Quality Second Hand Ex Council, Army / MOD Vehicles Plant and Machinery And Building Materials, Roofing Sheets We Are Steel Stockholders Based in Preston Lancashire So We Supply A wide Range Of Building Materials Including New / Used Steel Girders, Box Section, Angle Iron, Flat bar, Channel Iron, Tube Etc. Welcome to J. Sharples OUR CONTACT TELEPHONE NUMBERS ARE AS FOLLOWED 01772 628644 OR 07860559578 OUR STOCKLIST ON EBAY Based in Preston, Lancashire, close to the M6/M61/M65 motorway network, we have been established since 1980 and carry large stocks of New/Reclaimed building materials, box profile and corrugated roofing sheets, flashing's (ridge and barge) steel girders box section, angle iron, flat bar etc, old bricks and stone including architectural salvage materials at our reclamation yard in Preston Lancashire , specialized vehicle sales including minibuses, welfare buses with wheelchair lifts, plant, machinery, HGVs with specialist equipment. We specialize in industrial factory clearances, unwanted machinery disposals, we also buy reclaimed / demolition and architectural salvage in Lancashire and the surrounding areas, anything that you have that you think we maybe interested in.
Email us Plant & Commercial Vehicle Sales Direct from Council/Local Authority: Ex CouncilEx MilitaryEx Public UtilitiesMost vehicles one owner directRoofing sheetsLamp Poles & Also The Lights, Sodiums, Sox, Steel Girders, Box Section, Angle Iron, Flat Bar etcStone FlagsVictorianOrnamental Garden Architecture Join Our Mailing List Please complete the form below to be kept up to date on our current stock listings (Note: both fields are required)Please select your market so that we can provide you customized content: Occupational therapy evaluates how a person with ALS performs daily functional tasks that include personal care, mobility and work activities. Assessment is made through interview and functional evaluation in the ALS Clinic. Recommendations for assistive devices, durable medical equipment (wheelchairs, hospital beds, bath chairs, etc), and home or outpatient therapies are made. The therapist provides instruction in body mechanics for the patient and caregiver gives instruction in energy conservation techniques and provides exercise and range of motion guidelines.
What devices are useful with hand and arm weakness? Wrist and hand muscles may become weak affecting grasp for eating, dressing, grooming and work activities. There are many useful devices and "gadgets" on the market. Assessment of your specific need will help in selection of the appropriate items. Hand devices are usually not covered by insurance. You must purchase them on your own, but check with the occupational therapist about sources and prices, and whether these devices will help you or a waste of money. Activities of Daily Living MAS can be attached to an adjustable-height table on casters for use anywhere in the home. They allow horizontal and vertical motion of the arms so you can reach your plate and your mouth. They also work well over the computer keyboard. Table-mount clamps are used to attach the MAS to a table or computer desk; supinator attachment allows some rocking motion of the forearm trough; T-bar attachment can be attached to support a weak wrist.
What medical equipment and devices will help with leg weakness? There are many devices, braces and durable medical equipment available to assist you if you develop hip, knee or ankle weakness. Proper evaluation of the extent of your weakness and endurance is necessary before any recommendations for equipment are made. You must check with your insurance company or Medicare regarding what they will cover and what preferred providers or vendors they use. You will need a prescription (RX) and a letter of medical necessity (LMN) that can be written by the therapist or your physician, but must be signed by the physician. Pressure-Relief Pads or Mattresses Durable Medical Equipment (DME) Suppliers/Pittsburgh Area: Blackburns Physician Pharmacy, 800/472-2440; UPMC Home Care 888/860-2273. Neck Supports—used to support, protect and rest weak neck muscles We suggest that patients be evaluated at the Center for Assistive Technology (CAT) in order to get a wheelchair best suited to their needs.
Selection of the appropriate wheelchair depends on short-term and long-term needs and the following: Wheelchair distributors certified by CAT are: The Center for Assistive Technology evaluates patients for appropriate wheelchairs. Please feel free to contact Mark Schmeler at 412/647-1310. Each person with ALS and his/her family have a different course of progression, a different lifestyle, different resources and different family commitments. Decisions about home modifications to ease care and mobility problems are made with careful consideration of short-term and long-term needs. A platform area for the wheelchair is needed for safety and stability inside and outside the entrance doorway. This platform must be at the same level as the doorsill. At least a 36" x 36" platform will allow the wheelchair to safely sit outside the door before going up or down the ramp. A handrail or wheel rail should be attached along the sides of the ramp. Ramps can be constructed from deck wood (outside home) or plywood (inside the garage or home).
The maximum grade for indoor ramps is 12 inches of ramp for every 1 inch of rise or a 1: 12 ratio. Sometimes a sharper rise is needed because of a smaller area. Remember who is pushing up on down the ramp and the strength that is needed to control the wheelchair. Outside ramps should use 1:20 inch standard (a generous, long ramp). Walkways along the side for the house may allow space for such a long ramp. A "Z"-shaped ramp is necessary when short front- or backyards do not provide length for a safe, long incline. A five-foot area at the bottom of the ramp is recommended for stopping and turning the wheelchair. Local building ordinances must be taken into account. Portable, folding aluminum ramps are commercially available. These can be taken in the car or van for use when you go to a place where there is no ramp, or one to two steps. " or purchased for $15 from the Metropolitan Center for Independent Living 1600 University Ave. West, Suite 16, St. Paul, MN 55104-3825, 651/646-8342, companion video $20.
Porch lifts can be placed at doorways inside or outside the home depending on placement of stairs and space for the lift itself. Porch lifts can be placed inside bi-level and tri-level homes and allow use of two levels without major renovation to the home. Assessment by the installer must be made. Stair lifts can be rented or purchased. Straight stairs and curved stairs can be fitted with the appropriate models. Costs depend on length and curve of the track. Sitting balance and neck weakness must be considered. Insurance does not cover stair lifts. Ceiling lifts can be installed over the bed, in the bathroom, or at the top and bottom of stairs to meet individual needs. Easy access for walking or using a wheelchair must be considered. Keep an open mind and look at all the options. Platforms or decks outside the front and back or inside garage doors must meet the threshold. There must be sufficient turning area for a wheelchair. Door width and halls—at least 32" doorway width is needed with a door that swings inward.
Offset door hinges can replace regular door hinges if there is enough room to set the door behind the doorjamb. This will give you approximately 1.5 to 2 inches increased clearance depending on the width of the door itself. Bathroom doors need at least a 24-25"clearance. Wheelchairs are too wide to go through most bathroom doors. A rolling shower commode chair is needed. It can be used over the toilet or in the shower and is usually 21-22" wide; it goes through most bathroom doors easily. Bathrooms—Shower stalls are easier to negotiate than bathtubs. Remodeling is very expensive, but a tiled floor with a recessed drain allows a shower commode easy access for patient and caregiver. An oblong shower stall can be modified with a wood deck and removable ramp; glass doors must be removed and replaced with an expandable curtain rod and shower curtain. Place the curtain rod inside the shower area to prevent the water from dripping outside the shower stall. Tri-level, bi-level, and two-story homes with turning stairways are the most difficult challenges.
Solutions depend on family resources. Stair lifts are an alternative for those unable or unwilling to move. Companies now rent stair lifts. A decision to move the person with ALS to the most accessible level of the home with changes for toileting and bathing needs may be the most feasible solution in the long run. Check with companies that use ADA (American Disability Act) guidelines that modify homes in your area. All orthotics (splints and braces) require a prescription from your physician. The company you wish to use must be listed by your insurance company (in its network). Contact your insurance company before making an appointment. Insurance may not cover shoes, or shoe inserts depending on the specific diagnosis. Delatorre Orthotics and Prosthetics, 412/665-1900 Hanger Prosthetics & Orthotics Inc., 412/431-3553 The Role of Physical Activity Physical effects-joint mobility, weight bearing, circulation, cardiac health Respiratory function, digestive function
Emotional effects—well-being, endorphin release, sense of accomplishment, self-satisfaction Weakness and atrophy occur due to motor unit degeneration AND disuse Important to maximize use of non-involved muscles Important to maintain fitness and endurance for as long as possible Important to preserve the muscles once they are affected by ALS 1. Aerobic and endurance activitiesrecumbent or all-extremity cycling; activities of daily living (ADLs) Goal: Maintain work capacity Intensity: Light to moderate; expect workloads to decrease with time Duration: As long as practical without excessive fatigue Goal: Maintain strength of extremities, trunk, muscles of respiration Intensity: One set of eight to twelve repetitions, light weights or no resistanceStop once weakness occurs (at onset of clinical weakness, 50% of motor neurons have died). Mode: Stretching: active, Assistive or passive range of motion exercises Goal: Increase or maintain joint range of motion