Nov 282018
 

Hi all!

Two tasty ones for you today. I was at the OT show last week and we ran a ‘Challenge Remap’ activity. The results have been…challenging.

Most of the referrals generated are winging their way to the nearest panel as we speak. However, we’ve got two cases still in the office where the local panel have said they can’t help. I know how much you all like an impossible challenge, so I thought we’d put them up here before admitting defeat.

The first is for a lady in North London who wants to keep knitting after her stroke. She can use one of her arms, but her vision isn’t great and (if I remember correctly) her fine motor skills in her good hand may not be the best either.

The second is for a gentleman in Surrey who can’t use either of his arms and wants to be able to toilet independently – including pulling trousers up and down.

Do give us a shout if you fancy either of these and we’ll put you in touch. Thanks all!

Sophie

  3 Responses to “Long distance knitting, and dressing help”

  1. As for the toilet case, there are so many variables and questions around what other abilities the client has and what help may be available to prepare for toileting, but looking at the basic principles……

    If we just consider the client’s own home, the obvious choice for “cleaning up” effectively would be a bidet. If there isn’t room to retro-fit one, it’s possible to convert an existing toilet with one of these things which washes and dries.

    https://www.nrshealthcare.co.uk/bathroom-aids/toilet-aids/wash-dry-toileting-solutions/bio-bidet-supreme

    With the remote control in a convenient position, operation of it with a mouth stick might be possible OR to create a cradle that allows it to be operated by larger buttons that can be operated by the feet OR hack the remote to have a couple of external foot switches. I could see Remap being able to contribute to those adaptations.

    It’s possible to get a portable bidet too but you’re unlikely to get one that dries as well, leaving the challenge of something that holds a towel in such a way that you could stand afterwards and rub yourself dry against it, or have a folding stool handy a towel can be left on so you can shift across to it and kinda blot yourself dry on it afterwards.

    https://www.aquariushygiene.com/product/aquarius-porta-bidet/

    Getting trousers on and off with no hands is do-able but needs to be considered on a case by case basis, and in conjunction with appropriate fasteners and types of clothing (e.g. stretch waistband). Most of the resources on the net suggest things like mouth hooks, and corresponding clothing loops. Hooks attached to walls etc etc.

  2. My wife is a knitter and would be happy to discuss bit too far for practical help but if you want to put the lady or her OT in touch she will happily advise. She has just tried one handed knitting and it is difficult but with some movement of the bad arm it may be possible. People knit with different styles so there’s not an easy answer.
    Ashley Essex North Panel

  3. Hi Sophie – there have been a couple of one-handed knitting solutions done in the past for stroke victims. Not sure how applicable they would be to others but they may provide inspiration. One is on Remapedia.

    http://remaponline.org.uk/remapedia/2014/04/one-handed-knitting-device/

    The other was a Coventry/Warwick panel one and I’ve pinged you the details and photos for that.

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