Monday, October 18, 2010

Too Disabled to Fly

A month ago a man with cerebral palsy was asked to leave an U.S. Airways flight because the staff concluded he was too disabled to fly alone. The revelation stunned him since he had flown thousands of miles alone before. According to U.S. Airways, its policy requires passengers with disabilities to fly with companions. If a passenger with a disability can take care of himself on the ground, why shouldn’t he be able to do the same off the ground also? Viewing the coverage that this story has gotten, U.S. Airways asked the booted passenger to help them change their policy.


To read the whole story:

Friday, October 15, 2010

Will Rosa’s Law Change Attitudes?

 President Obama honored Rosa Marcellino, who inspired Rosa’s Law. The legislation will replace “mentally retardation” with “intellectual disability” in federal statues, such as health and education.

Rosa has down syndrome, but she probably has been called “retarded” or “mentally retarded” many times. Will her law prevent people from referring to her as a “retard”? The law definitely will curtail it, but it won’t stop some people from treating Rosa or any other person with an intellectual or communication disability as a vegetable or from calling her the derogatory terms.

As a supplement to Rosa’s Law, parents and schools need to teach kids to treat everyone with respect. The media also has to contribute by focusing more on bullying of students with intellectual and other disabilities. A single law can’t change attitudes just like that; it also takes each one of us to open minds and hearts.

Tuesday, October 12, 2010

ESP Wheelchair

Although motorized wheelchairs have been a godsend, some persons with dexterity impairments cannot navigate them.  This also goes for wheelchair users who are blind.  Thanks to The University of Technology Sydney (UTS), a solution may be soon on the horizon.  The UTS staff is developing a wheelchair that moves with brain waves alone.  Coined Aviator, the brain-operated chair runs on the user’s directional thoughts.  To read more about Aviator, read http://tinyurl.com/28rpegd,

Social Network Blackout for Autism

One of the effects of autism is the inability to communicate effectively.  To let others know what it’s like to be unable to express their thoughts and feelings, advocacy groups are promoting Social Network Blackout Day on November 1.  People are urged to avoid tweeting, using Facebook, Linkedin, and other social networks.  To find more about the Social Network Blackout, read http://tinyurl.com/24c6mah.

Translation Glove for the Deaf

While deafness does not have anything to do with intelligence, it can cause reading for persons who have been deaf all of their lives since they never heard spoken English.  To solve this problem, a glove has been invented to translate American Sign Language (ASL) into text.  To download more information about it, go to http://tinyurl.com/3yjjgrk.

Friday, October 8, 2010

Texting Has Taken A Step Further Towards The Blind

   Buttons on a mobile phone are too small for blind users to feel where they are on the device.  Yet, Dutch industrial designers have invented the wheel, so to speak, so blind users can text.  Although it doesn’t allow them to hear texts, Tactile Texting is a step in the right direction.  Read more about Tactile Texting at http://www.fastcodesign.com/1662207/an-interface-that-allows-the-blind-to-text.

Monday, August 23, 2010

Disabled Fetishes

On a couple of occasions, I have discussed how society tends to view persons with disabilities as asexual. Braces, crutches, and wheelchairs presumably are a sexual turnoff to many able-bodied individuals. For others, however, a disability can be quite a turn on.


As perverted as it might sound, some non-disabled persons have disability fetishes. Unless the opposite sex has some form of impairment, the able-bodied person cannot be attracted to them. The latter is referred to as a devotee. The typical devotee is a male who is attracted to female amputees. Thus, the devotee has acrotomophilia, a desire to have partners who had leg or arm amputations. (Now I finally understand why some Greek and Roman statues are armless!) Just as the average man finds large breasts and tight buttocks alluring, male devotees find stumps on female amputees attractive.

Female devotees, on the other hand, pursue men who use wheelchairs or crutches. In “Devotees, pretenders, and wannabes” by Dr. Richard Bruno, he presents a case where a forty-eight year-old woman tearfully admits that she married her husband because he uses crutches and wears braces. She said disabled men have attracted her since high school, where she dated a man with a limp. Just touching his impaired leg excited her. When she met her husband, his crutches and braces made her so aroused that she couldn’t face him for days. But soon after she married him, she lost interest in being intimate with him because he didn’t wear his braces to bed. So, she began fantasizing about other disabled men.

Based on Dr. Bruno’s research, attractions to stumps and mobility equipment are not an issue of sexual control as some might suspect. Instead, the disability attraction stems from a devotee’s childhood. Because some devotees lacked love when they were little, they project the desire to be loved on individuals with disabilities to satisfy their own emotional needs. Dr. Bruno believes that adults portray disabled individuals as lovable and needy. He cites Jerry Lewis as a prime example since the comedian always regards us as those who are desperate for affection.

For example, the female devotee mentioned above didn’t receive any physical or verbal show of affection from her parents. But she remembered how they talked compassionately about a disabled girl who lived in the neighborhood. The memory subconsciously made her want to be with disabled men to satisfy the lack of parental love. At times, she even pretended to be disabled by renting a wheelchair and riding around in malls.

As you’d expect, devotees turn to the Internet to meet persons of their disability dreams. Two such websites called Fascination Online and Amputee Support Coalition of Texas (ASCOT) offer videos and photos of female amputees doing daily activities, nothing very provocative unless the viewer presumes a legless woman doing exercises as arousing. The proceeds from the sites’ activities go towards helping the models buy prostheses.

The websites also list events, such as Fascination Weekends, where amputees and devotees can meet and have fun. According to the founder of Fascination, Bette Hagglund, who’s also an amputee, “fun” entails cheese parties, dinner parties, and swimming. But intimate encounters are bound to occur. Even marriages can blossom out of these events. So far, twelve couples have gotten married since Hagglund started sponsoring the amputee-devotee gatherings in 1985.

But not all devotees want to develop serious relationships with amputees, especially if they ask them “Are your stumps smooth or rough?” Some men who attend Fascination Weekends are married. Like Dr. Bruno’s above explanation about lack of parental affection, a lack of spousal affection may apply to devotees who are already married. Yet, if you are a Freudian, you may believe that stumps elicit phallic images for some devotees.

Devoteeism can become dangerous if the devotee starts stalking a person with a disability. Although no assaults have been reported, disabled women have had frightening experiences. For instance, one woman in a wheelchair received a call from a man who claimed he was a friend of a friend. When they went to dinner, he started talking about his wife and then bluntly admitted he wanted his dinner partner only for sex. He had gotten her name from a list provided by a devotee club. Luckily, the man never contacted her again afterwards.

Although attractions to individuals with disabilities can be very tainted, they can also be very rewarding to them. Rather than having persons who don’t accept them because of their impairments, many disabled individuals prefer devotees who happily accept them. Devotees can show deep care for their mates, more so than those who aren’t attracted by impairments but still have relationships with disabled partners. But if someone asks me if he can touch my wheelchair, I’d immediately direct him to the nearest medical equipment store.

Thursday, August 12, 2010

Hospital Ordeal

Reposting from "Around the Water Cooler


I have known Rosemary Musachio since we were in grade school so I think I can say I know her
very well. Rosemary has been using a manual communication board since she was about eight years old. I communicated like that as well until I received my first AAC device in 1993.


Rosemary and I have butted heads on many occasions about why she is still using a manual communication board. However, I have learned to keep quiet because Rosemary has accomplished a lot, and well if it ain't broke don't fix it! The decision about what type of communication device to use is a very personal one and what works for one person doesn't necessarily work for another.


Rosemary earned a bachelor's degree in Communications from
Cleveland State University. After
graduating she wrote a monthly column for Sun Newspapers of Cleveland and
published articles in the Plan Dealer and had a devoted following of
readers. Currently Rosemary is working
for a company named TecAccess that tests software and
web sites for accessibility for people who have hearing, sight, and mobility
disabilities. She has been there for ten
years and she is the Senior Accessible Analyst and Testing Manager.




Unfortunately Rosemary needed to be hospitalized earlier
this year and as you will read it was a very unpleasant experience. She wants to share her experience with the
hopes nobody will go through what she did.




-David







On April 2, 2010 I went to South Pointe Hospital’s emergency
room with severe back pain. After doing
blood and urine tests, the doctor said I had a urinary tract infection
(UTI). About an hour later I had a chest
x-ray without knowing why I was having it done.
Nobody informed my mom or me.
Then, about an hour after that I was taken for a cat scan of my
chest. Again, nobody told us why. My mom kept asking nurses, but they said we
needed to wait for the doctor.
Meanwhile, I was administered an antibiotic via IV. The nurse said “it’s for an infection.” My mom asked if it was for the UTI. The nurse said “probably.” The doctor finally came in and said I had
aspiration pneumonia. She explained that
a piece of food entered my lungs.




After the dose of the antibiotic in the emergency room
(around 4pm), I wasn’t given any more antibiotics until the next morning. I
also was not given any fluids the entire time I was in the hospital. Therefore, I probably became dehydrated. Finally, I made myself urinate. Otherwise, two nurses said they would put a
catheter in me. I actually prayed early
Monday morning with tears in my eyes to pee—and I did.




Because of the antibiotic and a dose of Milk of Magnesia given
to me on April 4, I developed diarrhea.
It lasted for two weeks. Because
the nurse/nursing assistant took 15 minutes or longer after my mom or I called
to inform them I finished using the bed pan, I laid in my fecal matter and thus
developed a bad rash that hasn’t healed completely yet.




I often slid down in the bed. During the day, nurses were usually good
about repositioning me in a prompt manner because (1) they were nicer than the
nightshift and (2) my mom was there. The
nightshift nurses, some more than others, treated me like a caged animal. She actually took the call button away from
me because I had pressed it accidentally while she was there. I literally yelled and cried most of the
night for her to come and reposition me.
When I tried to do this myself, I slid even more in bed. At the same time, I was experiencing side
effects from the antibiotics including insomnia and hot flashes. When she FINALLY came to my room, she glanced
my way and left. I even overheard her
telling someone, “She does this every night.”
On top of all this, a mentally disabled gentleman in the next room
yelled “nurse” every 5 minutes.




Lastly, although nursing assistants were informed they had
to cut up my food, they still tried to give me giant pieces. Eating in bed was more difficult. When my mom requested a wheelchair so I could
eat, the nurse said they did not have a “special wheelchair.” Ironically, a comfortable wheelchair was
brought up when I was discharged on April 5.




My recent hospital experience, to say the least, was not a
pleasant one. My story, while graphic and hard for me to tell, is an important
one because it truly highlights the struggle that people with communication
disorders face everyday. I wanted to share my story to continue to
bring awareness to the level of care being offered to people with communication
disorders. We are entitled to the same level of respect and care as anyone else
and yet, we fight to get even the most basic medical necessities and are
subjected to cruel and unfair treatment.
If each nurse, nursing assistant or doctor would have taken an extra 5
minutes to speak with me and my mother about how I was feeling and how I would
need to communicate, it may have saved everyone a lot of stress and pain.
Continue to advocate for yourself and for your friends and families that have
communication impairments. If you have been treated unfairly tell someone, they
will never give us a voice if we don’t start using ours.







To learn more about the communication experiences of
individuals who use AAC, check out one of the following resources:







1. Nursing the patient with severe communication impairment.




Hemsley, B., Sigafoos, J., Balandin,
S., Forbes, R., Taylor, C., Green, A., & Parmenter,
T.
Nursing the patient with severe communication impairment.
Journal of Advanced Nursing, 35(6),
827-835.




Abstract




Background: effective communication with patients is
critical to effective nursing practice. Surprisingly, there is little
information on nurses' experiences in caring for patients who are unable to
speak. Purpose and method: this study provides descriptive information from
interviews with 20 nurses who cared for patients with severe communication
impairment. The interview protocol explored positive and negative experiences
of nursing patients with severe communication impairment. Frequency counts and
descriptive analyses were conducted to identify the major themes emerging from
the interviews. Results: the results suggest that nurse–patient communication
is difficult when the patient has severe communication impairment, although
some nurses discovered effective strategies to facilitate communication with
such patients. Many of the difficulties could be viewed as a breakdown in
understanding arising from the lack of a readily interpretable communication
system that could be used by nurse and patient. Conclusions: the results
suggest a need for training nurses in the use of alternative modes of
communication. Nurses also need access to a variety of simple augmentative
communication devices for use with patients who are unable to speak. Finally,
nurses should collaborate with speech pathologists on the development of
preadmission information and bedside training for people who are admitted to
hospital with severe communication impairment.







2. Without
AAC: The Stories of Unpaid Carers of Adults with Cerebral Palsy and Complex Communication
Needs in Hospital.




Hemsley, B., & Balandin, S. (2004). The Stories of
Unpaid Carers of Adults with Cerebral Palsy and Complex Communication Needs in
Hospitals.
Augmentative and
Alternative Communication
, 20(4), 243-258.




Abstract




Many adults with cerebral palsy and complex communication
needs rely upon the support of their unpaid carers when they are in hospital.
In this paper, the authors present some of the findings of a larger qualitative
study of the experiences of unpaid carers of hospitalized adults with cerebral
palsy and complex communication needs who did not have access to their usual
augmentative and alternative communication (AAC) systems. Drawing upon the
stories of unpaid carers, communication issues associated with cerebral palsy
and complex communication needs and the absence of AAC are discussed. Such
information can be used to assist AAC specialists, hospital staff, and hospital
policy developers to improve care provided to not only people with cerebral
palsy and complex communication needs, but also to other people who are unable
to speak in hospital.







3. Communicating with Nurses: The Experience of 10 Individuals with an
Acquired Severe Communication Impairment.




Balandin, S., Hemsley,
B., Sigafoos, Green, V., Forbes, R., Taylor, C., Parmenter, T. (2001). Communicating with
Nurses: The Experience of 10 Individuals with an Acquired Severe Communication
Impairment.
Brain Impairment,
2(2), 109-118.






Abstract




Successful communication is integral to quality health care
and successful nursing practice. Ten people who had been in hospital in the 12
months prior to the study and who had no functional speech at that time were
interviewed about their communication experiences with nurses. Overall, these
individuals experienced difficulties, some of which appeared to be related to a
lack of augmentative and alternative communication (AAC) resources and a lack
of knowledge of AAC among nurses. In addition, the participants noted that
nurses did not always have the time or the skills to communicate effectively
with them. The participants suggested strategies to improve communication
interactions between patients with no or limited functional speech and nurses.
These strategies include pre-admission briefing and training nurses about
effective strategies for communicating with patients who are unable to speak,
including the use of augmentative and alternative communication systems.







4. Narrative analysis of the hospital experience for older parents of
people who cannot speak.




Hemsley, B., Balandin, S., & Togher, L. (2007). Narrative
analysis of the hospital experience for older parents on people who cannot
speak.
Journal of Aging Studies,
21(3), 239-254.




Abstract




In this study eight parents aged over 60 years
participated in in-depth interviews about their experiences in supporting an
adult son or daughter with cerebral palsy and complex communication needs
(CCN) in hospital. A narrative analysis of the interviews provided insights
into the nature of the parent carer's experiences
in hospital. The results are presented as an interpretation of the participants'
perceptions of their roles in hospital and the impact of these upon their
health and wellbeing in older age. The participants' suggestions of how to
improve the hospital care experience for all concerned are included and
directions for future research are discussed.