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Home, Sweet Home

An elderly man in a wheelchair can shave at a sink that has no cabinets underneath. Other bathroom accommodations sometimes needed for seniors can include curbless showers and grab bars.
Features adapted to senior needs

When Dan Bawden teaches contractors and builders about aging-in-place, he has them get into a wheelchair.

See what it’s like to try to do things from this perspective, he tells them.

That’s when previously unappreciated obstacles snap into focus.

Bathroom doorways are too narrow to get through. Hallways don’t allow enough room to turn around. Light switches are too high and electrical outlets too low to reach easily. Cabinets beneath a kitchen sink prevent someone from rolling up close and doing the dishes.

It’s an “aha moment” for most of his students, who’ve never actually experienced these kinds of limitations or realized so keenly how home design can interfere with — or promote — an individual’s functioning.

About 2 million older adults in the U.S. use wheelchairs, according to the U.S. Census Bureau; another 7 million use canes, crutches or walkers.

That number is set to swell with the aging population: Twenty years from now, 17 million U.S. households will include at least one mobility-challenged older adult, according to a December report from Harvard University’s Joint Center for Housing Studies.

How well has the housing industry accommodated this population?

“Very poorly,” said Bawden, chair of the remodelers division at the National Association of Home Builders and president of Legal Eagle Contractors in Bellaire, Texas. “I give them a D.”

Researchers at the Harvard center found that fewer than 10 percent of seniors live in homes or apartments outfitted with basic features that enhance accessibility — notably, entrances without steps, extra-wide hallways or doors needed for people with wheelchairs or walkers. Even less common are features that promote carrying out the activities of daily life with a measure of ease and independence.

Here are some common issues and how they can be addressed:

Getting inside. A ramp will be needed for homes with steps leading up to the front or back door when someone uses a wheelchair, either permanently or temporarily. The estimated price for a five-to-six-foot portable nonslip version: $500 to $600.

Take out the weather strip at the bottom of the front door and replace it with an automatic door bottom. “You want the threshold to be as flat as the floor is,” Bawden said. Consider installing an electronic lock that prevents the need to lean in and insert a key.

Doors. Getting through doorways easily is a problem for people who use walkers or wheelchairs. They should be 34 to 36 inches wide to allow easy access.

Widening a doorway structurally is expensive, with an estimated cost of about $2,500. A reasonable alternative: swing-free hinges, which wrap around the door trim and add about 2 inches of clearance to a door.

Clearance. Ideally, people using wheelchairs need a five-foot-wide path in which to move and turn around, Bawden said. Often that requires getting rid of some furniture.

Another rule of thumb: People in wheelchairs have a reach of 24 to 48 inches. That means they won’t be able to reach items in cabinets above kitchen counters or bathroom sinks.

Light switches on walls should be no more than 48 inches from the floor and electrical outlets raised to 18 inches.

Lighting. Older eyes need more light and distinct contrasts to see well. A single light fixture hanging from the center of the dining room or kitchen probably won’t offer enough illumination.

Distribute lighting throughout each room and consider repainting walls so their colors contrast sharply with your floor materials.

“If someone can afford it, I put in recessed LED lights in all four corners of the bedroom and the living room and install closet rods with LED lights on them,” Bawden said.

Kitchen. Mark Lichter, director of the architecture program for Paralyzed Veterans of America, recommends that seniors who use walkers or wheelchairs take time in the kitchen of a unit they’re thinking of moving into and imagine preparing a meal.

Typically, cabinets need to be taken out from under a sink or stovetop, to allow someone with a wheelchair to get up close, Lichter said.

Refrigerators with side-by-side doors are preferable to those with freezer areas on the bottom or on top. Slide out full-extension drawers maximize storage space.

Laundry. A side-by-side front-loading washer and drier to allow for easy access.

Bathroom. When Jon Pynoos’ frail father-in-law, Harry came to live with him, Pynoos put in a curbless shower with grab bars and a shower seat and a handheld shower head that slid up and down on a pole.

Even a relatively small lip at the edge of the shower can be a fall risk for someone whose balance or movement is compromised.

Pynoos, a professor at the University of Southern California, installed nonslip floor tile and grab bars around a “comfort height” toilet.

Cabinets under the sink may need to be removed. And a moveable toilet paper holder might be better than a wall-based unit.

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