Thank you to the American Occupational Therapy Association for this video on simple strategies for preventing falls around the home. Falls are not a part of normal aging nor dealing with chronic illness. Many simple strategies can help to prevent falls when they are caused by hazards in the living environment.
March is National Ladder Safety month and quite timely given the little case study in my recent post (https://twostepsolutions.com/2017/02/21/user-safety/). So let’s chat about the type of ladder most likely to be found in homes and apartments everywhere: step ladders.
Since the experts at the American Ladder Institute have all the data, I have included a link to their website below for your reference. Here are some of their top tips that stood out to me from my experience performing home safety assessments for persons of all ages as an occupational therapist:
- Inspect the device before each use: Is it clean? Do all parts work properly?
- Use the step ladder fully open and locked on a clean, smooth, hard surface.
- Place the stool in front of you and never overreach beyond the stool when in use.
- To protect children, do not leave a step stool set up and unattended.
- Do not store other materials on the step stool while it is in storage. Fold it up and put it away.
Further, the person using the step latter must have intact balance, leg strength, climbing, vision, and judgment skills to use this piece of equipment safely. If any of these requirements cannot be met then consider advising removal of the step ladder from the home. Falls on stairways and ladders can be the most hazardous places inside or outside a dwelling, even deadly, as compared to any other place in the home. Preventing injury here is generally non-negotiable when caring for loved ones or even in public places (such as with co-workers!).
If items inside the home can only be accessed with a ladder then offer to help the person living there place personal items within reach. Look around to see if there are things needing repair and assist in addressing them. While there could be dozens of reasons why a person would engage in risky behavior involving a step ladder, attempt to problem-solve alternatives that you and your loved one can agree upon together.
Take care and happy National Ladder Safety Month!
From: Ladders 101: Choosing the Right Ladder at: http://www.americanladderinstitute.org/?page=Ladders101
Care of Step Stools can be found in the following standards:
- ANSI A14.1 (Portable Wood Ladders)
- ANSI A14.2 (Portable Metal Ladders)
- ANSI A14.5 (Portable Reinforced Plastic Ladders)
Sometimes we find ourselves in a situation where we don’t have exactly what we need to get a job done. When the “job” is taking care of ourselves, we might easily substitute say, a household item, for a proper piece of durable medical equipment. I understand this.
However when the “job” is taking care of a loved one, we need to be really careful. Often when first posed with an accessibility or care need does the loved one want to inconvenience us or cost us extra time or money. In doing so our loved one may overestimate his or her ability to help (e.g. reach something from the floor or take a shower after a medical procedure) posing a risk for injury to both of you! Here are some examples. See if any sound familiar to you?
CASE #1: An item falls to the floor near a door where a person with low vision has just entered on a rainy day. Oh dear. The floor is wet but it is hard to see and the keys are lying right next to the puddle! Rather than asking for help or even gently nudging the keys to another place next to a chair (or counter to support body weight and balance), he or she reaches down and risks slipping on the wet floor. The dog or cat strolls by providing a bit of distraction, further affecting the ability to make a good decision as well.
CASE #2: Mom is recovering from surgery and anxious to get back to work. She prides herself in her independence and keeping her home nice for guests. Adding any bathroom equipment would bring a “hospital” feel to the rest room that is also used by family when they visit. How embarrassing! So she has her son retrieve a 2-step, step ladder from the garage and place it inside the tub/shower to use as a shower chair instead of purchasing a shower chair and tub rail. Both of the latter could be removed for guests, placed in storage when no longer needed, and even be taken with her when travelling. Oh well. The step ladder has sharp edges from that project cleaning the gutters last Fall and ends up scratching her leg when using it as a shower chair. Mom uses the towel rack as a “light hand hold” for about 2 weeks, eventually loosening the wall anchors and posing a grave risk for falls should it come loose sometime getting into or out of the tub/shower.
CASE #3: Brother is quite independent during the daytime now, maneuvering his wheelchair and going to the bathroom independently since recovering from a serious stroke awhile back. He likes to surf the internet when home alone but has no cell phone or land line available to him until evening when the family returns. One morning he wakes up to the smell of natural gas and realizes he has no easy way to get out of the double-front door on his own or call for help.
As you can determine from these examples posed by everyday activities, there are simple solutions to these problems when we prepare ahead of time for them! In my Living Safely Program presentations I would divide the topic into 3 areas: Medical Conditions, Slips-and-Trips, and Behavior. In Case #1, every effort must be made to dry ones footwear when entering the home in addition to minimizing glare from lighting or sunshine on smooth flooring surfaces. The latter makes it nearly impossible to see water on the floor. In Case #2, we need to provide the right equipment for the right task, check it often, and offer to help with the softer concerns (such as appearances) when necessary. In both Cases #2 & 3, we need to problem-solve scenarios with our loved ones in advance and include them in coming up with the best solutions. Emergency contact systems are now available that look more like a “Fitbit” for kids than a wrist-operated medical alert button; an emergency-only cell phone is quite inexpensive to own and operate these days.
We could chat at length about other considerations in each of these situations. Feel free to comment your suggestions and experiences below. I would love to hear from you!
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