On a recent thread over on wai-xtech, T.V. Raman brought up the notion of talking about capabilities instead of disabilities. I like this. I'm reminded of my old post which played with the definition of disability.
Furthermore, a request for adaptation should never have to be a statement about the physical individual. It should be a statement about a preference in context. I want captions when watching television with the volume down, and I want a ramp when pushing a stroller.