South Carolina Vocational Rehabilitation Department

2. South Carolina VocationalRehabilitation Department

3. Telework

5. Choosing the correct mobility

6. Critical Factors Home layout Hobbies and community involvement Available transportation Job site characteristics

7. Job Site Considerations Building Access Common Areas Access Environmental Issues Work Area Issues

8. Building Access Parking space location/dimensions/signage Parking lot surface/grade Curb cuts Sidewalk surface/grade Front entrance security Front entrance accessibility/knob type Front entrance force requirements, <8.5 lb.

12. WHAT NOT TO DO:

17. Common Areas Access Hall widths, >42 in. Copy room Breakroom Lunchroom Bathroom, dimensions, grab bars, fixtures Drinking fountains, <36 in. high Emergency exits Nurse’s station

23. Environmental Issues Floor surface characteristics Air quality Heating/air conditioning Light reflection Noise Vibration

24. Work Area Issues Essential tasks Material flow Equipment layout Switch accessibility Who uses the immediate area? Available assistance Production requirements/speed, accuracy

29. Types of Mobility Equipment • manual wheelchair • motorized scooter • power wheelchair • walker • crutches • cane • prosthesis

30. Manual Wheelchair • basic seating or specialty cushion, back, and other postural support options • seated height typically close to standard office chair, therefore clearance under desk or work surface most times is not an issue • may be able to transfer to ergonomic office chair • desk ergonomics, wireless keyboard/mouse, etc. • specialty wheelchairs, such as standing wheelchair • most fold or disassemble easily and can be transported in almost any vehicle, some situations require specialty vehicle lift

31. Motorized Scooter • 3 or 4 wheel models • most have basic van type seating • some have power seat elevator option • seat can spin 90 degrees for getting on/off and for accessing work surface • may be able to walk short distances and/or transfer to ergonomic office chair • some models easily disassemble into small parts, others will require accessible vehicle or specialty vehicle lift

32. Power Wheelchair • cushion, back, and other postural support options • powered seating systems such as tilt-in-space, recline, elevating leg rests, and seat elevator • seated height typically higher than standard chair, clearance under desk or work surface may be an issue – desk risers or adjustable height table • desk ergonomics, wireless keyboard/mouse, etc. • specialty wheelchairs, such as standing wheelchair or all terrain wheelchair • require accessible vehicle or specialty lift to transport

34. Case Studies

35. Case Study #1 Client: 37 year old female Diagnosis: T-9 complete spinal cord injury Goal: return to work as administrative assistant, now working from home office due to personal needs Issues: accessibility of home office and desk area, layout of work area, specialized computer equipment, ergonomics

38. Accommodations wheelchair seating custom built work surfaces CPU riser wireless keyboard and mouse

41. Case Study #2 Client: 28 year old female Diagnosis: Transverse Myelitis Goal: return to work as an optician Issues: difficulty reaching optical equipment and the many eyeglass frames on display from her manual wheelchair

42. Accommodations standing manual wheelchair

45. Case Study #3 Client: 25 year old female Diagnosis: incomplete quadriplegia Goal: independent mobility to and from parking area and between classes where she attends technical college Issues: client has limited strength and right side weakness, and cannot propel her manual wheelchair for long distances

46. Accommodations motorized scooter hitch mounted scooter lift folding walker

50. Case Study #4 Client: 21 year old male Diagnosis: spina bifida Goal: to attend barbering school and then work as a barber Issues: client sits very low in his manual wheelchair and needs to be seated at or above his customer’s head level to properly and safely cut and style their hair