Simple Changes That Make Aging in Place Safer for Those with Low Vision

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HomeWell Care Services

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Jul 20, 2023

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by Michelle Cone, Senior Vice President of Training and Brand Programs at HomeWell Franchising Inc.®

A 2016 study in JAMA Ophthalmology projects that the number of blind and visually impaired Americans will double by 2050. The reason behind this spike? For homecare providers, the answer should come as no surprise—age.

Aging is the greatest contributing factor to low vision disorders, with more than 12 million Americans aged 40 and older experiencing some level of vision impairment. At the rate the senior population is increasing, providers are facing the largest number of vision-impaired clients they have ever experienced.

For homecare providers, these predictions illuminate a compelling need and an opportunity: Older adults with vision loss need specialty care support developed explicitly to address the challenges associated with low vision. By tailoring services to clients living with low vision, providers nationwide can empower vision-impaired seniors in their communities to thrive at home and enjoy the liberties of aging in place. Simultaneously, they solidify their roles within the care continuum by helping reduce hospital readmission rates.

A More Mindful Approach

The likelihood of needing to provide care to low-vision clients is already high, as many seniors experience some degree of vision impairment. There are even estimates that one in three individuals has some form of vision-reducing eye disease by age 65. Hence, initial client home assessments typically account for potential hazards or obstructions in the hallways and other high-traffic areas of the home to prevent falls for vision-impaired clients. So, why should in-home care and home medical equipment providers develop a program specifically for low vision?

Brand programs thrive on specificity, and a well-executed low-vision program is no exception, as it can enhance the appeal of your care to potential clients and their families. This begs the question: What particular needs should a low-vision program address?

1. Fall Prevention

Falls pose a serious threat to the well-being and independence of older adults, as one slip can result in a severe injury and a trip to the emergency room. Each year, one in four Americans age 65 and older experiences a fall, and impaired vision more than doubles this fall risk.

For seniors struggling to see, the repercussions of a potential fall can cause a paralyzing fear and withdrawal from performing everyday tasks or their favorite hobbies. A study published in the journal “Investigative Ophthalmology and Visual Science” found that 40% to 50% of older adults with chronic eye disorders limited their activities because they feared falling, putting them at greater risk for social isolation, immobility and disability.

Vision impairment and fall risk go together, as the latter is often a direct result of low vision, but both require individual attention. Fortunately, by properly equipping a home for low-vision clients, organizations can address potential hazards in each client’s residence to prevent falls and preserve their confidence and health.

2. Mental Health

A 2020 study from the National Library of Medicine found that up to 8.6% of older adults with vision loss met the criteria for a depressive disorder. Between 10.9% and 43% reported clinically significant levels of depressive symptoms, both noticeably higher percentages than those found in the general aging population. The same study revealed that seniors with vision impairment exhibited more anxiety symptoms than those with other health conditions such as diabetes or cardiovascular problems.

Because vision loss is usually gradual, seniors and their loved ones may not be aware of how compromised their vision has become, posing a greater risk to their safety. Simply locating items around the house or enjoying activities such as gardening or cooking can become dangerous for certain older adults and consequently hinder their enjoyment and independence in living at home.

3. A Need for Color & Contrast in the Home

Marking areas of the home using a bright array of colors and contrasting light against dark elements can help clients navigate their homes and distinguish between household items, such as a favorite chair, and medical items, such as prescription bottles.
Color
Bright colors that reflect light are generally the easiest to see, especially vivid primary colors such as red, orange and yellow. Bright contrast tape, stickers or sticky notes in fluorescent colors can be used to mark changes in levels like stairs, identify household items like documents or bills, and warn clients of potential hazards such as doors or cabinets left ajar. Bright decorative elements like vibrant throw pillows, blankets or magnets can assist clients in locating furniture or appliances in their homes. Grab bars that are available in bright colors would also be useful to low-vision customers.

Contrast
Enhancing the contrast of light against dark or vice versa in clients’ homes has proven beneficial. Consider creating contrasting backgrounds, such as a dark switch plate behind a light-colored switch, or placing dark objects against lighter backgrounds. For example, a pale green chair can easily disappear in front of a yellow wall. Incorporating a dark blue throw blanket or slipcover can help clients identify this furniture against the yellow wall. Updating paint colors to provide more contrast is also an option, if the senior approves.

It is equally important to avoid or remove items that are transparent or too easily blend in with their surroundings, like glass items. In addition, try to avoid using patterned materials when possible, as contrasting is most effective using solid colors. This is something to keep in mind as a provider of lift chairs or other home furnishings.

4. Low Vision Tasks & Errands

Household tasks and certain errands, such as shopping or traveling to and from appointments, can be dangerous for low-vision clients to perform. Depending on the degree of their visual impairment, a caregiver may need to complete certain tasks or assist the client by performing any duties or steps requiring keen eyesight. These tasks can include meal preparation, laundry and light housekeeping.

While these services may fall under the category of general homecare, including and promoting them in your low-vision program helps ensure clients and their families that your caregivers and care managers are mindful of any potential needs resulting from vision impairment.

Regular eye exams are also critical to seniors since age-related macular degeneration is the leading cause of vision loss for individuals aged 50 or older. As seniors age, their risk or degree of vision impairment increases. The National Eye Institute recommends that adults over 60 receive a comprehensive eye exam with dilation every one to two years. While the exam is not to be carried out by a caregiver, it is helpful for homecare providers and caregivers to be aware of the recommended frequency of eye exams and be prepared to transport their clients to and from appointments.

Low Vision in the Care Continuum

As a homecare provider, you play a pivotal role in the care continuum. As we face the largest elderly population in our nation’s history, health care systems will need to lean on your expertise more than ever to support their patients’ journeys and avoid readmission into their system.

Diversifying your offerings and tailoring your care through brand programs, such as low vision, reinforces your value in the eyes of clients, their families, and both the homecare and health care industry.

  • To view the original version of this article visit homewellcares.com/
  • Seniors Blue Book was not involved in the creation of this content.

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bathingUsing fixtures that are difficult to gripNavigating narrow bathroom spaces with mobility equipmentAddressing these challenges can make bathing and personal care more manageable.The Importance of Accessible Bathrooms in Bergen CountyBergen County has a large population of older adults, with U.S. Census Bureau estimates indicating that approximately 19.8% of residents are age 65 or older.In communities such as Englewood, Teaneck, Hackensack, Fort Lee, and Ridgewood, families may live in homes that were built before modern accessibility features became common.Traditional bathrooms often include high-sided bathtubs, limited floor space, and towel bars that are not designed to support a person's weight.These features may work well for someone without mobility limitations but become less practical as needs change.For older homeowners planning to remain in their properties, bathroom accessibility improvements can be an important part of long-term home planning.Common Signs a Bathroom Needs Safety ImprovementsBathroom accessibility needs do not always appear suddenly.Some changes develop gradually.Warning Signs Families Should NoticeHolding onto towel bars for supportTowel bars are generally not designed to support body weight.Using one for balance can be dangerous.Difficulty stepping over the bathtub wallReduced hip flexibility, knee pain, or poor balance may make entering a traditional tub challenging.Avoiding showersAn older adult may begin bathing less frequently because the process feels physically demanding or unsafe.Needing help standing from the toiletDifficulty rising may indicate that additional support or changes to fixture height should be considered.Experiencing slips or near-fallsEven when no injury occurs, a near-fall can signal that modifications are needed.Increased caregiver assistanceIf a family member must frequently provide physical support during bathing, a professional assessment may help identify safer techniques and equipment.Grab Bars: A Practical Bathroom Safety ImprovementGrab bars are among the most widely recognized bathroom accessibility features.They provide a designated handhold that may help users maintain balance during specific movements.Unlike ordinary towel racks, properly selected and installed grab bars are designed for support.Where Grab Bars May Be UsefulGrab bars may be considered:Near the shower entranceAlong shower wallsBeside a bathtubNear the toiletIn locations where users change positionAt transfer points identified during an accessibility assessmentTheir placement should reflect the user's reach, strength, and movement patterns.Why Professional Grab Bar Installation MattersInstalling grab bars requires more than choosing a convenient wall location.Proper installation must account for the wall structure, mounting method, intended loading, and fixture requirements.A poorly secured grab bar can become dangerous if it detaches when someone relies on it for support.Amramp Accessibility of Northern & Southern NJ provides grab bar installation as part of its bathroom safety services.Families should ask about suitable placement, materials, and installation requirements before proceeding.Creating a Safer Shower EnvironmentShowers can be difficult for individuals who experience fatigue, joint pain, or balance limitations.Improving accessibility may involve a combination of equipment and environmental changes.Shower SeatingA properly selected shower chair or bench can allow some individuals to bathe while seated.This may reduce fatigue associated with standing.However, seating must be stable, properly sized, and appropriate for the shower environment.Handheld ShowerheadsHandheld showerheads can make rinsing easier for individuals who need to remain seated.They may also assist caregivers who provide bathing support.Accessible Shower EntryHigh shower thresholds can make entry difficult for people using walkers or wheelchairs.Depending on the bathroom layout, lower-threshold or roll-in shower configurations may be worth evaluating.Non-Slip SurfacesAppropriate slip-resistant flooring and shower surfaces can improve traction.Families should avoid loose mats that may shift underfoot.Improved LightingAdequate lighting helps users identify fixtures, flooring changes, and obstacles.Lighting should illuminate the shower entrance, toilet area, and walking route.Making Toilet Use EasierToilet transfers can become challenging for older adults with reduced leg strength or joint mobility.An individual may struggle to lower themselves onto the toilet or rise afterward.Potential improvements include:Properly positioned support barsSuitable toilet heightAdequate clearance for mobility aidsImproved lightingClear pathwaysA layout that permits safe transfersThe appropriate arrangement depends on the user's abilities.A healthcare professional or occupational therapist may recommend additional equipment or techniques when transfers are difficult.How Bathroom Modifications Support Aging in PlaceAging in place involves making the home better suited to the person's needs.Because bathing and toileting are essential daily activities, bathroom accessibility has a direct connection to independence.Benefits of a More Accessible BathroomGreater confidenceAn older adult may feel more comfortable using a bathroom designed around their mobility needs.Reduced physical effortSupport bars, seating, and accessible fixtures may make certain movements less demanding.More convenient caregiver assistanceA better layout can provide safer working space for caregivers, although individual transfer and assistance needs must still be assessed.Improved everyday routinesAccessible bathrooms may allow users to participate more actively in personal care.Long-term adaptabilityModifications can be incorporated into a larger aging-in-place strategy as needs change.Bathroom Safety After Surgery or RehabilitationA bathroom may become unexpectedly difficult to use after a hospital stay.Someone recovering from a hip replacement, knee surgery, or another procedure may temporarily experience restrictions on bending, standing, or bearing weight.Before discharge, families should discuss mobility limitations with the healthcare team.Questions to Ask Before Returning HomeCan the person safely enter the shower?Is assistance required during transfers?Would shower seating be appropriate?Are grab bars needed?Can the person reach the toilet safely?Is there room for a walker?Are temporary modifications appropriate during recovery?Planning these details before returning home may help avoid unnecessary difficulties.Amramp's home accessibility services can be useful when families need to evaluate modifications for short-term recovery or ongoing mobility concerns.Bathroom Safety and Family CaregiversHelping someone bathe can involve physical strain, especially when the person has limited balance or mobility.Caregivers may feel pressure to lift or steady their loved one without appropriate equipment.This can create risks for both individuals.Bathroom modifications may help make some tasks more manageable.However, equipment does not replace safe transfer training.Caregivers should seek appropriate professional instruction when substantial physical assistance is required.Expert Tip: Do Not Wait for a FallBathroom Safety Tip: If an older adult is using towel racks, countertops, or shower doors to maintain balance, it may be time for a professional bathroom safety assessment. Everyday fixtures are not necessarily designed to provide dependable physical support.Early evaluation can help families identify concerns before they become emergencies.A Whole-Home Approach to Fall PreventionBathroom improvements are valuable, but other areas of the home also deserve attention.Families should evaluate:Entry steps and outdoor walkwaysStairwaysHallway lightingLoose rugsBedroom accessibilityDoorway clearanceFrequently used furnitureKitchen storage arrangementsAmramp provides broader accessibility services, including ramps, stair lifts, vertical platform lifts, and home modifications.Considering the complete home can help create a more coordinated accessibility plan.Frequently Asked Questions About Bathroom Safety1. Where should grab bars be installed in a bathroom?Placement depends on how the person enters, exits, stands, sits, and transfers. Common locations include the shower, bathtub, and toilet area. A professional assessment can identify appropriate positions.2. Are towel bars safe to use as grab bars?No. Ordinary towel bars generally are not designed to support a person's body weight. Properly installed grab bars should be used where physical support is needed.3. Can bathroom modifications help seniors age in place?Yes. Appropriate modifications may make essential daily activities more manageable and support continued living at home.4. Do bathroom safety improvements require complete remodeling?Not always. Some improvements, such as professionally installed grab bars, may be completed without a full renovation. More extensive changes depend on the bathroom and individual needs.5. When should families arrange a bathroom safety assessment?An assessment is worth considering when someone has difficulty bathing, experiences near-falls, requires increased assistance, or is returning home with new mobility limitations.Create a Safer Bathroom With Amramp Accessibility of Northern & Southern NJBathroom accessibility is an important part of creating a home that supports safety, comfort, and independence.Small improvements may help address everyday challenges, while more extensive modifications can accommodate changing mobility needs.For families in Englewood, Bergen County, and throughout Northern and Southern New Jersey, professional guidance can help determine which options are most appropriate.Amramp Accessibility of Northern & Southern NJ offers bathroom safety installation, grab bars, and other home accessibility solutions tailored to individual circumstances.Interested in making your bathroom easier and safer to use?Visit Amramp Accessibility of Northern & Southern NJ on SeniorsBlueBook.com to learn more about bathroom safety services and connect with the team.A thoughtful bathroom safety plan can help protect independence and make everyday routines more comfortable.

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HomeWell Care Services

Home Health 13100 Westlinks Terrace, Fort Myers, Florida, 33913

Our Approach:HomeWell Care Services is committed to providing the highest quality of in-home care and peace of mind for families in Lee and Northern Collier Counties. We offer personalized care plans tailored to each individual's needs.Our Services:We offer a range of services to meet your needs, including companion care, personal care, specialty care, and more. Our signature programs, such as GoHomeWell and SureStep, are designed to safeguard and strengthen your well-being for the long term.Types of Care:Companion Care: Providing companionship and a quality home life environment.Personal Care: Assisting with basic tasks of daily living to maintain independence.Specialty Care: Additional support for advanced health issues.Hospice Care Support: Providing comfort and care for those with terminal illnesses.Palliative Care Support: Enhancing quality of life for individuals with serious illnesses.Fall Prevention: Implementing strategies to reduce the risk of falls.Low Vision: Supporting individuals with vision impairments.Respite Care: Providing temporary relief for primary caregivers.Alzheimers & Dementia Care: Specialized care for those with memory loss.Chronic Conditions Care: Managing care for individuals with ongoing health issues.Transportation: Assisting with transportation to appointments and errands.Transitional Care: Supporting individuals transitioning from hospital to home.Couples Care: Providing care for couples who wish to remain together.Elderly Support: Addressing the unique needs of elderly individuals.Adults under 65: Providing care for adults under 65 with specific needs.Facility Support: Supporting care facilities with staffing and care management.Frequency of Care:Hourly: Care provided on an hourly basis as needed.24-Hour: Around-the-clock care for those who require constant support.Live-in: Caregivers live with clients to provide continuous care.HomeWell Cares:Our commitment to compassionate care extends beyond our services. We actively engage with our community through our Front Porch Blog, providing valuable resources and information.Meet the Team:Our team of dedicated professionals is here to support you every step of the way. From our expert Care Managers to our compassionate caregivers, we are committed to your well-being.Jobs:Interested in joining our team? Explore career opportunities with HomeWell Care Services and make a difference in the lives of others.Partnerships:We collaborate with local organizations and healthcare providers to ensure our clients receive comprehensive care and support.Resources:Access helpful resources, including guides on how to talk to your aging loved one about home care and determining if home care is right for your family.Contact Us:For more information about our services or to schedule a consultation, please contact us at 239-666-2339.

HomeWell Care Services

Non-Medical 13100 Westlinks Terrace, Fort Myers, Florida, 33913

Our Approach:HomeWell Care Services is committed to providing the highest quality of in-home care and peace of mind for families in Lee and Northern Collier Counties. We offer personalized care plans tailored to each individual's needs.Our Services:We offer a range of services to meet your needs, including companion care, personal care, specialty care, and more. Our signature programs, such as GoHomeWell and SureStep, are designed to safeguard and strengthen your well-being for the long term.Types of Care:Companion Care: Providing companionship and a quality home life environment.Personal Care: Assisting with basic tasks of daily living to maintain independence.Specialty Care: Additional support for advanced health issues.Hospice Care Support: Providing comfort and care for those with terminal illnesses.Palliative Care Support: Enhancing quality of life for individuals with serious illnesses.Fall Prevention: Implementing strategies to reduce the risk of falls.Low Vision: Supporting individuals with vision impairments.Respite Care: Providing temporary relief for primary caregivers.Alzheimers & Dementia Care: Specialized care for those with memory loss.Chronic Conditions Care: Managing care for individuals with ongoing health issues.Transportation: Assisting with transportation to appointments and errands.Transitional Care: Supporting individuals transitioning from hospital to home.Couples Care: Providing care for couples who wish to remain together.Elderly Support: Addressing the unique needs of elderly individuals.Adults under 65: Providing care for adults under 65 with specific needs.Facility Support: Supporting care facilities with staffing and care management.Frequency of Care:Hourly: Care provided on an hourly basis as needed.24-Hour: Around-the-clock care for those who require constant support.Live-in: Caregivers live with clients to provide continuous care.HomeWell Cares:Our commitment to compassionate care extends beyond our services. We actively engage with our community through our Front Porch Blog, providing valuable resources and information.Meet the Team:Our team of dedicated professionals is here to support you every step of the way. From our expert Care Managers to our compassionate caregivers, we are committed to your well-being.Jobs:Interested in joining our team? Explore career opportunities with HomeWell Care Services and make a difference in the lives of others.Partnerships:We collaborate with local organizations and healthcare providers to ensure our clients receive comprehensive care and support.Resources:Access helpful resources, including guides on how to talk to your aging loved one about home care and determining if home care is right for your family.Contact Us:For more information about our services or to schedule a consultation, please contact us at 239-666-2339.