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Preparing for Caregiving

Whether it's your home or your loved one's home, minor changes to the layout can immensely improve your outcomes. Trips and falls are some of the most common injuries experienced by mobility limited individuals. In some cases, these seemingly minor incidents have caused severe injuries, and can result in a fatality. In this article we will go over some simple ways to make the home safer, as well as some suggested modifications.

Bathroom

The bathroom is the place where you are guaranteed to spend some time with your loved one. Even if they are mostly independent, making simple changes can greatly improve safety and prevent accidents.


Modification

Bathing

  • Use a shower seat to prevent falls

  • Install a handheld shower head

  • Add non-slip mats or non-slip strips in the tub/shower

  • Install grab bars near the shower and tub

  • Consider toilet frame rails if grab bars are not an option


Personal hygiene and grooming

  • Keep toothbrushes and toothpaste at an accessible level - avoid high cabinets or shelves

  • Use electric razors with guards

Dementia Specific: Keep hazardous items (mouthwash, razors, etc) in a locked/ separate location.

Toileting and continence

  • Use a raised toilet seat to prevent falls

  • Install a grab bar near the toilet

  • Remove fabric rugs or mats, apply non-slip mats

Dressing

  • Keep towels close to the shower

  • Use bath robes


Bedroom

The bedroom should be a safe, calm environment that supports both independence and rest. Many accidents occur here during transitions, especially when getting in and out of bed or moving around at night. Thoughtful setup can significantly reduce risk.


Modification

Bed

  • Make sure the bed is at appropriate height

  • Consider bed rails

  • Avoid overly soft or high beds

  • Keep a lamp within arm's reach

  • Keep one side clear of obstacles at all times


Nighttime Safety

  • Add a nightlight for visibilitiy

  • Use motion sensor lights when possible

  • Keep a phone/ alert device nearby

  • Opt for a bedside toilet if needed

Mobility/ Fall Prevention

  • Remove loose rugs or secure them

  • Keep cords tucked/ hidden and out of walkways

  • Use non-slip mats beside the bed, especially in tile homes

  • Keep enough space for walkers/ wheelchairs

Dressing/ Storage

  • Keep daily clothing within reach

  • Avoid items on high shelves or in area that require bending

  • Use easy open drawers

  • Keep essentials like glasses, water, medications nearby

Dementia Specific: Use cabinet locks or place hazardous items like medication out of reach




Kitchen

The kitchen is a high-use area where safety risks often come from cooking, reaching, and clutter. Simple organization and safer tools can reduce the chance of burns, cuts, and falls.



Modification

Bed

  • Make sure the bed is at appropriate height

  • Consider bed rails

  • Avoid overly soft or high beds

  • Keep a lamp within arm's reach

  • Keep one side clear of obstacles at all times


Nighttime Safety

  • Add a nightlight for visibilitiy

  • Use motion sensor lights when possible

  • Keep a phone/ alert device nearby

  • Opt for a bedside toilet if needed

Mobility/ Fall Prevention

  • Remove loose rugs or secure them

  • Keep cords tucked/ hidden and out of walkways

  • Use non-slip mats beside the bed, especially in tile homes

  • Keep enough space for walkers/ wheelchairs

Dressing/ Storage

  • Keep daily clothing within reach

  • Avoid items on high shelves or in area that require bending

  • Use easy open drawers

  • Keep essentials like glasses, water, medications nearby

Dementia Specific: Use cabinet locks or place hazardous items like medication out of reach



Living Area

The living room is typically where most daily movement and relaxation happens. A safe layout here helps prevent trips, supports mobility, and encourages independence.


Modification

Furniture and Layout

  • Keep walkways wide and clear

  • Avoid overcrowding the room

  • Remove sharp-edged furniture

  • Add furniture "bumpers" on sharp corners

  • Avoid glass tabletops or class decor - these can pose a hazard


Seating

  • Use firm chairs with armrests

  • Avoid low or soft seating - this makes it hard to get up

  • Check chairs and stools for wobbly legs

  • Keep seating within reach of tables or stands

Floor Safety

  • Secure or remove rugs

  • Keep cords tucked/ hidden and out of walkways

  • Avoid low placed ottomans

  • Keep enough space for walkers/ wheelchairs

Accessibility

  • Keep remotes and phones within reach

  • Provide footrests or recliners

  • Ensure stairs are well lit, preferably each step

  • Make sure handrails are sturdy and not loose

  • Add non-slip treads or strips

  • If possible, invest in a stair lift.

Dementia Specific: Avoid having the person stay on the top floor unsupervised if possible. Add baby gates with an additional lock if needed, as long as you do not restrict the movement of the person to necessary areas.

 


Outdoor Areas

Outdoor spaces can present hidden hazards such as uneven surfaces, poor lighting, and clutter. Proper maintenance helps ensure safe entry and exit from the home.



Modification

Entryways

  • Install ramps if needed

  • Keep steps sturdy and even

  • Add handrails on stairs

  • Ensure clear access to doors


Walkways and Paths

  • Keep paths clear of debris

  • Remove rocks or provide assistance through uneven paths

  • Repair cracks or uneven surfaces

  • Ensure wide enough paths for mobility aids

Lighting and Visibility

  • Install bright outdoor lighting

  • Use motion-sensor lights if possible

  • Light all entry points and stairs

  • Avoid dark or shadowed areas

General Safety

  • Remove tripping hazards like hoses or tools

  • Keep outdoor furniture stable and arranged safely

  • Store gardening equipment properly

  • Avoid clutter near walkways and doors

Dementia Specific: Lock away sharp garden tools, items, and pesticides.

 


More Support

When you're ready for the next step, check out some other ways you can prepare your loved one's home for dementia or move onto common caregiver problems.


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