I've seen a lot of accessible public restrooms, and I've never seen an adult sized changing table either, nor would I use one. Many years of experience, personally and professionally, in the disability community, and I don't think I have ever heard anyone ask for one, either independent adults with disabilities or those who have personal assistants (caregivers). I suppose a small minority *might,* but in my experience, most adults, even very physically dependent ones, who had any awareness and any say in their own care would find it undignified, unsanitary and unsafe to be lifted and balanced at some height off the ground in a strange place of unknown cleanliness.
That said, I appreciate accessible restrooms, especially ones that, as with any public restroom, have a working lock, are clean and well stocked with toilet paper, soap, paper towels, even if there is a hot air blower-- one might need to wipe off the sink or have spilled something out in the car, or be out of plastic bags to dispose of one's diapers/pads/feminine products discreetly. Hooks for clothing and purses/briefcases/other bags, etc.
As a female, I don't know if men usually find that they don't have trash cans available. In ladies' rooms, we usually have them in the room and/or receptacles for used feminine products in each stall, usually big enough for incontinence products as well. I suppose, along with that, there is an assumption that many women will be disposing of baby stuff as well. I've only had an issue occasionally with no trash can in a unisex restroom.
A shelf or two near the toilet is also very helpful. Lately, one of the public places I frequent, in a move to make more restrooms accessible, has gone to autoflush, tankless toilets, auto-faucets, auto-hand dryers, but of course, those tend to auto-activate when not wanted and not necessarily activate when wanted. I've been in the situation of having no place to put down clean supplies momentarily except the edge of the sink, and then the faucet starts spraying...
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