Replace doorknobs with levers. Widen door frames. Install a ramp over the front stoop. And maybe add a few electronic monitoring gizmos.
By DIANE STAFFORD
The Kansas City Star
Those are solutions that help the elderly especially those with physical challenges stay in their longtime homes.
Aging in place is what the lions share of older Americans want. But in the single-family houses that characterize the sprawling Kansas City area, that can be hard to do.
So some aging residents move into a widening array of senior housing projects.
Others are getting by with something as simple as a new toilet just a few inches higher and some grab bars in the bathroom. Thats what it took to make it easier and safer for one elderly man to use his bathroom again.
Sometimes I want to cry when I see how some older people are struggling, said Clay McQuerry, a certified aging-in-place specialist at the nonprofit Rebuilding Together Clay County, who visited the man.
Whether its remodeling a room or signing up for a panic button to press after falling, thousands more area residents each year are being exposed to a growing and ever-more-advanced array of universal design and assistive technology features.
Demand will skyrocket as the over-65 population booms. Futurists say elderly or infirm people living in their own homes may even have monitoring equipment that, using artificial intelligence, wont just respond to but will help predict when emergencies might occur.
There are so many little things we can do, so many new assistive devices that are being created to help people stay in their homes, McQuerry said. We just have to know about them.
For now, fancy technology takes a back seat to remodeling and some basic call devices.
Shirley Saathoff, for example, got a small panic-button pendant and two-way communication system for her tidy Lees Summit home.
Its a godsend, honey, said the 72-year-old woman of the device that provides 24-hour monitoring. Ive fallen five times, and there was no one around to tell Id fallen.
Frankie Cline, 87, got new front steps and a railing at her Clay County front door, replacing a single, very tall step. She used to have to hold onto a chair on the step to get up it, but twice the chair slipped, and she fell.
I feel like Im living again, Cline said. And my friends theyre getting old, too can visit again. Before they couldnt get in my house, either.
In Lees Summit, an 83-year-old retired autoworker and his wife can keep their washer and dryer in their basement, thanks to a chair lift on the stairs.
Like many older people interviewed, the couple cited privacy and security worries, and requested that their names not be published. But they were happy to show their renovated bathroom, featuring a flat-entry shower stall with a seat and an adjustable shower head.
Our intention is to stay here, the man said.
Around the Kansas City area, more and more remodeling contractors and electronic equipment providers are working with the elderly.
For some reason, one-story houses havent been as popular in the Kansas City area over the years as multistory homes. That has created an inventory of split-level and two-story homes with steps or doors and hallways that are too narrow for walkers and wheelchairs.
Handyman Seroj Terian said he often did the stair climbing for elderly customers, flipping mattresses, changing furnace filters, and getting on a ladder to replace a light bulb or clean the gutters.
Through Help@Home, a fee-based membership program that charges clients between $7.50 and $75 a month based on an income formula, Terian, aided by volunteers, also helps the new elderly with whatever they need including computer assistance and programming TVs, remotes and recording equipment.
Its a whole new world of chores, he said.
Electronic eyes, ears
Saathoff entered the world of assistive technology after spending hours on the floor, her body twisted awkwardly, unable to reach her telephone just a yard away.
Yet she remains adamant: I dont want to go to a nursing home. I love my home.
But like most aging Americans, she cant stay in her familiar, private surroundings without help.
Once a baker who spent hours on her feet, Saathoff now can barely get into her tiny kitchen. Her walker, which she needs to move around, doesnt fit. So, slowly and unsteadily, she parks the walker and leans heavily on a chair, then the counter to spend a few minutes preparing a meal.
With limited mobility because of health issues, Saathoff has been in and out of the hospital several times but says: I wont give up. I do what I have to do to stay at home.
For her that means frequent visits from her daughter my angel who shops for her. Sadly, it means that her car has been parked, perhaps permanently, since last summer.
Saathoff pays $34.95 a month to lease the panic button service, which includes a two-way communication unit smaller than a cereal box. It sits next to her phone on a small table in her living room.
Her Home for Life Solutions equipment, monitored 24/7 through a call center managed by John Knox Village, is sensitive enough to pick up her voice from anywhere in her one-bedroom apartment if its activated by a push of her pendant button.
I push it, and they call me through the box, Saathoff said. I answer and they hear that Im OK, or I dont answer and they send the paramedics.
Several hundred seniors with limited mobility in the Kansas City area have purchased the same pendant security service as Saathoff. Some are paying more for an array of sensors, such as floor mats that can detect, for example, whether they get out of bed.
Another product, a sensor that attaches to an electric stove along with a motion detector, turns off the burner if the user leaves the room and doesnt return for a certain length of time.
Denise Fields, chief operating officer for Home for Life, said a typical area client paid about $40 or $50 a month to lease a base communications unit and four or five different types of sensors.
The assistive technology market for in-home services is competitive and growing. Security alarm companies see services tailored to the elderly as a natural business extension, particularly in what Fields calls the box and button market.
Remodeling for future
The Kansas City market, like most in the United States, still has a long way to go before such products are used as commonly as they are in Europe.
Buoyed by socialized medicine and a drive to keep health care costs low, theres more assistive technology embedded in many European homes.
Unfortunately theres no Medicare coverage for these devices, Fields said. A few states, such as Michigan, but not Missouri and Kansas, subsidize these products and services through Medicaid, and it really makes sense, because in the long run its a lot less expensive than a nursing home.
For now, a vision of the future lives in a demonstration apartment at John Knox Village.
This is really way out there. Its the point of the spear, said Bill Bergosh, president of the John Knox Village Foundation, while showing all the monitoring bells and whistles available for installation.
This is beyond universal design, which makes 36-inch-wide doors and zero-entry shower stalls. This is beyond the red button that calls the paramedics, Bergosh said. This is motion detectors, bed pads, foot pads, pagers that flash or vibrate, even products that take vital signs and transmit information to a nurse.
Mike Dodd has been in the home-remodeling business for 23 years, so widening door frames or installing wheelchair ramps is nothing new to him. But the growing volume of requests is.
In fact, Dodd and his wife, Katy Dodd, last year started a new division, LifeWise Renovations: Remodel for Life, to focus on customers with age-related frailties or disabilities.
Occupational therapists are really the ones who understand the sensory and cognitive issues, Dodd explained. We listen to their advice.
At a recent meeting of KC4Aging, a consortium of agency and business representatives involved in the subject of aging, the meeting concluded with participants making a wish list.
If we could just replace all the doorknobs with levers, one participant said.
That solution might not occur to someone who hasnt suffered arthritis, which makes squeezing and turning a doorknob impossible. But its a common task for Dodd and other remodelers.
Paul Lillig, a designer with Picaso Design/Build who specializes in home remodeling for seniors, says he most often does bathroom and kitchen work.
Typically I can put in a lot of those accommodations for nothing more than $10,000, Lillig said. That may sound like a lot, but its $10,000 one time that may help people stay in their homes for three to five years longer versus $10,000 a month for many months in an assisted living center.
Trying to figure out whats needed to help older people stay independent has caused some companies, such as GE Appliances & Lighting, to encumber their often youthful design teams with faux infirmities that mimic low vision, arthritis and other frailties that make products difficult for old people to handle.
Industrial designers are analyzing everything from grocery store shelving to airplane restrooms to car braking systems all with an eye toward making life easier for the growing numbers of elderly.
Help lines for elder care and transportation
KC Caregiver Support Line: 816-444-1122
United Way 211 Line: 816-474-5112
MidAmerica Regional Council, (Jackson County): 816-421-4980 or 800-593-7948
Johnson County Area Agency on Aging: 913-715-8861
Clay County Senior Services: 816-455-4800
Platte County Senior Services: 816-270-4100
Wyandotte/Leavenworth Area Agency on Aging: 913-573-8531
To reach Diane Stafford, call 816-234-4359 or send email to email@example.com.