title: Enhancing the quality of life of a client with severe developmental disabilities through the application of assistive technology. A case study.
abstract: This paper describes a structural sequential process aimed to enhance the quality of life of a 29 year old man through the application of assistive technology (AT). The client had life-long severe multiple disabilities, showed increasing fragility and decreasing functional abilities that resulted, among other problems, in a problem with toileting. The process involved a thorough assessment and evaluation of the client, his physical, cognitive and perceptual skills involved in the performance of the task, requirements of the task, the technology, and the task environment. A clinical reasoning model for the provision of AT was applied during the process to identify the functional deficits of the client with respect to the problematic task. The approach enabled a multidisciplinary team of university-affiliated professionals including physical and occupational therapists, an ergonomist, a rehabilitation engineer and care providers in an institution for developmentally disabled people to determine the primary attributes of a technological intervention. The process resulted in the selection of an appropriate piece of AT followed by its modification and adaptation in order to address the specific needs of the client. The client's toilet use was improved in a manner that ultimately contributed to enhancing the quality of his life. Projections for further improvements of the quality of life of the client in this institution were also discussed.
authors.affiliation: Occupational & Industrial Orthopaedic Center (OIOC), Hospital for Joint Diseases Orthopaedic Institute, New York University Medical Center, New York, NY 10014, USA.
authors.forename: David
authors.initials: D
authors.lastname: Goldsheyder
authors.forename: Margareta
authors.initials: M
authors.lastname: Nordin
authors.forename: Dina
authors.initials: D
authors.lastname: Loebl