home safety

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Procedure

Special considerations for demented elderly:

  • has the patient stopped driving?
  • are the car keys well hidden?
  • does the patient have access to power tools?
  • are there guns in the house?

Exits & entrances to the house

  • put a slide bolt lock at top &/or bottom of exit doors where it will be least noticeable
  • lock sliding glass doors
    • a wooden dowel in the runner at the bottom generally works well
  • use a motion sensor in addition to the locks at the exits
    • especially useful for elderly that wander at night
  • identification bracelet
  • give name & picture of patient to local police
  • hide a spare key outside of the house, give key to trusted neighbor, family, friend
  • clear walkways and staircases throughout the house
  • install railings on both sides of the stairs
  • highlight steps with contrasting tape

Kitchen safety

  • remove the knobs from the stove
    • hide knobs in a nearby drawer or use stove knob covers to hide appearance of knobs
  • remove medicines for all counter tops
    • hide medicines in a cabinet that is out of reach or use cabinet slide lock
  • reset faucet temperatures to 110-120 degrees F
  • remove scissors & knives from counters & drawers
  • disable garbage disposal
  • remove cleaning supplies & all other toxic items from reach
    • place them in a cabinet that is locked or used infrequently
    • discard old toxic supplies
  • unplug electrical appliances not in use
  • unplug microwave when not in use, or install a hidden switch
    • liquids can get very hot
    • some non microwavable materials can catch fire

Bathroom safety

  • use nonskid mats in shower & tub
  • install tub safety rail
  • consider toilet safety rail
  • install grab bars at front & side wall of shower
    • the screws must go into wall studs
  • use shower bench in shower or tub for stability 'Universal Bath Bench with Back' more stable than other brands (Sammons Preston)
  • remove glass shower doors & replace then with a shower curtain on a tension rod
    • glass doors may pop out easily if they are used for support
    • if replacing glass doors with a shower curtain, leave framework for doors in place so that they may be easily restored
  • remove medications & cleaning supplies from cabinets
    • hide or lock items in a drawer or cabinet that is infrequently used
    • cabinet slide locks are convenient
  • use a rechargeble, cordless electric shaver
    • a cordless shaver is safer because it will not cause a shock if dropped into water
  • remove & hide personal electric equipment such as hair dryers & curling irons
  • replace doorknobs in bathroom & bedroom if they lock & cannot be unlocked easily from outside the room

General Home Safety

  • remove scatter rugs except for nonskid rugs in bathroom
    • people of all ages tend to trip on scatter rugs
    • use rugs with nonskid backing or apply 2 way carpet tape if scatter rugs must be used
  • use nightlights in bathroom, hallway & bedroom
  • increase the brightness of your current lamps & fixtures
    • do not exceed the watts recommended by the manufacturer
  • replace extension cords with surge protectors
    • keep electrical wires out of walkways
    • repair frayed wires
  • install smoke detectors on each level of home
  • have a working fire extinguisher
    • place as fire extinguisher in the kitchen, but not over the stove
    • check the gauge (for charge) yearly

identify the bedrooms, to help the fire department find them during a fire, by placing a sticker on the windows

  • ask your fire department for further directions or stickers
  • plan & practice an escape route in the event of a fire, especially at night when most fatal fires occur

place emergency phone numbers at every telephone

keep a telephone and flashlight at your bedside

Resources

Items from Hardware store

item Average Price (2003)
9 volt smoke alarm $17
9 volt batteries $2
surge protector $7
2 pack Auto night light $4
flashlight $1
Safety First cabinet slide lock $3
surface bolt 4 inches $6
Safety First stove knob covers $8
2 inch carpet tape $4
Duct tape: white &/or yellow $3
fire extinguisher $10
tub & shower safety treads $5
hand-held shower with diverter valve $24
door knob with one-way lock $16
medication dispensor $7

Radio Shack

Motion Sensor (Mini PIR Alarm, Item No 49-425) $25 (has chime sound & alarm, very easy to set up)

AliMed 'Help at Home' 1-800-225-2610 (a mail order company that will deliver)

  • 18 inch toilet/tub grab bars: $24
  • tub safety rail: $50
    • clamp-on rail clamps to any tub with the twist of a dial
    • solid handle will hold full weight
    • fits tub wall widths from 3-7 inches
  • adjustable toilet safety rails: $45
    • helps with occasional balance problems
    • attaches easily to standard toilet without tools

Sammons Preston: 1-800-323-5547 (a mail order company that will deliver)

  • Universal Bath Bench with Back: $58

More general terms

Additional terms

References

  1. Department of Veterans Affairs
  2. Alzheimer's Association http://www.alz.org