At Device
At Device
At Device
Introduction
An assistive technology (AT) device refers to any hardware or software utilized by an
individual who has a disability to accomplish a task. AT can be designed and modified to fit the
needs of an individual (Cook & Polgar, 2015). Performing everyday tasks can be difficult for
individuals with disabilities. Occupational therapists (OTs) have extensive education regarding
different diagnoses, activity analysis, and identifying performance skills. Utilizing professional
background and creativity, OTs can create solutions to make everyday tasks easier for
individuals.
Population
Card rooms in Las Vegas are frequented by many people daily including individuals that
utilize walkers for functional mobility. Walkers may be used to compensate for deficits in
balance and strength, to decrease pain, and to decrease weight bearing (Bolding, Adler, TiptonBurton, Verran, & Lillie, 2013). The requirement of a walker for functional mobility may be
caused by a variety of elements unique to each individual. Deficits may include weakness,
insufficient endurance, balance problems, and decreased safety. Walkers help support the body
weight through the arms during gait (Bolding et al., 2013). Walkers require the use of both arms.
Without use of the arms, it is unsafe to carry items which makes ambulating through a card room
especially difficult. Carrying casino chips, handling money, and holding a drink are common
tasks when participating in the occupation of playing a poker tournament.
Every card room in Las Vegas offers a variety of tournament options that have a large
demographic of older participants. Poker tournaments can start with hundreds of tables. As
players get eliminated, tables are combined. The players have to transport their chips, drink, and
belongings to the new table. This process occurs frequently throughout the tournament until the
remaining players are seated at a single, final table. Tournaments are on a timed schedule with
the blinds constantly increasing. Players who are not able to quickly move to the new seat are at
a disadvantage because only seated players can play the dealt hands. It is common for players to
have multiple racks of chips that have to be gathered and transported to their new seat along with
personal belonging. Card rooms have employees to assist but they are not always readily
available. Many individuals do not want to rely on the assistance of others. These individuals
could greatly benefit from a device that would enable them to independently accomplish the
functional activities involved with participating in tournament poker.
Device
Description
Watching poker players struggle to engage in their leisure occupation due to the
constraints of using a walker for functional mobility led to the creation of the Card Room
Caddie. The Card Room Caddie is an assistive technology device designed to assist individuals
who use walkers participate in poker tournaments. The device acts as a tray with a special area
designed to hold a rack of chips, a protected money holder that is easily assessable, and a
functional drink holder with motion control capabilities. The Card Room Caddie is designed to
be a removable device and is placed on top of the walker. It is twenty-four inches wide, nineteen
inches deep, and half of an inch thick. A top layer of quarter inch oak plywood was chosen for
its lightweight and strength. A quarter inch foam poster board serves as extra support. A felt
covering provides a soft, non-slide surface.
Engagement
The Card Room Caddie enables the independent transport of poker chips and belongings
from table to table during the duration of a poker tournament. This ability gives poker players
who utilize walkers for mobility the freedom to independently participate in a meaningful
occupation. The growing body of literature on the relationship between leisure engagement and
health suggest that leisure can contribute to the physical, mental, social and spiritual dimensions
of health (Payne, Mowen, & Montoro-Rodriquez, 2006).
Cost Analysis
The Card Room Caddie was developed using materials purchased from five separate
stores with the total cost of $38.53 (see Table 1). The creation of the device required several onhand tools including a jigsaw, electric sander, power drill, screwdriver, and hot glue gun. The
motion controlled drink holder was created by repurposing the drink holder from a lawn chair.
Table 1.
Costs of Purchased Materials for Card Room Caddie
Item
Vendor
1/4-2-4 Oak
Lowes
1/2in x 1/2in x 8ft Pine
Lowes
2 Felt 36 x 36
Michaels
Craftwood 3 x 9.5
Michaels
Middle hinges
The Home Depot
1/4in Staples
The Home Depot
Foam board
Walmart
Chip rack
The Gamblers General Store
SubTotal
8.1% Tax
Total
Cost
$10.79 + tax
$3.92 + tax
$7.98 + tax
$1.99 + tax
$1.98 + tax
$2.76 + tax
$2.97 + tax
$3.25 + tax
$35.64
$2.89
$38.53
There are devices similar to the Card Room Caddie (see Table 2). However, these
devices do not meet the specific needs of the targeted population. With the built in chip holder,
the Card Room Caddie makes it possible to securely transport a rack of chips. The motion
controlled drink holder limits the chance of spillage. The money holder with closure gives card
room patrons a protected place to store valuables. The Card Room Caddie is an original adaptive
Cost
$39.99 + tax
Walgreens
$19.99 + tax
CVS Pharmacy
$29.49 + tax
Walmart
$16.49 + tax
Conclusion
The Card Room Caddie is an adaptive device that enhances the engagement in a
meaningful leisure occupation. With trial and error, the device came to fruition proving that
creativity and logic can help improve occupational performance. With the assistance of the Card
Room Caddie, tournament poker players who utilize walkers can independently participate in the
occupation, promoting health and well-being.
References
Bolding, D., Adler, C., Tipton-Burton, M., Verran, A., & Lillie, S. M. (2013). Mobility. In H. M.
Pendleton & W. Schultz-Krohn (Eds.), Pedrettis occupational therapy practice skills for
dysfunction (7th ed., pp. 233-294). St. Louis, MO: Mosby Elsevier.
Cook, A., & Polgar, J. (2015). Assistive technologies: Principles and practice (4th ed.) St. Louis,
MO: Mosby Elsevier.
Everard, K. M., Lach, H. W., Fisher, E. B., & Baum, M. C., (2000). Relationship of activity and
social support to the functional health of older adults. Journal of Gerontology, 55(4), 208212.
Payne, L. L., Mowen, A. J., & Montoro-Rodriguez, J. (2006). The role of leisure style in
maintaining the health of older adults with arthritis. Journal of Leisure Research, 38(1),
20-45.
Schepens, S., Sen, A., Painter, J. A., & Murphy, S. L. (2012). Relationship between fall-related
efficacy and activity engagement in community-dwelling older adults: A meta-analytic
review. American Journal of Occupational Therapy, 66, 137-148.
doi:10.5014/ajot.2012.001156