Aging well
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Aging well

Supporting Aging adults with Developmental Disabilities. Home Adaptations. This training was made possible by generous grants from the New Jersey Council on Developmental Disabilities . and from Spectrum .

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Aging well




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Presentation on theme: "Aging well"— Presentation transcript:

Slide1

Aging well

Supporting Aging adults with Developmental Disabilities

Home Adaptations

Slide2

This training was made possible by generous grants from the New Jersey Council on Developmental Disabilities

and from Spectrum

for Living’s Endowment Fund.

Slide3

Home Adaptations

The information for this presentation was adapted

from the manual

, “A Home For Life: Home Modifications for Aging in Place with an Intellectual Disability.”

By Richard V. Olsen,

Ph.D

and B. Lynn Hutchings,

M.Arch

.

Slide4

GETTING INTO THE HOME

Driveway

:

Needs to be wide enough to transfer safely from the vehicle to the driveway and vice versa.

Flat, wide, and level and not-too-steep driveways and walkways are safer for older people, whether or not they use a wheelchair, cane or walker.

Slide5

Getting into the home

Walkways and Entrances

:

well lit and free from shrubs or trees that obstruct access

Trim back or remove all shrubbery and grass that

encroach

on the

sidewalks.

Slide6

GETTING INTO THE HOME

Steps:

All

steps between the driveway and the front door should have

double

railings. Even single steps should have railings

Build rectangular steps, not curved or semi-circular steps, which are dangerous

On wide steps, railings should be installed close to the most direct path to the door so that they are within easy reach.

Sensor lights

Slide7

GETTING INTO THE HOME

Ramps:

Should have:

Non-skid surfaces, not smooth surfaces

Cylindrical

railings on

both

sides

A smooth transition to the sidewalk at the bottom or to the porch/landing/vehicle at the top

Slide8

GETTING INTO THE HOME

Ramps, Cont’d…

Additional space for opening the door if there is an entry at the top of the ramp

A lip or curb at the side edges to prevent the wheelchair from veering off the ramp

A proper width (36” between the two railings)

A landing with ample turning space and wide enough for a large wheelchair

Slide9

GETTING INTO THE HOME

Doorways should be well lit and free from shrubs or trees that obstruct access. 

Design/Redesign Tips…

Repair/repave all uneven walkways

Re-grade walkways to create a more gradual incline. Or, install a cylindrical railing on each side of a steep or sloping walkway.

 

Trim back or remove all shrubbery and grass that encroaches on the sidewalk.

Repair or repave transitions between different walking surfaces to ensure that they meet as smoothly and as seamlessly as possible.

Remove steps (if possible) and re-grade the walkway. If removing steps is not possible, install railings on

both

sides.

Slide10

Older people need more light, and they also

have more difficulty adjusting from one light

level to another. Walking from a well-lit house

into the dark can be difficult and dangerous.

Slide11

General “outside” Considerations

Mail boxes should be

accessible

A

ll

exterior spaces that people use at night should be well

lit:

driveways

parking lots

garages

trash areas.

Slide12

General “outside” considerations

Patios and pathways should be free of tripping hazards.

Spaces between pavers can be tripping hazards.

Slide13

Inside the home: Hallways & Doorways

Good

lighting:

People

should never have to walk through a darkened hallway to turn on a light.

Night lights,

particularly for hallways that lead from the bedroom to the

bathroom.

Low (preferably no) thresholds on door sills.

Slide14

Inside the home: Hallways & Doorways

Handrails in hallways

Sunken rooms that have steps must have handrails or grab bars.

Hallways and doorways must be wide enough to accommodate wheelchairs.

Tripping hazards should be corrected or removed

Slide15

Inside the Home: Stairs

Good

lighting with light switches at top and bottom

of stairwell

Anti-skid strips at the end of each stair

tread

Stair treads should be the same size and in good

condition

Top and bottom steps

clearly

marked.

Secure handrails on both sides of the stairs

.

C

arpets

should be in good condition and firmly tacked down

.

A grab bar at the top of the

stairway

Low hanging ceiling beams should be padded with brightly colored padding to remind tall people to duck their heads

.

Slide16

No telephones on stair landings. People could trip and fall down the stairs in their haste to reach a ringing telephone

Slide17

Inside the home: living, dining & family rooms

Adequate lighting and light switches

The following are some furniture problems to correct or avoid:

Furniture with hard, sharp

edges.

Chairs and sofas that are too low, too soft

and/or

are armless

Too many pieces of furniture (and throw

rugs)

Slide18

Inside the home: living, dining & family rooms

CLUTTER

is a serious concern.

Clutter places people at risk for tripping

Can obstruct emergency exits from the house/apartment in case of a fire

Can make it hard for people with poor memory or intellectual disabilities to find things

It can increase tension and frustration levels in the home.

Slide19

Inside the home: Bedroom

Adequate lighting

Drawers should not

be too high or too low for people to reach into and retrieve

items

Broken or sticking drawers must be repaired

.

Explore the use of open shelving to make clothes more

accessible

“C” pulls make dresser draws, closets and cabinets easier to grip and

open

Slide20

Inside the home: Bedroom

Beds

should be adjusted to suit the height of the older person

Bedside tables

Furniture risers

There should be a bedside lamp within easy reach on the beside table. Easy to switch on/off

. Invest in “tap on” lights

Slide21

Inside the home: Bedroom

De-clutter bedrooms as much as possible by:

Building additional shelving units

Better organized (or larger) dressers/closets

Storage containers

Grab bars/poles to help people get into and out of bed

Wheelchair accessibility issues

Widen bedroom doorways enough to easily maneuver through

Arrange furniture along the perimeter of the bedroom to allow easier maneuvering for wheel chairs.

Electrical outlets

should be raised to allow people to easily reach them

Slide22

Inside the home: Bedroom

Windows

: Ensure that older people are able to easily open/close the windows in their homes and in their bedrooms.

There are physical, psychological and personal safety significance to this

Move furniture that is blocking windows

Repair windows to make sure that they are easy to lock/unlock

Remove tripping hazards

Slide23

Inside the home: Bathroom

The most dangerous zone of the aging adult’s home.

Various reasons:

Tight spaces

Hard surfaces

Harp edges

Slippery

surfaces.

Slide24

Inside the home: Bathroom

General Renovations:

Bathroom renovations can

be costly

, but there are

improvements

that can be made to maximize the space and make it less dangerous

:

Replace bathtubs with walk-in or roll-in showers

A wall hung toilet increases the floor area and provides more room for a wheelchair or walker

Grab bars, grab bars, grab

bars

A word about soap dish holders and towel bars…

Slide25

Inside the home: Bathroom

General Renovations, cont’d

Easily

accessible hooks on doors/walls for hanging clothing

Easy –to-reach and easy-to-locate shelving for toiletries

Remove clutter!

Lighting

Issues…

Slide26

Inside the home: Bathroom

General renovations, cont’d:

Replace

door knobs with

lever

handles.

Install anti-scald devices to control temperature.

Sensor faucets for sinks

Use “

double cueing”

on

faucets.

Cover all pipes attached to a

wheelchair-

accessible

sink.

Slide27

Inside the home: Bathroom

Tub & Shower

issues:

Ensure that grab bars do not take up too much room or prevent the person from safely getting in or out of the shower/tub.

Roll-in

shower/tub cut

I

nstall

a hand-held shower head

Utilize a shower seat

Provide a shower caddy hold toiletries within easy reach

R

emove

old shower

doors

If it is a small shower room, consider making the entire room part of the shower by installing additional floor drainage to catch excess water.

Slide28

Inside the home: Bathroom

Toilets

:

Challenging because some

older people have difficulty sitting down and standing up from the toilet due to the toilet being too low or too small.

Installing a raised toilet seat can help

install toilet arms at the side for people to lift themselves on/off the

toilet

Slide29

Inside the home: Kitchen

Lower shelves and cabinets to make things easier to reach.

Raise dishwashers to make

them

easier to access for those in wheelchairs.

Install Lazy

Susans

in corner cabinets to make items easier to reach.

Replace drawer and cabinet knobs with ‘C’ pull hands, which are easier to grasp.

Slide30

Inside the home: Kitchen

Grabbers can help people reach light weight items

Use/purchase stoves with knobs in front.

Install kitchen sink faucets onside of sink rather than the back

If scalding is a concern, install anti-scald devices.

Adequate lighting and switches at each entrance to the kitchen

Slide31