As people age, they may be faced with having to decide whether or not to move
out of their existing home, perhaps the one where they had raised their family.
Too often, these homes are not conducive to the physical challenges that elders
may face in their advancing years. A study of aging baby boomers showed an
overwhelming propensity to remain in their current homes after retirement.

Those who plan to age in place should take proactive steps to modify their
homes while they are still financially and physically able.

The National Association of Home Builders recommends the following
modifications:

The first floor should have at least one bedroom and one
bathroom. First-floor living is a high priority for older adults.
Having a full bath and a master bedroom on the main floor makes it easier for
those who have trouble climbing stairs.

Controls and handles should be conveniently located and easy to
use. Raised electrical outlets, electrical switches positioned slightly
lower, and thermostats with large, easy-to-read numbers are perfect for older
people. Installing lever handles makes it easier for people with arthritis to
open doors.

Have at least one entry without steps. This creates easier
access for everyone, regardless of ability. It may be appropriate to install a
wheelchair ramp in at least one entrance as well.

Allow extra maneuvering space throughout the home. Wider
doors and hallways can make a home more accessible.

Make adjustments in the kitchen. Drawers should
replace shelves in the lower kitchen cabinets, which would accommodate a person
in a wheelchair. In addition, shelves under the kitchen sink and stovetop can be
converted from storage space to knee space for those who prefer to clean and
cook while seated. Changing knobs on the kitchen cabinets to D-shaped pulls that
are a contrasting color to the cabinet doors make it much easier for the older
person to grasp. Change the sink area to include a faucet with a single-handle
lever and a faucet sprayer with an extra-long hose. This would allow the older
person to fill large pots that are sitting on the stove.

Equip bathrooms with safety features. The bathroom is one of
the most important rooms in the house to design correctly in order to allow
homeowners to age in place. Grab bars, a bath chair, and a raised toilet seat
can provide stability for the older person and prevent falls. Falls in the
bathroom or on the stairs are the second leading cause of accidents for elders,
just behind automobile accidents. It would be prudent to invest in enlarging at
least one bathroom in the home. A larger bathroom makes maneuvering easier for
people with walkers, crutches, and wheelchairs.

Have proper lighting on stairways. This is important for
those who have to climb stairs daily. Eyesight changes as people age. Installing
lights with adjustable controls, or dimmers, can help prevent glare and ensure
proper lighting. Softer light is appropriate for night trips to the bathroom.

Some elders will choose to move to a new home when they retire, and many of
these homes will have a number of the above features already in place. Many
other seniors, however, will not have the ability to make such a move, for a
number of reasons. By planning ahead, and making some modifications,
they can remain in their home, comfortable in their surroundings, aging in
place, and maintaining their independence and dignity.