Preparing the kitchen for your golden years

submitted by Catherine Pope, CAPS, Thomas G. Wells Construction, LLC, www.tgw-construction.com

It’s inevitable. Whenever I have a party at my house, everybody ends up in the kitchen. It is truly the heart of every home. Yet as we age, it can become increasingly difficult to use a kitchen. So here are some ideas from the Certified Aging in Place Specialist (CAPS) program.

Some are simple, and some will require major remodeling. We can start with the appliances.

Consider a drawer-style dishwasher that can be used by someone in a wheelchair. Or, consider mounting a conventional dishwasher 10 inches above the floor to minimize back strain.

Drawer-style refrigerators are also a good idea for improved accessibility.

The range should have controls located toward the front to reduce the chance of burns from reaching across burners. If young children will be in the house, you might not be able to do this.

Because we often have reduced sensitivity to heat as we age, it’s easy to get burned before you even know you’re in trouble. That’s why you might want to consider replacing your current cooktop with one that works by induction, a process in which heat is supplied only when a pot or pan is placed on the surface (this also solves the child problem). See Wikipedia for more details. If you have a pacemaker, be sure to consult your doctor before installing an induction range, due to the magnetic field it generates.

Do not mount your microwave above the stove. Consider mounting it below or just above the counter for safety when removing foods, particularly liquids. You might also consider one of the new drawer-style microwaves.

Ovens should be located near countertop height or just below with an adjacent “landing space” to safely transfer hot items to the countertop. You might also consider a double oven. The top unit minimizes bending, while the bottom unit can be used by someone in a wheelchair.

You’ll want to make sure that the surfaces of kitchen islands and countertops have a matte finish instead of a glossy surface. And, if you have a hard kitchen floor, consider installing a non-slip, anti-fatigue mat in front of the stove and sink. If your floors are slick, like stone or marble, consider applying an anti-slip treatment.

When selecting cabinets and remodeling, pay particular attention to contrast. Contrast between the floor and countertop is essential. Deterioration in eyesight and coordination change our automatic response as to where the countertop ends and the floor begins. 

You can probably imagine how a white countertop and a white floor, a white countertop and white sink, or a black countertop and black cooktop could invite spills, burns, and general havoc. 

You’ll find that drawers instead of shelves below the countertop offer greater accessibility. Still, if you’re set on using shelves, make sure they roll out.

Among the most important AIP modifications you can make is widening your door openings. A standard interior door measures from 28 to 32 inches. These widths do not meet the requirements of people who use a walker, wheelchair, rolling bed, or crutches. A person and someone to assist in walking cannot fit through a door less than 36 inches wide. Doorways must be widened to allow easy, safe, and free movement.

As Tom says, “Typically it is not hard to widen an opening, even when the header has to be replaced.”

A central goal of Aging-In-Place modifications is to enable you to live as normal a life as possible in your own home. This will benefit you and your guests for years to come. 

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Remodeling with the future in mind – Part 2

submitted by Tom Wells, Tom Wells Construction, LLC, www.tgw-construction.com

As regular readers know, we are Certified Aging in Place Specialists (CAPS), and we always suggest that, regardless of the size of the job, our clients consider planning for their “golden years” when remodeling any room or adding on. It’s our “My Home Forever” philosophy. The goal is to postpone – possibly forever – the time when moving to an assisted-living facility becomes necessary.

In the last column, we began to focus on the bathroom, the most dangerous room in the house for a senior. In this column, we’ll finish the broad overview.

When remodeling a bathroom, you want to make sure that it offers at least 30 inches by 48 inches of clear space to accommodate a wheelchair. It’s also a good idea to widen the door for wheel-chair accessibility. This may involve repositioning the shower/tub, sink, and toilet. Most of the time, that’s not difficult for us to do, though, of course it takes longer than replacing the fixtures in their current locations.

Note: A wheelchair requires maneuvering room of at least 60 inches to make a 180-degree turn. But if space is limited, we can configure a T-shaped space that allows a three-point wheelchair turn.

As for the floors, you definitely do not want high-gloss tile, regardless of how a given product might fit with your planned color scheme. Instead, we recommend skid-proof, textured tiles. They are available in a wide variety of colors and shapes.

If you’re installing or replacing a shower, it should be of the “zero-threshold” design so there’s nothing you have to step over to enter the shower stall. This also makes the shower wheelchair accessible.

The shower should also contain a built-in, wall-mounted shower bench. This will make it possible for someone in a wheelchair to easily transfer to the bench without the need to stand up.

The shower controls should be placed so that someone sitting on the bench can operate them. If this proves inconvenient for people who do not use a wheelchair, consider having your contractor install a dual set of controls: one for someone on the bench and one for someone standing.

Grab bars are a must, as is a hand-held showerhead and a value that lets you switch between the wall-mounted showerhead and the hand-held.

It goes without saying that there should be no sharp edges on bathroom countertops or tub decks. And those counter tops should be a bit higher than is usual to reduce the amount of bending you have to do. It’s even possible to install motorized, adjustable-height vanities and sinks.

Speaking of sinks, avoid pedestal sinks and specify a wall-mounted unit instead. The idea is to provide enough room under the sink so that a person can use it while sitting in a chair or wheelchair, something that’s next to impossible with a pedestal occupying the under-sink space. Whenever we explain this to clients, a light bulb goes off in their heads, and they say, “I never would have thought of that!”

The taps serving the sink (and shower) should be lever-controlled to eliminate the need for the gripping strength that’s required for operating a typical round faucet. And then, of course, there’s the toilet.

A standard toilet measures 14 inches from floor to seat. A “comfort height” toilet measures 17 inches. This makes it easier to lower and lift yourself off the seat.

For additional safety, we recommend a grab bar positioned in a way that an individual can use it when sitting or rising.

Finally, be sure to install nightlights along the path leading to the bathroom and inside the bathroom itself.

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Remodeling with the future in mind – Part 1

submitted by Tom Wells, Tom Wells Construction, LLC, www.tgw-construction.com

We do a lot of big jobs, jobs like adding rooms or entire multi-floor additions to homes, jobs that involve many of our favorite subcontractors in many different trades, jobs that, I’m pleased to say, absolutely delight our clients.

However, we have one cardinal rule, regardless of the job. As Certified Aging in Place Specialists (CAPS), we always suggest that the client consider planning for his or her “golden years” when remodeling any room or when adding on.

Our reason is simple, and I think the logic is unassailable: as long as you’re having work done, it just makes good sense to do so with an eye to a future when your body may confront you with certain physical challenges that you don’t face right now. Doing so rarely, if ever, costs much more than doing things the “conventional” way.

Also, whether you personally benefit or decide to move elsewhere in the future, aging-in-place modifications can add significantly to your home’s resale value. Remember, the whole point is to postpone – hopefully forever – the time when you (or the people who buy your home) have to move to an assisted living facility.

What kind of CAPS modifications are involved? Let’s start with the bathroom.

You might be dismayed to learn that researchers at the government’s Centers for Disease Control and Prevention estimate that nearly a quarter million people go to the emergency room each year because they got hurt in the bathroom. Two thirds of them were women.

The majority of injuries happened in a shower or tub (slippery surfaces; no grab bars). So, it just makes good sense to install grab bars in a shower or tub’s surround.

[Read more...]

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CAPS: What’s it all about?

submitted by Cathy Pope, CAPS, Thomas G. Wells Construction, www.tgw-construction.com

I have several certifications, but the one I get asked about most often is CAPS – Certified Aging-in-Place Specialist. I’m always happy to explain.

In the 20 or so years that I’ve been in this business, I’ve seen the terminology change. So it was no real surprise to see that the term “Universal Design” has been replaced by the much more descriptive term, “Aging-in-Place.”

Both refer to an approach to building and remodeling that makes accessibility and ease-of-use for those with diminished physical capabilities first and foremost.

The CAPS program is run by the National Association of Home Builders (NAHB), and it consists of three required courses, plus a continuing education requirement that must be completed every three years.

There is a course that focuses on the best ways to discuss aging and accessibility issues with potential clients. There is a rather generic course on “business management for construction professionals.”

But the real eye-opener is the one called “Design/Build Solutions for Aging and Accessibility.” You may think, “Aging-in-place, what’s the big deal?

Add a ramp next to the outside steps, maybe an electric lift up the stairs, and a few widened doorways capable of accommodating a wheelchair.” I certainly thought that way. But I learned that there is so much more, so very much more.

On the first day of class, the instructor made us wear glasses with lenses that had been smeared with Vaseline, insert earplugs, and worst of all, hold a tennis ball in each of our hands while a sock was put over each one. That meant that your fingers couldn’t grasp anything.

We were then instructed to try to do things, like pouring a mug of coffee, using the bathroom, exiting and re-entering the building, and other typical daily activities. What a revelation!

There is no better way to drive home the utility of levers in place of round knobs when it comes to opening a door. To say nothing of having a numerical keypad in place of a key-operable door lock.

You couldn’t even tell when your coffee mug was full because of the impaired vision.

And you couldn’t tell when you tried to put your coffee mug down whether it was on the counter or not because the countertop was dark. With blurred vision, it is hard to distinguish less-than-sharp color contrasts.

I’m going to leave aside the cascading effects: a mug of coffee spills and someone falls because they slip in the coffee on the floor. In the course, we learned how important contrast is when it comes to the color of countertops, floors, and other items. And we learned how distinct contrast can pose a problem.

For example, in some assisted living facilities there are what unimpaired people would consider lovely carpets with light centers and dark bands. But if you watch an older, vision-impaired person trying to navigate across the room, you’ll see some of them hesitate at that dark border because, to them, it is not clear whether it represents a step down or not.

And they don’t want to fall.

My point is that the considerations for truly effective aging-in-place remodeling and construction are not obvious. Whomever you hire, you need to make sure that they have someone on staff with the CAPS certification.

 

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What to look for when selecting an aging-in-place contractor

submitted by Tom Wells, Tom Wells Construction, www.tgw-construction.com

Last month, I discussed adding strategically placed grips throughout a home to make it easier for seniors to move around. This month, I’d like to escalate things a bit to consider what you need to think about before hiring someone to make a bathroom or a kitchen safer and more senior-friendly.  

When considering a contractor for an aging-in-place modification, the very first thing to focus on is how qualified he or she is for the job. My professional journals are filled with articles about “aging-in-place” as one of the next big things. Unfortunately, many contractors who want to add this specialty to their offerings simply aren’t qualified – let alone certified – to do this kind of work.

I’m sorry to say it, but, frankly, most contractors just want to get in and get out as quickly as possible.

For example, I know of a situation where a contractor proposed putting in a stall shower for a man who uses a wheelchair. This supposedly “senior-friendly” modification was completely unworkable – the contractor did not anticipate a time when the man might no longer be able to stand up (which is exactly what happened). The correct solution would have been to install a zero-threshold shower with a shower chair.

One indication of whether a prospective contractor has the necessary expertise and training is to look for someone who either is, or employs, a Certified Aging-in-Place Specialist. In a future article, I will explain exactly what’s involved in earning this National Association of Home Builders certification (it isn’t easy).

But I’ll give you a hint, when it comes to making a bathroom or a kitchen senior-friendly, inches matter!

Once you’ve identified several qualified contractors…once you’ve followed up on the references they’ve provided…there is one final consideration. And it isn’t cost. It’s whether a given contractor is dedicated to putting your needs first. Does he or she sit down with you for an in-depth interview to discover what you really need and want?

Many people don’t know what they really want. Or they know but can’t articulate it.

[Read more...]

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Building a senior-friendly addition to your home

submitted by Tom Wells, Tom Wells Construction, www.tgw-construction.com

“Aging in place” means taking the steps necessary to grow older in your own home, prolonging the day you may have to enter an assisted living facility, if ever. Certainly it applies to Baby Boomers like me. But it can also apply to our aging parents.

Parents moving in with their children is actually a growing trend. According to Forbes the percentage of seniors who are 75 and older living in their children’s homes rose from 4.1% in 1990 to 6.5% in 2008.

And, of course, there’s the opposite trend: The “boomerang kids” phenomenon where young adults, unable to find a job in this economy, move back in with their parents after graduation. It can all add up to a need for more space.

In last month’s column we looked at the possibility of transforming part of a garage into a space that you (or your aging parents) could live in when the time comes. This month, I’d like to present another alternative – adding a new, senior-friendly addition to your home.

There’s a lot to consider, more than I have space to cover here. But let me hit the highlights.

[Read more...]

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