Plan roll-in access, turning radius, toilet and shower transfers, grab/support locations, sink use, drainage, waterproofing and caregiver space with an OT and qualified contractor.
What this means in real life
An accessible bathroom should support the complete routine: entering, turning, transferring, toileting, showering, drying, dressing and caregiver assistance. Begin with the user’s chair and lift dimensions. A roll-in shower needs adequate level entry, drainage and waterproofing; a “zero threshold” alone does not guarantee enough room for a shower-commode chair and caregiver.
Plan toilet approach and transfer direction, reinforced walls for supports, reachable controls, anti-scald protection, handheld shower, stable seating, slip resistance, sink knee clearance and storage within reach. Grab bars must be placed for the individual and anchored to structure. A ceiling-lift track may require clear travel over the toilet and shower.
Privacy matters. Use doors, curtains and caregiver positioning that allow the person to do as much as possible independently. An OT and experienced accessible-remodel contractor should review drawings before demolition, and funding approval should come first.
A practical checklist
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Draw the chair, lift, user and caregiver turning/transfer path to scale.
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Choose shower and toilet equipment before fixing dimensions.
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Specify structural blocking for bars and lift track.
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Plan drainage, waterproofing, anti-scald and slip resistance.
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Review independence, privacy and future needs before construction.
Questions to bring with you
Use these at the clinic, school meeting, equipment evaluation, program interview or benefits call. Write down the answers and who owns the next step.
- Can the chair approach the toilet in the required direction?
- Is there room for a caregiver on the working side?
- Will lift travel reach bed, toilet and shower?
- Are controls and storage usable from seated height?
- What happens if needs or chair size increase?
Important context
Individual needs, eligibility and safety can differ. Confirm the plan with the relevant Duchenne-experienced clinician, therapist, school team or program before acting.
Sources used for this guide
Direct links are included so families can check the original guidance and bring it to qualified professionals.
Content review: July 18, 2026. Medical labels, trials, benefits and programs can change after publication.
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