101 suggerimenti to “Aiuto-con-Ease” per i pazienti con Malattia neuromuscolare

A Do-It-Yourself Owner's Guide

 


per la versione in spagnolo di questa pubblicazione clicca qui

Irwin M. Siegel, M.D.
Patricia Casey, M.S., OTR/L

Published come un educational service of della MDA La ricerca e Health Care Servizi dipartimenti.

© 1996, 2005 dalla Muscular Dystrophy Association

Aggiornato nel marzo 2007

CONTENTS
dressing icon Dressing sleeping icon Sleeping o Resting
communicating icon Communicating grooming icon Grooming
sitting icon Sitting, Transferring e Mobility toileting icon Toileting
recreating icon Recreating Eating
housekeeping icon Housekeeping exercise icon L'esercizio e Managing Contratture

This booklet ha been pubblicato as an educational service del

Muscular Dystrophy Association.

1996, 2005 by the Muscular Dystrophy Association All rights reserved. Except per appropriate usare in critical reviews o works of scholarship, the reproduction o usare of this work in ogni form o by ogni electronic, mechanical, o altre means now known o hereafter invented, compresa photocopying e recording, e in ogni informazioni storage e retrieval sistema, è forbidden senza written permission dell'autore.


 

101 Hints

to

“Help-con-ease,”

per pazienti

con

malattia neuromuscolare

(A Do-It-Yourself Owner’s Guide)

Irwin M. Siegel, M.D.

Patricia Casey, M.S., OTR/L

3


 

This little booklet era written to assist pazienti con una malattia neuromuscolare in handling their tasks of daily viventi. All the hints it contiene have been campo-tested e proven utili. Most were suggested by pazienti o their families. Only a few have been gleaned from the literature. In this sense, the pamphlet, like the Heloise libri, è truly a do-it-yourself owner’s manual.

Solitamente, “Help-Con-Ease” hints don’t require ogni special tools o equipment. Most del gadgets descritti can be facilmente made con materiali at mano in the ordinary household o purchased ad un grocery, hardware o fabric store o ordered from readily available self-help catalogs.

Noi hope these hints will help you e your caregivers tend to your daily tasks of eating, grooming, dressing, sitting, transferring, communicating, getting attorno, using the toilet, working,

recreating, traveling, acquisti e sleeping. Se you o yours have a suggestion you would like us to include in a future edition of our “Help-Con-Ease” hints, send it on e noi’ll make it 102, 103, o perfino 110 o più hints next tempo.

Dr. Irwin M. Siegel co-dirige numerosi Chicago-area MDA clinics. Lui è the author of The Clinica Management of Muscolo Malattia, Muscolo e Its Malattie, e The Clinica I, a collection of vignettes e essays.

Patricia Casey è an occupazionale terapista serving four Chicago clinics. Lei è also active in local SLA clinica programs e drug studia. Ms. Casey ha pubblicato numerosi scientific articoli on the ruolo of terapia occupazionale in the management of neuromuscolare malattie.

4

 

CONTENTS

Dressing........................................................................................ 6

Communicating........................................................................... 10

Sitting, Transferring e Mobility.............................................. 12

Recreating................................................................................... 14

Housekeeping.............................................................................. 17

Sleeping o Resting..................................................................... 18

Grooming.................................................................................... 20

Toileting...................................................................................... 22

Eating.......................................................................................... 24

Exercising e Managing Contratture...................................... 27

5

 

DRESSING

1.

Velcro closures make buttoning e donning shoes easier than using buttons, snaps o shoestrings. Velcro buttons e strips sono available at fabric stores. Velcro tabs can be sewn to shoes ad un brace shop o shoe repair shop. Ready-made velcro closure tennis shoes sono solitamente trovato at discount department stores.

2.

Large bib overalls sono excellent garb per young people in wheelchairs. They slip off facilmente to facilitate using the toilet. A front opening è available in some styles per usare con male urinals. Elastic-waisted esercizio clothing (i.e., sweat pants e running suits) è easier to push down e pull up. A 22-inch zipper can be sewn into the front seam e extended down the gambe to allow plenty of room per the usare di una urinal.

3.

A double bias tape loop (one attaccata to a belt loop, the altre encircling the wrist) makes it easier to lift e più bassa a pair of trousers when at least one-mano support è necessaria to stand dopo using the toilet.

4.

Ventilation under plastica tutori è migliorato by wearing fishnet panty hose. This practical apparel è specialmente utili in the summer.

6

5.

A simple pushing o pulling aid to help bring clothing closer to you from the bed, dresser drawer o closet, senza reaching, can be made from a wire coat hanger custom bent at either o entrambe ends. Be accurato con a sharp fine. Wrap the ends con masking tape o slip a soft pencil eraser on the fine to help avoid tearing clothing e to provide a better grip.

6.

A circolare key ring can be attaccata to a zipper tab che ha a hole in it, allowing fingers o thumb to facilmente gasp the tab e close the zipper. Sticky zippers will slide facilmente se rubbed con the lead from a lead pencil.

7.

Buttoning can be eased by using elastico loops per buttonholes e sewing buttons on con elastico thread. The center of each button (front e back) can be touched con clear nail polish to seal the threads e make the button stay on longer. This works specialmente well con buttons on cuffs. Buttons can also be fastened to buttonholes per appearance e velcro patches placed on the back per closure.

8.

Although a gentleman’s pre-knotted necktie can be adapted con an elastico band, a plastica o metal clip glued o sewn on the back del knot might be easier to place on a buttoned collar.

9.

Tube socks (socks senza heels che stretch to fit the foot)  sono easy per a bambino o adult to put on. Socks con un poco Orlon in them sono also easier to put on per winter wear than socks made of 100 percento wool.

7

10.

A foot che stiffens downward so much che it’s hard to get a shoe on can be più facilmente slipped into a shoe se the back del shoe è cut vertically e loosely laced. A tennis shoe can be adapted by sewing a zipper down the side. Ogni shoe repair shop can modificare a pair of shoes in this fashion.

11.

When a bambino ha difficulty telling the right shoe from the left, draw half an animal on each so the two halves make a whole animal when placed side by side.

12.

Per the little girl who spesso puts her dress on backwards, provide a reminder to help her do it right, such as pinning a colorful bow to the front del dress.

13.

Heavy fishing line pulled attraverso zipper tabs e tied in a loop (the knot can be sealed by melting it con the heat from a lighted match) makes it easier to pull the zipper closed. This idea works specialmente well on men’s o women’s slacks. The loop è invisible e also washes well.

14.

A gastrostomy tube can be covered facilmente con corpo-size stockinette tubing. This will protect clothing from getting soiled by the tube. A 10- to 12-inch-wide piece è cut e slipped over the capo e braccia. Ask your clinic orthotist to darti some.

15.

Leaving your tutori per le gambe in the shoes provides an instant shoe horn which may help when slipping the shoes e tutori onto your feet.

8

16.

Don’t try to trim plastica tutori by yourself. Even using a sharp tool to carve the plastica può causare it to weaken.

17.

Always usare shoes che have the same heel height as those worn when your tutori per le gambe were fitted. Se you don’t your feet e ankles può essere tilted up o down, which will throw you off balance. Also check the sole on tennis shoes. Alcuni brands have soft cushion bubbles on the soles che can make you unsteady. Look per firm, flat soles.

18.

Se one side del corpo è weaker, it prende less effort to dress this side first. Per example, put the weaker braccia into the shirt sleeve first, the stronger braccia next. Whenever possible, sit mentre dressing so you can safely rest as necessaria.

19.

Se you have difficulty buttoning a shirt o blouse, get a larger size, keep it buttoned all the tempo e put it on as se it were a pullover shirt.

9

 

COMMUNICATING

20.

When speaking è a problem, a doodle board can be used. Alcuni tipi sono the Magna Doodle, Etch-A-Sketch e Magic Slate. Queste handy devices make it unnecessary to carry a pencil e pad. Small electronic models sono also available. Look per memory organizers con simple functions che will write out a word, phrase o sentence on the screen. Queste strumenti sono relatively legible, portable e inexpensive.

21.

Large felt tip pens sono più facilmente handled than the media ball-point model. Large-diameter ball-point pens sono available at office supply stores, at checkout counters in molti drug stores, discount stores, etc.

22.

Pieces cut from a common kitchen sink foam sponge o perfino some rubber bands wrapped attorno a pencil/pen make it easier to grip. Molti small pen/pencil grips sono available at office warehouse stores. Inexpensive, too!

23.

Una piccola rubber ball can be punctured so a pencil can be forced attraverso. This makes an excellent grip per a pencil o altre writing implement. Una piccola lazy Susan turntable on the desk top per pens, tape, paper clips, etc., makes them easier to reach.

10

11

12

 

24.

Molti bambini con poor mano control can imparare to write well on a typewriter o computer keyboard. The youngster who è clever con numbers can do molti accounting tasks on a small calculator.

25.

When mani sono troppo deboli to turn the pagine di a book ma neck strength e control remain, an excellent capo-centrate turner can be fashioned by attaching a pencil-thin wooden dowel, approximately 18 inches lungo, al centro del brim di una tightly fitting cap o sunshade. A soft pencil eraser slipped over the fine del dowel can provide friction per turning the page. Mouthsticks e commercial pointers sono also available se this doesn’t work.

SITTING, TRANSFERRING AND MOBILITY

26.

An efficace transfer board can be fashioned from a lunghezza of hardwood which è sanded, waxed e altamente polished. Both ends should be beveled. This è a project per qualcuno at your house who likes to work con wood.

27.

Trasferisce e gait can be assisted by using a wide, securely buckled belt attorno the paziente’s waist, which è then grasped to support him/her durante transfer o steady him/her mentre walking. However, special gait belts sono spesso inexpensive, solitamente under $10 ad un medical supply store.

28.

A king-size satin pillow case è an excellent aid ad usare as a drawsheet per transfer o turning in bed.

29.

Because of its height, a bar stool è a good seat per the paziente con weak anche e/o knee extensors. Look per one con a wide gambe base. You might also want one con a back e armrests. When rising from a chair con braccia covers, the covers can be kept from slipping by laying a sheet of art foam (available at art supply stores) fra the cover e the braccia rest del chair. A terry cloth washcloth will also work.

30.

Leverage can be aumentata when moving in bed by using braccia elevators constructed con lightweight, wide-based wooded blocks to which dowel handles have been fixed.

12

31.

Football receiver gloves afford a better grip on the handrail when climbing o descending stairs. Baseball o biking gloves sono non abbastanza as good.

32.

When traveling, an airline carrozzina can be rented per negotiating narrow porte e passageways.

33.

Radio waves può causare unintended motion of power wheelchairs o scooters. Take caution using CB radios o cellular phones when your carrozzina power è on. Also be informati del location of radio transmitters such as radio o TV stations e two-way radios. Try to avoid driving near them.

34.

A heavy rope, knotted at 12-inch intervals e slung from a secure tree branch, can be used per support to help a bambino con weak gambe pratica walking outside in the back yard.

35.

Bassa-cut pile carpeting senza padding è safer a camminare on than heavy shag o throw rugs e makes carrozzina mobility at home easier to manage.

36.

A lightweight bicycle helmet è comfortable as capo protection per bambini prone to falling. A homemade capo protector made of cloth strips filled con closed-cell foam padding sewn to circle e cross the top del capo è also efficace.

13

 

RECREATING

37.

Molti libraries will deliver o mail libri to your home. Check con your local library per informazioni.

38.

Gardening can be aiutati by using a lunghezza of plastica tubing as a conduit to plant seeds when seated in una carrozzina.

39.

The dimples on a rubber thimble provide friction to help turn the pagine di a book o magazine.

40.

Per fishermen who have difficulty retrieving a line, numerosi devices sono available, compresa a vest con a lightweight harness which holds the fishing rod in an aluminum tube con a locking feature. Also obtainable è an electronic fishing reel featuring a four-speed control con two manual e two electronic settings.

41.

A spring-loaded billiard cue è available per billiards o pool players who manca strength enough to handle the standard cue.

14

15

42.

Se you want to play a stringed instrument (guitar, banjo, ukulele, etc.) ma have weak mani e wrists, a soft glove can be modificato by gluing individual plastica picks onto the fingers, aggiungendo a Velcro strap (per quick sizing) al wrist e opening the thumb area per easy removal. The glove facilitates plucking e strumming stringed strumenti by moving the fingers in a clawing manner, either separately o together.

43.

Per those who sew, a small magnet glued to the fine di una yardstick makes an efficace “retriever” per dropped pins e needles.

44.

The Department of Il trasporto, Office of Consumer Affairs, 400 7th Street, SW, Washington, DC, 20590 (202/366- 222 0) distributes an excellent booklet, “New Horizons:

Information per the Air Traveler con a Disabilità,” which details one’s rights as a disabile persona. It è libera on request.

45.

“Paddle-minton” è a badminton-like game using a short paddle which è easy to handle from una carrozzina. The game’s birdie è modificato so as non to fly fast o alto. The birdie’s speed can be aggiustata by tying the feathers together per faster play o spreading them apart to slow its flight.

46.

The “Quad-Bee” frisbee ha two adaptive thumb clips allowing qualcuno con upper extremity debolezza to hold e throw the device.

15

47.

Hand control in bambini can be developed con games utilizing rings placed attorno pegs. Pegs can be made from an old broomstick o altre small dowels nailed o glued to a flat board. Rings can be fabricated from the plastica holders trovato on soda pop o beer cans o cardboard rings can be cut from a cylindrical oatmeal box o a paper towel tube.

48.

Wheelchair archery è made easier per persons con weak braccia by using a straight braccia splint on the braccia che holds the bow e a hook fashioned to the altre mano to pull the bowstring. Archery may help correct spinal curvature. The braccia pulling the string should be on the side che ha the più prominent curve del spine.

49.

A secure seat per a small bambino’s usare on a seesaw can be fashioned from half di una plastica bucket o a section of an automobile tire. Tape the edges con duct tape per safety.

50.

A thick board can be slotted to hold a mano of playing cards per those whose grasp è weak. Ask your handy woodworking friend to make this simple ma utili gadget per you.

16

HOUSEKEEPING

51.

When bending è a problem in cleaning più bassa cabinets o appliances, possono be reached con a good spray cleaner. An O-Cedar Light ’N Thirsty Cloth mop can be used to wipe the superficie clean, dopo allowing the spray to set a few minutes.

52.

When fingers sono troppo deboli to grasp a broom o mop handle firmly, a leather o cloth loop can be placed over the handle e pulled con the forearm.

18

SLEEPING OR RESTING

53.

Friction è diminuiti per changing sleep position by using satin o nylon sheets e/o pajamas. Ma, be accurato when sitting on the side del bed as you will slip abbastanza facilmente when provando to transfer to your carrozzina o commode.

54.

A heavy belt o strap tied to the bedposts o a bed frame è a simple way to gain leverage to turn yourself from side to side.

55.

Per the coppia who want a double bed dove solamente one richiede a hospital bed, an extra lungo (80”) twin bed can be attaccata side by side to an electric hospital bed. Order an electric hospital bed che ha no headboard (80”), then a king-size headboard can be attaccata to entrambe beds.

56.

Washable synthetic sheepskin padding o commercial eggcrate foam can be placed under a fitted sheet per più comfort when lying down. Ogni di una variety of gonfiabile camping mattresses serve the same purpose.

57.

A U-shaped viaggiano neck pillow can be used to support the neck mentre lying flat o reclining in bed o in a lounge chair.

19

58.

Fiberfill o down comforters sono lighter e warmer than wool o acrylic blankets. It’s easier to move underneath o to lift them.

59.

Covers tented over a straight-back chair al fine del bed will libera your feet e gambe mentre keeping you warm. Using bed corner garters to secure the blanket edges to the mattress è an inexpensive way of keeping them securely tucked. They can be trovato in the bedding department of discount stores.

60.

To facilmente identify e retrieve a house key from a ring of keys, drill a second hole vicino al edge del key so it will hang off center on the keyring o usare a plastica key fine cover, available at your hardware store.

61.

Long corpo pillows can be used to prop the back per side lying, preventing you from rolling backward. They can also be placed fra your knees to decremento pressure e propped to reduce anche contracture.

20

GROOMING

62.

An empty half-gallon plastica cylindrical container makes a handy floating support per the capo e neck to allow shampooing mentre the bather è reclined in a tub. Avoid eccessivamente hot acqua when bathing, since it causes affaticamento.

63.

Per a “dry shampoo,” sprinkle cornstarch o bambino powder lightly on oily hair e brush it out. Pull a nylon stocking over the brush bristles e brush vigorously to remove più dirt e restore the sheen to your hair.

64.

Cylindrical foam can be purchased in yard lengths e attaccata o wrapped per extending o enlarging the handle di una razor, comb, toothbrush o altre grooming tool. Uno fine di una flat wooden coat hanger can be drilled to accept a pick-type comb. This device provides a light e facilmente handled comb extension.

65.

Liquid soap containers sono convenient ad usare when attaccata to the bathroom o shower wall. You don’t have to handle a slippery bar of soap o bottle of shampoo o hair conditioner. Make a slit e pocket in a thick sponge to hold a flat bar of soap. When you wash just squeeze the sponge to get the suds.

21

66.

A toothbrush can be adapted per usare by weak mani/wrists by cutting the middle rows of bristles down to half their height. Con this modification the front e back del teeth sono brushed by the alto front e back bristles mentre the tops sono cleaned by the shortened middle bristles. Such a toothbrush can also be purchased attraverso an appliance catalogo, as can an electric-powered model suitable per those lacking the strength o agility to brush their teeth. Look per one con a rotary brush. It’s easier to hold in front of your bocca.

67.

A washcloth mitten è easier per some folks ad usare than a regular washcloth per washing oneself o the dishes.

68.

A nail clipper e file combination can be mounted on a sturdy board, eliminating the necessitano per thumb o pinch strength when using these implements.

22

TOILETING

69.

Use bambino wipes instead of toilet tessuto. They sono easier to hold e you feel (e sono) cleaner when you finish using them.

70.

Serenity Security Pads worn at night can decremento the numero of times you have ad usare the bathroom. They can also be worn on lungo car trips.

71.

A piece of semi-flexible plastica (like che used to make small pocket rulers) can be impiegate to fold toilet tessuto per usare. The tessuto è wrapped attorno two-thirds del lunghezza del plastica (no sharp edges please), e the remainder used as an  extension handle. Another way to provide an extension per cleaning yourself con toilet paper è to wrap the tessuto attorno the working fine di una pair of ordinary kitchen tongs.

72.

Easy access to e egress from a bathroom can be provided by removing the door (e perfino parte del door-frame) e hanging an opaque shower curtain instead. This ends the difficulty of opening e closing the door senza sacrificing privacy. Offset hinges can also be used to widen the doorway senza removing the door.

23

73.

A Texas condom catheter per men o boys who can’t control their urine o sono in situazioni dove it’s inconvenient ad usare the toilet can be prescribed by your physician. It’s attaccata con double-sided adhesive tape to avoid leaking e fastened to a gambe bag per urine collection. The lungo connection hose (per the gambe bag) can be clamped al fine e placed over a urinal o toilet edge, thus eliminating the necessitano per a gambe bag. The condom can be reused se carefully washed in plain soap e acqua.

24

EATING

74.

A moistened paper towel placed under your plate will keep it from slipping on a formica tabletop.

75.

The diameter of eating utensil handles can be aumentata con cylindrical foam (available as pipe insulation al hardware store).

76.

Wide-handled plastica mugs sono easier to lift when all four fingers can be placed inside the handle. This way a firm grasp isn’t necessaria to hold e tip the cup verso the bocca. An inexpensive sip-a-mug can be purchased at most drugstores o supermarkets. This è a light plastica mug con a contoured handle which also serves as a straw.

77.

Lightweight plastica bowls sono easier to handle than glass o ceramic dishes. A rubber mesh mat will keep them from slipping on the counter o in the lap.

78.

A sport-type plastica drink container spesso ha a hole contenente a straw in its cover which eases/allows access to its contents.

79.

Annoying phlegm can be diminuiti by limiting the ingestion of dairy foods, ma be sure to get your daily calcium quotient in altre ways. Citrus juice can “cut” thick saliva.

25

80.

Suck ice chips prima eating se you have difficulty deglutizione. It helps desensitize the gag reflex.

81.

Masticazione licorice just prima eating decreases the appetite because it dulls taste buds. Be accurato non to overdo this. Too much licorice can decremento your siero potassio livello.

82.

Where deglutizione è difficult, a package of frozen peas placed on the front del neck may prove of assistance by relaxing muscolo spasm.

83.

When food gathers in the back del bocca, tip the chin downward, non upward, to improve ingestion.

84.

A little Oscar’s meat tenderizer (MSG) on the back del lingua will help to break up thick saliva e aid deglutizione.

85.

A damp dish towel wrapped attorno the base di una bowl will keep it from slipping on a smooth counter.

86.

A simple portable aid to help get the mano to the bocca can be made con ogni forearm support such as a flat lunghezza of wood o perfino split bamboo (con numerosi slips of velcro tacked on to secure the braccia) e attaccata in the middle on entrambe sides con a pin to two grande dowels which sono fixed to a heavy wooden base. This forearm prop can be placed on a tavolo dove it acts like a seesaw, lifting the mano to the bocca when the elbow è dropped.

26

87.

A disposable plastica cup con a spazio cut out along the rim to fit about a bambino’s nose will allow the youngster to drink in a better, più controlled position con his chin forward, rather than having to bend his capo back.

88.

A bambino having trouble controlling a cup con one mano can spesso do better se it’s fitted con two handles. This adapted cup è listed at low cost in ADL catalogs o you can ask a local potter to make one per you se a ceramic mug will non be too heavy to lift.

89.

An “octopus” soap holder which ha multiple suzione supports makes an efficace plate, glass o cup stabilizer. This gadget can be purchased in most grocery stores.

90.

An extra-lungo plastica straw can be used to eliminate the necessitano to lift a glass when drinking.

27

EXERCISING AND

MANAGING CONTRACTURES

91.

Tight heel cords can be trattate mentre a young bambino rides a rocking horse by fitting the horse con stirrups so che the feet verrà stretched up to a più normale position as he/she rocks.

92.

Contratture can be measured by ripiegamento a piece of paper to match the angle del joint, tracing the folded edge onto a second sheet e measuring it con a protractor. By keeping a record del degree of contracture, the caregiver can see progress e è più likely to keep working hard at stretching exercises to correct the contratture.

93.

Balancing exercises sono important because loss of balance can result in a fall con possible injury. Holding on to qualcuno mentre standing on each foot alone è a simple way to improve balance.

94.

A foot board (one-half- to tre-quarto-inch plywood padded con a blanket will do) per support al foot del bed to keep the feet propped al ankles durante sleep, helps prevent ankle contratture. Of course, this means you deve essere able to sleep on your back con entrambe feet against the board. You could, comunque, be side-lying con at least one foot against the board per some effetto.

28

95.

Se your heels feel sore mentre you’re lying on your back, place a small pillow under your calves to relieve heel pressure. This same tecnica can be used durante the day when you prop up your feet to reduce rigonfiamento. Tender heels can be toughened by patting them con a moist teabag at night. When the tea dries, the tannic acidi it contiene will act to harden (e leggermente discolor) the skin. Passive stretching del knee can be accomplished by placing the calves on a pillow supported by a hassock o kitchen chair. In this way, your heels aren’t resting on the supporting superficie e there è no heel pressure che might reduce local vascular circulation.

96.

Hand exercises can be fun. Try learning linguaggio dei segni e playing “shadow puppets.” Or squeeze the poles di una toy che makes an articulated animal go loop-de-loop. Fingers sono exercised comfortably by squeezing a washcloth o sponge in a basin of warm acqua.

97.

Exercising con your bambino can be made entertaining by strapping a small bell o flag to the braccia o gambe so che it will ring o flap when il bambino moves.

98.

The easiest way to stretch heel cord contratture è to stand at braccia’s lunghezza from a wall e place your mani on the wall. Lean verso the wall, bending your elbows, mentre keeping the heels flat on the floor e the knees straight, e attempt to touch the wall con your chest. Se this è too hard you can start con your feet closer to the wall, o bend one knee ad un tempo.

99.

When a bambino è seated, his feet should sempre be supported. A box o grande book will do. Dangling feet sono più prone to develop contratture.

29

100.

Simple breathing exercises can be performed by blowing attraverso a straw, blowing up balloons o blowing a ping pong ball on a tabletop o altre flat superficie. Playing a harmonica, kazoo o altre wind instrument è a pleasant way to esercizio i polmoni.

101.

Excessive heat will aumentano sintomi in those con myasthenia gravis. Swimming in a cool pool è the meglio esercizio per these pazienti. Cool foods e drink sono also easier to swallow. Emotional stress, perfino positive stress, increases debolezza in questa malattia e should essere evitati. That’s right, you can have too much fun!

30

RESOURCES

Per additional devices to help con attività of daily viventi, the following companies possono avere what you necessitano.

Generale:

Diestco

www.diestco.com

(800) 795-2392

Dining Con Dignity

www.diningwithdignity.com

(757) 565-2452

Hertz Supply

www.hertzsupply.com

(800) 321-4240

Home Healthcare Solutions

www.respitematch.com

(678) 884-0281

Independent Living Aids

www.independentliving.com

(800) 537-2118

Invacare

www.invacare.com

(800) 333-6900

Maddak

http://service.maddak.com

(973) 628-7600

Sammons Preston

www.sammonspreston.com

(800) 323-5547

TFI Healthcare

www.tfihealthcare.com

(804) 861-0063

Dressing:

Ag Apparel

www.agapparel.com

(609) 661-0195

Spec-L

www.spec-l.com

(800) 445-1981

31

Communicating:

Chattervox

www.chattervox.com

(847) 816-8580

DynaVox Technologies

www.dynavoxtech.com

(886) 396-2869

Eyegaze Systems from LC Technologies

www.eyegaze.com

(800) 393-4293

Sitting, Transferring e Mobility:

EZ-Access

www.homecareproducts.com

(800) 451-1903

LiftVest USA

www.liftvest.com

(800) 300-5671

Rand-Scot

www.randscot.com

(800) 467-7967

SureHands Lift e Care Systems

www.surehands.com

(800) 724-5305

Sleeping:

Hertz Supply

www.hertzsupply.com

(800) 321-4240

stanza da bagno Equipment:

Apex Dynamics Healthcare prodotti

www.apexdynamics.com

(800) 742-0453

Clark Medical prodotti

www.clarkmedical.com

(800) 889-5295

Duralife

www.duralife-usa.com

(800) 443-5433

NuProdx

www.nuprodx.com

(888) 288-5653

R.D. Equipment

http://rdequipment.com

(508) 362-7498

Stand Aid of Iowa

www.stand-aid.com

(800) 831-8580