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Increased Independence Through Home Grocery Delivery

With the frigid winter temperatures,  I find myself dreading the random grocery store run for our household essentials like applesauce pouches.  Have you ever had to tell a toddler you are out of her favorite snack?  It is not fun.

I am pretty particular when it comes to my grocery shopping list.  On the occasions that I send my husband,  the list has more details than a legal document.  So I started thinking –

What would I do if I was not able to go do my own grocery shopping?

In the past we have used online grocery ordering for curbside pick up.  I used this a lot when I was pregnant or had an infant.  I have often used it during basketball season when my husband’s coaching schedule keeps us all busy.  But, this was out of convenience not necessity.

My parents utilized grocery home delivery when my mom was going through chemotherapy because she was also very particular with her grocery list and did not have the interest in creating a legal document for Dad  That is probably where I got it.  Anyway, there was a stage when she could not go to the store for any number of medical reasons, but she really wanted some control over her daily life.  Discovering online grocery shopping and home delivery gave her just a little something to feel in control and maintain her independence .

Then it dawned on me.  

Home grocery delivery is assistive technology!

Hear me out. I define assistive technology as anything that helps you do anything easier. Additionally, it offers a means for increased independence.  Home grocery delivery meets both those standards.

This presented a great opportunity to offer information for individuals with impairments that make in store grocery shopping a challenging or impossible activity.  So, I did some research.

I knew there were options – but I had no idea HOW MANY options exist for the delivery of basic to gourmet groceries!

This trend is spreading like wildfire, so while some options are not yet available in all areas, chances are they will be soon. Many of these offer a discount on your first order or free delivery for orders over a minimum amount.

  1. Hyvee Aisles – This system has an easy to use online portal to shop all departments and specify everything from quality to level of ripeness of produce.  They provide options for curbside pick up or home delivery. The pick up or delivery fee is waived with purchase over a minimum amount.  https://www.hy-vee.com/grocery/
  2. Bakers Click List – This system offers the same abilities as Hyvee Aisles with regard to access to all departments and specification, but currently only offer curbside pick up.  This is a relatively new initiative for Baker’s so I suspect they will expand to delivery in the future.   https://www.bakersplus.com/
  3. Hello Fresh – This is a fresh food delivery service rather than groceries specifically.  This service offers opportunities for delivery of healthy, high quality meals.  Rather than choosing all specific ingredients, users choose meal options and Hello Fresh delivers all ingredients (premeasured) for the number of meals chosen.  Users can schedule delivery each week or just order when wanted.  Hello easy meal planning! This service offers good options for every day meals or all the fixings for a special occasion or dinner party.  https://www.hellofresh.com/
  4. Peapod – This grocery delivery service is the first I ever learned of when I lived on the East Coast.  It functions like Hyvee Aisles, but is fulfilled through its own store network.  https://www.peapod.com/
  5. Whole foods – Whole foods offers options for curbside pick up or home delivery.  With the acquisition by Amazon, delivery service areas and options are bound to keep expanding.  This service allows you to search all areas of the store and specify details for your order. https://www.wholefoodsmarket.com/service/order-groceries-delivery
  6. Brandless – This was a new one to me!  This company offers natural and organic options for food and household goods.  All products are brandless, and get this –  EVERYTHING is $3 with a $1 delivery charge. Product offerings are limited to packaged goods, and do not include fresh groceries.  https://brandless.com/category/household-supplies
  7. Walmart – Didn’t know Walmart offers grocery service? Me either! You can shop all products in the grocery department, just like the other grocery store services. Currently, curbside pick up is the only option, but Walmart is constantly striving to maintain its status as a top retailer, so maybe home delivery is not far behind.  https://grocery.walmart.com/
  8. Thrive Market – Organic grocery delivery service. They carry packaged and household items for order.  This service does not offer fresh grocery options. https://thrivemarket.com/landing/thrivehome/?utm_source=google&utm_medium=cpc&utm_campaign=newengen%20-%20Nonbrand%20-%20Generic%20-%20l_DB1%205186&utm_content=48452069217&utm_term=242309711255-kwd-296951691513&device=c&ccode=FIRST3&ccode_force=1&gclid=Cj0KCQiAyZLSBRDpARIsAH66VQJiCZ73EfhRlhMOR-BaD3p9ls3RNT2q1BAPgzsUqaATUUYaTvxcz0gaAnGoEALw_wcB
  9. Amazon Fresh – For those areas served by Amazon Fresh you can order dairy, bakery, produce, perishables, pantry items and household goods.  Additionally, since they acquired Whole Foods you can also shop Whole Food offerings. https://www.amazon.com/AmazonFresh/b?ie=UTF8&node=10329849011

These 9 options offer access to a wide range of products and they can be ordered from the comfort of your own home.  

Their existence makes grocery shopping more accessible to more members in our community.  

These services help give individuals who have previously been fully dependent on others to stock their shelves gain increased control and independence over the what and when of their grocery shopping.

Happy shopping!

Let’s Play! Part 4: Creative Recreation

Welcome back to Let’s Play! Part 4: Creative Recreation!

One of my favorite books in recent years is UnThink by Erik Wahl .  That is right, UnThink.  Not stop thinking, but UnThink.  UnThink the way we approach problems.  UnThink what we accept as the norm.  The result?  We regain access to our unrestrained inner creative capacity. By opening this window into our younger, less restrained self we can further develop ourselves, our skills and tap into talents we forgot we had.

In Let’s Play! Parts 1, 2, & 3 we covered a lot of very active recreational activities.  While I am creative, I am not artistically or musically inclined.  Music and art based activities can offer a lot of enjoyment, stress relief, rehab and other benefits.  I am excited to share some innovative ways to experience these activities and not let barriers stand in your way.

I still have not found my artistic ability beyond stick figures, but I recognize that there is a sort of magic in the creative arts.  This is what makes it so important that all individuals realize there are solutions out there to remove barriers to accessing art and music activities.  And if they are not readily available, they may be able to be created!

Let’s start with MUSIC.  I mean, even my 1 year old drops everything – even her coveted Goldfish crackers – to dance when music comes on.  Personally, I listen to music all day while I work.  I NEED it to be able to function and access my creativity.  Music is good for the mind and soul.  

The benefits of music therapy have impacted children and adults alike, including enhancing recovery from injuries.  Whether used as a therapeutic tool or for recreation there are options for children, adults, casual and serious musicians alike. For the recreational musician just looking to have some fun and make some noise there are musical toys that are switch activated, providing a medium individuals with all levels of abilities can access.

 

For the more traditional or serious musician there are many ways to gain access to your favorite musical activity. The Orbit is an example of an adaptive guitar pick that reduces the grasp demand when strumming the guitar strings.  There are many other ways to make this activity accessible utilizing a standard universal cuff, Instamorph or other things around home.  

If the barrier is related to balance, stability or strength to stabilize an instrument, there are quite a few musical instrument stands available for stabilizing a variety of wind instruments.  Emily Ziegmeyer shows us that there is no reason to let not having arms stop you from pursuing your dream of being a Cello player.  In addition to physically accessing the instruments, sensory impairments should not be an insurmountable barrier.  Blindness should not exclude musicians from getting their groove on – Braille sheet music is readily available!

If you want to learn more about the myriad of applications for music therapy check out the American Music Therapy Association .

 

There are so many ways to make ART activities accessible..  Let’s start low tech and the most simple.  Using a foam hair roller, tennis ball, Instamorph, some variation of a universal cuff you can easily create a larger diameter for a paint brush, marker or other art utensil.  You can also purchase commercially available adapted paint brushes, scissors and other art materials.  

If the barrier to participation is related to accessing the art surface, using a drafting table or table-top easel provides flexibility in the positioning of art materials.  

Since pottery wheels are already foot-switch activated it is feasible to create accessibility through moving the activation location or further switch adapting this apparatus. For someone with limited motor control in their lower extremities who is unable to activate the traditional foot pedal for the pottery table, using another activation location or alternative switch could remove a barrier and open the door to the pottery world.

Have you ever wanted to bring your friend, child, sibling or other individual to an activity based event, but the activities were not accessible to them?  It’s heartbreaking to me when people who want to share an experience are excluded because the activities were not designed with all individuals in mind.  While disappointing, these instances also inspire and motivate me.  They are fuel for creativity and a driving force for creating better solutions for our communities.

One of my passions is creating ways for activities to be accessible and inclusive.  Another passion is rooted in my love of engineering – creating or modifying equipment to make things more accessible.  

Zot Artz embraces both of these concepts and the result is amazing!  Zot Artz exists to “create adaptive art tools and make them available to teachers, therapists, residential providers, hospitals, parks, and other facilities who could offer art experiences to children. Zot Artz currently has a complete line of adaptive tools that make the creation of art possible and fun for children with and without handicaps.” They do more than sell adapted art tools – they also host art events where they bring all the tools and facilitate an art experience accessible for all members of the group.  (https://zotartz.com/)  

Are you inspired yet?  Did you UnThink what you thought you knew about accessible art activities?

If you want to see an activity adapted to be more accessible – Assistology would love to help you!

If you have an idea for an inclusive, community based recreational event, but do not know how to make it happen – Assistology would love to partner with you to bring it to life!

We strive for collaboration and impactful partnerships that result in a more inclusive community.

Let’s work together to expand the accessible opportunities for individuals in our communities!

 

 

 

Let’s Play! Part 3: Adapted Fitness

Being active not only helps maintain a level of physical health and wellness, but can have a significant impact on mental health and wellness.

I am not a psychologist and I don’t play one on television, but it doesn’t take a rocket scientist to understand that when we get to actively participate in activities and positively engage with people, our mental health improves.  Lack of and access to options play a large role in isolation and declining mental health for individuals with disabilities and their families.

In this blog there may be some overlap from Let’s Play! Part 2: High tech and adapted Outdoor sporting, but there is also lots of new AT options to explore.

Adaptive Bikes are a great therapeutic tool often used in a rehab therapy setting, but these same bikes are available for consumer use and can open doors for engagement previously not accessible.  Having an adapted bike allows an individual who may typically be excluded from traditional bike riding activities to participate. This could mean a family can now ALL go together for a bike outing. Or a child now has a means to play with the other kids in the neighborhood.

Additionally, here in Omaha, there is the Wheel Club through the Monroe Meyer Institute that provides tandem bikes and a buddy to do most of the work, giving individuals with disabilities another great opportunity to experience bike riding.

It is true, these bikes are expensive.  The Friendship Circle does an annual event called Great Adapted Bike Give Away where they give away dozens of adaptive bikes every year.  The event happens in the Spring so now is a great time to start exploring the options!

Not all solutions to exercise equipment have to be high tech.  For example, you can use cuff weights as an alternative to traditional dumbbells or use resistance bands on a rod system for increased ease of use and safety.

If you have access to a gym or professional recreation facility you may find higher tech options like the FES indoor rowing machine or the ICARE motorized elliptical (developed right here in our home state at the Madonna Rehabilitation Hospital’s Research Institute in Lincoln, NE) that offer additional points of support to allow individuals with limited strength or balance to successfully use the equipment.

There are several companies who offer adaptive aquatics classes, but there are also adaptive equipment you can purchase for use in a pool independent of a paid program. Foam pool “noodles” can be used in a variety of innovative ways to create a buoy system to help support swimmers of many ages and abilities.

There are more things out there than I can cover.  A blog “Teaching Learners with Multiple Special Needs” provides an expansive list of equipment and supplies.  I mean, check out the floating pool mat!

Blog: http://teachinglearnerswithmultipleneeds.blogspot.com/2008/06/swimming-with-special-needs.html

Many dance, music, theater and gymnastics programs and working to create programs that are more inclusive and accessible for participants of all abilities.  Some of these programs are designed specifically for individuals with special needs, others are designed with an inclusive model where children with and without special needs participate together.  There are also programs that offer adaptive dance where the entire class participates from a seated position, making the activity even more accessible for persons of any age and ability.

Here are a few options in the Omaha/Lincoln area:

  1. Metro Stars Gymnastics offers a “Special Starts” program, gymnastics taught by Occupational Therapists.
  2. Rennae’s School of Dance offers “Special Expressions Dance,” classes for children with special needs.
  3. X-treme Dance Force offers a special needs dance class.
  4. The Rose Theater has theater classes adapted for children with Autism, Down Syndrome and American Sign Language Interpreted.

And while this program is not in the Omaha area, this video is so feel good I had to share!

When kids with special needs get ‘A Chance To Dance,’ just watch them shine

With the right coach and determination champion athletes are developed.  Check out this inspiring story of Chelsea Werner’s rise to an USA Olympics team!

https://www.today.com/news/champion-gymnast-down-syndrome-overcomes-obstacles-inspires-others-1D80381285

If you are looking for a well established program with dedicated coaches, I suggest exploring opportunities with Special Olympics Nebraska.  If your child is under 8 check out the Young Athletes program within Special Olympics .

To close, I want to share one of the most inspiring adaptive fitness stories I have ever followed has been the journey of Team Hoyt.  Dick Hoyt (father) has made it his life practice to participate in high level competitions in tandem with his son, Rick.  They have not let anything stop them from running, biking and swimming together. It just goes to show that truly, if there is a will, there is a way.

“Dad, when I’m running, it feels like I’m not disabled.” ~ Rick Hoyt

 

Moral of the story? Don’t be afraid to DREAM BIG and get out there and PLAY!

Be on the watch for Let’s Play! Part 4 where we explore Assistive Technology options for arts and music!

Let’s Play! Part 2: High Tech and Adapted Outdoor Sporting

I hope you enjoyed Let’s Play! Part 1. In Part 2 of our Blog series Let’s Play! we are going to explore higher tech Assistive Technology for outdoor recreation.

As we all know, sometimes the most fun recreation requires more extensive or advanced technologies.  A lot of options exist in the marketplace that are designed to enable individuals to get outside and get active – whether alone, or with family or friends.  Just about any activity you want to do has equipment available.  

Fishing, Hunting and Boating, OH MY!

First, let’s talk about water activities.  Many people just assume that if an individual has an impairment, especially a mobility impairment, they are excluded from participating in water based activities.  Not so my friend!  Get ready to be inspired!

Whether you simply enjoy the wind in your hair only a speed boat can offer, enjoy kayaking or live for fishing, there are options for seating, positioning, paddling and more! Let’s check out a few.  (This is a great website with more extensive information on options: http://www.creatingability.com/ )

There are several variations of a wake board and/or skis with the addition of a chair that allows individuals unable to use a standard wake board the opportunity to experience the thrill.  Ann O’Brine Satterfield became the first female with a disability to land a jump in a sit ski. Similarly, where are wake boards designed for use by an individual in a seated position, such as the Swaik – Sit Wake.

For a more relaxing adventure, try an adapted kayak and paddles.  Adapted seating allows for added stability and postural support.  Varieties of adaptations for paddling result in one- or two-handed paddling, or paddling via feet.

I caught my first fish in a Walleye tournament at 5 years old – and it was the biggest in our group!  I love everything about fishing and if I acquired a disability that impaired me from participating I would be so excited there were options out there to enable me to still participate in something I love.

The pictured one-handed reel by Achievable Concepts can be a great solution to give someone who needs to perform tasks one-handed.  For an individual with higher levels of impairment related to mobility, there is the Low Mobility Rod Mount by Be Adaptive Equipment.  And maybe the coolest adaptation I discovered when researching these options is a fishing boat with wheelchair ramp access, allowing those individuals using a wheelchair to get out on the water without transferring out of their wheelchair.

Here is a resource on places to find more information on where you can purchase water sport equipment: http://www.disabledsportsusa.org/sports/adaptive-equipment/water-sports-equipment/

From sea to land.  

Other than fishing, I pretty much prefer my feet on solid ground.  

For my like minded readers, let’s explore Adapted Rec Equipment for land based activities.

Young children with mobility impairments shouldn’t be left out of the outdoor fun.  Thanks to Cole Galloway and the Go Baby Go!  Program that developed out of the University of Delaware children all over the world are being given the opportunity for independent, recreational mobility.  Added bonus, it also helps them reach developmental milestones!  There are sites all over the world where you can obtain one for a child in your life.  To read more about the program and its benefits check out this video: http://nationswell.com/babiesdrivingracecars/ 

Wheelchairs are just for smooth, even surfaces!

All terrain wheelchairs exist for beach goers and off-roaders alike. Just like other wheelchairs, they come in simple, lower tech models and advance to about as high tech as you can imagine! Whether high or low tech,  these all terrain wheelchairs feature more durable wheels and frames ensuring stability and safety while exploring. 

Snow bunnies unite!

Whether you want to go down the mountain solo or with a partner you have options!  

For you independent souls the Uniski and Dualski are examples of adapted ski equipment for you to conquer the slopes. If you are like me and prefer to have someone else around to make sure you don’t fly off the edge of a mountain, or you just need a second set of hands to help you navigate the slopes, something like the Tandom Flex is a great option.

I won’t pretend that my knowledge base for hunting and fishing runs anything but superficial, but I did want to present a couple of cool options I found to allow individuals with varying levels of impairments participate in rifle, pistol and archery related activities.

Be Adaptive Equipment has some unique options for rifle and pistol mounts that increase the accessibility of firearm shooting activities, whether for target practice or hunting.  Their High Quad Pistol Mount allows for trigger access using mouth controls. They also have a wheelchair mounted bow stand that allows for stable positioning of the bow for an individual using a wheelchair.

Photo Credits: Be Adaptive Equipment

Don’t be deterred from trying something new if  you cannot personally afford these higher tech, higher cost items.  There are many community based programs that have equipment you can rent for the activities you love.

For example,

  • Mountains have adapted ski equipment and guides
  • Cities have recreational programs
  • Many rehab centers have adapted sports leagues
  • Organizations that serve and employ individuals with disabilities often have adapted sports clubs
  • Association chapters that focus on a particular population within the disability community, such as – United Cerebral Palsy, Multiple Sclerosis Society, Muscular Dystrophy Association, Commission for the Blind and Visually Impaired

In addition, many of the regional Associations or Societies offer individual grants to members to pursue activities they enjoy, which often includes financing.  Easter Seals has low interest loan programs that make purchasing larger ticket items more accessible as well.

For those of you around the Omaha, NE area, check out this non-exhaustive list of options in our community:

Outlook Nebraska, Inc – Tandem bike, golf and Goalball: https://outlooknebraska.org/about-us/vision-resource-coalition/

CHI Health  http://www.lakesideortho.com/SportsandLeisureProgram & http://www.chihealth.com/therapeuticrecreation 

Madonna Rehab: https://www.madonna.org/programs-and-services/adaptive-sports-and-recreation-open-recreation

Special Olympics Nebraska: http://www.sone.org/

Paralyzed Veterans of America : http://greatplainspva.org/site/national-veterans-wheelchair-games/

The Eastern Nebraska Wheelchair Athletic Association: http://www.enwaa.org/adult-activities/

Adapted ski programs by state: http://www.specialneedstravelmom.com/blog/ski-resorts-adaptive-skiing-programs/

Get out and try something new!

Be on the watch for Part 3 of the series where we explore high tech assistive technology options that are all about accessible fitness!

 

Let’s Play! Part 1: Low Tech Recreational Activities

Recreational activities are so important for individuals of all ages for maintaining social engagement, reducing isolation and maintaining a positive quality of life.  Whether you prefer solitary activities like gardening or cards, or more active, group centered activities like bowling or board games there are many accessible options available.

Advancements in assistive technology (AT) have led to adaptive equipment for just about any activity or sport.  I cannot possibly cover it all, let alone in one Blog.  In this 4 part Blog series – Let’s Play – I will offer examples for many inclusive, accessible options for recreational activities for all ages and ranges of abilities.  

In the past, it has often been difficult for individuals with impairments to participate in outdoor activities.  I cannot  wait to show you the possibilities that exist to remove barriers to play!

In Part 1 we will focus on a variety of low tech assistive technology and adapted recreational activities.

For the go-getter wanting physically active social engagement

Yard Yatzee and adapted volleyball are  great options for the backyard get together! They can also be played indoors for year around fun!

Large dice Yard Yatzee allows participation for individuals of all abilities.  If the player has limited upper body strength or mobility they can roll the dice right off their lap or a table. Additionally, a handle can be added to the side of the bucket for easier access to pouring the dice.

yard yatzeeImage Source: Farkle

With adapted volleyball you can play from a seated or standing position, creating an accessible activity for individuals of all ages and abilities. Lowering the net and using a beach ball removes many barriers associated with the standard game of volleyball.

If you have a child with special needs attending your gathering, having a full support swing that accommodates an individual up to 120 pounds is a great way to include them in the festivities.  It could also be used with an indoor swing system or hung from metal ceiling beams in a basement for indoor use.

child-full-support-swing-seatImage Source: eSpecial Needs

I know that I would go stir crazy if I had to see only the inside of my house day after day. For those who want to get out in the community, bowling and swimming are great options.  Who doesn’t love a bowling alley birthday party? The use of a bowling ball ramp allows access to a fantastic social activity for individuals of all ages who lack the strength or skills needed to send the ball down the lane in a traditional manner.  Most bowling alleys should have a bowling ball ramp, but be sure to call ahead.

adapted bowling1

Swimming in a staple of summertime activities.  The Firefly Splashy Chair allows for a young child with postural instability to be included in the fun.  It would be great for a beach or zero-entry pool, indoor or outdoor.

fireflysplashychair.pngImage Credit: FireFlyfriends.com

For those who just like to chill out

Physically active social activities are not for everyone.  For something a little more low key, but still social, there are many options for adapted games.  A great option is cards with large print and table top holders to hold the cards.  These reduce the barrier to playing for individuals with low vision, arthritis or other impairments limiting their ability to hold and manipulate cards.  For the child that loves friendly competition, an adapted version of hungry hungry hippos is a great option.  You won’t even mind the racket caused by the marbles because the sound of their laughter will be amazing.

                      Image Credits: Enabling Devices and Rehabmart

Gardening is an activity many people enjoy, and even find therapeutic.  For an individual who has had a stroke, struggles with arthritis or has impairments related to other conditions, gardening can present a number of challenges related to positioning and using the tools. A variety of gardening tools with different handle positions are available and can relieve barriers to gardening associated with hand or joint mobility. Adapted gardening tools allow you to do those activities that have brought you joy over the years.

The Garden Rocker by BlueSky Designs can help give seated stability, yet flexibility to relieve some of the physical demands.  Added bonus, it can be used for any activity where someone needs to be near the floor, like petting a dog or playing with a baby.  

Image Credits: Easi Grip Gardening ToolsLee Valley Tools Ltd and BlueSky Designs

Check out many other options at: http://thestrokethrivers.blogspot.com/p/gardening.html

Whatever the activity or your level of ability, chances are there is assistive technology or adapted equipment available to help increase access to recreational activities.  If it doesn’t exist, it can likely be modified – or even custom made for your needs.

Be on the watch for Part 2 of the series where we explore high tech assistive technology recreational activity options that make play more accessible!