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Mobility and Ambulatory Impairment

This aspect of the evaluation process is extremely important, as how the client moves around the home, including interior and exterior, is critical in determining required modifications and shaping the installation process. Some types of equipment that your client may be using now or possibly in the future along with other mobility considerations are described below.

• Cane

• Walker

• Wheelchair

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Coordination and Balance

Loss of coordination can take many forms and can range from mild to severe. Fine motor coordination refers to the ability of the hands or fingers to do small tasks smoothly, efficiently and safely. This includes writing, buttoning a shirt or tying shoe laces. Gross motor coordination refers to larger movements, such as reaching for a faucet or walking.

Balance issues are a major reason for home modifications and can have many causes, such as medication interactions, lower extremity weakness, reduced sensation in the feet, inner ear problems, vision loss, tone issues, muscle imbalance or neurological impairments.

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Sensory Impairment Considerations

Sensory impairments cause real challenges to safety and independence. Compensating for this sensory loss can be even more challenging if there are multiple impairments. Below you will find some examples of the impact a loss or impairment can have on your client’s ability to safely function within the home:

• Vision

• Hearing

• Touch

• Sense of smell

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