Reason for referral:
Mr G's family contacted me as they had growing concerns about their father who had suffered a stroke 10 years ago and his mobility and memory has since deteriorated. He has been living in his own home alone for a number of years now and he intends on staying as independent as he possibly can.
My aim was to assess Mr G in his own surroundings with regards to his activities of daily living and mobility around the home. Identifying any potential risks and reducing these where possible.
Problems identified following assessment:
- Rugs in the lounge and hallway pose a tripping hazard.
- A two seater sofa in the lounge is 16" compressed and a struggle to stand from.
- Sofa in the library/piano room is obstructing access to the window.
- Minimal lighting is utilised which reduces visual awareness.
- A large kitchen which is far from the lounge means a lot of transportation of items back and forth.
- A high wooden stool is used in the kitchen to assist with eating breakfast at the work surface.
- The main toilet used is a struggle to stand from as it is low and consequently the arm of a chair is used to aid this transfer.
- There is a large 11" step into the shower which is not currently problematic but may at times become difficult.
- Single divan bed is 16" in height and very soft which means standing from this is evidently difficult.
- The large step down through the front door throws Mr G’s balance when entering the property.
- There is no indoor walk around phone or mobile carried in the case of an emergency.
- Mr G is reluctant to take medications and has new added tablets.
- Mr G uses the walking stick in the opposite hand to recommendations.
- Remove all rugs where possible or utilise double sided tape to reduce movement of these.
- Raise the sofa on specialist blocks to approximately 20".
- Rethink layout of the library/piano room to allow easy access to draw the curtains.
- Invest in energy efficient small plug in lights for hallways and landings to increase lighting at night time.
- Purchase a 4 x wheeled kitchen trolley to ease transportation of items between rooms (ensure the stair lift is not obstructing the hallway).
- Consider a perching stool with back and arms to facilitate easier transfers.
- Source a free standing integrated toilet frame to provide extra height and arms to push up from.
- Consider a grab rail within the shower to assist with pulling himself in and gaining clearance of the right leg.
- Raise the bed to 20"-22" to prevent rapid descent into it and assistance with rising from it.
- Look to fix a small grab rail to the front door inside to allow easier and safer access.
- Explore lifeline pendants to assist in the unfortunate event of an accident.
- Manage medications with a dossit box (to be purchased) and seek pharmacy support with this.
- Following a mobility assessment Mr G is currently safe mobilising indoors unaided if the recommendations are adhered to. I Trialled Mr G with his walking stick in the left hand but this felt uncomfortable so he is to remain using it in his right hand.
A copy of this assessment was also sent to Mr G' GP with consent.
Mr G has continued to remain in his own home following the recommendation above to, he continues to live a full life and carry out meaningful activities under a watchful eye of his loving caring family.
No falls have since been reported and he has managed to stay on top of his medications.