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Geriatric Care Management Blog

One More Step to Making Elders' Homes Safer

Jan 31

Written by:
1/31/2012 1:15 PM  RssIcon

As older parents increase elect to “age in place” caregivers may face challenges on two fronts.  It is partly the aging of the older parent you need to be mindful of, and the other part is about the condition of the aging home as that adult lives there more years.  Since many older adults for whom some of you may be caregivers may be living in multi-level homes, please allow me to offer some pointers on how to avoid falls, particularly on stairs.

  • Lighting.  The easy part is to check that the maximum wattage bulb is in place in the stairway to give an older adults’ eyes a chance to clearly see the steps.  Beware not to exceed the recommend wattage for the fixture, but don’t skimp by placing low wattage in an area that may not get any other ambient



    light.   When you have installed the optimum wattage check out the stairway from all angles to be sure there is no glare from certain positions that would make it difficult for an older person to see and therefore navigate the steps.  Consider also installing switches at both the top and bottom of



    the stairs.  If that may not be possible, place flashlights within reach of the part of the stairs without a switch.  If there are floor outlets, it may be easier to place night lights.  (The kind that are motion-activated may be a bit more expensive, but will save money on energy bills.)
  • Helping Hands.  There may already be a handrail on the stairs on the side away from the wall, so be sure that the rail is securely mounted and supports the weight of an adult.  Consider also installing a rail on the other side so that an older parent who may be habituated to using only one hand for steadying themselves will have that support going both up and down the stairs.  Also, replace a short handrail with a longer one that runs the distance to avoid a stranger in the house from coming to the end of the rail and thinking they have come to the end of the steps.  Remember also that handrails can be helpful assists in any hallway.
  • Footing. Old carpeting may be more slippery than new surfaces, therefore posing a hazard.  Or over the years it may simply be coming loose from the tacks that have held it to the underlying surface.  If the older adult for whom you are caring tends to wear just socks around the house or smooth-soled slippers, offer them newer slippers with rubber soles to give surer footing.  And worn carpeting also may be a trip hazard from loose threads or tears in the fabric.  Worn carpeting can be every bit the trip hazard in hallways also.  Outside steps can be improved with abrasive, non-slip strips on the edges and/or warning paint so that they can be clearly seen.  Also consider painting the top and bottom steps a lighter color than the other steps so an older adult can more clearly see when they are stepping onto as well as off the stairs.
  • Storage.  And last, stairways tend to gather objects like a book shelf or counter.  We tend to place items on the steps to remind ourselves to take them up or down to the other floor.  Try to help an older adult come up with a better solution to avoid trip hazards.

Charlotte Bishop is a Geriatric Care Manager and founder of Creative Case Management, certified professionals who are geriatric advocates, resources, counselors and friends to older adults and their families in metropolitan Chicago.  Please email your questions to Charlotte Bishop.

Copyright ©2012


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Recent Comments

re:
love it! very interesting topics, I hope the incoming comments and suggestion are equally positive. Thanks for sharing information that is actually helpful.

allinfouneed
www.tulleeho.org
Re: A Radio Talk with Aging Info Radio
I have read this post. Really it is so nice.
Re: A Radio Talk with Aging Info Radio
I heard all the answers. I did not know those answers. Thanks for providing answers.
Re: Four Tips for the Accidental Caregiver
Great article Charlotte - I am always heartened at how neighbors and acquaintances will step forward to assist a senior in need. Sometimes it is because the senior has outlived their family members - sometimes there are other reasons. In any event, these situations are really unique, and they require some planning to handle thoughtfully. A geriatric care manager can be a really important piece of that puzzle. You have provided some really good suggestions in this article. Keep up the good work.
I would really love to guest post on your blog.`
This kind of post is very rare.. its so hard to seek a post like this. very informative and the contents are very Obvious and Concise .I will look more of your post
Re: Two More Ways to Make Elders' Homes Safer
Nice article Charlotte - really solid suggestions. I just can't figure out why I'm accumulating so much stuff already!
Re: Caregiving to Older Workers
Nice article Charlotte. This is really becoming an important issue.
Re: Four Steps for "The Talk" About Giving Up the Car Keys
This is the conversation I have been dreading for the longest time. My dream was to have a driver in place before this actually happened, but at this point I don't know. My mom has never been the best of drivers to begin with, but still manages to function well enough and as of this writing is still fully functional. Whether that lasts another week, a year or a few years is out of my control, but when it happens, I will have to deal with it just as you suggested. I expect it to be a huge fight and really would not have it any other way.

My biggest fear really isn't for my mom's safety as it it for everyone else's. My grandfather drove until he was in his 80's and one day drove his car through his next door neighbor's living room. Obviously, that was it. (I have every intention of getting the keys from her before it gets to that point.)

Here is another thing to consider: My mom's car is bought and paid for, so my thinking is that when the time comes, there should be enough sale value left on it to pay for a driver for a certain amount of time. I have no idea what that costs, but this article lit the fire and I intend to find out.

Keep these posts coming, I am sure I am not much different than a lot of your readers in that even though I know I shouldn't, when it comes to my mom, I would like to live in a state of denial as long as possible. It gets harder and harder as she slowly watches her friends die around her and starts to question her own mortality.

Re: Alzheimer's Related Medical Conditions
This is the information that I've been looking for. I'm really glad that you posted it. Thanks for sharing this one!
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Joseph
www.joeydavila.com
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