{"id":17,"date":"2015-01-16T16:03:38","date_gmt":"2015-01-16T16:03:38","guid":{"rendered":"http:\/\/stories.kera.org\/broken-hip\/?p=17"},"modified":"2015-12-31T15:50:25","modified_gmt":"2015-12-31T15:50:25","slug":"making-your-home-fall-proof-theres-no-place-like-home","status":"publish","type":"post","link":"https:\/\/stories.kera.org\/the-broken-hip\/2015\/01\/16\/making-your-home-fall-proof-theres-no-place-like-home\/","title":{"rendered":"There&#8217;s No Place Like Home"},"content":{"rendered":"<p><em>Home design and technology have changed dramatically over the last two decades. Someone who&#8217;s fractured a hip might once have been forced into a nursing home. Now it&#8217;s possible to \u201cage in place.\u201d Design breakthroughs make that possible.<\/em><\/p>\n<hr \/>\n<p><strong>For Courtney Sands, last year was a nightmare.<\/strong><\/p>\n<p><strong>\u201cLet\u2019s just erase 2013 from our memory book,&#8221; she said. &#8220;Several surgeries and just one difficult time after another.&#8221;<\/strong><\/p>\n<p>In December, at age 81, Sands landed in a hospital after slipping and breaking her wrist and hip. But she was determined to get back to her beloved home. Her daughter, Heather Stephens, a nurse who lives in California, wasn&#8217;t so sure.<\/p>\n<p>\u201cTo be honest with you, I was hoping she would not want to return home,\u201d Stephens said.<\/p>\n<p>Home is a one-story North Dallas ranch house where Sands has lived since 1963. Not much inside had changed since.<\/p>\n<p>\u201cShe really wasn\u2019t safe,&#8221; Stephens said. &#8220;She would walk around the house hanging onto furniture or gripping door jams.\u201d<\/p>\n<p>Stephens faced a challenge: \u201cMake the house as safe as possible for her to be there.\u201d<\/p>\n<p>Ninety percent of people over the age of 65 say they want to stay in their home as long as they possibly can, <a href=\"http:\/\/assets.aarp.org\/rgcenter\/ppi\/liv-com\/aging-in-place-2011-full.pdf\" target=\"_blank\">according to the AARP.<\/a><\/p>\n<p>Sands is no exception. Sitting next to her living room piano, she said she loves everything about her house. There\u2019s an old gas stove in the kitchen, vintage woven cane chairs, white iron chairs, original sky blue tile and floral wallpaper.<\/p>\n<p>\u201c[It\u2019s a] good neighborhood, pleasant surroundings,&#8221; Sands said. &#8220;It\u2019s home.&#8221;<\/p>\n<h4>On a hunt for trip hazards<\/h4>\n<p>Instead of leaving, Sands and her daughter hired Adam Mandel, a certified aging-in-place specialist with a company called <a href=\"http:\/\/independentlivingdesign.com\/\" target=\"_blank\"> Independent Living Design.<\/a><\/p>\n<div id=\"attachment_38\" style=\"max-width:100%;  width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-38\" src=\"http:\/\/stories.kera.org\/broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/family_photo-e1425050540683-300x199.jpg\" alt=\"family_photo\" width=\"300\" height=\"199\" srcset=\"https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/family_photo-e1425050540683-300x199.jpg 300w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/family_photo-e1425050540683-800x529.jpg 800w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/family_photo-e1425050540683-450x298.jpg 450w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/family_photo-e1425050540683.jpg 1020w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><p class=\"wp-caption-text\"style=\"max-width:100%;  width: 300px\" >Courtney Sands&#8217; 80th birthday in 2012. Last year, she slipped at home, fracturing her wrist and hip. Courtesy Heather Stephens<\/p><\/div>\n<p>One of the first things he does when he visits a home? Look for trip hazards.<\/p>\n<p>That can be as simple as tossing throw rugs or rearranging furniture. One slip can lead to a cascade of problems, from surgery to physical therapy to assisted living.<\/p>\n<p>Narrow doors are an issue. Mandel\u2019s clients often leave their walkers outside the bathroom since they can\u2019t get through the door.<\/p>\n<p>\u201cThat\u2019s when the fall happens,\u201d he said. \u201cThey&#8217;re grabbing onto counters or sinks. Something happens. They fall.\u201d<\/p>\n<p>Mandel recently walked through Sands\u2019 home, showing the improvements he made. He expanded the 24-inch door frames to 32 inches \u2013 and kept the sky blue tiles and pink wallpaper almost undisturbed.<\/p>\n<p>This leaves Sands with no excuse not to use her walker. Now she can be &#8220;married to her walker,&#8221; her daughter said.<\/p>\n<p>Mandel pointed out the bathroom shower.<\/p>\n<p>\u201cAll these falls, a majority of them take place in the bathtub or shower because it\u2019s a wet area and it gets really slippery,\u201d he said. \u201cI want to put in really good grab bars.\u201d<\/p>\n<p>Several silver bars are anchored to the wall for Sands to grab. Nearby is a bench she sits on when she bathes. The tub is also outfitted with an adjustable sliding shower head.<\/p>\n<p>Sands admits she didn\u2019t like the idea of grab bars. At first, she thought they looked like prison bars. But now she likes them.<\/p>\n<p>\u201cThey are my good friends now,\u201d she said.<br \/>\n<!-- meta slider -->\n<div style=\"max-width: 700px;\" class=\"metaslider metaslider-flex metaslider-96 ml-slider\">\n    \n    <div id=\"metaslider_container_96\">\n        <div id=\"metaslider_96\">\n            <ul class=\"slides\">\n                <li style=\"display: block; width: 100%;\" class=\"slide-92 ms-image\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/adam_mandel-700x450.jpg\" height=\"450\" width=\"700\" alt=\"\" class=\"slider-96 slide-92\" \/><div class=\"caption-wrap\"><div class=\"caption\">Adam Mandel with Independent Living Design expanded the 24-inch door frames to 32 inches to make it easier to move a walker through the doorways.<\/div><\/div><\/li>\n                <li style=\"display: none; width: 100%;\" class=\"slide-97 ms-image\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/adam_mandel2-700x450.jpg\" height=\"450\" width=\"700\" alt=\"\" class=\"slider-96 slide-97\" \/><div class=\"caption-wrap\"><div class=\"caption\">Adam Mandel with Independent Living Design showed the improvements he made in Courtney Sands' bathroom. They include grab bars in the bathtub and an adjustable sliding shower head.<\/div><\/div><\/li>\n                <li style=\"display: none; width: 100%;\" class=\"slide-98 ms-image\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/adam_mandel3-700x450.jpg\" height=\"450\" width=\"700\" alt=\"\" class=\"slider-96 slide-98\" \/><div class=\"caption-wrap\"><div class=\"caption\">This 16-foot-long wooden ramp is designed with a specific slope that\u2019s easy for someone in a walker or wheelchair to maneuver.<\/div><\/div><\/li>\n                <li style=\"display: none; width: 100%;\" class=\"slide-94 ms-image\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/bathroom-700x450.jpg\" height=\"450\" width=\"700\" alt=\"\" class=\"slider-96 slide-94\" \/><\/li>\n            <\/ul>\n        <\/div>\n        \n    <\/div>\n    <script type=\"text\/javascript\">\n        var metaslider_96 = function($) {\n            $('#metaslider_96').addClass('flexslider'); \/\/ theme\/plugin conflict avoidance\n            $('#metaslider_96').flexslider({ \n                slideshowSpeed:3000,\n                animation:\"fade\",\n                controlNav:true,\n                directionNav:true,\n                pauseOnHover:true,\n                direction:\"horizontal\",\n                reverse:false,\n                animationSpeed:600,\n                prevText:\"&lt;\",\n                nextText:\"&gt;\",\n                slideshow:true\n            });\n        };\n        var timer_metaslider_96 = function() {\n            var slider = !window.jQuery ? window.setTimeout(timer_metaslider_96, 100) : !jQuery.isReady ? window.setTimeout(timer_metaslider_96, 1) : metaslider_96(window.jQuery);\n        };\n        timer_metaslider_96();\n    <\/script>\n<\/div>\n<!--\/\/ meta slider--><\/p>\n<h4>No Evel Knievel ramps here<\/h4>\n<p>Her best friend, though, is a 16-foot-long wooden ramp that makes it easy for her to get in and out of her house \u2013 but not one that dominates the front porch.<\/p>\n<p>\u201cIf you want a basic ramp, I like it in the garage because it\u2019s not detracting from the curb appeal of the house,\u201d Mandel said. \u201cIt\u2019s tucked away here and nobody needs to know there\u2019s a ramp.\u201d<\/p>\n<p>The ramp is designed with a gradual slope that\u2019s easy for someone in a walker or wheelchair to maneuver.<\/p>\n<p>Mandel often walks into garages where well-meaning neighbors or church friends have installed a ramp \u2013 but it\u2019s usually way too steep.<\/p>\n<p>\u201cIt\u2019s sort of like an Evel Knievel ramp,\u201d he joked. \u201cIf she wanted to ride a wheelchair and jump over 20 busses, this is an appropriate ramp. But for safely getting in and out of the house in a wheelchair or walker, we definitely need to have this slope.\u201d<\/p>\n<div id=\"attachment_93\" style=\"max-width:100%;  width: 253px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-93\" src=\"http:\/\/stories.kera.org\/broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/courtney_and_bill-253x300.jpg\" alt=\"Courtney Sands with her late husband, Bill, in 1991. Courtesy Heather Stephens\" width=\"253\" height=\"300\" srcset=\"https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/courtney_and_bill-253x300.jpg 253w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/courtney_and_bill-864x1024.jpg 864w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/courtney_and_bill-1360x1612.jpg 1360w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/courtney_and_bill-800x948.jpg 800w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/courtney_and_bill-450x533.jpg 450w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/courtney_and_bill-300x356.jpg 300w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/courtney_and_bill.jpg 1459w\" sizes=\"auto, (max-width: 253px) 100vw, 253px\" \/><p class=\"wp-caption-text\"style=\"max-width:100%;  width: 253px\" >Courtney Sands with her late husband, Bill, in 1991. Courtesy Heather Stephens<\/p><\/div>\n<p><a href=\"http:\/\/www.news.cornell.edu\/stories\/2010\/11\/older-adults-theres-no-place-home\" target=\"_blank\">A Cornell University study<\/a> showed more than half of so-called low-needs nursing home residents could be living at home if they had adequate support, such as a house with ramps, wide doorways and good lighting.<\/p>\n<p>Making homes accessible to all without sacrificing style is the mantra behind the growing aging-in-place and \u201cuniversal design\u201d movement.<\/p>\n<p>\u201cAs our population is aging, this business is just going to get bigger and bigger and there\u2019s going to be more demand,\u201d Mandel said.<\/p>\n<p>But it can be expensive to renovate an old home, especially if it\u2019s two or three stories. An elevator costs anywhere from $20,000 to $100,000. A chair lift can cost $5,000. That&#8217;s why Mandel tells people who are building a home to plan ahead.<\/p>\n<p>More modest upgrades, like those in Sands\u2019 house, cost less than $8,000. She says it was well worth it.<\/p>\n<p>\u201cMy fan club was all saying \u2018Oh, you can stay at your house; it\u2019s wonderful; it\u2019s going to be beautiful; it\u2019s going to be just fine,\u2019\u201d Sands said. \u201cAnd it is.\u201d<\/p>\n<h4>The improvements<\/h4>\n<p>Here are some of the things that Adam Mandel, an aging-in-place specialist with Independent Living Design, did to improve Courtney Sands\u2019 home and make it safer:<br \/>\n<div class=\"bullets tick black\"><\/p>\n<ul>\n<li>Built a ramp in the garage.<\/li>\n<li>Widened doorways in bathrooms.<\/li>\n<li>Added small ramps at entrances into the home.<\/li>\n<li>Installed grab bars in the shower.<\/li>\n<li>Installed railings on the front porch and on the steps of a walkway.<\/li>\n<\/ul>\n<p><\/div><\/p>\n<hr \/>\n<p>The vast majority of hip fractures are the result of a fall, and more than half of all falls happen at home. <img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-302\" src=\"http:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/fallproof-150x150.jpg\" alt=\"fallproof\" width=\"150\" height=\"150\" srcset=\"https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/fallproof-150x150.jpg 150w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/fallproof-300x300.jpg 300w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/fallproof-110x110.jpg 110w, https:\/\/stories.kera.org\/the-broken-hip\/wp-content\/uploads\/sites\/7\/2015\/01\/fallproof.jpg 320w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/>Many of these falls could be prevented by making simple changes to the lighting and arrangement of furniture.\u00a0<a href=\"http:\/\/stories.kera.org\/fallproof\/\" target=\"_blank\"><strong>How can you make your bedroom fall-proof?<\/strong><\/a><\/p>\n<hr \/>\n<h4>Resources<\/h4>\n<div class=\"bullets tick black\"><\/p>\n<ul>\n<li>Read about the <a href=\"http:\/\/www.news.cornell.edu\/stories\/2010\/11\/older-adults-theres-no-place-home\" target=\"_blank\">Cornell University study.<\/a><\/li>\n<li><a href=\"http:\/\/www.tdhca.state.tx.us\/texans.htm\" target=\"_blank\">Texas Department of Housing and Community Affairs<\/a><\/li>\n<li><a href=\"http:\/\/independentlivingdesign.com\/contact\/\" target=\"_blank\">Independent Living Design<\/a><\/li>\n<li><a href=\"http:\/\/www.applecareandcompanion.com\/\" target=\"_blank\">Apple Care &amp; Companion<\/a><\/li>\n<li><a href=\"https:\/\/www.connecttocaredallas.org\/\" target=\"_blank\">Dallas County Aging and Disability Resource Center<\/a><\/li>\n<li><a href=\"http:\/\/www.dads.state.tx.us\/\" target=\"_blank\">Texas Department of Aging and Disability Services<\/a><\/li>\n<\/ul>\n<p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Home design and technology have changed dramatically over the last&#8230;<\/p>\n","protected":false},"author":7,"featured_media":91,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"audio","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-17","post","type-post","status-publish","format-audio","has-post-thumbnail","hentry","category-the-broken-hip","post_format-post-format-audio","byline-lauren-silverman"],"_links":{"self":[{"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/posts\/17","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/comments?post=17"}],"version-history":[{"count":25,"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/posts\/17\/revisions"}],"predecessor-version":[{"id":355,"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/posts\/17\/revisions\/355"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/media\/91"}],"wp:attachment":[{"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/media?parent=17"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/categories?post=17"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stories.kera.org\/the-broken-hip\/wp-json\/wp\/v2\/tags?post=17"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}