Aquatic Supervision For Individuals with Disabilities
May is often the time when aquatic instructors start preparing
for summer activities. As part of their preparation, instructors
should be aware water recreation for individuals with disabilities
provides an excellent means for developing physical fitness, social
skills, and increasing self-esteem that land activities cannot accomplish.
Further, aquatics activities are a fun way to improve muscle strength,
motor coordination, flexibility, cardiorespiratory endurance, and
postural stability without putting undue pressure on the joints.
Because the unique characteristics aquatics provide, there has been
a continued trend to include more individuals with disabilities
into the general community aquatic program. Aquatic instructors
should be prepared to provide appropriate instruction while maintaining
a safe environment for individuals with disabilities. This article
will present safety guidelines, instructional strategies, and accessibility
ideas to help instructors overcome these challenges.
Phillip Conaster
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Aquatic instructors should pay attention to how individuals with
disabilities are using the facility, taking into consideration what
type of disabilities and the severity of the disabilities. Some
disabilities are obvious, such as: if someone uses a wheelchair,
wears orthopedic braces, or uses a cane or seeing eye dog while
walking. Some conditions are not easily distinguishable such as,
mental retardation, autism, blind, deaf, diabetes, or epilepsy and
are often overlooked. However, aquatic instructors may identify
some disabilities like mental retardation by observing poor body
coordination for age, frequent stubbing, failure to stay on task,
and/or to take more trials in learning basic swimming skill. Individuals
with autism might be recognized by stereotypic behaviors such as:
waving their hands in their faces, biting their arms, hitting themselves,
making loud sounds, or wandering and "looking lost". For
individuals that are blind, instructors may observe these individuals
swaying their heads from side-to-side or holding onto someone's
arm. Aquatic instructors may also observe individuals who are deaf,
by their using sign language or those wearing special hearing devices.
For individuals with diabetes or epilepsy, a medical ID bracelet
may be viewed. In general, individuals with disabilities may have
some type of visual, motor delay, perform lower on skill and fitness
assessments and/or have social difficulties. Instructors can clue
in on deviations for further inquiry.
After initial recognition of specific disabilities, aquatic instructors
should approach the individual or their parent(s) and ask, if there
is anything they can assist them with or what modification could
be done to help accommodate their individual and unique needs. Instructors
should present questions in a honest and sincere way. If questions
are presented pleasantly, individual with disabilities or parent(s)
may feel free to express their true feelings.
Communication between instructors and individuals with disabilities
could save many hours of unnecessary changes in policies, practices,
and facility modifications. For example, an individual who uses
a wheelchair might have trouble transferring to the water. The instructor
may assume a expensive lift is necessary, however, after talking
with the individual, the instructor may learn that all is needed
is a soft mat and a little physical assistance. Collaboration helps
instructors focus on the exact needs and/or concerns of individuals
with disabilities and may encounter and eliminate misconceptions
that arise.
However, communicating with individual that have disabilities may
be difficult. For example, if a individual has a hearing impairment,
the instructor might try to instruct them to jump straight off the
diving board and not from the side. Not being able to hear well,
talking to them or using a whistle to obtain their attention, the
individual jumps off the side of the board and may hit the pool
deck. In this situation, where the individual with a disability
is not in close proximity to the instructor, a buddy system could
be utilized or a hand signaling system used. Matching together an
individual who cannot hear with an individual who can hear or explaining
to the class that if anyone's hand is up, that means students should
stop what they are doing and look at the instructor are both effective
ways to maintain class control and safety. Using the buddy system
may also help prevent problems with individuals that are blind or
have mental challenges by assisting them when trying to read and
understand signs. In some situations, the instructor or buddy may
need to physically hug these persons in order to keep them out of
harms way.
When communicating with individuals who have disabilities, the
instructors should (a) talk face-to-face with students, (b) use
hand gestures or know basic sign language, (c) use physical demonstrations
or manipulations, and (d) have pictures with written words explaining
objectives. Further, instructors should, when communicating, ask
for understanding of instruction and speak slower but in a normal
voice and use shorter and simpler sentences. The environment should
be well-lighted and back ground noises should be at a minimum. Further,
individuals with disabilities should be guided around the aquatic
area with verbal instructions on all objects, barriers, and hazards.
A good mental and physical picture of the aquatic environment will
allow individuals with disabilities to move more freely and safely
in the facility.
Aquatic instructors should also share information with other coworkers
about the individuals with disabilities who they instruct. Sharing
ideas and strategies will help all instructors be better prepared
for future encounters with individuals who have disabilities, as
well as, encouraging instructors to instruct in a more open and
inclusive style. Weekly or biweekly training sessions are a good
way to relate new information to aquatic personal. Training sessions
should include a hands-on application. For example, the sharing
of ideas about lifting techniques (one-person, two-person front
or side) may be beneficial; however, performing the lifts and assessing
proper mechanics is more beneficial. Knowledge, support, and collaboration
with coworkers will increase the chances for success of any aquatic
programs.
Aquatic instructors should (a) make a list of all suggestions provided
by individuals with disabilities who use the facility, other staff,
parents, and outside community agencies and (b) looking for common
themes within this information (e.g., problems, accomplishments,
solutions).
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Instructors should also account for individuals with disabilities'
social and functioning skills, experience, and willingness to
participate. For instance, someone with muscular weakness may
want to participate in a general aquatic lesson. In this situation,
the instructor should (a) assess the individuals ability, (b)
plan a strategy to accomplish their personal goals, (c) individualize
instruction in a inclusive setting, and (d) reassess the approach
for adjustments and modifications daily. Note: Instruction should
be flexible i.e. - adapting skills, rules, and standards, allowing
of choices in equipment and activities.
In some situations, instructors may need to recruit help for
appropriate instruction. A typical inclusive setting would have
with one instructor with (a) one individual with severe disabilities
or (b) two individuals with mild disabilities and four to five
non-disabled individuals. However, more individuals with disabilities
could be included if the instructor has additional help. Sources
of help could come from peers (buddy system) or recruit volunteers
from the community (e.g., elderly, parents, siblings). Instructors
may also find help in the local Special Olympics. Special Olympics
offers swimming as a sporting event; thus, many Special Olympic
athletes are usually very good swimmers and these athletes may
be willing to assist with your instruction.
In some situations aquatic instructors may need to purchase equipment
such as special lifts, shower wheelchairs, larger safety rule
signs, pictures depicting dangerous areas, add railing on walls
and stairs as well as removal of barriers on the floor, lower
shower heads, and install ramps. Equipment could also be flotation
devices to help support instruction. PFD's and other buoyant aids
can help with mobility/population, fitness activities, and games.
Often, assistive devices increase motivation and make the activity
fun while providing safety. Although modifications maybe costly,
the convenience of an accessibility facility and a safer instructional
setting will probably be enjoyed by all patrons.
Individuals with disabilities often prefer water temperatures
around 86 degrees. However, if water temperatures are too high
the individual's energy could be sapped quickly. Warmer water
also encourages bacteria growth; so, caution should be given to
bodily cuts, peg-tubs, and immune deficiencies. On the other hand,
cooler temperatures may cause hyperthermia. However, individuals
with multiple sclerosis usually prefer cold water. Note: Individuals
with disabilities have sensory systems and circulatory systems
that may not work properly. For example, an individual could have
a serious gash on his foot and not feel any pain and/or within
minutes could become very cold yet not be shivering. Instructors
will need to (a) inspect their body for wounds and provided appropriate
care and (b) their skin temperature should be monitored frequently.
Instructors may also need to understand safety procedures for
seizures. Individuals with cerebral palsy, mental retardation,
autism, and diabetes are often prone to having seizures. There
are several factors that could increase the likelihood of seizures
such as, (a) rapid changes in body temperature, (b) the body becoming
too hot or cold, (c) blows to the head, and (d) dehydration or
poor nutrition. Instructor should make safety provision for these
factors respectively - e.g., extending the warm-up time before
activities; maintaining exercise if the body is cold or providing
intermittent breaks or shade if the body becomes overheated; do
not allow horseplay, running, keep pool decks dry, remove overhanging
equipment; and provided gator-aid or juices for fluid loss and
energy. If an individual does have a seizure instructors should
(a) protect the individuals head, (b) time the seizure, (c) turn
the victim on his side, and (d) monitor his breathing and circulation.
A seizure that becomes life threatening is very rare; however,
instructors should call call 911 if (a) establish this is the
first known seizure the individual has experienced, (b) the individual
is diabetic, (c) the seizure lasts for more than 5 minute, and
(e) if the individual has multiple seizures without regaining
consciousness. Note: After a individual has a seizure, he/she
may sleep for several minutes before waking up.
Because of the rising number of individuals with diabetes and
asthma, the instructor will need some simple guidelines to help
assure safe practices. Diabetics should be encouraged to check
their glucose levels several times during exercise, to have extra
food available, and to eat a well balanced meal 30 minute before
participation. Instructor may want to schedule the diabetics participation
after morning breakfast or lunch. For individuals with asthma
instructors should (a) provide an extra inhaler, (b) have a longer
warm-up period, (c) have short rest periods, and (d) if pollen,
dust, or mold counts are high, change the location of the activity.
Note: Instructors should stop the exercise if the individual is
coughing, wheezing, or having difficulty breathing.
With added knowledge and responsibilities, instructors who instruct
individuals with disabilities, should seek additional training
in (a) adapted aquatics, (b) first aid, and (d) lifeguard training.
Individuals with disabilities often get themselves into dangerous
situation because they (a) do not anticipate potential hazards
and/or (b) do not understand common rules. Further, individuals
with disabilities may be chronologically 15 years old but functioning
as a 6 year old. They may also have heightened fears and misconceptions
of reality which makes instruction more difficult. Instructors
should always be trained and prepared to (a) rescue individuals
with disabilities, (b) provided appropriate instruction, and (c)
assure a safe facility.
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