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Writer's pictureJessi Willis

Programming for Dementia Community


Program Matrix




Adjacency Matrix

Codes Summary

4.2.1* Wheelchair Passage Width. The minimum clear width for single wheelchair passage shall be 32 in (815 mm) at a point and 36 in (915 mm) continuously (see Fig. 1 and 24(e)).


4.2.2 Width for Wheelchair Passing. The minimum width for two wheelchairs to pass is 60 in (1525 mm) (see Fig. 2).


4.2.3* Wheelchair Turning Space. The space required for a wheelchair to make a 180-degree turn is a clear space of 60 in (1525 mm) diameter (see Fig. 3(a)) or a T-shaped space (see Fig. 3(b)).


4.2.5* Forward Reach. If the clear floor space only allows forward approach to an object, the maximum high forward reach allowed shall be 48 in (1220 mm) (see Fig. 5(a)). The minimum low forward reach is 15 in (380 mm). If the high forward reach is over an obstruction, reach and clearances shall be as shown in Fig. 5(b).


4.2.6* Side Reach. If the clear floor space allows parallel approach by a person in a wheelchair, the maximum high side reach allowed shall be 54 in (1370 mm) and the low side reach shall be no less than 9 in (230 mm) above the floor (Fig. 6(a) and (b)). If the side reach is over an obstruction, the reach and clearances shall be as shown in Fig 6(c).


4.4.1* General. Objects projecting from walls (for example, telephones) with their leading edges between 27 in and 80 in (685 mm and 2030 mm) above the finished floor shall protrude no more than 4 in (100 mm) into walks, halls, corridors, passageways, or aisles (see Fig. 8(a)). Objects mounted with their leading edges at or below 27 in (685 mm) above the finished floor may protrude any amount (see Fig. 8(a) and (b)). Free-standing objects mounted on posts or pylons may overhang 12 in (305 mm) maximum from 27 in to 80 in (685 mm to 2030 mm) above the ground or finished floor (see Fig. 8(c) and (d)). Protruding objects shall not reduce the clear width of an accessible route or maneuvering space (see Fig. 8(e)).


4.5.1* General. Ground and floor surfaces along accessible routes and in accessible rooms and spaces including floors, walks, ramps, stairs, and curb ramps, shall be stable, firm, slip-resistant, and shall comply with 4.5.


4.5.3* Carpet. If carpet or carpet tile is used on a ground or floor surface, then it shall be securely attached; have a firm cushion, pad, or backing, or no cushion or pad; and have a level loop, textured loop, level cut pile, or level cut/uncut pile texture. The maximum pile thickness shall be 1/2 in (13 mm) (see Fig. 8(f)). Exposed edges of carpet shall be fastened to floor surfaces and have trim along the entire length of the exposed edge. Carpet edge trim shall comply with 4.5.2.


4.13.5 Clear Width. Doorways shall have a minimum clear opening of 32 in (815 mm) with the door open 90 degrees, measured between the face of the door and the opposite stop (see Fig. 24(a), (b), (c), and (d)). Openings more than 24 in (610 mm) in depth shall comply with 4.2.1 and 4.3.3 (see Fig. 24(e)).


4.13.7 Two Doors in Series. The minimum space between two hinged or pivoted doors in series shall be 48 in (1220 mm) plus the width of any door swinging into the space. Doors in series shall swing either in the same direction or away from the space between the doors.


4.13.9* Door Hardware. Handles, pulls, latches, locks, and other operating devices on accessible doors shall have a shape that is easy to grasp with one hand and does not require tight grasping, tight pinching, or twisting of the wrist to operate. Lever-operated mechanisms, push-type mechanisms, and U-shaped handles are acceptable designs. When sliding doors are fully open, operating hardware shall be exposed and usable from both sides. Hardware required for accessible door passage shall be mounted no higher than 48 in (1220 mm) above finished floor.


4.30.5* Finish and Contrast. The characters and background of signs shall be eggshell, matte, or other non-glare finish. Characters and symbols shall contrast with their background -- either light characters on a dark background or dark characters on a light background.


4.30.6 Mounting Location and Height. Where permanent identification is provided for rooms and spaces, signs shall be installed on the wall adjacent to the latch side of the door. Where there is no wall space to the latch side of the door, including at double leaf doors, signs shall be placed on the nearest adjacent wall. Mounting height shall be 60 in (1525 mm) above the finish floor to the centerline of the sign. Mounting location for such signage shall be so that a person may approach within 3 in (76 mm) of signage without encountering protruding objects or standing within the swing of a door.


4.32.2 Seating. If seating spaces for people in wheelchairs are provided at fixed tables or counters, clear floor space complying with 4.2.4 shall be provided. Such clear floor space shall not overlap knee space by more than 19 in (485 mm) (see Fig. 45).


4.32.3 Knee Clearances. If seating for people in wheelchairs is provided at tables or counters, knee spaces at least 27 in (685 mm) high, 30 in (760 mm) wide, and 19 in (485 mm) deep shall be provided (see Fig. 45).


4.32.4* Height of Tables or Counters. The tops of accessible tables and counters shall be from 28 in to 34 in (710 mm to 865 mm) above the finish floor or ground.


Ergonomics and Anthropometric Summary


https://thecaregiverspace.org/home-ergonomics-senior-care/

- Ergonomic seating is one of the smartest senior care investments that a family can make. Sofas and chairs should have high backs with lumbar support. Cushioning should be comfortable, but firm enough to support healthy posture. Avoid low seating and chairs without armrests.


- Make everything easily accessible, within arm’s reach when standing. Avoid placing objects or fixtures anywhere that requires kneeling, stretching, or reaching.

- Rearranging the kitchen so that all important items are above knee height can remove any undue strain on the back.


- It's important to make changes to help prevent falls, especially since one-third of adults 65 and older experience a fall each year. This includes installing grab bars, removing tripping hazards such as loose rugs and improving lighting.


- Seniors with cognitive health issues may require ergonomic attention in the form of scheduling or memory care, while those with injuries or mobility problems may need a residence with larger doorways to accommodate walkers or wheelchairs.


- Most items should be stored between the knuckle and shoulder heights so that elderly users are not subjected to bending and overreaching demands


- A higher seat height is suggested so people with hip arthritis have an easier time getting in and out of the chair


- Seats should be able to support the full length of the thighs without the sitter having to slouch or lean to support the back and there should be space behind the knee for circulation


- Chairs need to have armrest to help residents get up and down in the chair


Sources:

Americans with Disabilities Act: Accessibilities guidelines for buildings and facilities. (1993). Topeka, Kan.: The Department.


Blackler, A., Brophy, C., O'Reilly, M., & Chamorro-Koc, M. (2018). Seating in aged care: Physical fit, independence and comfort. SAGE open medicine, 6, 2050312117744925. doi:10.1177/2050312117744925


Little, J. (2013, June 24). National Safety Month Week Four: Ergonomics. Retrieved February 26, 2019.


Tetty, S. (2014). Bodyspace: Anthropometry, Ergonomics And The Design Of Work. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS,7(1). doi:10.1201/9781482272420

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