Senior Care Resources

Explore practical advice, expert tips, and supportive resources for navigating the challenges of senior care and enhancing the well-being of your loved ones.

physical therapy Parkinson'sPhysical therapy can do seniors with Parkinson’s disease a world of good, slowing the decline that these patients experience. The physical challenges that those with the disease face–slow movement, hesitation, balance issues, rigidity, and resting tremors–can severely impact their ability to complete everyday functions. A physical therapist should be able to design an exercise plan that can enable Parkinson’s patients to overcome these problems and achieve maximum mobility. In addition to improving physical abilities, a physical therapist can also take a look at the senior’s home environment for potential safety problems and usability issues. Maybe there are throw rugs that should be removed, or grab bars in strategic places in the bathroom would be helpful. They can also give advice on what exercise is best given a senior’s particular medication, so that they can get the most benefit from their treatment. They will also send the senior home with a plan to continue treatment outside of the therapy setting. One of the greatest benefits of physical therapy is that it can provide help with walking, which is a particular challenge for Parkinson’s patients. A good therapist will know how to overcome the “freezing” reaction that many patients experience. They may use an auditory cue, such as a ticking metronome, to prompt the patient to take steps, or visual reminders on the floor may help them remember how to walk in such a way that the chance for a fall is reduced. Some physical therapists may incorporate tai chi, yoga, or pilates and can address rigidity and balance problems, as well as build strength. They can also help Parkinson’s patients determine whether a cane, a Rollator (a walker with wheels), or a similar device would be a good thing to obtain. Consider physical therapists with BIG certification. These therapists have been trained to work specifically with Parkinson’s patients. The recommendation used to be that Parkinson’s patients wait until the later stages of the disease to start physical therapy, but this is no longer the case. Instead, it is advised that patients start treatment as soon as possible, as this can have benefit before a major event like an injury or another type of decline. By building up these habits of physical activity now, they may be much better off as the disease progresses. If a loved one has Parkinson’s disease and there isn’t currently a physical therapist on their treatment team, take some steps to bring one aboard.
Parkinson's disease becomes more severe over time.Parkinson’s disease is something that develops slowly over time. In the beginning, symptoms may be mild, but will eventually become more severe. This is due to the gradual decrease of the neurotransmitter dopamine. Nerve cells that use dopamine to send messages to control muscles can no longer do so if the brain cannot supply them with sufficient amounts of the chemical messenger. Recognizing Parkinson’s The common conception of a person with Parkinson’s is that they suffer from uncontrollable tremors and muscle movements, but this doesn’t occur in the early onset of the disease, nor is it universal in all sufferers. Researchers have isolated four pre-motor symptoms:
  1. Body movements occurring during REM sleep when only the eyes should be moving
  2. History of constipation
  3. History of depression and anxiety
  4. Diminished sense of smell
Since early treatment can keep the disease under control, it is vital that you be aware of the above warning signs in loved ones as well as:
  • Changes in speech patterns such as slurring, hesitation, low volume, a monotonous voice, and difficulty in choosing words
  • Increased sweating or urination
  • Changes in personality
  • Low blood pressure when standing
  • Foot cramps
  • Drooling
As the disease continues to progress, the following areas may be affected:
  • The face: this manifests itself as “Parkinson’s Mask,” or the loss of ability to smile, blink, or alter facial expressions
  • Fine motor skills: handwriting may be unusually small
  • Muscle coordination: there may be difficulty with walking, rising from a seated position, and swallowing
  • Cognition: watch for memory problems, the degeneration of problem-solving skills, attention deficit, confusion, and the inability to make decisions,
  • Mental health: the person may experience depression, hallucinations, or signs of dementia
Diagnosis The importance of early diagnosis and treatment cannot be overstated since Parkinson’s often makes an insidious entry into a victim’s life, establishing itself before he or she realizes something is wrong. So if you notice even one of the above symptoms in a loved one, pursue immediate medical evaluation. There is no definitive diagnostic tool for Parkinson’s. Blood testing rarely uncovers abnormalities, nor do MRIs, EEGs, and CAT Scans spot any brain change. Therefore a doctor must make a clinical diagnosis (one based on his or her own judgment). It is crucial you seek a neurologist with a thorough knowledge of Parkinson’s disease to evaluate your loved one. Evaluation After taking a family history and performing a physical examination, the doctor will ask you and the patient about observed symptoms, then watch him or her stand up, turn around, walk around the room, etc… all in an effort to judge movement, balance, and coordination. Treatment The Doctor will prescribe drugs to alleviate symptoms, the most common of which is Sinemet (Levodopa/Carbodopa).
  • Levodopa, also known as L-Dopa, travels to the nerve cells of the brain that should be producing dopamine, where it is converted to dopamine for use as a neurotransmitter.
  • Carbidopa increases Levodopa’s effectiveness and decreases possible side effects like nausea, vomiting, and occasional heartbeat disturbances.
If medications have minimal effects, or cease to be effective, depending on age and overall physical condition you may want to pursue alternate treatments as Deep Brain Stimulation or Stem Cell Treatment. Care A Parkinson’s patient needs individual care and constant observation. In a perfect world he or she could remain in their own home, but this is often not possible. An excellent alternative is a board and care home, like Raya’s Paradise, where staff keep a watchful eye and make sure medication is taken. There is no cure for Parkinson’s, but we can buy time and make that time as pleasant as possible.
Vision loss is more than simply loss of sight.The loss of your loved one’s vision is a loss of their independence and a battle with their quality of life. The decline in their depth, central, and peripheral perception has a negative effect on mobility, communication skills, safety, and emotional health. It’s very important to come up with a plan to help them cope. Impact of Vision Loss The easiest way to think of how your loved one feels is to think of someone who is hearing impaired. They communicate by sight, with their hands, and read lips. They are able to pick up facial expressions, head nods, and gestures. You may already have to speak louder to a loved one because of hearing loss. The loss of two senses is heartbreaking and leads to a lack of social interest and activity, a poor quality of life, anxiety, and even depression. There are also safety issues associated with vision loss. Your loved one is in danger of falling doing normal activities, slipping on spilled oils, lotions, or food. They could trip over cords that were previously tucked away, or miss stepping over something because of poor judgment of the height of an object. Loss of vision impairs driving ability and increases the chances of vehicle accidents. The worst safety concern is that your loved one might not be able to effectively communicate what is wrong because they’re in a state of panic and not able to see their surroundings properly. Living in assisted living can mitigate some of these risks because the environment is designed for senior safety, but it’s impossible to completely prevent accidents from happening, especially if a senior miscalculates what they can handle. Helping Your Loved Ones Cope With Vision Loss There are many things you can do to help your loved one cope with vision loss.
  • Color code medicine bottles or purchase pill containers to help with medication management
  • Make standardized arrangements of household items
  • Add safety features to household items such as table edge guards and gates around stairs, and place non–slip mats around slippery areas such as the kitchen
  • Decrease glare from the sun or other light sources in the home; add motion sensors and plenty of lighting
  • Minimize clutter and bulky furniture
  • Attend eye doctor appointments with your loved one; discuss all medication because drug reactions can have side effects on vision as well
Your loved one may feel they are a burden and keep important issues away from you. It’s important to let them know you are there for them. Set up a caregiver treatment plan. Help them connect with community resources for assistance such as transportation services and support groups. Provide self-help aids such as magnification devices, various eyewear, tinted lenses, closed-circuit television, large print books and telephones with dials. If they enjoy sewing, have a needle threader and plenty of thimbles. If they love novels, get them a subscription to an audio book of the month club. By being mindful of what loss of vision means and showing compassion and support, you can ease the negative effects of this health condition.  
Noticing the seniors around you can bring rewards.When you visit your loved one, do you ever take a look at any other residents? I mean really take a look. Or have these elders become part of the background of the facility? How about that tiny woman with the thick glasses who’s always in the main lounge, shading her eyes from the light; or the frail man with the gray hair who nods at you from his wheelchair whenever you pass by? And that Asian man who likes to sit by the window watching the traffic outside, have you ever wondered about him? Your mom or dad’s new neighbors all have a piece of history attached to them. Some struggled in school, while others triumphed. Some worked with numbers while some pursued their creative abilities. Some individuals worked at exciting or prestigious jobs, others at boring repetitious ones. They lived, loved, and laughed, just like your mother or father. Why not take the time to learn a bit about them, too? When you’re spending time in the lounge with your mom or dad, choose a seat within speaking distance of another resident. Start with a smile. You never know where a casual comment may lead. We all crave conversation. In most cases, it doesn’t diminish with age. In sharing their stories, a senior has a chance to relive their experiences here and now, rather than in the recesses of their memory. They matter to someone who wants to know who they are. As for your mom or dad, perhaps they will gain a new friend out of your simple outreach. Maybe your dad was a pharmaceutical salesman, too. Maybe your mom was an I Love Lucy fan, too. Common experiences can serve as a firm foundation for a friendship. You’ll feel better knowing she’ll have someone to “hang out with.” You might benefit in other ways too. Widening your circle of older acquaintances might result in practical advice you can put in place in your own life. And when you least expect it! Take that lady mentioned above, the one with the glasses. A woman visiting her father, who was a writer experiencing a string of rejections, struck up what she thought was a casual conversation with the unassuming senior. As she wheeled her father toward the elevator, she offered her arm to the old lady hobbling beside her. She learned that the woman had been an accomplished illustrator of children’s books in the 1960s and ‘70s. “Oh, I tried writing children’s books,” our visitor replied. “And what happened?” asked the woman. “I gave up.” “Well, you must start again,” was the advice offered. And so she did. So, look around. At the very least you’ll break up the monotony of another human’s life. You never know, you might hear about a life of accomplishment. That Asian gentleman by the window, he was the youngest in a family that emigrated from China. Inspired by parents who believed in education and excellence, he went on to medical school and opened his own neighborhood practice, holding off retirement until the age of 82. And the friendly gentleman in the wheelchair — after a career as a cameraman in Hollywood studios, he opened a successful store specializing in nuts and fine candies. It flourished for years. Notice someone, because you never know where it will lead.  
Purchasing a hearing aid requires some research.Currently, about 37 million Americans are affected by some form of hearing loss – from slight impairment to complete deafness. Of that staggering number, only about one-fourth of those individuals actually utilize hearing aids to overcome this challenge. Among the top reasons for not choosing a hearing aid: the unwillingness to admit the disability and the high cost associated with the devices. The costs for a hearing aid range from $1400 to $5000 each, according to the Hearing Loss Association (a consumer advocacy group). The market is now made up of almost all digital hearing devices which receive sound via a small microphone, process the sounds digitally using a microchip, then amplify the sound, sending it to the recipient’s ear. These are a far cry from the analog hearing aids of old, which did little more for the recipient than amplify the sound and allow him/her to adjust the volume. Overcoming hearing loss is such an individual process that the newer, digital devices allow manufacturers to adjust the devices to suit the particular needs of the buyer… and that’s great news. That is due largely to the fact that two people with the exact same level of hearing loss can process sounds entirely differently, making the selection of a hearing aid a very individualized matter. Most hearing loss evaluations are performed by audiologists or by ear, nose and throat specialists. These professionals can often also sell you devices, or recommend you to reputable vendors. If you are having trouble locating an audiologist, the American Academy of Audiologists can connect you with a list of qualified providers. A basic hearing test includes the following:
  • Speech audiometry: The patient repeats words (in silence and noisy backgrounds) to determine how the hearing loss is affecting him or her.
  • Pure tone bone conduction audiometry: This test detects where  in the ear the hearing loss has occurred, and thus how best to treat the problem.
  • Tympanogram: This test determines how well the middle ear hearing system, as well as the eardrum, is working.
  • Pure tone air conduction audiometry: This test determines how well the patient actually hears the beeps and tones given.
Once the level of hearing loss is accurately assessed, the hearing specialist should also work to determine your lifestyle, so that the hearing aid chosen will actually fit into your normal daily routine. Your specialist may want to know if you live alone or with others, in a large or small space, if you dine out regularly, if you are often in noisy environments (movies, theater, religious services, etc.), or if you’re a heavy user of your telephone or television. Before you look into the types of devices available, it is important to note that most medical insurance plans will readily cover the cost of testing, but most will cover little (if any) of the cost for the actual device. If you served in the military, be sure to start with your local Veteran’s Administration’s office, as they have some programs to address hearing loss for vets. Medicare, along with most private insurers and Medicare Advantage plans, exclude the cost of the device with some exceptions for cochlear implants designed to address the most severe of hearing loss concerns. Financial help is available through programs with Lions Club International, the Hearing Loss Association, as well as the Better Hearing Institute. Hearing aids and their capabilities have come a long way, so ask your vendor about the number of options available (as well as warranties and extra fitting fees, if any). Open fit hearing aids eliminate distractions and echoes, as do the devices outfitted with noise reduction technology. Devices with directional microphones reduce outside distractions and the Bluetooth option allows calls from your cell phone to ring directly to the hearing aid. Of course, today’s digital technology provides all types of options to accommodate your lifestyle.  
Our Los Angeles Alzheimer care facilities offer healthy meal options.While eating healthy is vital for any person, regardless of age, the senior population tends to be especially susceptible to poor nutrition or malnutrition. Studies have revealed that a whopping 15 – 50 percent of elderly people in the US suffer from malnutrition, but detection has sometimes proved difficult. Symptoms such as lethargy, light-headedness and loss of appetite are often mistaken for other illnesses. However, as a caregiver, you can help to combat this challenge. Often more important than attempting to alleviate the nutritional deficiency, getting to the root of why your aging loved one is not eating (or eating well) is essential. Some common causes for poor nutrition in seniors includes the following:
  • Medication. The side effects of certain drugs can lead to nausea, poor appetite, and altered taste buds. It doesn’t matter whether the medication is prescription or over-the-counter – feeling bad often leads to reduced food intake.
  • Poor Dental Health. Some seniors have difficulty with their dentures, broken or missing teeth, or pain in the jaw area that can make the consumption of some foods exceptionally difficult.
  • Lack of Transportation. Ours is no longer a society which harvests its own food, so we depend heavily on routine trips to the grocery store or market to get healthy, fresh foods. Seniors have often scaled back on driving due to the hassle of heavy traffic or other challenges; some have stopped driving altogether. This can make getting the foods you need difficult or nearly impossible.
  • Cognitive Decline. Memory loss (caused by dementia, Alzheimer’s, or other diseases) can disrupt the very idea of maintaining a routine of any sort. The brain’s reaction to these diseases can sometimes make a senior forget very simple things you take for granted (such as when they ate their last meal). Further, some seniors suffering with cognitive decline will buy large amounts of the same items (which can, and often does, reduce their intake of certain nutrients).
  • Depression. A person suffering from depression will often simply feel too “blue” to concern themselves with their diet. Depression tends to take a toll on an individual’s appetite, as feelings of loneliness and/or unhappiness mount. While depression is manageable, this shouldn’t be left untreated.
  • Health Challenges: Some health challenges can make simple kitchen tasks unbearable. Arthritis, vertigo, joint or other pains, and overall weakness can lead seniors to settle for something quick and easy, but less healthy.
The best way to pinpoint signs that these challenges may be leading to nutritional deficiency is to simply observe and have open conversations with your loved one, especially when or if you suspect that he or she isn’t eating enough or enough of the right things. Speaking of right things, the types of foods taken in is important. Whole grains, fresh fruits and vegetables, protein-rich beans or other legumes, and lean meat and dairy should be the norm in a senior’s diet. The combination of these items helps assure that seniors are getting essential vitamins, minerals, and other nutrients. Other ways to encourage your senior to get better nutrition include: dining as a group, especially with other seniors (to introduce the social factor); maintaining food storage for them; grocery shopping with them; and addressing contributing health concerns that are obstacles to eating well.  
Board care for elderly can cause medical bills to pile up.

Photo used under Creative Commons from attercop311.

With the possibility of multiple bills being generated from a single visit – along with discrepancies in the diagnosis and treatment necessary – there’s no wonder that medical bills sometimes have errors. In fact, a recent study conducted by the American Medical Association revealed that even with the recent improvements in billing accuracy, a full 10% of bills paid by private insurance companies do, indeed, have errors. Added to that is the fact that next year, in 2014, a much greater number of Americans will have health insurance coverage under the Affordable Care Act, thereby increasing the possibility of errors. There are ways consumers can dispute any health insurance billing errors they find. The following are just a few suggestions to set things right and possibly save yourself quite a bit of out-of-pocket expense in the process. First, make sure your insurance provider has the most accurate and up-to-date information about you. Though it sounds entirely too simple, such discrepancies as your date of birth, the spelling of your name or whether or not you regularly utilize your middle initial on your paperwork can create problems. A great example of how this can happen is when a person is admitted to the hospital. A hospital patient can be seen and tested in a number of different departments, and unfortunately, all the departments create separate billing for the work performed. Thus, it can be tricky to keep up with all of this and to remember it all at the time your bill is actually received. It is always best if you have a friend, family member or other patient advocate available to double-check the information while you’re being seen at the hospital. Second, review your bill. Generally, your bills come with an explanation of benefits – read them over and be sure you understand them fully. This statement will indicate what services are being paid for by your insurer and which ones are not. This is a great way to get a clear, concise explanation if your insurer doesn’t cover a particular service. Third, be sure you have a good understanding of your insurance benefits. Have a working knowledge of your deductible and your co-pays. If you have to be referred to a doctor outside the network, understand what percentages are covered for these types of visits. In the case of pricey specialists, you should know that insurance companies often work with average “industry standard” costs for certain services and often will not bend if your specialist charges significantly more than the average. Fourth, after reviewing your bill and truly understanding your benefits, don’t be afraid to ask questions if you do not understand. Challenge the charges if you deem it necessary. Be sure you keep detailed records of who you spoke with and their responses. Keep a copy of anything you fax, mail or email to your insurer. Fifth, check the medical coding information. Much of the medical billing information you receive works off of specific coding from your doctor’s office, submitted directly to the insurance company. In certain cases, you may need to go back to the doctor’s office to request a “run-down” of the medical codes associated with your visit. Compare this information to your bill. If there is, indeed, a discrepancy, you can go back to the doctor’s office and ask that the information be corrected and resubmitted. A simple error in coding the diagnosis can make a huge difference in the payment of services associated with that visit. Sixth, get agreements in writing. Promises are no good without written confirmation, preferably via email. Finally, if the dispute process seems entirely too consuming, you may consider getting a medical billing advocate to help. A growing number of consumer advocate services and software programs are now available to assist in detecting and disputing medical billing errors.  
Los Angeles Alzheimer care facilities prevent problems with medicine.If the healthcare industry actually tallied the numbers and assigned a price tag to medication-related illness, the numbers would place it fourth-highest among “diseases” – behind cancer, Alzheimer’s and cardiovascular disease. A recent study published in the Journal of the American Medical Association, entitled: “Use of Prescription and Over-the-counter Medications and Dietary Supplements Among Older Adults in the United States,” revealed that 91% of adults over the age of 57 are taking some type of medication on a regular basis, with 81% taking a prescription medication regularly. Prescription medication was only one type of medication studied. The researchers also looked at over-the-counter medication, herbal supplements, and vitamins and minerals. The JAMA study concluded that at least half of the survey respondents were utilizing at least 5 medications regularly, which translates to a lot of chemical and natural compounds entering the body routinely. While medications are designed to assist the body in dealing with particular challenges, certain compounds react with others in a manner that can, and does, create harmful interactions. These harmful drug interactions account for an average of 175,000 trips to the emergency room each year for seniors. It is important to take into account age-related differences in the body which may affect the way a medicine reacts for a senior versus younger adults. Older adults tend to lose muscle and store more fat, and the fat balance can alter the effects of medication in the body. The health and overall functioning of the person’s eliminative organs (i.e., the liver and kidneys) has a tremendous effect on how well the medication is removed from the body. Poor elimination can spike the presence of the medication in the blood levels. Hydration (or lack thereof) can be a huge issue that seniors must guard against, since it definitely affects the way the stomach absorbs a particular substance. And what we eat, the effects of certain foods and liquids on our absorption, side effects, etc. are critical. To prevent medication-related challenges, all your healthcare professionals should be aware of every medication you are currently taking. This is not simply related to prescription medications, but should include all compounds you take on a regular basis, even the seemingly innocent ones. Antacids, aspirin regimens, vitamins, minerals, herbal supplements – if you take it regularly, every person who contributes to your healthcare in any manner should be aware of it. Ask your healthcare professionals questions. In addition to problematic drug interactions, certain combinations can deplete important nutrients from the body, so it is best to be aware of the possibilities. Your pharmacist is also your secret weapon in the fight for the prevention of medication-related challenges; he or she is often able to research the various medications you take for possible interactions. Be sure you contact them at a slower time of day so you can get the focused attention you will need. Because the needs of seniors are different, there is a specialized field of pharmacists called “Senior Care Pharmacists” which may be of particular benefit. Find one utilizing the website of the American Society of Consultant Pharmacists. Finally, you can conduct your own research by browsing through the “Beer’s List” of potentially inappropriate medications for senior adults.
Board care for elderly can lead to financial mistakes during retirement.

Photo used under Creative Commons from bradipo.

While some people work and save for years so they can have a very comfortable lifestyle during their retirement years, others find  keeping their retirement nest egg intact to be a challenge. A 2010 survey conducted by Wells Fargo Bank revealed that more than a quarter of the American population has concerns about their finances for retirement. Thus, we’ve put together a short list of common financial blunders to avoid when you’re working to protect your valuable assets. Have a Clear Understanding of Medicare and Medicaid: While Medicare is a very valuable healthcare management program, many retirees do not have the best handle on what is – and is not – covered by Medicare. One of the most financially devastating challenges to your financial health in retirement years is the need to enter an assisted living facility. While Medicare does, in most instances, cover a short-term stay in a rehabilitation center, Medicare will not cover a long stay in assisted living since assisted living is not medical care. Unlike Medicare, the federally funded Medicaid program will cover long term care, but Medicaid is a program designed for seniors who have exhausted all their assets (for a considerable period of time) and is generally considered an absolute last resort option. Many assisted living facilities do not accept Medicaid. Make no mistake – just one serious health challenge faced in the absence of a long term care plan can wipe out years of financial planning. It can also leave you with little options should you face a second, or third, health challenge. If you do not have a long-term care plan, or if yours is not comprehensive enough, start planning for that rainy day now. Beware of Con Men: Today’s seniors grew up in a world that was more trusting and more caring. However, that innocence, along with the availability of funds and assets, makes them a huge target for the unscrupulous (to the tune of $2.6 billion annually). A good rule of thumb: if it sounds too good to be true, it is. Estate Planning 101: Most individuals recognize the importance of having a will in place to leave their assets to the beneficiaries they hold dear. However, wills are not a set-it-and-forget-it type of document, and depending on when the will was initially drafted, it may have to be amended more than once. Pay attention to major life changes you experience, such as divorce, the death of a beneficiary, a birth in your family, or adoption. Note: if your will’s executor passes away, run (don’t walk) to have a new one appointed. The general rule of thumb is to review and update your estate plan portfolio at least once a year (with, of course, revisions done in between when there’s a major change). Doing so will help you notice when your documents have become outdated. Enlist the Help of Professional Estate Planners: While most family members mean well, the fact is that retirement planning is a specialized field best handled by professionals. Unless you have a family member who is both trained and experienced in this field, not just dibble-dabbling and reading market trends, it is best to maintain a relationship with a trusted advisor. Having the input from family members is fine, but before acting on their opinions, be sure your financial planner agrees.
Our board care for elderly locations are in safe enviroments.

Photo used under Creative Commons from ericrichardson.

Susceptibility to falls increases with age. Every senior and every person caring for a senior must have a keen awareness of this as the leading cause of injury for this age group. This one type of injury is responsible for a large number of seniors losing both mobility and independence.  Post-menopausal women with osteoporosis must take extra care in fall prevention because of the danger of broken bones due to decreased bone density. Studies show if you have fallen, it is very likely for it to happen again in the next six months. When considering fall prevention measures for seniors, take into account medication, exercise regimen, and environmental factors. When visiting the doctor, ask about health issues that may increase the likelihood of taking a spill. Is there an underlying physical problem with vision, or in the ear? Do any of the prescriptions the senior is taking inhibit balance? If so, can the doctor adjust the dose? Is lack of exercise a contributing factor? All the current medical knowledge on the subject points to the fact that active seniors are a lot less likely to fall than those who don’t get any exercise. Doctors recommend gentle workouts such as water exercises in a pool, tai chi (because of its slow graceful movement), or just walking. But the particulars are not so important; what’s key is to stay active and keep moving. Also look at trip hazards around the home or apartment. Some tips for making a residence a safer place for seniors include:
  • Moving tables and furniture out of high traffic areas to keep travel areas free of obstructions.
  • Securing throw rugs or taking them up if that’s not possible.
  • Making sure walkways are properly lit (this will especially help those with vision impairments).
  • Adding non-skid mats to bathrooms and bathtubs, along with hand rails.
  • Buying a raised toilet seat with hand rails.
  • Installing grip rails where they’re needed.
  • Insuring that there is room for the use of mobility aids such as a walker.
Increasing the safety of the yard or immediate surroundings can be a little more difficult. Outside walkways need to be kept free of debris, and you should also fix breaks or cracks that may not be seen by someone who is vision impaired. Shrubbery should be kept trimmed and off the walkway. An occupational therapist can help identify additional fall prevention measures you can take. Making big changes may be expensive and require professional installation, but remember that this is an investment in independence. Anyone who is no longer mobile will tell you that that’s a priceless benefit.