Home Assessment Care Plan

Home Assessment: Compiled for M.S


Resident & Home Summary
M.M. is a strong and relatively healthy 66-year-old African-American man who retired from banking five years ago. He now lives with his wife, who is 62 years old in a two-story house. He has two pet dogs. The two have been married for 31 years. M.M. has three daughters and who are all married and with children. He has two brothers who both live in Georgia. His parents are deceased. M.M. works out at the local thrice a week and does short morning runs on the other four days. While at home, he enjoys listening to music and plays the guitar and the piano. Periodically, M.S. spends time with his peers playing board games. He sings in the church choir and offers music classes to the youth both at church and in his neighborhood. M.M. has a garden on which he grows vegetables and likes spending time on it with his wife, especially during the weekends. He has known his best friend since high school where they used to sing in the same music band.

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M.M. was diagnosed with diabetes at the age of 15 and has ever since been on strict glucose control through insulin and observance of proper dietary practices. His doctor encourages him to remain adherent to his medication, exercise regularly, and eat healthy foods to help avoid the complications of type 2 diabetes. He is also hypertensive and takes antihypertensive medications. Due to his chronic conditions, M.S. does not smoke or take alcohol. He also uses glasses for his deteriorating vision. Recently, M.M. suffered a mild myocardial infarction that resolved without complication. His wife helps him ensures strict adherence to medication and healthy lifestyle practices. M.M. also receive immense support from his friends around is neighborhood and from church due to his significant contribution to society. Despite having chronic health conditions, M.M. and well surrounded by his family and friends improving the quality of his life. Home Summary
M.M.’s home is well maintained and clean. His wife gets assistance from a house help who offers house cleaning services every week. M.M.'s wife is instrumental in maintaining the cleanliness of the house since she is aware of the health status of her husband. Regardless of the support from his wife, M.M also does minor repairs and chores in the house alongside taking care and cleaning is two pets. The report below will address several modifications that M.M can make to his house. However, the house the home contains more strengths than weaknesses thus contributing to the wellbeing of Mr. M.M.

Assessment Instrument
The report utilizes the Home Safety Self-Assessment Tool (HSSAT) to identify hazards that may lead to falls in the home. The tool was created at the University of Buffalo by the Occupational Therapy Geriatric Group with assistance from the Health Foundation for Western and Central New York. By assessing at least 10 key areas in the house, the tool helps in the identification of items or hazards that predispose to falls. The tool assesses each of the 10 rooms and areas using a checklist, allocated scores for potential hazards and facilitate the creation of an action log to fix the problems identified. A copy of the assessment tool can be found in the link below: https://sphhp.buffalo.edu/content/sphhp/rehabilitation-science/research-and facilities/funded-research/aging/home-safety-self-assessment-tool/_jcr_content/par/ download_526197706/file.res/HSSAT-v.5-1-12-17.pdf

Room Strengths Weakness Modification
Entrance to the back/side door The front porch has three steps that are even with a ramp and a stable railing for support. There is also good lighting that offers clarity to the walkway at night. Back entrance does not have steps to climb and is clutter free. Steps are unmarked making it challenging to identify a change in the height of steps. An outdoor grab bar is also lacking. The light in the back entrance is weak and does not offer enough clarity during the night Add markings to the steps to increase the visibility of the stairs. Addition of light sensors in the front entrance will improve the effectiveness of the lights. Add a grab bar near the front door for easy manipulation Change the bulbs at the back door with the addition of more sensors to increase the light of the back yard
Living Room Clutter-free room with stable furniture and stable chairs. The room is spacious with adequate space for moving around with proper lighting. Switches are easily accessible The coffee table is placed on top of a scatter rag. Two cables are running from the television, across the floor of the room and out through the window Allow the cords to run through furnishings by adding extensions that allow for the rearranging of the room Secure the scatter rug to the floor using either a double-sided rug tape or rug pads
Kitchen Spacious with good lighting and adequate room to maneuver and make movements. Cabinets are low enough for easy access. Floor is dry Presence of the two dogs near the occupants when preparing meals. Presence of a scatter rag Enclose the two dogs in their cage when cooking to avoid interferences
Bedroom Spacious with a telephone at the bedside. Bed height is appropriate. Presence of nightlight. Good arrangement for easy reach of items Scatter rag and carpet with uneven carpet edges. No devices to assist with getting in/out of bed Tape the scatter rag to the floor Fix a bedside cane or a bed rail between the box spring and the mattress
Bathroom Grab bars are correctly placed and are present near the bathtub, toilet and in the shower area. No clutter and the floor is dry. The height of the toilet and tub is appropriate for easy access No bath chair in the shower area Install a bath chair together with grab bars near the bath tab
Stairs Stairs have rails for support. No clutter on the stairs and the floor is dry. Lighting is weak and becomes ineffective during the night Addition of overhead and wall lighting. Change existing bulbs with higher wattage bulbs
Laundry room The room has good lighting with dry floors. The bottom stairs are painted a different color from the floor. No cords are running across the floor Steps are too steep. Clothes are scattered over the floor space Installation of rails for support and stability. He should also ensure he walks slowly down the stairs.
Potential Resources

Name Address/Location/ Phone Website Purpose
University at Buffalo-Department of Rehabilitation Science 501 Kimball Tower University at Buffalo Buffalo, NY 14214 Phone: 716-829-6731 Fax: 716-829-3217 This email address is being protected from spambots. You need JavaScript enabled to view it. http://sphhp.buffalo.edu/rehabilitation-science/research-and-facilities/funded-research/aging/home-safety-self-assessment-tool.html The assessment tool aids in the room-to-room assessment of the home and can offer recommendations for changes
American Association of Retired Persons (AARP) Toll-Free: 1-888-OUR-AARP (1-888-687-2277) AARP 601 E Street, NW Washington DC 20049 https://www.aarp.org/livable-communities/learn/health-wellness/info-12-2012/national-council-on-aging-website.html Offers resources such as insurance schemes, education on safe living, support for developing safe homes and quick access to services to the elderly aging population
Nolan General Contracting 6769 Tuscany Lane East Amherst, NY 14051 Office: (716) 741-8167 Fax: (716) 407-0331 http://www.nolancontracting.com/default.htm# Offers home renovation services that are in line with the recommendations in the report

Summary
M.M.’s home is in a good state since he has not had incidences of injuries or falls. His wife assists him in ensuring that he lives a healthy and safe lifestyle considering that M.M suffers from type 2 diabetes and hypertension. However, several modifications need to be made. The changes might not be an immediate need, but they will help prevent future incidences. Considering that M.M. is not planning on moving out from his current home, the changes are imperative and should be made soon.

References


Clemson, L., Fitzgerald, M. H., & Heard, R. (1999). Content validity of an assessment tool to identify home fall hazards: The Westmead Home Safety Assessment. British Journal of Occupational Therapy, 62(4), 171-179.

Clemson, L., Fitzgerald, M. H., & Heard, R. (1999). Content validity of an assessment tool to identify home fall hazards: The Westmead Home Safety Assessment. British Journal of Occupational Therapy, 62(4), 171-179.

Clemson, L., Fitzgerald, M. H., & Heard, R. (1999). Content validity of an assessment tool to identify home fall hazards: The Westmead Home Safety Assessment. British Journal of Occupational Therapy, 62(4), 171-179.

Clemson, L., Fitzgerald, M. H., & Heard, R. (1999). Content validity of an assessment tool to identify home fall hazards: The Westmead Home Safety Assessment. British Journal of Occupational Therapy, 62(4), 171-179.

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