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Vic
 Member of Standing

Joined: 12 Apr 2007 Posts: 239
Location: New Delhi
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Hi,
I have a quick question for all.
I met an old lady today who has severe vision impairment (almost completely blind) but is absolutely independent as long as she has her white cane. She is retired and lives alone in a one bedroom flat. Despite her age (and disability) she loves going out to see her friends and enjoys her daily morning walks - these she insists are the only social events in her life now.
Now the problem is that lately she has has started losing her balance and she has had a few falls. Also arthritis (in hips and knees) is catching up with her now. Ideally she needs to use a walking frame as I fear the next time she falls she is going to break her bones - infact I believe strongly that, without a walking frame, she is a hip fracture waiting to happen. And this, at her age, is likely to make her completely bed-ridden, if not leave her with severe complications.
The problem I face now is do we insist she uses a walking frame and make her completely disabled (considering she is absolutely independent now with a white cane) purely on assumptions of what might happen if she doesnt ? Afterall life is not just about the number of years one lives but is also about the quality of life that one lives those years with ?
Also does anyone know of any special mobility aids that can be dual purpose - ie provide support and work as a navigation aid for VI ? (And no, a white walking stick will be no good to her - its already been tried and did not offer any good support to her).
Any suggestions/ comments will be highly appreciated.
Vikas
_________________ Vikas
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neha
 Young Member

Joined: 13 Apr 2007 Posts: 42
Location: NEW DELHI
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hi vic,
that's indeed a tricky situation! I really don't think that u are disabling her because a bad fall or a fracture would, in any case, make her bed bound! in my opinion, safety at her age is of prime importance to avoid further complications. I agree that a walking frame would be depriving her of her independence...but her history of falls and imbalance makes it crucial.
your solution( if it is available) will definitely serve the purpose; i will try to find out about it and will post my reply, if i find some relevant info.
neha
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afrs
 Newbie

Joined: 17 Apr 2007 Posts: 19
Location: New Delhi
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You are right by saying that the quality of life is indeed the most essential need for any individual. There is one option available for the lady which I guess would solve both the support and navigation purpose thereby enabling her live independently. Is is called a bat-inspired vibrating sonar walking cane which could help visually impaired people sense their surroundings. The lightweight device emits sound too high-pitched for the human ear to detect. It also picks up the reflections of these waves to map obstacles up to three metres away in three dimensions. Buttons on the cane's handle vibrate gently to warn a user to dodge low ceilings and sidestep objects blocking their path. It has been devised with a system small enough to mount on a white walking stick that sends 60,000 sound pulses per second and receives the faint echoes. Four pulsating pads on the stick's handle enable a blind walker to feel the strength of the ultrasound reflections. A fast and strong signals means that an obstacle is close.
Cheers! 
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Dsamant
 Young Member
Joined: 03 May 2007 Posts: 30
Location: Syracuse, NY, USA
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Hello Vikas,
Do you have any idea about what the lady's own opinion or preference in this regard is? It might help to drive the solution. Secondly, would she herself be paying for the accommodation or would it be funded by the government...as in what is the cost flexibility?
Thanks
Deepti
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Vic
 Member of Standing

Joined: 12 Apr 2007 Posts: 239
Location: New Delhi
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Hi Deepti,
Thanks for your response. This is a rather old case now but I do remember her clearly.
| Quote: | | Do you have any idea about what the lady's own opinion or preference in this regard is? |
The lady clearly prioritised her lifestyle and continued declining using anything but her white cane.
| Quote: | | would she herself be paying for the accommodation or would it be funded by the government |
She was paying for her accomodation but if she needed to move into a sheltered accomodation (this I pressume is what you are indicating) then the local authority will have funded, as long as the move was required and justifiable on health and/ or safety issues.
I had to agree with her that she had the right to take the risk and live her life her own way. Fortunately she has not bounced back (yet) - perhaps I was overtly concerned?
But I did learn one thing from her which I (now) fully agree with i.e. Independence also implies being able to live life one's own way and being able to take risks, is one choses to.
_________________ Vikas
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