Home Safety Checklist
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1 Home Safety Checklist This safety handout is designed to help identify potential hazards in your home. These problems are easy to overlook, but are also relatively easy to fix. Entry Walkways to the home are free from cracks and holes Adequate lighting exists at all doors of the house/apartment Doors are in good repair and easy to open/close Gate to the entrance opens easily Doormat is in good condition and not too thick Kitchen Regularly used items can be reached without climbing to reach them Stepstool is stable and in good condition Adequate lighting exists over the sink, stove and work areas Stove controls are easy to see and use Towels and other flammable materials are not close to cooking areas Stairs and Steps Stairs are in good repair and allow for good footing (e.g., not broken, missing, loose, or worn/torn in places) Stairs are even and of the same size and height Outdoor stairs are protected from the rain by a roof, awning or other protection or there are non-skid strips/safety treads Handrails or banister runs the full length of the stairway and is on both sides Handrails are in good repair and fastened securely Edges of the steps are clearly visible, especially the first and last Stairwell lighting is adequate to prevent shadows on the stairs Light switches are at both the top and bottom of the stairs Stairwell is free from glare If there is a gate on stairs, it opens to allow for safe passage Stairs are free from clutter or other obstacles
2 Bedroom Balance and Falls Awareness Home/Apartment Safety Checklist Handout Light switch can be turned on before entering a dark room Lamp or light switch is within easy reach of bed, flashlight is next to the bed Adequate lighting exists for activities such as reading and taking medication Telephone is within easy reach of bed Ashtrays, smoking materials and other fire sources (e.g., hot-plates) are located away from the bed There is a clear and lighted path from the bed to the bathroom and there is room to easily move around Bathroom Bathroom is safe Getting in and out of the bathtub/shower is no trouble Getting on and off the toilet is not difficult Sitting or standing in the bathtub/shower feels safe Able to operate and read faucet controls Able to regulate water temperature Bathtub and shower floors have non-skid mat, abrasive strips, or non-slip surface Bathtub and shower areas have properly located and secured grab-bar(s) that are sturdy and in good repair Grab-bars are secured by the side of the toilet for support, if you have trouble getting up and/or down Good lighting is over bathtub, shower and sink areas Outlets around sinks have ground fault detectors (ask your electrician) Living/Dining Room Furniture is steady and without sharp edges Furniture is arranged so you are able to move around easily (not too crowded) Lighting is sufficient to carry out activities as reading, taking medicine and/or eating Light switch can be turned on before entering a dark room Portable heaters should be at least 12 inches from drapes and furniture
3 Balance and Falls Awareness Home/Apartment Safety Checklist Handout Floors and Floor Coverings Electrical Loose area rugs and runners should be removed, secured to the floor or have slip resistant backing or pads Flooring or carpeting throughout the house, including stairs, is in good repair and free from holes Thresholds are level with the floor or no more than ½ inch in height Exits, passageways and stairwells are free from clutter Floor surfaces are non-slippery Electrical cords are placed so they are not under furniture or carpeting Electrical cords are in good condition, not frayed or cracked Extension cords carry their proper load (extension cords should not be used in place of permanent wiring) Electrical cords are secured to walls or baseboards without using staples or nails Loose wires and all electrical cords are kept out of the way of traffic All electrical cords are kept away from water Cords are not warm to the touch Small unplugged appliances are away from sinks and bathtubs when not in use Heating pads or electric blankets are not folded or tucked in Heaters throughout the house are vented Smoke Detectors Smoke detectors are located on each floor of the home Smoke detectors are in good working order with fresh batteries in place Smoke detectors are located at the top of the stairs and outside bedrooms Water Heater Water heater temperature is set at 120 or lower The valve supplying gas to the house can be shut off easily Water heater is strapped or earthquake strapped
4 -SF BCAT. All Rights Reserved. William Mansbach, Ph.D. Brief Cognitive Assessment Tool Short Form Name: Today s Date: DOB: Gender: Female / Male Total Score: / 21 Education: Cut Score: 15/16 (dementia < 15; non-dementia > 16) Examiner: POINTS ORIENTATION Year Month Day/Week State City Situation / 6 IMMEDIATE VERBAL RECALL Banana Justice Sara Bridge / 4 IMMEDIATE STORY RECALL (Instructions: X > 8 = 2 points, X = 4-7 = 1 point, X < 3 = 0 points) / 11 Carol / borrowed / $10 / from her brother / Jack / last week. / She couldn't pay him back / because she bought / a delicious / ice cream cone / at the circus instead. EXECUTIVE Cognitive Shifting: (Instructions: X > 8 = 2 points, X = 6-7 = 1 point, X < 5 = 0 points) 1A - 2B - 3C - 4D - 5E - 6F - 7G - 8H - 9I - 10J / 2 / 2 DELAYED STORY RECALL (Instructions: X > 8 = 2 points, X = 4-7 = 1 point, X < 3 = 0 points) / 11 Carol / borrowed / $10 / from her brother / Jack / last week. / She couldn't pay him back / because she bought / a delicious / ice cream cone / at the circus instead. / 2 STORY RECOGNITION What was the name of the woman who borrowed money? How much money did she borrow? What was the name of the woman s brother? What did the woman buy? Where did the woman go? Carol $15 Robert Ice Cream Mall Mary $10 Tom Sandwich Circus Sue $16 Jack Soda Grocery / 5 The BCAT-SF is a cognitive screening measure. It is an abbreviated version of the original BCAT. As such, definitive diagnoses should not be made based on this test alone. These results are based on the inputting of BCAT-SF item scores. The conclusions reported are the result of statistical analyses from data collected from psychometric research. All results are based on statistical probabilities, not certainties. Mansbach Health Tools, LLC is not responsible for formal diagnoses or treatments.
5 Attracting Participation through Fun-ctional Assessments June 5, 2012 Aging Services of Washington
6 Today s agenda Why assessments Explore different opportunities Give it a try
7 Dimensions of wellness
8 Field of Dreams If you build it they will come???
9 Stages of Change Provides interventions and feedback based on an individuals readiness to change. Increases recruitment rates Increases retention rates
10 Stages of Change Characteristic Technique Not considering change Pre-contemplation Explain and personalize risk Ambivalent about change Contemplation Evaluation of pros and cons Trying to change Preparation Problem solve Practice new behavior Action Bolster self-efficacy Maintenance 6 months 5 years of change Plan for follow-up support
11 Why assessments Intervention for Pre-contemplation Contemplation Action Measures of success ROI Testimonials
12 Functional Fitness Assessment Senior Fitness Test (Fullerton University, by Dr. Roberta Rikli and Dr. Jessie Jones) Safe and easy Age-based norms Provides quick feedback American Alliance for Health, Physical Education, Recreation & Dance (AAHPERD) Functional Fitness Test Masterpiece living Mobility Review
13 Cognitive assessments Brief Cognitive Assessment Tool (BCAT) orientation, verbal recall, visual recognition, visual recall, attention, abstraction, language, executive functions, and visuo-spatial processing differentiate Mild Cognitive Impairment (MCI) from dementia Mini mental St. Louis Universty Mental Status (SLUMS) Montreal Cognitive Assessment (MoCa)
14 Other assessments Balance Walker/wheelchair Health assessments osteoporosis, glucose, lipids, BP Home safety checklist Quality of life
15 Try it out Senior Fitness Test Chair Stand Back Scratch Sit and Reach BCAT Short Form (cut off 15/16 pts) Home Safety Checklist
16 Implementation Step one Needs assessment Step two Develop a plan Step three inform all the staff, family, and residents Step four implement Step five evaluate
17 Questions
18 Contact information Lauren Kriz RehabCare National Wellness Director These materials constitute the proprietary and confidential information of RehabCare Group. By accepting these materials for review, you agree (I) to hold such information in confidence, (II) not to use such information except to evaluate a possible relationship with RehabCare Group and/or implement such a relationship, and (III) except as agreed to in writing by RehabCare Group or as required by law, not to disclose or release such information to any person other than those of your directors, officers, employees, consultants, attorneys, and accountants engaged in assisting you to evaluate a possible relationship with RehabCare Group and/or to implement such a relationship.
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