Conduct a Home Assessment
A functional plan for modification can be easily developed if time is taken to observe how the older person uses his/her surroundings. Consider, for example, the individualized ways in which spaces and objects in the home are used. Is the older person's bedroom, in addition to sleeping quarters, a place in which guests are welcomed, meals are taken and leisure activities performed such as watching TV, sewing and reading? Are naps and meals taken on the living room sofa? An assessment will highlight needed changes for increased functionality and comfort and a well-planned renovation will make living safer and more pleasant while increasing independence and self-sufficiency.
One way in which to conduct a home assessment is to spend a typical day with the older person observing how daily activities are managed. If a walker or wheelchair is used, pay close attention to difficulties that may arise when performing personal hygiene routines, preparing meals, washing dishes, feeding a pet or taking out the trash. Do room thresholds or small rugs hamper use of the walker? Would the addition to the walker of a tray or carry-all bag make it easier to transport food to the table or knitting supplies to a favorite chair?
When conducting a home assessment, don't neglect the outside. Brighter lighting, widening of a pathway and clearing of shrubs and clutter may be needed for improved safety, accessibility and security. The addition of an entry ramp may avoid the need to climb steps and provide wheelchair access should that be or become necessary.
After completing a home assessment, compile a list of changes that are essential to the well being and self-sufficiency of the older person. This list will be useful when getting work estimates, if you hire workers to make the modifications for you. You will be able to use it to compare their cost estimates.