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Aging in Place, Avoiding a Nursing Home

5/26/2022

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Exterior
  •           Low-maintenance exterior in vinyl or brick
  •           Low-maintenance shrubs and plants
  •           Deck, patio or balcony surfaces are no more than ½ inch below the interior floor
 
Overall Floor Plan
  •           Main living should be on first floor and should include a full bath
  •           5-foot by 5-foot clear/turn space in every area of home NOTES:
 
Hallways
  •           Minimum of 36 inches wide, even wider is preferred
  •           Well- lit hallways 
 
Entry
  •           Accessible path of travel to entrance
  •           At least one no-step entry with a cover against rain and snow
  •           Sensor light at exterior no-step entry focusing on the front-door lock
  •           Non-slip flooring in your foyer
  •             Low peep hole viewer
  •           Doorbell in an accessible location
  •           A raised place to put packages when opening the door for mailman 
 
Thresholds
  •           Flush is preferable at every entrance
  •           Exterior maximum of ½ inch beveled
  •           Interior maximum of ¼ inch 
 
Interior Doors
  •           There needs to be 32 inches of clear width
  •           Levered, push down, door hardware instead of hard to turn NOTES:
 
Windows
  •           Taller windows with lower sill height. You want fresh air and light.
  •           Low maintenance exterior and interior finishes
  •           Easy to operate hardware on each window.
 
Garage
  •         Wider than average space to accommodate a lift on a van
  •           5-foot minimum access aisle
  •           Ramp to doorway
  •           Handrails near any steps
 
Faucets
  •           Levered single handles, not hard to turn double faucets
  •           Anti-scald controls 
 
Kitchen and LaundryCounters 
  •           Upper wall cabinetry - 3 inches lower than the conventional height
  •           Pull-down shelving
  •           Glass-front cabinet doors for visibility from wheelchair
  •           Open shelving for easy access to items frequently used
 
Appliances 
  •           Easy to read controls
  •           Washing machine and dryer raised 12 to 15 inches above floor
  •           Front loading laundry machines
  •           Microwave oven at counter height not high on wall
  •           Electric cook top for safety. Gas has potential to catch clothing on fire when in a wheelchair.
 
Bathroom
  •           At least one wheelchair maneuverable bath on main level
  •           Grab bars near tub and toilet
  •           Fold down seat in the shower
  •           Handheld shower head with a 6-foot hose
  •           Light in your shower stall
  •           Toilet seat 2 ½ inches higher than a standard toilet
  •           Design of the toilet paper holder for change with one hand
  •           Slip-resistant flooring 
 
Stairways
  •           Adequate hand rails on both sides of stairway, 1 ¼-inch diameter
  •           Increased visibility of stairs with a contrast strip on each stair 

Ramps
  •          Slope should be no greater than 1 inch rise for each 12 inches in length, adequate handrails at height appropriate to the individual
  •           5-foot landing at entrance 

Storage
  •           Closet rods and shelves within easy reach
  •           Lighting in every closet
  •           Easy open doors, not accordion.
 
Electrical, Lighting, Safety and Security
  •           Light switches, thermostats and other environmental controls in accessible locations and easy to read
  •           Clear access space in front of switches. No plants or boxes to trip over.
  •           Touch light switches
  •           High-tech security/intercom system that can be monitored from any TV in the house
 
Energy Efficiency Suggestions:
  • Tankless water heater
  • Solar panels
  • Triple-pane windows
  • Programmable thermostat.
  • LED lightbulbs
  • Use ceiling fans instead of HVAC
  • Caulk air leaks
  • Install window treatment for winter
  • Change air filters monthly
 
Created by The Carpenter Craftsman  www.thecarpentercraftsman.com 2022
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A Doctor's Checklist

5/26/2022

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  1. Before the visit-spend the time to write down what has been happening
    • When did it start?
    • Is it getting better? Worse? Staying the same?
    • Describe when the symptoms occur- every morning? Some evenings? All the time?
    • Describe how the symptom feels- pain so sharp I can’t stand up straight; I sleep only 3 hours each night, my stomach hurts an hour after I eat, etc.
    • What makes the symptom better? What makes it worse?
  2. Medications– bring a complete and CURRENT list
    • Include over the counter and vitamins
    • Know why you take each one
    • Be honest about how you take them- this is essential information. Do not lie about missed doses.
    • Nearly half of the people over 65 do not take their medications properly and this is not helpful to your doctor.
  3. Falls– be truthful about any falls
    • Many seniors hesitate to talk about falls because they don’t want to seem frail and they fear losing their independence
    • Falling may indicate the need for a simple intervention: a physical therapy order, assistance getting rid of clutter on the floor, a medication change
    • According to the CDC, 1 out of 3 older adults (over 65) falls each year but less than half talk to their healthcare providers about it
    • 70% of accidental deaths in seniors are the result of falls
  4. Write down any questions you may have. It is very easy to forget to ask them! Preparing for your next Dr. visit ensures his time is not wasted and you get an answer to all of your questions.
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  • Movie Reviews
  • In the Spotlight
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