Aging In Place - Assessment - Modification - Maintenance - Remodeling - For Seniors & Disability - Experts - Massachusetts

I was contacted recently by a client seeking an estimate to build a ramp that would improve access into their
home. There were several concerns, primarily though, “What will this thing look like?” Many folks are greatly
concerned with how a ramp will affect the aesthetics of their home and how it will be perceived. It may also
be the reason for not moving forward with a home modification and instead making do with their home as it
always has been.

My first comment is always appreciating the client’s concern. Fortunately there are many ways to integrate a
permanent or temporary ramp that looks like it belongs. And sometimes, it may even be better in the back of
the home. Just as importantly though, let’s make sure this client needs a ramp.

When planning a home modification I like to include as many parties as possible, depending on the client’s
preference. It’s not uncommon to include the physical or occupational therapist, primary care-giver and even
adult children. The more involved, the more perspectives. And you just might find that a ramp isn’t necessary.

This client’s mobility included a combination of limited arm strength, balance, and stamina to walk
comfortably over a great distance. The existing stairs were clearly difficult to navigate. The stair risers were
different heights, the top landing was too small to safely open the door, a handrail was non-existent, and the
lighting was very poor. The client’s condition will potentially degrade over time but the only assistive device
in use now is a cane. In this instance, the shorter the distance the better, and a ramp was not the solution at
this time. An entry designed to meet the client’s specific needs was the proper approach.

I proposed a new set of steps, with provisions for a future ramp. The steps would be equal and at a
comfortable height. The top landing would be more than adequately sized in case a wheelchair was necessary
in the future. This landing would also be flush with the doorway threshold and floor of the home. Handrails
would be placed at a comfortable height. A shelf at the top landing to place parcels while opening the door
would also be installed. Visibility would be improved with the appropriate level of lighting while using energy
efficient sources to minimize lamp replacement. As far as the aesthetics, the design would take into account
the existing features of the home and be made with low-maintenance materials. The last thing a client needs
is a new set of steps and deck to maintain. The planning would take into account supports and layout space
for a future ramp if the need should arise.

When undertaking any home modification to maintain your independence, modify for now while planning for
the future.

This is a past Guest Columnist article Printed in the South Shore Senior News.

When remodeling your home it's a good idea to obtain 3 estimates. The goal is to evaluate a contractor's
approach and price, ensure they are properly registered or licensed, and that they are protecting you as well
as their employees with the necessary insurance. You then choose the one that is the best fit overall for you
and your project. When modifying your home, however, there are at least two more important factors to
consider.

First, recognize that a home modification is more involved and different than a remodel or improvement. It
should be specifically designed to adapt your environment to meet your particular needs today and in the
future. Modifications support independent living by simplifying everyday tasks and reducing accidents. The
process also differs from a universal design approach in that modifications accommodate your specific needs
and not those of everyone.

Second, consider using a Certified Aging-In-Place Specialist. The CAPS program was developed by the National
Association of Home Builders in collaboration with AARP. This certification equips the professional with a
unique set of skills. They have been trained in aging-in-place modifications, solutions to common barriers,
and meeting the needs of seniors. They are also mindful that home modifications should not only be
functional but aesthetically pleasing to the client as well.

So when planning more than a simple remodel or improvement and having a goal to age-in-place in your
home, consider more than 3 estimates, make it a home modification and use a specialist.

This is a past Guest Columnist article Printed in the South Shore Senior News.