Case Study Specific to Orthopedic Conditions

    Sylvia’s Story

    Sylvia was in a motorcycle accident in her 20’s resulting in a TBI with right-sided hemiparesis and expressive aphasia. She is now in her 60’s and experiencing orthopedic issues in her left side knee and shoulder, making it difficult to transfer and reach items above shoulder height. Her primary mode of transport is a manual wheelchair and stand pivot transfers accomplished by pulling herself into a standing position. A home assessment was completed and found the following issues: inability to access the bathroom due to a narrow door opening, unsafe tub and shower transfers due to limited access, difficulty with meal prep and transport of hot food items, difficulty managing bed to wheelchair transfers, and difficulty accessing the kitchen sink, laundry, and storage areas.

    The Solution

    The existing bathroom was completely reconfigured for accessibility by installing a barrier free shower, accessible toilet area, wall-mounted sink, tilted mirror, and a wider bathroom door. Sylvia was able to access the bathroom with her wheelchair and complete her showering tasks from a roll in shower chair. Transfer poles were placed by the toilet and bed to improve safety and ease of transfers. A custom built functional storage and food prep area was designed and a sloped skirt was installed at kitchen sink. All this enabled Sylvia to complete meal prep and kitchen tasks from a seated position and within the reach of her involved shoulder. Silva and her sister had a goal of being able to stay in the home for 3 more years before having to move to assisted living. They are now on year 4 and saving $6,000 per month in facility costs.

    Cost of all home modifications = $18,500
    Cost of assisted living for 3 years = $216,000