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We're All Temporarily Abled

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I still have no idea what happened, because I don't recall any slip, trip, or fall precipitating it, but my right ankle began to hurt on the evening of July 2nd. The morning of the 3rd, I woke up to the realization that something was catastrophically wrong. I could not bear any weight on the leg without severe pain. After much difficulty, and accompanied by no small amount of swearing, I managed to get myself to the restroom, and then to the sofa with my laptop to begin assessing the situation.

I called my neighbor, a retired nurse, and asked her to give a more informed opinion than my own. There was visible swelling, but no obvious indications of a fracture, so she suggested acetaminophen (a.k.a. paracetamol or Tylenol), ice, elevation, and rest. I spent most of that day on the sofa with my foot raised on some throw pillows while I watched movies and played games to keep my mind off the pain. My father found a cane I could use to get around when I absolutely had to, but I spent the day in a haze.

On the 4th, the Mother Thing remembered there was a set of crutches stored somewhere from when dad had a broken ankle, and brought those to me. It was a marked improvement over the cane, because I had not improved much. Even with the cane for support, any walking aggravated my ankle anew. The crutches meant I could keep my right leg almost entirely protected from stress.

Now, it is the evening of the 5th, and recovery has progressed. Swelling has gone down a bit, some movement has been restored, and I can bear some weight on it again. I am cautiously trying to flex the joint and regain some range of motion, but it still sends a sharp flare of pain if moved in the wrong way. I am now using the crook of the cane to help reach down and move my foot. My Achilles tendon is still sore, as is the instep, and rotation in all axes is still diminished, but I am optimistic for tomorrow, and at this rate, I may be fully recovered in another couple days.

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This sudden-onset disability reminded me of something I heard early on when I was attending the local community college: Disability isn't really an outlier. We're all temporarily abled. Age, injury, disease, and more can hit even the healthiest among us. I expect to regain full mobility soon, but my struggles with this episode shine a light on an issue my parents face as they age: homes often aren't designed with aging in mind. Neither handle stairs well, but the laundry room, a lot of storage, and the wood furnace are all in the basement.

As a draftsman, I learned more about the Americans with Disabilities Act as it applied to commercial and residential design. We also had to take this into consideration whenever we made changes to the library when I worked there. @generikat can tell stories of what it takes to ensure full wheelchair access when her husband T. was recovering from a much more severe injury, but even if we aren't planning for that level of accommodation, it would be wise to plan ahead to at least some degree. It relates as well to @denmarkguy's post from a couple weeks ago where he bemoaned the disappearance of the starter/retirement home. I see this as a side effect of the constant efforts to re-re-reinflate the housing bubble with easy credit, leading to developers who demolish "blighted" neighborhoods only to build subdivisions full of McMansions in place of the cottages and bungalows which used to be there.

If you are buying, remodeling, or building a home, I suggest planning for possible disability from the start. The ground floor should include a bedroom, a full bath, the laundry room, the kitchen, and main living space if possible. Wide doorways and corridors make it easier to move furniture or roll though on a wheelchair. Focus less on overall square footage in favor of more attention to better design and materials. I may start drafting some floor plans for more accessible starter/retirement homes at some point myself.

Changes may require breaking free of preconceptions. For example, European readers may not find this idea novel, but Americans should consider their tendency toward laundry facilities in the kitchen. Plumbing, electricity, and gas (in some cases) are already there. Countertops or the kitchen table can serve double duty for folding clothes. If you've had experience with disability or design, what ideas outside the building codes and traditional floor plan assumptions would you recommend?

Image source: Wikimedia

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Comments · 6

  • @pizzabot(60)· 48d

    PIZZA!

    $PIZZA slices delivered: @generikat(3/15) tipped @jacobtothe

    Join us in Discord!

  • @northwestnomad(67)· 50d

    For their dream home, my mother and stepdad had it designed to include a small elevator between the two levels. Probably the most forward-looking design decision they made on that house, as my mother uses it every day. Doesn't need to, but with aching knees it really makes life easier.

  • @passenger777(76)· 51d

    The idea that "we are all temporarily healthy" is a truly powerful message that makes one stop and think. I myself had back surgery years ago. Before the surgery, I played tennis very intensely and professionally. Suddenly, I experienced severe back pain that made it impossible to walk. As a last resort, I had to have surgery. I also believe that homes should be designed not only for today's needs but also with the future in mind. Even seemingly small details like step-free entrances, non-slip floors, good lighting, grab rails in bathrooms, and wide doors can make our lives easier. I think these kinds of changes should be made not only for disabled individuals or the elderly, but also for families with children and everyone experiencing temporary disabilities.

  • @generikat(76)· 53d

    I'm sorry you are ailing, although I am glad there is improvement. I have noticed that this particular decade of life has sprung many more mysterious and longer to get healed from (if at all) ailments on me. Ugh!

    You are very right about us all being temporarily abled. It is definitely something that everyone should be mindful of, especially when it comes to their dwellings. I am so thankful for our house being designed from the beginning as completely wheelchair accessible because along with the T's injuries and subsequent disabilities, old age is a thing for us all, and things just happen.

    I hope you are feeling even mo' better today!

    !BBH !PIZZA

  • @livinguktaiwan(81)· 53d

    Oh dear. It's always worrying when you get sudden pain or aches for no reason at all. That happened to me a while ago, it was like someone had punched me at the edge of my rib cage and it hurt when I exhaled. Luckily the pain has gone away now. Weird.

    In UK, all new build houses must be accessible to wheelchair users on the ground floor. That's great for accessibility, but when house aren't that big and you don't have wheelchair users living with you it can be a bit of a pain to have very wide hallways which becomes dead space

  • @ryivhnn(73)· 53d

    Only (very limited) experience I have with accessibility design is trying to follow wcag as much as possible with the websites that I've made and some research for when I'm making buildings for my head universe (seems that what I can see in my head is somewhat compliant anyway as most of them were probably made before they had the medical technology to potentially deal with most things).

    I hate laundry facilities in the kitchen x_x

    But one of the things I do like about my otherwise really "quirky" little house (the result of what happens when you turn a 1x1 or 2x1 (not sure what it was originally I'm educated guessing based on the original layout) into a 4x2 by adding more sides to a squareish house) is that the bathrooms (one full bathroom which has a toilet but sadly no more bathtub and one utility bathroom that contains the laundry, or maybe the laundry contains a shower stall and a bathroom counter I'm not quite sure ^_^;) and toilet room are all in one area and not too far from the kitchen (which is kind of in the middlelish of the house).

    We found out the hard way (when Middle broke her knee) that the house is relatively accessible (she could easily navigate on crutches and the only problems were things that could be moved if the problem was more permanent). All we'd need to do to make it more wheel friendly is move the obstacles (one vaiselier type thing that is in the corridor and an exercise machine that doesn't actually get used anymore as the boys now need more than their body weight and J has to admit that he cba because his previous excuse was that the only time he could use it was at 5am and he didn't want to wake Middle up as it is right outside her room but she lives with her boyfriend now). To make it better we would need to possibly mini-ramp the front door (the step up there is minute but could prevent problems for some walker users), proper ramp the porch (slightly shorter than standard step up) and do one of those door ramp things over the back door (but ideally I'd just like to completely redo the back door because that thing is so horrid to open and close and make it flush while about it).

    I have also spent way too long planning the cottage garden trying to keep accessibility in mind so my paths basically have to be recycled rubber pavers at this stage. The primarily-food garden is a later-us problem as there's currently no easy way to make any of that accessible x_x

    The good thing about this house is that while I would have preferred bigger as it would have been better for the multigenerational living that I thought would happen (and did) it's a very manageable size for when/if all the kids are finally able to move out so we wouldn't even need to "downsize" to a retirement home unless we really wanted or needed to (because of medical issues or whatever, obviously we always assume the best and that we'll just get older but who knows what will happen).