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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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Unsplash

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!

How to Make the Bathroom Safe: A Case Study

“The secret of change is to focus all of your energy, not on fighting the old, but on building the new.”

-Socrates

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In my line of work, I find that people fight “the old” constantly. I help people find ways to live at home as long as they want, no matter what happens to them in life.

Now you may think that I’m referring to “the old” as in old people. How dare you?! On the contrary, “the old” isn’t people who are getting older! “The old” is how houses are built and set up in the past and today.

Do you have arthritis? Did you get injured in a car accident? Did the doctor inform you that you have a chronic disease? I can help you live at home despite any of those things.

“Building the new” means a couple of things to me too! Of course, “building the new” could refer to professionals in the housing industry creating accessible homes right now. But “building the new” also refers to having a new way of thinking!

Instead of thinking, “Oh, I’ve lived in this house for thirty years, and I’ve always done things this way”, I ask people to be open to the idea that you can live in your house by making minor changes that ensure your safety and independence.

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One of my clients, let’s call him Tom, asked for a home evaluation to see what he could do to feel safer while using his bathroom. During assessments, I ask personal questions like, “Do you get tired when you’re showering?”

Tom told me he did feel tired while showering.

Hard fact per the CDC: the most falls that happen at home occur when people step out of the shower.

I told Tom that feeling tired while showering could make it easier for him to fall in the shower and get hurt! Tom quickly countered that he has always stood to take a shower!

My inner dialogue started engaging. I thought, “Oh no, Tom is not accepting the fact that his body is changing and he has different needs then he did decades ago.” Instead of panicking, I knew that I could come to a perfect solution for Tom to provide the support he needed.

During my assessment, I noticed Tom had no place to safely sit in his step in shower. Even if Tom did sit in the shower, the shower head would constantly spray him in the face and he would have no control of where to aim the water!

Well, I don’t want Tom to drown in his own shower!

Tom and I discussed different options on what to do with the shower. An inexpensive way was to use a shower chair that was not attached to the wall. This would allow Tom to stand or sit during the shower depending on how he felt that day. I let him know at least the shower chair would be there if he felt tired and needed to sit and rest. Shower chairs with backrests and armrests are ideal to let Tom lean back to relax.

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Next, I recommended Tom install a handheld shower head on a height adjustable mount. The handheld shower head allows Tom to aim water where ever he likes while sitting or standing in the shower. A height adjustable mount gives Tom the ability to put the shower head down and adjust the shower head at the height he wants. If Tom wants to stand and shower, he would adjust the shower head above his head. If he prefers to sit and shower, Tom would lower the height of the shower head.

Arthritis can be very nasty to our grip strength as we mature. To make sure Tom could always manage the water controls, I suggested replacing the water control that depended on twisting wrist action to a lever style handle. Lever style handles require very little effort to use.

As a rule of thumb, I help people prevent twisting their backs while reaching for soap and shampoo in the shower. I told Tom he would benefit from placing shower storage within reach in front of his body while sitting in the shower chair. Tom agreed and decided to install a corner shelf in the shower at his shoulder height. This is a great technique to prevent falls as well!

We also discussed installing one grab bar in the shower and one grab bar outside of the shower to give Tom stability while stepping in and out of the shower. Although the shower lip was only several inches high, it’s very easy for people to trip on the lip and fall. We placed the grab bars at heights that were specific for Tom’s anthropometrics. After all, Tom’s the only one using the shower!

I love customizing people’s homes!

Tom agreed to these inexpensive options. He liked the idea of being able to stand or sit when he wanted. Tom kept his freedom and dignity to shower while feeling safe at the same time.

I can’t express the satisfaction I feel when I help people get what they want. Tom chose the fixtures he wanted to keep in line with the aesthetics of his bathroom. Nothing looked like a sterile hospital or nursing home. If Tom had a visitor look at his bathroom, no one would have any idea that we made changes in order to prevent Tom from falling while showering.

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While we gather with our loved ones this holiday season, I encourage you to talk to your family members about how their needs may be changing. We know that you and your family are dealing with “the old”, or the way houses are currently set up to be inaccessible. Let’s talk about “building the new”, making those changes in the home that can allow your family members to live safely and independently at home.

Call me or email me for ideas on how to talk with your family members about how they are doing taking care of themselves and their homes. I hate to brag, but I’m very good at talking about these personal things with people! In fact, let me talk to your family members for you!

With that being said, I wish you all a lovely Holiday Season! I will see you on the blog in January!

Tis the Season for Granny's Holiday Gift Guide!
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Happy holidays, fellow adult children or adult grandchildren of the world! I created a lovely holiday gift guide for your consideration when purchasing a gift for dear Granny or Grandpa.

Naysayer: “You’re too late! Why didn’t you post this gift guide before Black Friday?”

Well, naysayer, I understand your frustrated cries, but I do know that there are procrastinators out there like me. If you’re taking care of yourself, your kids, and your parents, how do you even have time to plan Black Friday shopping? Haven’t you heard about how hard caregivers have it in life?

Or maybe you just need extra time to digest your holiday shopping options before making a money-based commitment. Either way, I’m trying to make it easier for you to get what your mature relatives need and want!

After much conversation with several grannies in my life, I compiled a list for your consideration this holiday season. Let the gift giving begin!

1) Roomba

Amazon

Amazon

The Roomba almost did not make the list this year because it’s a little controversial for people who have a hard time walking in the house.

You see, Roombas can be a little too quiet and difficult to see for grannies and grandpas. They could become a potential trip hazard! We don’t want to give the holiday experience of going to the ER!

The reasons why we decided to place Roombas on the holiday gift guide outnumber the risk for falls. As we get older, it can be harder to sweep and vacuum in your home. It’s nice to have a cute little robot scurrying around and cleaning up crumbs off the floor!

If you’re going with a Roomba for Granny this year make sure you pick one that is a contrasting color with her floor. For example if Granny has cream colored carpet, pick a black Roomba! That will help Granny see the Roomba and prevent her from tripping on it.

Also, the internet did not fail me when I researched different ways to decorate Roombas. I saw decal stickers in every color and Roomba costumes. My point is this: you can make Granny’s Roomba stand out while it works to keep her floor clean as a whistle.

Another idea is to copy off Tom from “Parks and Recreation” and mount an MP3 player to the top of Granny’s Roomba. This is like a double bonus because the Roomba is cleaning the house and entertaining your grandma with musical classics from her youth! Genius!

2) Traction cleats

Working Person’s Store

Working Person’s Store

Okay, this is a no brainer. It’s snowed in Kansas City like 500 times already this year. Granny needs some traction cleats to put on her shoes so she doesn’t slip outside!

Granny has a life, you know! She needs to get groceries, see the doctor, and show Dorothy who’s boss at Canasta. Don’t let the snow slow Granny down. Get her some traction cleats so she can make snow and ice her b****!

3) Mini Flashlights

Zoro

Zoro

For the past month or so, I’ve looked at my clock in the evening and thought, “Surely, it must be 10:30.” Then I come to find out it’s actually 6:45 PM!

It’s dark out early in the evening. And Granny wants to go to your kid’s school holiday performance and hear Messiah at the local community center. Granny needs more light when she is moving in and out of cars and buildings. She needs to clearly see every curb and uneven paving in the parking lot so she doesn’t fall!

Get her a mini flashlight to stow in her purse or coat pocket for her to take on the run! Granny will appreciate you helping her see the light! (High fives self for the pun.)

4) Magnetic Door Stop

Do you know what’s super annoying? Holding the door open while you’re trying to get in and out of the house with your arms full of stuff!

Amazon

Amazon

A magnetic door stop could make life a lot easier for Granny, especially if her balance is not as good as it used to be! Guess who’s not falling through the door (thanks to you!)? Granny’s not falling!

While you’re at it, grab a magnetic door stop for yourself!

5) Bidet Toilet Seat

Amazon

Amazon

It’s time for you to become Granny’s favorite family member. Behold! The bidet toilet seat!

This gem will transform Granny’s toilet time! A bidet toilet seat with an adjustable, self cleaning water hose and remote will help Granny feel fresh and so clean even more so than traditional toilet paper can. The adjustable water hose makes it easy for men, women, and children to accurately clean those tricky places. Some models even come with dryers that gently clean your bottom!

Why a remote and not a control panel that’s fixed on the side? Great question! The remote will make it easier for Granny to reach and use compared to a fixed control panel. The control panels are usually placed on the right side. That’s difficult for a left handed user or somebody with a shoulder that can’t reach to the side or back as far as they used to!

If there is no electrical outlet by the toilet, not a problem! There are non-electric options out there as well. Anything to help Granny stay independent with going to the bathroom!

Word of warning: little kids love playing with bidet toilet seats and may need supervision!

Ultimately though, the whole family might want to stop by and use Granny’s throne to try it out. You may feel hesitant right now. But once you try it, you’ll want to install one in your bathroom!

I hope this holiday gift guide will help you find the best gift for your Granny or Grandpa! If you already purchased something, tell us in the comments below! Would you consider buying any of the stuff listed above for your parent or grandparent? Would you buy it for yourself? Need more gift ideas? Contact us to help your parent or grandparent live at home for a lifetime!

Am I Really A Caregiver?

Foreword: I originally published this article in July and thought that it needed another go round on the blog. If you help out a family member, read below and see if you qualify as a caregiver. (More than likely, you probably do!) I want you to know that there are resources available to help you!

Recently, a therapist friend of mine brought up the fact that caregivers do not realize they are caregivers. My mind was blown! She was totally right. It reminded me how I used to not see myself as a caregiver to my grandparents. On a professional level, I have worked with family members in nursing homes who did not see themselves as caregivers. Lots of people do not perceive themselves as caregivers!

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It seems like when people think about caregiving they imagine a kind nurse helping a sick, frail patient with some sort of self care task, like getting dressed or taking medicine. Or people think that a caregiver is a parent raising a child. Both thoughts about caregivers are correct, but let me tell you, the definition of a caregiver expands way past physically helping a person with the intimate parts of everyday life.

I talk about caregivers all the time in my blog, videos, and with clients and their families. It is long overdue for me to break down what a caregiver actually does!

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A caregiver is a family member, friend, or paid professional that helps a person with activities of daily living. I understand that is a broad definition, but let me explain. Activities of daily living refer not only to self care tasks like toileting, bathing, grooming, etc., but they also refer to taking care of the home, finances, transportation, community errands, using a telephone, and so on and so on.

If you just sit for a minute and actually think about all of the seemingly small things you do a day, than you will realize that some people need help with all of those things you take for granted. Let me tell you about my first hour of a normal day. I get out of bed, put on my glasses, make the bed, go to the bathroom, brush my teeth, let the dog out, make breakfast, eat breakfast, and walk the dog. For each one of those tasks, I could go into even more detail about what I do.

There are some people who need help with every single one of those things that I do in the first hour of the day! My first hour of the day consists of my personal needs and taking care of my dog. If someone helped me with any of those things, they would be my caregiver. Is your mind blown yet?

My personal experience as a caregiver started many years ago with my wonderful grandparents. My grandmother, Granny, would ask me to help out with tasks around the house like changing the light bulbs, taking down the attic fan cover, and carrying the laundry basket up from the basement for her. (By the way, all of those things are caregiving activities!) I did not see myself as a caregiver. I saw myself as helping Granny out! I actually cherished going to my grandparent’s house and reading my list of to do’s. In my mind, that’s what you do for your family: you help your family whenever they need something.

Over time, my grandparents asked for more help around the house and going out in the community. I loved our new weekly ritual of picking them up and driving to the grocery store. Granny would chit chat with the store employees at the front of the store and at checkout. We would take our time walking the aisles while Granny asked me to reach for the products she wanted. I would push the cart and Grandpa helped me load and unload the groceries into the car and house. All of us worked at a furious pace to put the groceries away, “Hurry! The ice cream will melt!”  We ended our grocery run at the dining room table eating donuts and drinking coffee or cappuccino and catching up with each other over the past week. I had no idea that my role as a caregiver would continue to grow.

Eventually, my caregiving responsibilities included managing my grandparent’s medication and finances. I used to work as a pharmacy technician while in school, so it seemed a natural fit for me to make sure their medications were refilled and placed in their weekly medication organizer. Granny trusted me with balancing her checkbook every week and Grandpa knew I would pay the bills as soon as they came in the mail. I always made sure to do the bills and medication how they wanted to give them peace of mind.

The increase in caregiving tasks came with more time spent with my grandparents at their house. My mother and I split caregiving duties to even the load and allow us to attend to other parts of our lives, like work and school. Mom would take my grandparents to doctor’s appointments, the nail salon, the hair salon, and other errands. My grandparents were lucky enough to qualify for a personal care attendant through one of the county’s senior services programs who helped with laundry, cooking, and cleaning the house. We were fortunate to have a team of caregivers for Granny and Grandpa!

Towards the end of Granny’s life, she was able to do many of her self care tasks such as dressing, toileting, bathing, brushing teeth. Sometimes Mom helped Granny put her curlers in her hair in the evening before bed due to Granny’s arthritis in her shoulders. Granny called us when she felt sick and we would give her medicine and contact her doctor. When she passed suddenly in 2016, I felt my world shift. Of course, I missed my role as a granddaughter to Granny, but I also missed my role as a caregiver to her. I loved how Granny was my caregiver when I was a child, and I was able to be a caregiver to her in the last part of her life.

In a way, my role as a caregiver to Grandpa has greatly reduced as well. After Granny passed, Grandpa needed physical help with self care tasks in addition to taking care of the house. Grandpa now requires at least two people to help with sitting and standing during his activities of daily living 24 hours a day. Because of Grandpa’s needs for more help, he now lives in a long term care facility where the nursing staff provides the care he needs. Now, my role is back to being his granddaughter. We still continue our tradition of cappuccino and donuts every Sunday while we visit together.

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I hope my personal experience as a caregiver allows you to see your role as a caregiver to others. Do you take out your neighbor’s trash? Do you mow your uncle’s lawn? Do you show your grandma how to take a selfie or post on Facebook? Do you take down your mom’s curtains to be washed? Guess what? You’re a caregiver.

As a fellow caregiver, I salute you. Caregiving is an unpaid, invisible, incredibly important job that almost all of us do and are not recognized. Caregiving is one of the hardest experiences we encounter as human beings. It demands patience and dedication to our loved ones or people we provide services to. I would like to end this article giving you a few resources because I want to make your life easier, friend!

Here are a couple of short videos to brighten your day and show you some caregiving tips: 3 Free Tips for Millennial Caregivers, How to Install a Motion Sensor Light.

Click on these links to learn how to help yourself as a caregiver: Alzheimer's Association, AARP, Caregiver Action Network, and National Alliance for Caregiving

Thank you for taking time out of your busy day! Time is precious when you help a loved one! Please comment down below with any caregiving tips you would like to share!

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!

A Watch That Reads Your Heart?

When I was in school for occupational therapy, my instructors encouraged us to use strategies that avoided bringing unwanted attention to our client. We were tasked with helping our clients do the things they needed to do with items that did not make them stick out in the crowd.

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For instance, if you had a kid who needs deep pressure to pay attention in class, put some leg warmers or athletic compression garments on!

Can’t read the menu? Take a picture of it and enlarge the image!

If you had a client who talked to voices in their head, put a bluetooth headphone on their ear!

Older adult can’t drive anymore? Show them how to use Uber on their smartphone!

That’s our bread and butter! Occupational therapists love to find these easy, everyday solutions so clients can live their lives to the fullest!

And guess what recently released that follows along the easy, everyday solutions theme of this article? (Trumpet fanfare plays)

The Apple Watch Series 4!

Apple Watch Series 4 by David Phelan

Apple Watch Series 4 by David Phelan

What does it do? Well, this new-fangled watch can accurately read your heart for one thing! It has an electrocardiogram (EKG) that the Food and Drug Administration approved. There are electrodes inside of the ceramic backing. People can take their EKG at any time and share it with your doctor! The Series 4 measures your heart rate and can tell if you have irregular rhythm. It also sends you a notification when your heart rate is too low, which means there may not be enough blood pumping through your body.

Fear of falls? Not to worry! The Apple watch detects falls by noting wrist trajectory and impact acceleration. Think of the potential! It can even contact emergency services for you in case of medical emergency if you do not move in one minute.

Other features include a 30% larger watch face than the other Apple watches. This makes it easier to read the time, text messages, and caller ID. I know I appreciate not struggling to read tiny fonts!

Apple Watch Series 4 by David Phelan

Apple Watch Series 4 by David Phelan

Good news for people with difficulty hearing, the new watch speakers are 50% louder. This is similar to other talking devices for people who have low vision.

The Series 4 is slimmer and lighter, which makes it more “manageable” to wear according to some reports. For me personally, I enjoy wearing a slimmer watch because I tend to catch on doorways or fabrics when I’m not paying attention while moving around!

I’m not going to lie. I am very excited by the possibilities this watch presents!

The very first thing I thought of was how many clients I have worked with who refuse to wear medical alert devices because they label them as a fall risk.

Case in point: my grandmother. She chose to wear her medical alert device (company name extracted) as a necklace. Granny thought if she wore it as a necklace, it would not be in her way while cooking and washing dishes. However, Granny never wore the medical alert device at all because it was ugly.

Me: “Where’s your medical alert device?”

Granny: “Oh. . . in my room.”

Me: “It’s supposed to be around your neck.”

Granny: “. . . I forgot.”

Then we would have a stare down with each other, which resulted in me retrieving the medical alert device from her room and placing it on her.

Not only did Granny not like the device because it was unattractive. It labeled her to other people as a fall risk. She felt like the medical alert device gave off a negative connotation of being old, fragile, feeble, incapable, decrepit, etc. Please insert whatever negative description you can think of.

And I felt bad for encouraging Granny to wear the medical alert device! At the same time, I wanted her to have assistance as quickly as possible in case she fell and became injured.

So what’s a granddaughter or other family member to do?

The answer is look out for ways to give Granny her dignity back through devices like this Apple watch.

People could wear this fashionable watch and no one would realize that the watch could help them in case of a fall or heart problem. You would merely glance at Granny and think, “Dang, what a cool lady!” You would probably go up and compliment Granny for wearing such a fancy watch.

Technology like the Apple watch gives family members and caregivers peace of mind. I see this tool as another way in which to help people stay at home as long as they like. The Apple watch is a form of support to allow people to confidently live independently in their community.

Pexels

Pexels

The only drawback I see is the price. This watch is not affordable to a lot of people who could truly benefit from it. It costs $399 to start and up to $499 for the cellular version.

Whoa, that’s a lot of dough for someone living on a fixed income.

But you have to consider all of the Apple Watch features compared to other medical alert devices. Besides after you purchase it, you are not paying a subscription fee like you would for a medical alert device. On average, subscription fees are around $20 a month, which comes to $240 a year.

You really need to weigh all of the pros and cons for this high tech gadget.

At the end of the day, Granny or any other adult can use this Apple watch to monitor health and use it to communicate needs to family and emergency personnel. It’s great that technology is becoming more affordable in that we all could potentially own a personal EKG on our wrists. The Apple watch is leading towards the same path as telehealth. Doctors are already able to monitor their patient’s weight and blood anti-coagulation levels from home. For people who struggle to go out for doctor’s visits, the option to send their health status by simply wearing a watch sounds incredibly appealing!

What do you think? Are you going to buy this watch for you or a loved one? Comment down below!

Can You Relate?
Pexels

Pexels

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.

Pexels

Pexels

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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Pexels

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.