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By Laura Jean Whitcomb
Your home may be perfect for
you right now, but will it meet your needs when you
are 60, 70, 80?
Everyone ages differently, but one thing is certain:
we are all aging. The American population will
increase by almost 50 percent from 1995 to 2050,
while the 65 and over age group will increase by 135
percent, according to the American Association of
Homes and Services for the Aging (AAHSA). People
over 85, those most likely to have chronic care
needs, are the fastest growing age group.
The functional problem most commonly reported in a
recent AARP survey is climbing up and down stairs…
as a result, falls are the major cause of injury,
death, disabilities and hospital admissions for
older adults.
Where the elderly will live is an individual choice.
According to an AARP housing survey, 89 percent of
older Americans want to stay in their current homes
for the rest of their lives — despite the fact that
one in four respondents expect that they, or a
member of their household, will experience problems
getting around within the next five years.
A Home Design for the Elderly
Fortunately, simple repairs can be made to a home to
keep you safe or make things easier. Many of these
modifications were included right from the start at
Harvest Hill. Trumbull-Nelson, Construction Manager
on the project, worked with Hanover’s Fleck & Lewis
Architects and Norwich’s UK Architects PC to build a
high-quality residential community that will
accommodate resident needs over time.
Harvest Hill is an independent and assisted living
residential community, located on the campus of
Alice Peck Day Memorial Hospital in Lebanon, N.H.
The design of 72 stand-alone apartments offers a
retirement community providing independence and,
thanks to the proximity of APD, assistance to meet
individual needs.
“Trumbull-Nelson and the architects worked hand in
hand to design and build the facility,” says Ron
Andrews, Harvest Hill’s administrator since 1998.
During the second phase of construction in 2002, an
addition of 21 apartments and garage space, Andrews
worked closely with both firms to ensure that the
design was kept comfortable, secure and independent.
“We had to think about heating and cooling, and what
would be more comfortable for a senior. The heat
pumps blow hot air, but it first comes out as cold
air and blows across the senior’s necks. At the
suggestion of an engineer, we were able to add
baseboard heat to some of the rooms.”
Seniors also offered their opinions during Phase Two
of the project. “We installed thermostats that are
easier for older people to handle,” says Andrews.
“Instead of turning a dial, there is a style of
thermostat that can be pushed up or down.”
The result is a home that makes it easier and safer
to carry out activities such as bathing and climbing
stairs. “The apartments are designed to look just
like home, except there are features that you may
not find in your typical home,” says Andrews,
listing some of the safety features of Harvest Hill.
“There are grab bars in the bathroom, by the toilet
and the shower, to make getting in and out easier.
There’s a seat in the shower, for those who may not
feel well enough to stand, as well as two
showerheads, regular and handheld. All apartments
are on a single level, and hallways have a rail for
people to hold on to while walking. We want people
to spend time enjoying the things they want to do —
art, writing — instead of worrying about safety.”
What You Can Do at Home
Older people tend to live in older homes. According
to the National Resource Center, 60 percent of older
persons live in homes more than 20 years old. Things
that worked when you were 55 — such as the front
steps to your home — may not be convenient at age
70.
Simple alterations can prevent one third of all home
accidents, according to AARP, nonprofit membership
organization dedicated to making life better for
people 50 and over. AARP suggests making a list of
your daily activities and what you like to do most,
then look at your home with a critical eye. Their
Web site offers a checklist as well as a free
publication called “The Do-able Renewable Home.”
The functional problem most commonly reported in a
recent AARP survey is climbing up and down stairs.
About 35 percent of respondents have difficulty
walking, a lack of mobility or specific problems
with knees, hips, legs or arthritis. As a result,
falls are the major cause of injury, death,
disabilities and hospital admissions for older
adults. One out of every three older adults falls
every year, and 60 percent of all falls occur at
home, according to Safe Aging, a safety, health and
injury preventing Web site.
Most falls occur in the bedroom, bathroom and on the
stairs. Falls have been attributed to lighting
problems, slipping, tripping and going up and down
stairs without rails. With these problem areas in
mind, let’s look at safety modifications in a few
areas of the home.
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Bathroom |
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Although walk-in showers are safer than
a bathtub, assistive devices, such as
grab bars and non-skit surfaces, may
make daily routines easier. |
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If you do install an elevated toilet
seat, AARP suggests that it should be
adaptable, that is, readjusted to
different heights for different people.
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Regulate a hot water heater to prevent
scalding and burning; keep it at 120
degrees Fahrenheit or below. Clearly
mark faucets hot and cold. |
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Leave a light on in bathroom at night. (If
you’re half asleep, you may not be
inclined to turn a light on!) |
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Install door locks that can be opened
from both sides. |
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Consider installing a telephone in the
bathroom so you can call for help in an
emergency. |
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Stairs |
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If possible, install handrails on both
sides and the full length of stairs.
Position rails at adult elbow height,
about 36 to 39 inches, and fix securely
to walls and posts so you can bear
entire weight on handrail without
damaging it. |
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Whether inside or outside, make sure
your stairs are well lit. Install lights
and illuminate stairs with no less than
two bulbs. Install nightlights that
automatically click on at dusk. |
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Treads should be deep enough for the
whole foot. |
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Keep risers and treads a consistent
size. If steps are inconsistently sized,
mark them by painting a contrasting
stripe on all stepnosings so that the
nonuniformity stands out. |
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Remove thick carpets and underpads on
steps. Use slip-resistant rough finish,
rubber stair treads or nonskid
contrasting tape (three long strips of
tape on each step). |
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Remove or repair tripping surfaces, such
as projecting screws or nails on treads. |
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Do not have rugs at the top or bottom of
the stairs. “Remove scatter rugs,” says
Andrews. “They are the biggest
offenders.” |
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Kitchen |
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If adjustable countertops are out of your
budget, make sure there is one surface
area that is lower for workspace. The
height of this counter or workspace
should allow you to sit while working. |
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Install smoke detectors and make sure a
fire extinguisher is available. |
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Replace knob handles on cabinets and
drawers with easier-to-grasp u-shaped or
d-shaped handles. |
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Increase wattage of light bulbs to help
those with limited vision. |
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Make sure stove controls are marked and
easy to use. |
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Check out the floor surfaces: Are the
surfaces safe, nonslip? Remove dangerous
scatter rugs. |
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Have a telephone readily available for
emergencies. |
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