Written By: Lynda Jennings, OTR, RAC-CT, CDP
Aging In Place Is Not For The Faint Of Heart
For older adults wishing to remain in their own homes, evaluating factors that contribute to a safe and comfortable living environment is crucial. According to the U.S. Census Bureau, millions of households with adults aged 65 or older face accessibility challenges. With only 18% of U.S. homes equipped with bathroom safety features like handrails, and a lack of first-floor bedrooms and bathrooms in many multi-story homes, accessibility can be a significant hurdle. Therapy services play a vital role in making these spaces safer and more functional for aging adults.
The U.S. Census Bureau’s new report, based on the 2019 American Housing Survey, reveals that around four million households with adults aged 65 or older struggle with accessibility in their homes. While 40% of U.S. homes have basic aging-ready features, 11% of older households still face challenges, with the number rising to 25% for those aged 85 or older. Of the 115 million housing units in the U.S., only 18% (20.3 million) have handrails or grab bars in the bathroom. More than a quarter of homes are multistory and lack a bedroom and full bathroom on the first floor. Therapy services can play a crucial role in addressing home accessibility issues for older adults. Therapists can assess the home environment and the individual’s physical abilities to recommend modifications that enhance safety and ease of use.
- Home Evaluation: A home evaluation conducted by a therapist, is designed to assess the safety, accessibility, and functionality of a home environment for an individual with specific needs, such as those recovering from illness or injury, the elderly, or individuals with disabilities.
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- The therapist evaluates areas such as entrances, bathrooms, kitchens, and stairways, looking for potential hazards like tripping risks, inadequate lighting, or difficult-to-reach items. Depending on the findings, the therapist would make the appropriate modifications and adaptive equipment.
- Accessibility: Home accessibility plays a key role in helping seniors age in place by ensuring their living environment is safe, comfortable, and easy to navigate.
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- Modifications such as installing grab bars, ramps, wider doorways, stairlifts, and non-slip flooring can reduce the risk of falls and other accidents. Accessibility features, like having a bedroom and bathroom on the first floor, as well as lever- style door handles, walk-in showers with built in seating and adjustable-height countertops also make daily tasks more manageable, allowing seniors to maintain independence longer and stay in their homes safely as they age.
- Technology: Beyond basic home modifications, technology can play a vital role in enhancing independence and safety for the older adult.
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- Devices like Alexa and other voice-activated assistants allow seniors to control lights, appliances, and thermostats hands-free, enhancing convenience and reducing physical strain. Motion-activated lighting automatically illuminates hallways, staircases, and other areas, improving visibility and reducing the risk of falls, especially at night. Emergency response systems with features like fall detection, GPS tracking, and emergency communication provide instant access to help, ensuring peace of mind in case of accidents.
- Health Considerations: When aging in place, maintaining health is crucial for a safe and successful experience. Regular check-ups and consultations with healthcare professionals are essential in assessing whether aging in place is a viable option.
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- Telehealth services and remote monitoring technology can further enhance safety by allowing seniors to have virtual consultations and track vital signs from home, ensuring timely medical interventions and reducing the need for frequent in-person visits. Also, medical alert systems are invaluable tools for seniors aging in place.
- Support Systems: A robust family or friend support system is essential, offering both emotional support and practical help with everyday tasks.
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- In addition to family or friend support, community resources like meals-on-wheels, housekeeping, and caregiving services help older adults maintain independence and well-being by addressing daily needs such as nutrition, personal care, and home safety. Transportation options and social clubs further enhance their quality of life by promoting mobility, social engagement, and reducing isolation.
Successful aging in place is possible with planning and the appropriate resources are available to the older adult. Interested in learning more? Take my course: “How Technology Can Enhance Independence and Safety in Older Adults”
Reference
U.S. Census Bureau. (2023, October 10). Census Bureau releases new report on aging-ready homes (Press Release No. CB23-TPS.101). https://www.census.gov
Lynda’s Upcoming Free Lunch & Learns:
November 20th: 12:00-1:00PM EST
Optimizing Therapy Services in the Assisted Living
January 24th: 12:00-1:00PM EST
How to Become a SNF Rehabilitation Director
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February 20th: 6:00-8:00PM EST
A Comprehensive Guide to Therapy Documentation in Post-Acute Care
March 25th: 6:00-8:00PM EST
A Step-by-Step Guide to Post-Acute Quality Measures
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