Home adaptations for Aging in Place safely

A Comprehensive Guide to Home Modifications for Aging in Place

August 17, 202313 min read

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Ensuring Safety & Comfort: Key Home Modifications for Aging Comfortably

 

Home: More Than Just a Place

For many, our homes aren't just structures of bricks and mortar…

…they are the vaults of memories…

…the corners of comfort…

…and the very embodiment of our personal stories.


As the years go by…

…the desire to stay nestled within the familiar walls grows even stronger.

Senior Couple Enjoying their Home


But just as we evolve…

…our homes must transform too…

…ensuring they cater to our changing needs.


Aging comfortably at home is a dream most of us cherish.

However, ensuring that our homes remain safe sanctuaries…

…requires careful planning and thoughtful modifications.


This article will guide you through the various home adaptations that can be made...

...from simple tweaks to more extensive changes.

Whether you're an adult child helping your aging parents…

…or someone preparing for the future,

understanding these modifications can pave the way for a home that's not only comfortable but also secure.


Simple Modifications for Immediate Impact

Every journey begins with a single step…

…and when adapting a home for aging in place…

…small changes can make a big difference.

These adjustments are not only cost-effective but also quick to implement:


1.     Securing Rugs

A slip and fall can be devastating for older adults.

Secure Rugs with Anti-slip Pads or Double-Sided Tape

Ensure that all rugs are either removed…

…or securely fastened to the floor…

…using non-slip pads or double-sided tape.


2.     Emergency Call Button

An emergency call button or a wearable alert system ensures that help is always a button press away.

I frequently encounter patients who have endured hours on the floor after a fall

…simply because they didn't have an emergency call button at hand.

For instance, a recent patient of mine languished for 14 hours

…before her concerned neighbor, noting her unanswered phone calls…

…decided to check on her.

For many readers with aging parents living alone, this scenario likely resonates as a recurring nightmare.

Whether worn around the neck or on the wrist…

Emergency Call Button is Crucial for Aging In Place Safely

 …these devices provide peace of mind to both the elderly individual…

 …and their loved ones.


3.     Improved Lighting

As we age, our vision can diminish.

Enhancing lighting, especially in stairwells, hallways, and bathrooms…

…can reduce the risk of accidents.


4.     Non-slip Mats

Bathrooms, especially shower areas, are common places for slips and falls.

Bathrooms are common for falls

Non-slip mats in the tub or shower...

Non-Slip Mat in the Shower Reduces Fall Risk

 …as well as immediately outside of it…

 …can significantly reduce this risk.


5.     Shower Chair or Tub Bench

Adding a shower chair or a tub bench is a great idea...

...as they can be easily added without any installation and offer immediate safety benefits.

In the photo below you can see a tub bench which eliminates the need to step over a tall tub wall.

Tub Transfer Bench

All the person has to do is sit on the part of the bench sticking out of the tub and then bring their legs over the tub wall.


6.     Raised Toilet Seats

These make it easier for individuals with limited mobility to use the bathroom independently.

Raised Toilet Seat with Arms

They can be easily attached to an existing toilet, providing an added height advantage.

If there are handles/bars on one or both sides of the toilet then a raised toilet seat without arms will be sufficient.

Bars on the side of the toilet

However, if there are no bars in proximity to the toilet then a raised toilet seat with arms/handles is a correct choice.


7.     Nightly Trips: The Bedside Commode

For many elderly individuals, nocturnal trips to the bathroom can pose significant fall risks.

These risks are exacerbated by factors like

  • Reduced visibility

  • Drowsiness

  • Medications that can cause dizziness or disorientation.

A simple yet effective solution is the use of a bedside commode.

Bedside commode can reduce fall risk in elderly

In reducing fall risks, bedside commode checks off all the right boxes:

a)    Convenience: Positioned close to the bed,

a commode shortens the distance one needs to travel…

reducing the chances of tripping or losing balance.

b)    Safety:

Modern commodes are sturdy and often come with handrails…

…allowing the individual to safely lower and raise themselves.

c)     Flexibility:

They can be easily moved and adjusted based on the user's preferences.

d)    Reduced Disorientation:

By minimizing the distance and effort to reach the toilet…

…there's a lesser chance for someone to become disoriented in the middle of the night.

e)    Nightlights:

If the commode is being used…

…it's also worthwhile to consider adding a soft nightlight in the room.

This ensures that the path to the commode is always visible…

…without being overly bright or disruptive to sleep.


Additional Uses of a Bedside Commode

  1. Beyond the needs of our aging population,

…a bedside commode often becomes indispensable for individuals recovering from certain surgeries,

...such as Total Knee or Hip Replacements...

...or Back Surgery.

In these cases, even the short trip to the bathroom can be arduous and risky.

Having a commode close by not only reduces the risk of falls…

…but also provides a level of comfort and independence during the recovery phase.


  1. If there is enough space around the toilet...

...a bedside commode can be placed over the toilet...

...to increase the height and provide the arms to make getting on and off the toilet easier.

Commode over toilet to increase toilet height and provide arm support

For anyone concerned about the aesthetic of having a commode in the bedroom…

…some designs look less clinical and more like regular furniture…

…ensuring that functionality doesn't come at the cost of home ambiance.


8.     Nightlights

Installing nightlights, especially in pathways to the bathroom or kitchen, helps prevent accidents during the night.

Nightlight can reduce fall risk in elderly

9.     Easy-reach Storage 

Reorganizing frequently used items to be within easy reach can minimize the need for stretching or bending.

This can be especially helpful in kitchens where daily-use items can be stored on lower or easily accessible shelves.


10.  Clutter Removal

I can’t tell you how many homes I have seen where there was no way to get around…

…without at least hitting your shin on some sharp corner of an unnecessary box…

…or tripping over a dog toy.

The cluttered garage in the photo below is an example of a dangerous environment that can lead to falls and injuries.

Cluttered environment increases fall risk in elderly

Removing unnecessary items and decluttering walkways can make navigating the home easier and safer.


11.  Handheld Shower Heads

These allow for more flexibility during showers, especially for those with mobility challenges.

They should be positioned low enough so a person can reach them easily, without having to stand up.


12.  Color-contrasted Stair Treads

These can help delineate each step, reducing the risk of missteps or falls.

Color coded stairs reduce risk for falls

SAFETY QUIZ:

What is missing in the photo above?

If you answered "guardrails", you are correct! 


Remember, the goal of these simple modifications is…

…to create a safer, more comfortable environment,

…without major renovations or high costs.

The beauty of most of these suggestions is that they

  • are relatively inexpensive

  • can be implemented quickly

  • offer immediate benefits.


Intermediate Adjustments for Enhanced Safety and Independence

1.     Lever Handles

Lever handles for people with arthritis or decreased hand strength

Replacing traditional doorknobs with lever handles…

…can make doors easier to open…

…especially for those with arthritis or limited hand strength.


2.     Threshold Ramps

threshold ramps help people with mobility aids

Small ramps can be added to doorways or other areas with raised thresholds… 

…to prevent tripping and make it easier for those using mobility aids.

foldable ramp for wheelchair access


3.     Grab Bars Outside the Shower/Tub

While we mentioned bars inside the shower in the “Simple Modifications”…

…placing them outside the shower or near the toilet…

Grab bar by the toilet

…can provide additional support.


4.     Widened Doorways

For those using walkers or wheelchairs, doorways might pose a challenge.

Widening doorways can make navigation much easier.


5.     Adjustable or Handheld Shower Heads

While a handheld showerhead is a simple addition…

…adjustable models that can change height or angle…

…might require a bit more effort to install…

…but can make showering more comfortable.


6.     Anti-scald Devices

These can be installed on showerheads and faucets…

anti-scald device to prevent burns

…to prevent sudden bursts of hot water…

…which can be dangerous for those with reduced sensitivity or cognitive ability.

Visit Alzheimer's Store's website for more ideas on how to make the environment safer for people with cognitive disabilities.


7.     Stairway Handrails

Adding handrails on both sides of stairways…

…or adding a second handrail to an existing one…

…provides additional support.

At least one handrail should be installed for seniors

In places where it's difficult to position handrails on both sides, at least one should be installed.


8.     Swing-away or Pull-down Shelves

Especially useful in kitchens…

pulldown kitchen cabinet provides safety for seniors

 …these modifications can bring items within easy reach…

…without the need for bending or stretching.


9.     Curbless Showers

These types of showers eliminate the step-over curb… 

…making it easier for individuals to enter and exit… 

…without the risk of tripping.

curbless shower decreases risk for tripping

10. Chair Lifts (Reclining Lift Chairs)

Reclining lift chairs are designed to help stand up or sit down with ease.

Operated with a simple push of a button, these chairs tilt forward to assist in getting from a sitting to a standing position.

This reduces the strain on the knees, back, and hips, making it particularly beneficial for those with arthritis, recent surgeries, or other mobility challenges.

My own experience with the chair lift has been personal.

My dad, who suffers from Parkinson's disease,

found simple actions like transitioning from sitting to standing

increasingly challenging — a consequence of the disease that many might not immediately recognize.

For him, the chair lift hasn't just been a tool to assist in getting up.

Under the guidance of his therapist, it's become an instrument of progressive strengthening.

With each day, they reduce the tilt slightly,

encouraging my dad's muscles to work a bit harder,

and helping him retain as much of his mobility and independence as possible.

This demonstrates that some of the adaptive devices can be used as therapeutic tools as well as providing safety and support.

In addition to their functional benefits...

...these chairs also offer the comfort of a recliner...

...allowing users to relax and recline at their desired angle.

Chair lifts assist people with weakness and mobility challenges such as Parkinson's disease

While they are more expensive than standard recliners...

...the blend of comfort and functionality...

...makes them a worthy investment for many aging individuals.


Moderate modifications require a bit more investment in terms of time and money compared to the simple ones.

But these modifications can significantly enhance the safety and comfort of a home.


Advanced Skill & Investment Modifications

Advanced and investment modifications often require a more significant financial and time investment.

However…

…they can make substantial differences in both safety and the ability of an aging adult…

…to maintain independence in their home for a much longer period.


1.     Stairlifts

Staircases can become challenging obstacles as mobility decreases.

Stairlifts provide a seated or platform mechanism that moves up and down staircases…

Stairlifts ensure safety and accessibility

…ensuring safe and easy floor-to-floor accessibility.


2.     Walk-in Tubs

Traditional bathtubs can pose a high risk for falls due to the need to step over the tub wall.

Walk-in tubs have a door on the side, allowing the person to step in without having to lift their leg over a high threshold.

Walk-in tub allows safe transfer

Many of these tubs also have built-in seats and handheld showerheads.


3.     Complete Bathroom Renovations

Beyond just the walk-in tub, consider

  • non-slip tile flooring

  • a raised toilet with surrounding grab bars

  • lowered sink for wheelchair accessibility


4.     Widened Doorways and Hallways

We touched on this in the moderate section, but in some cases, the renovation might be more extensive, especially if there are structural concerns.

This makes it easier for wheelchair or walker users to move around.


5.     Lowered Countertops and Workspaces

Especially beneficial in kitchens and bathrooms…

…lowered counters make daily tasks more manageable for those in wheelchairs…

…or those who have difficulty standing for extended periods.


6.     Ramp Installations

For homes with steps leading to entrances…

…permanent ramps can replace or complement existing staircases.

Permanent Ramp should include gentle incline and handrails

These ramps should have a gentle incline and handrails.


7.     Floor-Leveling

In houses with sunken rooms or split levels…

…floor leveling can eliminate unnecessary steps…

…and create a seamless transition between spaces.


8.     Accessible Storage Solutions

Installing pull-out drawers…

…Lazy Susan in corner cabinets…

Lazy Susan provides accessibility and safety

…and other pull-down storage solutions...

…can make everyday tasks more straightforward.

9.     Full Home Automation

From voice-activated lights and thermostats…

…to remotely controlled blinds and security systems…

Remotely controlled blinds help seniors maintain control over environment

…automation can help seniors maintain control over their environment…

…without physical effort.


Advanced modifications often bring with them a higher upfront cost.

However, the trade-off is

  • dramatically improved quality of life

  • increased home safety

  • prolonged independence

For many, the peace of mind and comfort these adaptations bring are invaluable, making the investment well worth it.


 

Conclusion: A Home That Grows With You

As we journey through life's golden years…

…the familiar surroundings of home become more than just walls and a roof.

They transform into a sanctuary of memories, comfort, and security.

Enjoying Their Home


However, to truly age comfortably in such a sanctuary…

…it's essential to adapt and evolve our living spaces to match our changing needs.


Every individual’s requirements are unique.

While a stairlift might be essential for one, better lighting could be the immediate need for another.

Hence, a tailored approach to home modifications is indispensable.


It's always wise to assess current and potential future needs, consulting with professionals when necessary.

Senior couple consulting with professional about Aging in Place

Remember, you don’t have to transform everything at once.

Begin with what’s manageable and immediately beneficial.

As time progresses and needs evolve, you can delve into more extensive changes.


The ultimate goal is a home that’s not only safe but also empowers its inhabitants…

…making every day a celebration of independence and comfort.


In this journey of creating a space that truly grows with you, every small step counts.

So, assess, adapt, and let your home be the comforting embrace that stands the test of time.


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