Accessible House, Adaptable House, Smart House Presentation

Accessible House, Adaptable House, Smart House P L A N N I N G F O R S E N I O R L I V I N G O L L I C O U R S E # 2 1 0 1 7 M A R I L Y N B R U I N , P H D H O U S I N G S T U D I E S P R O G R A M C O L L E G E O F D E S I G N U N I V E R S I T Y O F M I N N E S O T A O C T O B E R 3 , 2 0 1 3 Home, increases in importance as elders age. It has many meanings. It represents control, autonomy, and privacy. It organizes the rhythms of their everyday life. For elders it signifies . . . “their ability to be alone; their capacity to act spontaneously; their familiar aAachments to people and objects of their past. ResidenDal utopias are hard to come by” (Golant, 1992, p. 11). Topics Understand strategies to adapt home environment through design and assisDve technology ProacDve strategies to support quality of life Most individuals retain most of their abiliDes —  Most changes are gradual, adaptaDons are gradual —  More recover from catastrophic injury and illness – accommodate aRer and side effects —  More likely to change behaviors than environment Mobility Changes ¨  Disease ¨  Damage to kinestheDc sense ¨  Results in greater cauDon ¨  slower, shuffling, and more deliberate steps Sensory Changes —  Decline in sensory receptors is a normal part of aging —  Occurs at varied rates and degrees Framework Home safety and use Quality of Life Basics – enhance sense of worth and well-­‐being for residents (Wylde, Baron-­‐Robbins, & Clark, 1994) ÷ Privacy – decide when to be alone ÷ Belonging – blends privacy with when, how, and who to interact with ÷ Control – ability to use the environment ÷ Safety and security – protected, accessible Scald ProtecZon Devices LighDng Indoor illuminaDon About the level of twilight – not bright Increase quanDty and variety not brightness Reduce glare Provide Gradual Changes in Light Levels Aging-­‐in-­‐Place —  Goal -­‐> remain independent as much and for as long as possible; low propensity to change —  Respond to physical changes Alter housing ¡  Alter behavior ¡  Move to alternaDve housing – requires adjustment to new residenDal environments ¡ 
True or False Most housing has been designed to accommodate or support changes due to aging. Would the home you grew up in accommodate aging? Most housing, built between 1950 and 1970, is not readily accessible to individuals with mobility impairments. Smart, Lifespan, Housing — TradiDonally housing was not designed to accommodate changes due to aging — Most do not change the physical structure; most adjust to the environment ¡ Use different entrance ¡ Take fewer baths ¡ Use stairs less ¡ Avoid using low toilets Universal Design —  Concepts intended to make homes safer, easier, and comfortable as the people who live there age. —  The goal is housing with features that meet the needs of individuals with a variety of abiliDes across the lifespan. —  Should not be confused with accommodaDons for special needs. AARP, 2006 —  Ron Mace, North Carolina State University’s Center for Universal Design, universal design is “the design of products and environments to be usable by all people, to the greatest extent possible, without the need for adaptaDon or specialized design”. —  In other words, the principals of universal design when applied to products, communicaDon, and environment makes life easier. Universal Design Features Are: —  SupporZve —  Adaptable —  Accessible —  Safe Good design —  Accommodates individual abiliDes, supports diversity —  Is easy to use ¡ Simple ¡ LiAle effort —  Communicates necessary informaDon —  Minimizes hazards Adaptable Home —  More easily modified later to suit the abiliDes of all family members over Dme —  Fits the changing needs of residents —  Planning for possibiliDes ¡ 
adaptaDons are easy and cost-­‐efficient —  ProacDve rather than reacDve An Adaptable House accommodates lifestyle changes without the need to demolish or substan8ally modify the exis8ng structure and services (h<p://www.yourhome.gov.au/
technical/fs32.html#adaptable) AARP, 2006 Visitability —  Individuals with varying levels of abiliDes are welcomed into my home. —  No-­‐step entrance, no steps on the first floor —  Wide hall and doorways —  Accessible bath on the first floor —  Accommodates short term -­‐ broken bones, recovery from illness and surgery AARP, 2006 Smart housing plans for modificaDons — Less expensive if included in construcDon and rehab plans – stack closets — Decisions are thoughjul — Safer -­‐ help prevent unnecessary losses and accidents Home ModificaDons —  Improve ease of use, safety, security, and independence —  Enhance the home and protect financial asset —  Plan ahead –stack closets to accommodate elevator —  Remove barriers and hazards -­‐> safety —  Reduce stress and preserve energy —  Facilitate ongoing social acDviDes Common ModificaDons in US —  Full bath and bedroom on main level —  Climate controls within opDmal reach —  Non-­‐slip floor coverings —  Bathroom with grab bars, etc —  Emergency alert system —  No-­‐step entrance —  Garage or covered parking AARP, 2006 Process —  IdenDfy ¡  Design objecDves and family values and goals ¡  Resources; city, county, HRA home modificaDon programs —  Decision making – access informaDon, weigh alternaDves ¡  AestheDc ¡  Easy and logical to use ¡  Affordable ¡  Sustainable Process conDnued . . . —  Product evaluaDon – whole as well as parts ¡  Safety, healthy ¡  Ease of use – does not fine fingering, provides feedback, logical, within range of reach ¡  Maintenance AARP, 2006 Welcoming, no-­‐step entrance —  Landscaping —  Easy open window; residents see visitors before opening door —  Level surface extends minimum of 18 inches —  LighDng: walkway, overhead, numbers —  Shelf, seaDng —  AAracDve door with easy to operate handle and lock; one hand, closed-­‐fist test —  Low maintenance exterior materials PrioriDes —  Approach, enter and leave —  Places to rest —  Bathroom —  Kitchen —  Places to socialize Quick and easy —  Rocker switches or dimmers to lower light levels —  Lever faucets and door handles —  Shower chair, hand held shower head —  Hard, level floors – office chair —  Braced hand rails and grab bars —  LiR to conquer stairs – starDng at $1,000 —  Elevator -­‐ $15,000 and up —  AARP, 2006 Living Room acDviDes previously in basement family room —  Furniture – color contrast, supporDve seaDng, comfortable, arms —  Colors and lighDng —  Personal acDviDes – handcraRs, large print books and magazines, family picture —  Controls (thermostat, switches and electrical outlets within 36 to 44 inches above floor), —  Phone, remote to control electronics, etc Home Office —  Embody Chair -­‐ comfort —  Desk —  Computer —  Tele medicine —  ConnecDon to family, friends, and informaDon AARP, 2006 AARP, 2006 Resources — 
Altman, A. (2002). Elderhouse: Staying safe and independent in your own home as you age. White River JuncDon, VT: Chelsea Green Publishing Company. — 
Bakker, R. (1997). Elderdesign: Designing and furnishing a home for your later years. New York, NY: Penguin Books. — 
Callahan, J.J. (Ed.). Aging in place. Amityville, NY: Baywood Publishing. — 
Cisneros, H., Dyer-­‐Chamberlin, K. & Hickie, J. (Eds). (2012). Independent for life. AusDn, TX: University of Texas Press. — 
Demiris, G., & Hensel, B. (2009). “Smart homes” for paDents at the end of life. Journal of Housing for the Elderly, 23(1) hAp://www.tandfonline.com/doi/abs/10.1080/02763890802665049 — 
Golant, S.M. (1992). Housing America’s elderly: Many possibili8es, few choices. Newbury Park, CA: Sage PublicaDons. — 
James, R. N., & Sweaney, A. L. (2010). Housing dissaDsfacDon and cogniDve decline in older adults. Journal of Housing for the Elderly, 24, 93-­‐106. — 
Kirby, S. (1999). A Home to Change With: Home Furnishings and ModificaDon SoluDons. North Carolina CooperaDve Extension Service. — 
Kutzik, D.M., Glascock, A.P., Lundberg, L., & York, J. (2008). Technological tools of the future. In S.M.Golant & J. Hyde (Eds.), The assisted living residence: A vision for the future (pp. 223-­‐247). Boston: John Hopkins Press. —  Lanspery, S., Callahan, J. J., Miller, J. R., & Hyde, J. (1997). IntroducDon: Staying put. In S. Lanspery & J. Hyde (Eds.), Staying Put: Adap8ng the Places Instead of the People (pp. 1-­‐22). Amityville, NY: Baywood Publishing Company. —  Leach, D.A. (1996). Making your community livable: Programs that work. Washington, — 
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DC: AARP Public Policy InsDtute. Mahmood, A., Yamamoto, T., Lee, M., & Steggell, C. (2008). PercepDons and use of Gerotechnology: ImplicaDons for aging in place. Journal of Housing for the Elderly, 22(1) hAp://www.tandfonline.com/doi/abs/10.1080/02763890802097144 Memken, J., & Earley, N. (2007). Accessible housing availability for the growing U.S. elderly populaDon. Housing and Society, 34(1), 101-­‐115. Parker, R.E. (1984). Housing for the Elderly: The handbook for managers. Chicago, IL: InsDtute for Real Estate Management. Sheehan, N.W. (1992). Successful administraDon of senior housing: Working with elderly residents. Newbury Park, CA: Sage PublicaDons. Wylde, M., Barron-­‐Robbins, A., & Clark, S. (1994). Building for a life8me: The design and construc8on of full accessible homes. Newtown, CT: Taunton Press. —  hAp://www.homemods.org/resources/pages/coneval.shtml hAp://
www.homemods.org/resources/pages/ATAssess.shtml —  hAp://www.louistenenbaum.com/ Aging in Place Ideas —  NaZonal Resource Center on SupporZve Housing and Home ModificaZon Andrus Gerontology Center University of Southern California 3715 McClintock Avenue Los Angeles, CA 90089-­‐0191 Telephone: (213) 740-­‐1364 Fax: (213) 740-­‐7069 Email: [email protected] METROPOLITAN AREA AGENCY ON AGING (MAAA) 2365 N McKnight Rd, Suite 3 North Saint Paul, MN 55109 Phone: 651-­‐641-­‐8612 Fax: 651-­‐641-­‐8618 Email: [email protected] Eldercare locator hAp://www.eldercare.gov/Eldercare.NET/Public/
Index.aspx AARP, 2006 Smart House: Livable Community -­‐ statewide digital MN Channel showing is scheduled for: Friday, October 25, 2013 at 2:30 AM Friday, October 25, 2013 at 8:30 AM Friday, October 25, 2013 at 2:30 PM Friday, October 25, 2013 at 8:30 PM visit the Smart House: Livable Community program page at hAp://www.tpt.org/?a=programs#21208