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Stay at Home Solutions blogs on topics such as aging in place, universal design, adaptive equipment, home modifications, accessibility, durable medical equipment, legislation, and caregiving.

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New Year Resolution 2019 for Your Home
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Happy New Year, my friends! Here at Stay at Home Solutions, we really enjoyed celebrating the holidays, but we’re even happier to get back on track with our purpose to serve the Kansas City area and beyond.

Our mission is to help people figure out what changes they need to live at home safely and independently as long as they choose.

What do I mean by making changes in the home? They could be as simple as putting an automatic sensor night light next to the bed or placing the most used dishes closer to your reach. Some changes in the home may be more extensive like installing a barrier free shower or making one entryway stepless.

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Believe it or not, many people don’t have the choice of living in their own home.

Falls and injuries in the home are often the culprit to why someone needs to move out of their private abode.

Unfortunately, I’ve seen a lot of well meaning friends and family members make the unwanted decision to move their loved one into a senior living community or a nursing home. It’s hard for every party involved in this situation. No one wants to have their loved one move into an institution.

Let me help you prevent this scenario in your life! There are many preventable actions you can take today to avoid having someone else decide when you move out of your house. Make it your resolve to call us to help you navigate what actions to take!

I’ll tell you what actions Esther took to help her live in her home safely. When I saw Esther, she explained that she barely took showers because she was scared to death of falling while getting in and out of her shower.

I didn’t blame Esther at all. Looking at the shower I wondered how she managed to get in at all! The shower required her to step up eight inches and had a small, slippery built in seat.

Now, I know that doesn’t seem like a big deal to you if you’ve never had problems moving around. But it’s a BIG deal to a lot of older adults.

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During my evaluation, I noticed Esther was weak and needed quite a bit of help from her caregiver to get in and out of the shower. The chronic pain in her back and legs made it more difficult to shower without falling at a moment’s notice.

Esther lives in a senior living community. The director of the community explained that the shower Esther had was newly installed. It was their version of a “walk in shower”. Naturally if Esther wanted a new shower, she could pay for it out of pocket.

Sidenote: Why don’t these communities consult with occupational therapists? We can help them save so much time and money by not installing these step up showers!

Not to my surprise, Esther was not interested in installing a barrier free shower with money from her own pocket. “What am I going to do? Not shower at all?”

During my assessment, I measured the dimensions of the shower and noted that a shower chair with a backrest and armrests could easily fit inside. The shower chair would provide firm seating for Esther instead of the slippery built in seat. I recommended she install a couple of grab bars: one outside the shower and one inside next to the shower chair.

Sadly, the bathroom did not allow enough space for us to make changes to the step up inside the shower. Esther said she would just deal with it, “Maybe it will strengthen my legs.”

Esther already had a long handled shower head to aim water wherever she needed while sitting down. Sitting down while showering saves energy and prevents falls. It also gives caregivers peace of mind to not worry about catching a slippery body!

When the contractor came to install the grab bars, I worked with him on the best placement based off of Esther’s height and reach.

I love customizing changes at home to the client’s exact needs!

Once the project was completed and everything was installed, Esther took her first shower. She gushed about it over the phone to me, “I love it so much! I feel much safer!”

On my next visit to Esther’s home, she was late to answer the door. I felt concerned at first thinking Esther had an accident and was injured. Much to my relief, Esther came to the door and told me, “I felt so good taking a shower this morning that I asked my caregiver to let me sit in there longer.”

I can’t describe how amazing it feels to help someone feel safer doing what so many of us take for granted. Every day, we bebop along getting dressed in the morning, making coffee, driving to work, vacuuming, etc. We don’t think about what it might look like when we get older or if we were to have an injury.

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Now, Esther takes more showers during the week because she feels safe and comfortable. Her caregiver doesn’t worry about her falling as much while getting in and out of the shower. My work helped two people and gave peace of mind to Esther’s sons.

This anecdote is just a small slice of what I do for people in my community. It’s amazing to tell people what I do for a living: I empower people to live in their home safely. This is my purpose on this planet.

I’m challenging you to make a resolution at the top of 2019 right now. Your resolution is to take one action step towards helping you live at home for a lifetime. That action step could be many things: call me, look at my blog for ideas, watch my videos, or learn about financial resources for home modifications by clicking HERE.

Just learning about your options for making changes at home can be tremendously helpful in the future when you need it. Why wait? Do it before you need it!

Aging-In-Place Safely: How The Lighting In Your Home Can Help
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Foreword:

Hazel Bridges is back! She kindly wrote another article to help you plan for a successful future with aging-in-place. Please click HERE to read the other article Hazel wrote for us in October.

Just a recap, aging-in-place is the idea that anyone of any means can live at home for as long as they choose to safely and independently. Thinking about how you light your home inside and out can affect your ability do the things you need and want to do.

Personally, I’ve worked with numerous adults who have a difficult time looking at medicine bottles or finding something in the kitchen because of poor lighting. It can feel frustrating to not be able to see what you’re trying to do!

Well, lucky for you, Hazel Bridges has some suggestions! She is the creator of AgingWellness.org, a website that aims to provide health and wellness resources for aging seniors. She’s a breast cancer survivor and challenges herself and others to live life to the fullest. Hazel contributed the information below for you to make the best decisions for you!

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For many seniors, finding a way to safely age-in-place is a priority, but it can be an overwhelming task. Trying to take care of all the changes and modifications your home needs can be costly and stressful, and if you have health or mobility issues, it can be dangerous. It’s important to look for ways you can make your home safer and more comfortable, however, so you can stay there without issue for as long as you want.

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One of the easiest ways to make your home a safer space is to take a look at the lighting in each room to make sure it’s working for you. The lights you use can have a big impact on your safety and comfort, from preventing falls to helping you see more easily when performing daily tasks, and it’s something that’s relatively easy to change without spending a ton of money. Do a little research before making any decisions so you can make sure you have the right lighting solutions for every room.

Keep reading for some great tips on how to age-in-place safely and change up the way your home is lit.

Keep lighting consistent

As we get older, our eyes change and their ability to see well after a drastic shift in light decreases drastically. It’s important, then, to make sure each room in your home has consistent lighting, with no big changes that will strain your eyes. In order to achieve this, you may need to use the same type of lighting everywhere, whether that means hiring a licensed electrician to install wiring or simply placing lamps strategically around the house.

Use task lighting

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Task lighting is a big help to seniors who sometimes need a little extra assistance when working in the kitchen or enjoying an activity like knitting or woodworking. Add task lighting over the sink, near your favorite chair, or any spot around the house where you read or perform an activity. This can be a strong lamp with an adjustable arm or a battery-operated light that can be stuck anywhere you need it for convenience.

Use the right bulbs

The right bulbs for your home will depend on what type of activity you’re doing. LED lights are perfect for a variety of activities and will save you money, as they last for years and are more energy-efficient than other bulbs. Fluorescent lighting can lead to issues for many seniors who are prone to headaches, while other types of lighting can cause a glare on flooring, elevating the risk for a fall. Do a little research before choosing the bulbs you need and make sure you’re getting the right kind.

Light up the bathroom

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The bathroom is a spot where many accidents occur for seniors, including falls that can be dangerous. The lighting here should be glare-free and ample, allowing you to see clearly at the sink and in the shower. If you have a vision impairment, the lighting should give you a defined view of where the toilet and sink are located, especially if your walls are painted white.

Aging-in-place safely and comfortably doesn’t have to be stressful or costly. With a little research and some planning, you can turn your home into the best possible place for your retirement years without worrying about injury or a stay in the hospital. Talk to your spouse or partner about the best modifications for your house, and remember to always hire a pro for the big jobs, especially when it comes to electricity.

Afterword:

Remember to include an occupational therapist to your team! Occupational therapists understand that every person has different lighting needs to do their every day tasks.

For instance, some people see better with a light bulb that emits more blue light than red light. A client may need more task lighting in the living room while another client needs more task lighting at the bathroom vanity. It depends on your abilities and daily routines. We all need varying amounts of light as well to see our best. Occupational therapists help you sort through all of the in’s and out’s of your lighting needs.

We’re also very good at talking with electricians to customize your set up!

Also, I wrote a brief article on different styles of lighting you could use in your bathroom. There’s more than one way to skin a cat! For more information on how to improve your bathroom lighting, click HERE! Wall wash lighting is my new personal favorite!

What’s your current lighting situation in your home? Do you have globe lighting in the middle of each room and randomly placed lamps? Do you have natural lighting using transom windows or skylights? I want to know! Send me pictures of your favorite lighting at home and I will post them on social media!

Tell me if you would like to learn more ways to improve lighting in different parts of the home. I would be happy to talk about it!

Seven Tips to Make Your Home Friendly for the Holidays!
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During this time of the month, most people are starting to plan for Thanksgiving. Do you find yourself with the luxury (or the curse) of hosting the Thanksgiving meal?

Whatever your perspective, there’s no doubt there’s excitement over the holiday!  

We all spend time with our loved ones. The people who bring meaning to our lives. It may be family and friends gathering in our homes or families of choice.

The point is this: whoever’s coming over probably means a great deal to you.

So in addition to putting up pretty fall decorations and dreaming about cooking and baking, I need to bring up an important factor for consideration in your holiday bliss. Older adults often have a difficult time moving around in other people’s houses.

Sad, but true.

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I’m sure you’ve seen Grandma struggle to step up the two stairs into your front door. Great Uncle Tito tripped on your hallway rug and accidentally kicked your Maltese who happens to look like he blends into the carpet.

We don’t want our loved ones to encounter holiday hazards in our home! The idea of someone needing medical attention on Thanksgiving may strike fear deep into the heart of every host or hostess! Unfortunately, I have worked with quite a few clients who became injured while visiting their relative’s house.

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When I worked in nursing homes as an occupational therapist, I remember one particular client. She visited her granddaughter’s house for Thanksgiving and had a lovely evening with the family. As she went down the stairs from the front door to the driveway, she tripped and fell down the stairs resulting in a broken hip. This client rehabilitated in my facility and returned home. Astonishingly, this same client ended up coming back to rehabilitation because of an infection in the new hardware in her hip. She celebrated Christmas and New Year’s Day in rehab instead of at home with her family.

What can be done to prevent ruining this joyous time of year?! I’ve got seven simple tips to make your holidays visitor friendly for everyone!

1) Install more lighting at your main entrance. No matter what time you end up having Thanksgiving dinner, double check your lighting by your main entryway. My main entrance is the back door. We have motion sensor lights that easily light up our stoop, sidewalk, and driveway. Everyone can see!

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Take a look at your main entryway. What lighting do you currently have? Are there spots that seem darker than others? Are the stairs well lit? If it’s dark while you’re reading this article, go outside right now! Take note of how comfortable you feel moving around the entryway with the current lighting situation. If you’re not comfortable, then something needs to be adjusted before your family comes on Thanksgiving!

Bonus tip: If you wanted to go above and beyond, install handrails on the right and left of stairs to help your family members feel confident in their balance.

2) No slipping on ice! Who knows what the weather will be like on Thanksgiving! If there is ice, take care of it right away with ice melt or kitty litter! Don’t let Aunt Rita skate into the house. She was never gifted in the sport of ice dancing to begin with.

3) Allow family members to wear their shoes inside the house for extra support and balance. Don’t be that person. You know, the one who thinks they have the cleanest carpets on the planet and absolutely cannot have people keep their shoes on. Thanksgiving is the day you let your older adult relatives wear their shoes while they teeter around in your house. Let it go! Your carpet can be cleaned and has no feelings if it’s injured!

4) Keep an armchair handy. Your squishy couch feels amazing. You sink into it at the end of a long, hard day. It’s so squishy you practically have to roll out of it!

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Well guess what Grandpa has to do to stand up from your squishy couch? He has to roll off of it too, but crawling on his hands and knees kills his joints! Offer your older adult relatives a firm armchair to easily sit down and stand up. You are maintaining their dignity and saving their arthritic joints!

5) Bathroom Tips! Hopefully, you have at least a half bathroom on the main floor. If not, give me a call. But at the very least please clear clutter on the bathroom floor. You don’t need to have a bathroom scale out (It’s Thanksgiving for Pete’s sake!). You don’t need a magazine rack. You don’t need a decorative pot in every corner. Please give your relatives room to safely maneuver while using the toilet!

Also, put toilet paper in reach (and extra on hand) so they don’t have the risk of falling off the john. Do you really want to go in the bathroom and rescue Nana from the floor?

6) Remove rugs in the house. I understand that you may need a rug for people to clean off their shoes. But do you REALLY need other rugs in the house? You’re the only person who knows where all of the rugs are. I can’t tell you how many rugs I’ve tripped on in other people’s houses because I was distracted! I’m not the only one!

7) Move Fido or Fluffy into a closed off part of the house. Although animals are a huge part of the family, they may be hard for your older relatives to notice.

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Help your relatives feel confident about coming to your house for Thanksgiving. It’s worth it to include these tips to prepare your home for guests to celebrate. This will make the visit more enjoyable for everyone! I am thankful every year for everyone gathering and leaving completely intact and non-injured.

If you have any questions on how to make your home visitable for your family, contact me. Please comment below on how you make it easy for your relatives to come visit during this special time of year!

Can You Relate?
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Breaking a bone in your body is one of the worst experiences you can have in your lifetime. Trust me. I know this experience firsthand!

When I was eight-years-old, I climbed the wobbly, rickety chain link fence in the backyard at home and toppled over to fall to the ground breaking my left elbow. I remember passing out from the pain after seeing my mother’s scared facial expression.

At the hospital, I was given pain medication that completely knocked me out. The radiology tech had to keep prodding me to stay awake while taking x-rays of my arm. Eventually, I had surgery to realign my bones with two pins.

I remember the whole experience vividly! I was small and nimble enough to not need any home modifications. BUT I needed help with getting dressed, going to the bathroom, taking a shower, and brushing my hair. The pain from my arm would wake me up sometimes at night. I had to sleep lying on my back with my arm propped up on pillows.

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I HATE sleeping on my back!

Luckily, I am right handed and had all the benefits of youth while waiting for my arm to heal! I was able to easily manipulate brushing my teeth, drawing, feeding, playing card games, and anything else you can think of with my right hand. Recovery took no time at all for me as a child. As soon as I was able to use my left arm, I quickly returned to dance lessons and playing piano.

I could never forget how my injury impacted my life in such a profound way. My mother was wary and extra protective while my arm healed. She made sure my sisters and cousins were careful when they played around me. Mom did not want me to be hurt again!

Looking back, I not only see the physical impacts a broken arm had on my life. I also see how I changed the way I took care of myself and how my family members and friends treated me.

As an eight-year-old, I was very independent in taking care of myself prior to the injury, especially as the oldest of four children. When I broke my arm, it felt like going in reverse needing even more help from my mother. She even tied my shoes again. I saw myself as an independent person changing into an interdependent person.

That’s hard even for an eight-year-old child.

I can’t tell you how happy and relieved I was to resume my independence again after my arm fully recovered. But not everyone can experience this type of relief.

As an adult, injuries like broken bones can be more damaging and long lasting than what children experience. This is where it gets deep, people!

Adults have decades of being independent in taking care of themselves and others. A broken bone drastically changes how they view themselves. Accepting help can sometimes be seen in the same vein as becoming older or aging.

Of course, as occupational therapists, it’s easy for us to reassure adults with injuries that they are not old people (there’s nothing wrong with that anyway!). We educate them on all of the ways they can still do what they need and want to do. However, we do need to remind ourselves that when people break a bone, they are grieving the loss (temporary or permanent) of their independence and the way they used to do daily activities. Even little eight-year-old me grieved over not being able to play tag and ride my bike for a couple of months.

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Whoa. Grief? Yes. Here’s an example!

Dave broke his tibia stepping off a sidewalk into the street while heading to a coffee shop. He had surgery and needed to use a walker to help balance while hopping on one leg to get around. He quickly realized he needed a lot of help with getting in and out of his house, bed, shower, and going up and down the stairs. Dave was frustrated he could not move easily around his house anymore.

Pistola squat by Workoutlabs.com

Pistola squat by Workoutlabs.com

He thought, “Dang, I never thought I would need to do a pistola squat to get on and off the toilet! I don’t want my wife to help me with this every day!”

Dave even needed help picking up his dog’s bowls to put water and food in them! He felt like he had to rely on his wife to do everything. Dave started to feel depressed while his leg was healing because he wanted to do more by himself. Dave loved his wife, but he didn’t want to be soooo intimate with her while toileting and bathing.

He missed his ability to move around and take care of himself on his own time. Dave wondered if he will be able to continue living in his current house as it was. “What if I could never walk again? What will I do?”

In this situation, it’s easy to see why Dave would grieve the loss of his privacy, caring for himself, and moving around. He feels frustrated on how much effort he has to put in to simply move around the house. These emotions are very normal for any person. Have you every had this type of experience? Can you relate to Dave?

There are some things we cannot control whatsoever, like accidents. But we certainly can control our environment! Since we know breaking bones is such a challenging physical and emotional time, I am happy to say there are ways we can prevent lessen some of the pain and maintain our dignity by making changes in the home.

Yes, as a kid, I easily navigated my environment with a broken arm. However, poor adult Dave struggled to move around in and outside of his house with a broken leg. Let me tell you three things he could do to his house to make recovery better:

Stanton Homes

Stanton Homes

1) Create one entrance at home with ZERO steps. This will make it easier to use a walker to hop on one leg in and out of the house. Dave will be able to escape the home in case of emergency, see the doctor, go to outpatient therapy, spend time with friends at the ball game, etc. Dave can just enjoy not struggling to get in and out of his own house! He will not feel like a trapped prisoner!

Barrier free shower by Accessible Solutions

Barrier free shower by Accessible Solutions

2) Build a bathroom on the main floor of the house. Preferably this will be a full bathroom, but a half bathroom will certainly suffice! Put blocking in the walls in order to install grab bars later if needed. The blocking will allow you to install grab bars at any height! How neat! Grab bars could help Dave get on and off the toilet by himself, but there are a lot more options I can talk about with Dave and his wife.

3) Install a barrier free shower. Dave can easily use this shower with or without a broken leg! A barrier free shower lets you walk in and out without stepping over anything! This type of shower is perfect for all ages and abilities from wheelchair users to people who walk on two legs. Learn more by clicking here or here!

If you can relate to Dave, you may want to consider planning on making changes to your current home. Life is unpredictable, but if you do it before you need it then you are setting yourself up to maintain your independence and dignity in your own home. Please comment below if you or someone you know has had Dave’s experience of grieving the loss of taking care of yourself.

6 Reasons to Reconsider Buying a Walk-in Tub
theseniorlist.com

theseniorlist.com

People often ask me about my opinion on walk-in tubs. Walk-in tubs look like tall bathtubs with a door that allows a person to step inside or sit on a seat to slide into the tub. After you close the door, you fill up the tub with water and bathe as usual.

Walk-in tubs seem ubiquitous! Every time I turn on the TV, I see a commercial showing a smiling older adult confidently stepping out of the walk-in tub. The announcer explains how easily walk-in tubs could replace your current tub shower and how this product improves your safety and independence.

“Imagine closing your eyes while soaking in a luxurious walk-in tub.”

Marketers harp the ability for people to enjoy showering or bathing for their lifetime with these great, quality walk-in tubs. However, I think it’s a good idea to take a step back and look at the overall picture of walk-in tubs. In my experience as an occupational therapist working with clients from all backgrounds, I am not convinced walk-in tubs are suitable for everyone. I present to you six reasons to reconsider buying a walk-in tub!

1) Safety Features:

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If you are contemplating buying a walk-in tub, make sure you ask for safety features like grab bars and non slip flooring and seating. Paying a little more up front will save money in the long run compared to the cost of an emergency room visit and hospitalization! Of course, you could add non slip decals or coating to surfaces after purchase, but that may violate the manufacturer’s warranty. Although you are stepping or sliding into and out of the walk-in tub, surfaces feel slippery when wet. Remember, the number one cause of falls in the bathroom is slipping while stepping out of the shower!

2) Customize to the Client:

Contractors are great at installing and building things, but their job does not include considering the size and reach of the client. If you have a hand held shower head installed along with the walk-in tub, you want it to be within your reach while you’re sitting down, right? Well my friends, sometimes the hand held shower head is installed out of the reach of the person who would like to use it.

I worked with a woman who shared her story of installing a walk-in tub at home. She also requested to have a hand held shower head installed to rinse her hair while using the walk-in tub. My client felt dismayed when she discovered she could not reach the hand held shower head while sitting down. The shower head sprayed water all over her bathroom dousing the floor and walls! Talk about a fall risk! This particular client is very petite, which means standard measurements for hand held shower head placement do not work for her.

I encouraged her to contact the company who installed it and request to place the hand held shower head in a different location. My client’s experience also highlights the fact on why it is a good idea for occupational therapists to be involved with home modifications, like installing a walk-in tub, in order for projects to be customized for the use of the client.

3) Mr. Freeze:

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This same client brought up another problem: she felt “frozen” while the walk-in tub filled up with water. Unfortunately, people need to sit inside the walk-in tub and close the door completely shut before you can turn on the water. Walk-in tubs do not come with any type of heating system, like radiant heating in the ceiling, and rely solely on hot water to warm the client.

Walk-in tub companies report their faucets and drains move water quickly to lessen the client’s experience of feeling cold. But that still means you are going to feel cold while waiting for the water to fill the tub and empty out! Do you really want to pay thousands of dollars to feel uncomfortable?

4) Energy:

Installing a radiant heating system in the ceiling will increase the overall price of installing the walk-in tub. As people age, it is easier to feel cold, especially in your birthday suit! Many customers want a heating system for comfort. Make sure to look for a system that uses energy efficiently. Some heating systems can use a lot of electricity keeping you warm while you bathe in the walk-in tub.

I found that people who feel cold or unsafe with walk-in tubs shower less frequently or not at all! These type of people “sponge bathe” or bathe at the bathroom or kitchen sink. It does not make sense to install a walk-in tub that is seldom used!

5) Medical Conditions:

If you have a progressive medical condition, walk-in tubs will not be safe in years to come. Progressive medical conditions, such as Parkinson’s or dementia, cause people to lose the strength and ability to move as well as they used to. Walk-in tubs require people to have a certain amount of balance and strength to open/close the door, step or slide inside and out, lean, reach, and sit/stand upright. When you lose the ability to do those things, the walk-in tub becomes completely obsolete to you. In fact, walk-in tubs become dangerous to try and get in and out!

Dangerous to get in and out to take a bath? Inconceivable! Sad, but true!

There are instances where people with progressive medical conditions have slipped off the seat in the walk-in tub to the floor. They were unable to push and lift themselves off of the floor of the walk-in tub! It’s terrifying when you consider that you cannot open the door until you drain the tub! Not to mention, it’s hard for rescuers to help people stuck in the tub because of slippery skin and bathroom surfaces. It may take hours for rescuers to successfully help a person out of the walk-in tub. Can you imagine being in the position?

6) Caregivers:

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Walk-in tubs are not good for the caregiver (i.e. family, friends, or paid workers). From an ergonomic perspective, caregivers may feel more back pain from assisting a person in/out of the walk-in tub and the extra bending and reaching over to help with bathing. For instance, it takes more effort for a caregiver to reach over and help a client with lower body bathing. Don’t be surprised if a caregiver will object to you installing a walk-in tub in your house!

7) Bonus Reason!

Walk-in tubs are very pricey for a lot of people. They can cost up to $20,000 depending on the model and accessories. If installed and you don’t like it, it will cost thousands to remove and replace it.

Many people I know simply do not have the finances to install a walk-in tub. Perhaps that is for the best. I do not see walk-in tubs as a cost efficient option for the majority of the population because of the potential problems they cause. I really only condone them if a person has the finances and space in the house to install a walk-in tub in addition to a tub shower or barrier free shower.

Look, I am not here to bash or put down walk-in tubs. I just feel like they are marketed as the solution for people who cannot get in and out of the tub. That is not the case: walk-in tubs are not the solution for every person!

At the end of the day, I urge you to thoroughly consider all the factors when looking at a walk-in tub. List out your expectations and needs and then look at all of your options. Will walk-in tubs really meet your standard over the long term? Have you researched other options such as barrier free showers? If you find yourself in need of some extra guidance, look into consumer reviews of walk-in tubs and call up an occupational therapist! Ask your friends and family if they have installed a walk-in tub. What did they think about it?

For the cost and time to install a walk-in tub, I encourage you to be an informed consumer and make the best decision for you. I hate to see people completely dissatisfied with a product that affects their ability to bathe! I want to hear your thoughts or experience with walk-in tubs below in the comments. Tell me what you think!

Shower Remodel Ideas for Every Age

(This article is written by Megan Crissey, an occupational therapy assistant student at National American University in Independence, MO.)

Showering: it is most likely one of the first things you do in the morning to wake yourself up and get ready for the day. Imagine now that something has happened to you and you are unable to get in and out of the shower like you used to. How does this change how you get ready for your day? Is there any way you can fix this problem so you can feel “normal” again? YES, there are changes you can make in your bathroom, also known as home modifications, to make showering easier and safer for you! Making changes in your bathroom is important to prevent injuries while showering.

According to AARP, the bathroom is the most dangerous room in the house with 80% of all bathroom accidents resulting from a fall. If a person falls in the shower, they may have a fear of falling again. This increased fear may limit their movements while cleaning hard to reach areas, reduce the number of times they shower, or make someone stop using their shower altogether. How terrible is it for someone to feel unsafe showering in their own home? Occupational therapists are the professionals who can help you figure out the safest home modifications for you and your bathroom. AARP supports research in using occupational therapists for your home modification needs.

Research from the U.S. and Australia shows occupational therapists have a unique look on making your home a safe and livable space (Stark, Keglovits, Arbesman, and Lieberman, 2017). Occupational therapists are trained to look at each person individually and find ways to make their home work best for them. For example if your toilet is too low for you to safely sit down, don’t worry! An occupational therapist can find a way to raise the toilet to a comfortable and safe height that is just right for you.

Home is such a special place to each person. It is where you raised your family and made so many significant memories. Occupational therapists want to help you stay in this place for as long as you desire. Making simple changes in the home helped aging adults live in their homes longer and lessened the number of hospital stays due to falls and fall related injuries in a recent study in a community in Pittsburgh, PA (Dickson and Toto, 2018). Wouldn’t you like to stay out of the hospital? Find an occupational therapist today to help you stay where you are!

When looking for an occupational therapist, you need to find one who listens carefully to your wants and needs. While we have found that occupational therapy is the best fit for home modifications, research shows that clients and family members were more satisfied with occupational therapists who paid attention to their specific needs (Aplin, Jonge, and Gustafsson, 2014). What works for some may not work for others! Occupational therapists are skilled at matching your ideas and thoughts with the best home modifications for you and your family.

Now time for the fun stuff! I've got some great recommendations for you! Before you go on, remember to always include an occupational therapist in your home plans! Now read below to find out more!

If you are able to remodel your bathroom or build a new house, I recommend you put in a barrier free shower with non skid or slip resistant tiles on the bathroom floor. This type of shower eliminates the step into a tub shower combo or standard walk in shower. This means that barrier free showers work for people of all ages and abilities. For instance, they allow wheelchair users to roll in and transfer to a shower chair or bench with no difficulty. Barrier free showers drastically reduce fall risks! No shirking off showers because of a fear of falling! 

Albuquerque Stair Lifts, Ramps, and Mobility Scooters

Albuquerque Stair Lifts, Ramps, and Mobility Scooters

If remodeling is too expensive for you, there are cheaper ways to make your shower safe! Non slip coating, like SlipDoctors, can be applied to your existing bathroom floor or tub shower surface as well. Non skid decals or non skid bathmats on your shower floor will add traction to your feet while moving around. FYI: non skid decals or bathmats work in a similar way as non skid socks on hardwood floors. You can be fall free on a dime! 

 

Only 19% of American homes have grab bars installed near toilets and in the showers (Centers for Disease Control and Prevention, 2011). Grab bars on each side of the shower entrance and near any seating are great safety features because they allow you to hold onto a sturdy object for stability while you stand on one leg to get in or out. Grab bars are one of the easiest and cheapest ways to prevent falls in the bathroom. Recently, a client told me she had installed grab bars in her shower for safety and they were placed out of her reach. This client was unable to use the grab bars that were installed in her home! What a waste of time and money! If the client consulted an occupational therapist who specializes in home modifications, she could have avoided installing grab bars that are not usable. Don’t let this client be you! 

Adding a hand held shower head can make rinsing easier for those hard to reach places. Bending over while standing to rinse may make you lose your balance resulting in a fall. If you feel unsteady while standing, sit down and use a hand held shower head to rinse off your entire body. I would recommend installing a hand held shower head with a mount that allows you to adjust the height. Another benefit of installing hand held shower heads is the price; I found some as inexpensive as $10! Plus, hand held shower heads are easy to install! You unscrew the existing shower head then screw on your new hand held shower head. Easy peasy! 

Speaking of sitting while showering, consider placing a shower bench or stool in the shower to save your energy and reduce the risk of slipping and falling in the shower! Sitting down to wash your body will make it easier to reach different areas of the body like your legs, feet, or back. Thoroughly scrubbed feet and shaved legs gives us ladies the feeling of sweet relief!  Gentlemen, don’t discount the opportunity to sit and shave in the shower if you have a handy recessed shelf to store your shaving supplies.

Using a long handled loofah and long handled razor can make lower leg grooming more comfortable! Being able to reach your back and legs to wash with a long handled loofah can make showering help you feel cleaner. Consider adding a hook or shower storage rack to hang your supplies close to you. 

Adding automatic soap dispensers on the wall of the shower or bottles with pump handles can make getting shampoo, conditioner, and body wash effortless compared to trying to lift heavy, slippery bottles. Pump handles and automatic soap dispensers are easy on your wrists! Make sure the soap dispensers or hygiene products are within reach of you while seated to lessen back strain. Here are some examples below: 

Extra lighting in the bathroom is always a good idea. You can add lights inside the shower area to increase visibility and decrease the chances of slipping on something unexpected. Also consider adding natural lighting with skylights or windows with textured glass, shutters, transom, glass blocks, or hopper windows. Natural lighting is attractive and makes us happy!

As you can see, there are many different options to choose from when making changes to your bathroom. Occupational therapists can come into your home, evaluate how you are able to complete your daily routines, and offer you the best solutions to help keep you safe. Today is the day to take an action step towards empowerment and freedom to live where you want to live for as long as you want. Home modifications can be a simple way to take away your fear of an uncertain future and replace it with the confidence to live a happy, independent life.

Resources:

Aplin, T., Jonge, D. D., & Gustafsson, L. (2014). Understanding home modifications impact on clients and their family’s experience of home: A qualitative study. Australian Occupational Therapy Journal,62(2), 123-131. doi:10.1111/1440-1630.12156

Dickson, K. L., & Toto, P. E. (2018). Feasibility of integrating occupational therapy into a care coordination program for aging in place. American Journal of Occupational Therapy, 72, 7204195020. https://doi.org/10.5014/ajot.2018.031419

Stark, S., Keglovits, M., Arbesman, M., & Lieberman, D. (2017). Effect of home modification interventions on the participation of community-dwelling adults with health conditions: A systematic review. American Journal of Occupational Therapy, 71, 7102290010. https://doi.org/10.5014/ajot.2017.018887

Hey, Missouri! Show Me the Money: 6 Ways to Finance Home Projects!

Last week we discussed three ways to pay for home projects that help us and our families live at home safely and independently. Apparently, that article left you hungry for more information! So this week, I wanted to follow up with EVEN MORE financial resources for your consideration!

Let's do a quick recap on the who, what, and why it's important to invest in home projects, such as home modification or remodeling. We all want to live in our homes as long as we possibly can. (I have never EVER met anyone who said they wanted to live in a nursing home!) Despite us wanting to live in our homes forever, over 90% of housing in the U.S. is NOT set up for us to safely age in in place! That means every person in the U.S. needs to start investing in home modifications that will allow us to remain independent caring for ourselves, OR we will ALL end up spending more money on things we hate, like medical bills and rehab.

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Pexels

So you may ask, "Maria, how can I afford to pay for home modifications?" Great question! Here are six solutions for you:

1) If you are a home owner, renter, or landlord with a low to moderate income, listen up! You can request home repairs or simple modifications through your area agency on aging, which is financed by the Housing and Urban Development HOME Program and Community Development Block Grants. In Kansas City, MO, you can click here to request help to fix repairs and install accessible features, like grab bars in the bathroom. 

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Pexels

2) Don't worry Missouri farmers and ranchers! I'm thinking about you too! The United States Department of Agriculture and Rural Development offer loan programs for low to moderate income home owners and landlords to buy, build, rehab, or improve a house! It is worthwhile to consider these low interest loans for home improvements that allow you to age in place. Before your family talks you into moving to the city for retirement, look into this type of loan for home modifications to stay safe and independent on your land! 

3) Go to your local bank or credit union and ask about the loans they provide that are insured by the Federal Housing Administration (FHA). Let's say you take out a loan that is FHA insured and something terrible happens where you are unable to repay the loan. Not to worry! FHA will reimburse your bank the amount of the loan balance. Since the bank is guaranteed a loan payoff, they are often willing to lower loan requirements for the income and credit score. These types of fixed or variable rate loans are great for low to moderate income homeowners and landlords to make homes accessible for people to live for a lifetime!

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Pexels

4) Do you care for children 18 years and younger with developmental disabilities? Do they feel heavier and heavier every time you pick them up to feed/dress/bathe/toilet them? It's time for some home modifications to protect your back and the health of your child! Check out the Missouri Medicaid waiver that pays for home environmental modifications to make it safer and easier for you to help your kiddo! This waiver is available to both homeowners or renters across the state!

5) If you have trouble getting in and out of your home, take a look at the Missouri Residential Dwelling Accessibility Tax Credit. This tax credit is for people with disabilities who have an income of $30,000 or less a year. You can be credited up to $2,500 for modifying your entryway (i.e. garage, front door, back door, side door) to make it easier to enter and exit your home. Personally, I love being reimbursed by the government for doing something good for my home and my physical health! No more worrying about accidental injuries when getting in and out of the house!

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Pexels

6) Veterans! You have sacrificed your time and lives for our country's independence! Now, it's time for you homeowners or renters to maintain your independence in the community! Go to this link to apply for housing grants to adapt your home! You deserve to live in a home that is set up for you to complete your daily activities. Also, click here to learn more about the Home Improvement and Structural Alterations Grant for veterans that focuses on home modifications specifically for bathrooms, entryways, and kitchens. In my humble opinion, those are the top three places in your home that you should address first!

The time for home modifications is now! I don't care how old you are! I'm looking at you all in your twenties, thirties, forties, fifties, or above! I don't care if you can still walk or drive at night! I don't even care if you think you can rely on your kids in your golden years! People of all ages need to make changes in the home now to live at home for a lifetime. All it takes is one project at a time, folks.

After you find out which financial resources above will work for you, call an occupational therapist, like me, to guide you in creating home modifications custom made for you. Occupational therapists understand that people have different wants and needs in their home. We love working with people to tailor their home environment just for them! In fact, check out the research showing that occupational therapists are the most effective at home modification recommendations!

Lastly, I know that you know people who could benefit from this information. Share this article with every veteran, grandparent, parent, farmer, neighbor you know! Click on the links above and learn more about these grants, waivers, and loans for Missouri residents! Consider this: if you clicked on one link a day, you would be finished in one week. Take notes on which financial resources will and won't work for you to stay organized. If anything, celebrate this Independence Day with looking at ways to pay for your independence in the future!

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Pexels

How to Turn Your Fears into Relief

If you have read my blog or watched my YouTube videos, you may have noticed that I STRONGLY encourage people to make home modifications to live at home safely and independently. When people think about making changes in their homes, like home modifications or remodeling, images of giant piles of burning cash instantly come to mind. You tend to think, "I don't want to spend a ton of money right now" or "I have no money for a home project. I've got bills to pay!" It is common for people to fear spending money on home modifications. Just to be honest, I feel the same way towards my house!

Clipart

Clipart

Before we spiral into the depths of fear and anxiety, let me tell you that you do NOT need to spend large sums money on home modifications. Feel better already? 

You CAN make simple changes in the house right now that are low to zero cost!

Case in point: I recently completed a low cost home modification project for a client. CLICK HERE TO SEE PICTURES! My client called me and asked for help to figure out how to make it easier to get out of bed and get on and off the toilet. We customized the bed height and toilet for her and added a bed rail that worked specifically for the adjustable base underneath the mattress. After trying out her new digs, my client had a big smile on her face and shouted, "Whoop, whoop!" 

My client and I also talked about some long term home modifications to think about, such as enlarging the bathroom and widening the bathroom doorway to make it easier to move around. My client wanted to wait and think about how she would finance a bigger home project. I offered suggestions on looking at: 1) secured loans on savings, 2) home equity line of credit, and 3) certificate deposit (CD) secured loans. These options typically offer the lowest interest rates and maintain your total amount in savings. Talk about financial relief! Phew!

I share this information with people because I don't want you to end up spending more money down the road. Less than 10% of houses in the U.S. are set up for people with moderate joint problems! Unfortunately, many people put off making changes in their home because of money, BUT they end up spending MORE money on medical bills related to an injury at home.

If anything, take away this advice: Make small home modifications today and plan for bigger projects in the next 1-3 years. You deserve to invest in your personal safety and independence at home. Comment down below if you have already made some home modifications!

Bathroom Lighting: How Important Is It?

Bathroom Lighting: How Important Is It?

Answer: Very important! You want to see ALL of the potentially slippery surfaces. Per the Centers for Disease Control, the bathroom is the number ONE room at home where falls take place. No one likes falling. It hurts and can result in serious injuries that take you to the hospital. And then you have pesky hospital bills. Do you see how important bathroom lighting is now?

It is worthwhile to have lighting in different parts of the bathroom at various angles for particular tasks. Think about your bathroom right now. Do you have general lighting from the center of the ceiling with a down light or a globe? Most bathrooms do have this feature. This lighting is great for moving in the bathroom from point A to point B, but general lighting does not work for everything.

Having a hard time telling the difference between the shampoo and conditioner? Are you cutting yourself while shaving? Then you probably do not have adequate lighting in your shower or shower bathtub. I feel your pain literally and figuratively. I too have used showers with no lighting and needlessly suffered in the darkness.

Not to worry though! Let me tell you about your options for shower lighting! You can place a globe in the center of the shower ceiling. But let's talk about some other more interesting options: strip lights on the ceiling and/or floor, wall mounted down lights, down lights faced sideways from the wall, or a row of LED lights on the wall. Any of these options would improve your safety while showering!

John Cullen Lighting

John Cullen Lighting

John Cullen Lighting

John Cullen Lighting

Hey, we also need to consider lighting for our friend, the toilet. Standing up from the toilet is another potential fall in the bathroom. Extra lighting helps you clearly see where you’re moving! Some suggestions for additional lighting include: a globe light overhead, two down lights, a low glow wall wash, floor level lighting, or cove lighting.

FORM Architectural Bureau

FORM Architectural Bureau

Lastly, do you squint at yourself in the mirror because it’s too dark? Or do you find yourself turning away from your reflection because the lighting is too harsh? What you need is light from all sides and angles to flatter your features! Combine an overhead light with a mirror affixed slightly away from the wall with the light source set behind the mirror on the sides or on all sides. A fun, glamorous way to light up the mirror is to install spotlights around the mirror on each side. Warning: people may linger at your bathroom mirror longer than usual!

Decoist

Decoist

Decoist

Decoist

Whatever you decide to do with your bathroom lighting, consider adding a dimmer to control the light intensity in the room. A dimmer allows you to create a more relaxing mood if you are taking a bath or choose to leave on the bathroom light during the night. We all differ in how much light intensity we need to see our environment, however, it’s essential we have lighting to see all parts of the bathroom for our daily needs! For more diagrams on different types of bathroom lighting, click here.

Reference: House Plans Helper

What Do Older Adults Face? (And How to Help!)

In college, I took a class called, "Biology of Aging" with great curiosity. The class revealed detailed facts on the decline of every body system throughout the aging process. The recently deceased Philip Roth gave a quote to adequately sum up my overall feelings of the course, "Old age isn't a battle; old age is a massacre." Although it gave me a somber perspective, the class allowed me to be more empathetic and understanding of an older adult's experience while working as an occupational therapist in skilled nursing facilities.

stay_at_home_solutions_aging_process

The aging process can be a barrier to a person's ability to be as independent as they used to be. Here are a few examples of barriers to every day living:

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Pexels

  • As we age, our sensations (i.e. eyesight, touch, smell, taste, hearing, balance) diminish making it more difficult to be aware of potential harm in our homes and community.

  • There is an increased risk of falling with potential to damage paper-thin skin or break bones plagued with osteoporosis.

  • The medications prescribed for heart problems, diabetes, sleep problems, or allergies can make older adults feel dizzy when standing up and moving around the home.

  • Seniors feel insecure about urinary incontinence while going out into the community with the fear of having an accident in public.

Fear not! Aging is not a doom and gloom story. 

This article is not meant to make you feel depressed or sorry for older adults! I am writing this to show you why life is different as we grow older. The good thing is there are A LOT of things we can do to help ourselves stay safe and independent in our homes.

Here are the top three things to look at for yourself or someone you know at home:

Zero step entry: Innovate Building Solutions

Zero step entry: Innovate Building Solutions

1) Look for one entryway into the home with NO stairs. This is called a zero step or zero level entry. Why is it important? Because no stairs equals less chance of falling! It's so handy when you're carrying groceries or laundry in and out of the house!

2) Examine the toilet. Are you struggling to get on and off of it? A history of back, knee, shoulder, and hip problems may make toileting more difficult in the future. If so, call an occupational therapist to help you find the right solution for your specific needs and bathroom set up. In my experience, everyone has different needs to keep toileting independently.

3) Consider having an occupational therapist give safety recommendations for the shower! We look at factors like the type of shower, shower faucet, water controls, flooring, color contrast in the bathroom, secure seating, and a person's ability to shower on their own (and how to keep it that way!).

Barrier free shower: Access Solutions

Barrier free shower: Access Solutions

If you make changes to the entryway, toilet, and shower, I guarantee improved safety and independence for older adults at home. I am very passionate in helping people remain in their homes for a lifetime. Won't you consider taking a look for yourself or family member today?