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Summer 2011 - Multiple Sclerosis Society of Canada

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option is to use a bathtub with a door.<br />

Most <strong>of</strong> these types <strong>of</strong> bathtubs can fit in<br />

the same space as a typical existing tub,<br />

making renovations work much easier. A<br />

bathtub with a door cannot be used by<br />

someone in a wheelchair; however, it can<br />

be very useful for persons with mobility<br />

limitations including our rapidly aging<br />

population.<br />

5. Toilets: The recommended height<br />

for a toilet is to be the same height <strong>of</strong> a<br />

wheelchair used by a person wanting to<br />

transfer. The most common height <strong>of</strong> a<br />

toilet is 14 inches, and the tallest toilet is<br />

18 inches; toilets also come in heights <strong>of</strong><br />

15, 16, and 17 inches. Existing toilets can<br />

be modified by adding a two to four inch<br />

base piece or a two to four inch raised<br />

seat. An extremely useful item that can<br />

be added to an existing toilet is a bidet<br />

seat. Toilets should be elongated and<br />

provide sufficient space, at least 3’-0”,<br />

on one side <strong>of</strong> the toilet to afford for a<br />

parallel transfer for an individual in a<br />

wheelchair.<br />

6. Counters and Sinks: The key to proper<br />

height placement <strong>of</strong> the countertop<br />

is to keep the counter to a minimum<br />

thickness. This maximizes the ability<br />

to keep the countertop low enough for<br />

those users in wheelchairs to reach into<br />

the sink; the countertop can also be<br />

high enough to allow the same users<br />

in wheelchairs to get underneath the<br />

counter. Sinks should be shallow enough<br />

to allow persons in wheelchairs to get in<br />

underneath. Also, it is important to keep<br />

users’ legs from coming into contact with<br />

exposed hot pipes. To prevent potential<br />

burns to legs, the pipes can be insulated<br />

or a protective panel can hide exposed<br />

pipes. A third, and my preferred, option is<br />

to set the sink pipes as far back up against<br />

the wall, where one’s legs could never<br />

come into contact with exposed pipes.<br />

7. Faucets: Single lever handle, as<br />

opposed to two (hot and cold) faucets<br />

make it easier to turn the water on<br />

and <strong>of</strong>f; people who lack strength in<br />

their arms, people with arthritis, and<br />

people with artificial limbs <strong>of</strong>ten cannot<br />

grasp a round faucet. Thermostatically<br />

controlled faucets are also important for<br />

those individuals with limited feeling in<br />

their hands. Faucets controls can also<br />

be mounted at the side <strong>of</strong> sinks to allow<br />

for easier access for those people who<br />

cannot reach very far. Offset controls<br />

should be provided for bathtubs and<br />

showers. Hand-held faucet heads with<br />

flexible hoses attached to a vertical wallmount<br />

bar should be used in bathtubs<br />

and showers.<br />

8. Grab Bars: Grab bars are fixtures<br />

that assist persons to transfer onto and<br />

back <strong>of</strong>f a toilet. They can also be used<br />

around bathtubs, shower areas, counters,<br />

and walls to assist those persons with<br />

balance issues. A good rule is to that too<br />

many grab bars is better than not enough.<br />

Today, grab bars are designed to fit in<br />

with any décor <strong>of</strong> a residential bathroom<br />

9. Mirrors: The preferred solution for<br />

bathroom mirrors is to bring the mirror<br />

right down to the top <strong>of</strong> the countertop;<br />

this allows both individuals who are<br />

standing or who are in a wheelchair to<br />

effectively use the mirror. A magnifying<br />

mirror located in a bathroom is especially<br />

useful for persons with visual limitations.<br />

10. Interior Finishes: Floor finishes in<br />

residential bathrooms should be level,<br />

non-slip, and durable. A color contrasting<br />

border on the wall and floor assist<br />

those persons with visual limitations<br />

understand the boundaries <strong>of</strong> the room.<br />

Floor and wall finishes must be nonglare<br />

and non-pattern. Color contrast<br />

improves accessibility for person with<br />

visual limitations; countertop edges, door<br />

handles, grab bars, and light switches<br />

should contrast in color to surrounding<br />

surfaces. Color contrast bands should<br />

also be used around accessories such as<br />

toilet paper dispensers, light switches,<br />

and towel racks. Towel racks should<br />

be mounted as securely as grab bars<br />

to support people should they lose<br />

their balance. General lighting should<br />

be combined with well positioned task<br />

lighting.<br />

MS Connections <strong>Summer</strong> <strong>2011</strong> 17

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