cliff 20 feet from the water, hitting a rock, and fractured his neck at C6. This left P.R. as an incomplete quadriplegic, with partial gross movement of his upper arms. P.R. is able to move his shoulders to slightly lift his arms, but has no movements in his legs or the trunk. P.R. requires total assistance for all activities of daily living, and is incontinent of both bowel and bladder function. He speaks primarily Spanish and cannot communicate in English. He is verbally abusive and becomes combative with care givers. He does not have family support in America and is having difficulty adapting to American foods. P.R. has

In 2012, a woman named Tina Baughman filed for a lawsuit against Walt Disney World Company for failing to comply with her condition. Using the Americans with Disabilities Act, Baughman asserts Disneyland denied to offer full and equal access to the theme park (Tina Baughman v. Walt Disney World Company, 2012). Baughman is diagnosed with limb girdle muscular dystrophy, and thus has difficulty with walking (Tina Baughman v. Walt Disney World Company, 2012). Because Baughman has trouble standing from a seated position, she believes using a two-wheeled mobility system called a Segway is necessary. Segways allow Baughman to step into rides and buildings without struggling to stand up from a seated position (Tina Baughman v. Walt Disney World Company, 2012). In addition, the Segway permits Baughman to be eye-level with guests and workers. Walt Disney World Company, the defendant, claims wheelchairs are an adequate mode of transportation (Tina Baughman v. Walt Disney World Company, 2012). Baughman’s discomfort with using a wheelchair is not Disneyland’s concern. The judge ruled in favor

The carrier has denied coverage of the Anser ADA test performed on 10/26/2015 as experimental and/or investigational and not medically necessary. There is a letter from the carrier to the member dated 11/30/2015 which states in part:

Whether under the Fair Housing Amendments Act of 1988 (FHA), which makes it illegal to discriminate in housing on the basis of an individual’s handicap, Ms. Mary Land, the widowed owner, manager, and landlord¬¬ of a historic building with Tiffany stained glass transforms, extinct pinewood flooring, and mahogany woodwork¬, violated the FHA by refusing to rent an apartment to Mr. Jim Rent, a potential paraplegic tenant with acute transverse myelitis (ATM), when enforcing a first-come first-served parking policy, where there are only three allocated spots available to the nine apartments, and a no-pets policy, where Ms. Land had an allergy and a tenant potential could go into anaphylactic shock, where Mr. Rent required access to a dedicated parking spot for his specially-equipped van, which allowed him to use his mobility device the iBOT™, the use of a medical alert response companion dog (MARC dog), that was certified, prescribed, and trained to assist Mr. Rent with his daily routine, and needed to make structural modifications to the apartment and bathroom, in order to insure his mobility and safety in the apartment, even though Mr. Rent, six months prior, had a history of leaving items on the stove, causing fire alarms to go off notifying the fire department, and leaving water running in the bathtub, which lead to several floods of his apartment requiring new flooring and carpeting.

Aeroflow Healthcare. "The Future of the Power Wheelchair." Aeroflow Healthcare. N.p., 24 Aug. 2015. Web. 10 Dec.

After the hearing, Ms. Carter’s case was forwarded to DDS for review. DDS adopted the federal decision dated July 20, 2017, stating that Ms. Carter was not disabled for Medicaid purposes. Until this unfavorable disability finding is changed by DDS, DOM must abide by the DDS decision. Accordingly, the RO’s decision is supported by substantial evidence.

I met Mr. Eigner at the office of Dr. Taha. Mr. Eigner reports he is not taking any pain medications at this time. He reports he has a jolting shooting pain to the right and left legs only occasionally. He denied any pain to his right forearm. X-rays taken showed good alignment and healing of the fracture. The incisions are all healed except for a couple small spots on the right ankle. There is some swelling to the right ankle which Dr. Taha said is to be expected. The range of motion to the left ankle and toes was good. The range of motion to the right stores was limited. Dr. Taha said there is scar tissue at times from this type of repair and he would like physical therapy to start working on that. He is still going to be non-weight bearing for another 6 to 8 weeks on the right leg. He is now allowed full weight bearing as tolerated to the left leg. Dr. Taha ordered a rolling scooter to aid with ambulation and stop using the wheelchair. I have contacted Reverence physical therapy and faxed the new orders so the service can begin. I will process the rolled scooter with directions from the adjuster. The attendant care and replacement services will continue through to the next appointment.

The challenges we face with access of care can extremely discriminate and damaging to individuals, families, and communities. Barriers of accommodation, availability, accessibility and acceptability are obstructions that need to be demolished. 28% of insured people with disabilities reported needing particular therapies, equipment or medications that were not covered by their health plans, compared to 7 percent of those without disabilities (N.O.D, 2000). Enforcement efforts recently have failed to bring a need change to the healthcare access for disable people. Regardless of their disability, they should have access to affordable, comprehensive, and adaptive

Many patients admitted to the stroke and orthopedic rehabilitation unit have impaired physical mobility. The length of time in rehabilitation is ten to fourteen days. Many times nurses, patients and family members form bonds that last long after the discharge. I recently had the opportunity to take care of a patient I will never forget. Mrs. C was admitted to the rehabilitation unit following recent hip surgery. She is eighty years old and had fallen raking leaves in her front yard. Mrs. C has a history of hypertension, arthritis and gout. Medications include aspirin, metoprolol and allopurinol as needed. Prior to admission Mrs. C lived independently and has two children who checked on her routinely. No cognitive or mental deficits are noted. Key parts of this paper include the introduction, NANDA, NIC and NOC elements, data, information, knowledge and wisdom and the conclusion.

The applicant has been temporarily totally disabled since February 9, 2017. This is in conflict with the work status reports we have been receiving from Kings Industrial Occupational Medical Center.

Attached are chiropractic and PT notes. Patient has been previously denied with same request on 12/01/15 (Review

Wheelchair on the first floor of home from November 10, 2016, to January 17, 2017

Pa confirmed that there is no duplication of services. Waiver is the payer of last resort for services. Pa reported that his back-up plan that the agency will send a replacement aide if needed has not been utilized, Pa reports that is services are not available, his son, Ralph, will come to assist him, these back up plans remain effective and has never been used per Pa. SC called the Dynamic Home Health Care PAS provider agency and reported that the aide has not shown up for the day and she would the Pa to call out leaving him without proper coverages. The receptionist took SC information and stated that the director of the Waiver service was not in as yet and will have all SC. The called meal site and spoke with Lavern, who resumed Pa’s HMD and set it up for Friday delivery. SC called Theresa the nutritionist at DaVita Dialysis and informed her that the Pa HDM will begin starting 5/13/2016. SC called back Dynamic Home Health Care and spoke with the director of Waiver services. The SC informed her of the Pa’s claims about the aide calling him when she will not be at work instead of the agency so that they can send

One of the policies of Aptus Treatment Centre includes the “Accessibility Standards for Customer Service,” pertaining to individuals with “any degree of physical disability, infirmity, malformation or disfigurement” that without limiting the generality of the prior, includes, diabetes, a brain injury, any amount of paralysis, and so on, as per the Accessibility for Ontarians with Disabilities Act (The Government of Ontario, 2016, Laws section).

I would like to focus and investigate the lack of age appropriate transportation services for the elderly and people with disabilities. The issue of transportation becomes a major concern when the elderly and people who are disabled develop uncontrollable age related illnesses and are no longer healthy to drive. Losing the privilege to drive brings independence to an end and forces the elderly to stay at home which may lead to despair and other emotions. Therefore, it is essential to provide our senior citizens and people with disabilities with reliable transportation to help them maintain their independence. It is important to create reliable services to support them in making choices about how they want to live the last years of their