{"id":8335,"date":"2017-10-11T12:17:59","date_gmt":"2017-10-11T16:17:59","guid":{"rendered":"http:\/\/physiotherapieuniverselle.com\/en\/?p=8335"},"modified":"2018-01-17T10:32:34","modified_gmt":"2018-01-17T15:32:34","slug":"home-adaptation-interventions-occupational-therapists-role","status":"publish","type":"post","link":"https:\/\/physiotherapieuniverselle.com\/en\/blogue\/home-adaptation-interventions-occupational-therapists-role","title":{"rendered":"Home adaptation interventions: The Occupational Therapist\u2019s role"},"content":{"rendered":"<h3><strong><span style=\"color: #ed1a00;\">A major issue for the society<\/span><\/strong><\/h3>\n<p>In Quebec, for the elderly population, falls are an important issue with a major impact on independance. <strong>20 to 30% of the elderly<\/strong> will fall one time or more in a year. Falls are the <strong>main cause of hospitalization<\/strong> for the elderly and it is also a cause of transfer a person to long-term facility (40% of the admissions in long-term care center are caused by the falls). Although 50% of falls cause minor injuries, 5 to 25% can result in moderate to severe injury. It should be noted that 50% of falls take place at home.<\/p>\n<p>Most falls inside the home occur <strong>in the bathroom<\/strong>. It has been shown that <strong>home adaptation is an intervention that reduces the number of falls by 20%, and 41%<\/strong> in seniors with visual impairment. Home adaptation is an intervention done by the occupational therapist to reduce environmental barriers in order to encourage the person to participate in his or her daily activities. Prior to home adaptation, the occupational therapist will conduct a functional assessment at home. Below is a brief overview of the evaluation process and possible interventions.<\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #ed1a00;\"><strong>Evaluation<\/strong><\/span><\/h3>\n<p>Certain characteristics present in the elderly or in its environment can increase its vulnerability to fall: the risk factors.<\/p>\n<p>We distinguish between those intrinsic to :<\/p>\n<ul>\n<li><strong>the person<\/strong> (age, sex, history of fall, physical impairment, visual deficit, orthostatic hypotension, urinary incontinence, depression, fear of falling)<\/li>\n<li>related to the <strong>behaviors<\/strong> (routine, recklessness)<\/li>\n<li>related to the <strong>physical environment<\/strong> (cluttered room, carpet, stairs)<\/li>\n<li>related to the <strong>socio-economic environment<\/strong> (immediate surroundings, human and financial resources of the person)<\/li>\n<\/ul>\n<p>These risk factors are listed in a conceptual framework: <strong>the Haddon matrix<\/strong>. The occupational therapist will use it to determine the most appropriate interventions for the person. The occupational therapist will also have to make a <strong>functional assessmen<\/strong>t of the abilities, including <strong>balance and walking tests<\/strong>, good predictors of the risk of fall, fracture and disabilities. Situations proposed by the occupational therapist can highlight the person&#8217;s daily difficulties in carrying out personal care and home management.<\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #ed1a00;\"><strong>Possible interventions<\/strong><\/span><\/h3>\n<p>According to the assessment, the occupational therapist may suggest minor home adaptations and the use of assistive devices as needed to reduce the risk of falls. Here are some examples:<\/p>\n<ul>\n<li>De-clutter a room to facilitate access;<\/li>\n<li>Secure carpets\/electrical wiring;<\/li>\n<li>Improve corridor lighting at night;<\/li>\n<li>Secure the bathroom (grab bars, raised toilet seat, non-slip mat, bath bench, shower chair)<\/li>\n<li>Emergency call system installation (eg Lifeline, S\u00e9curM\u00c9DIC, etc.)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>If you have any questions, don\u2019t hesitate to <a href=\"https:\/\/physiotherapieuniverselle.com\/en\/contact\/\" target=\"_blank\">contact our occupational therapists<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p>By <strong>Marie-Lyne Chayer<\/strong>, Occupational Therapist<\/p>\n<hr \/>\n<h5><strong>R\u00e9f\u00e9rences<\/strong><\/h5>\n<ul>\n<li>\n<h5>B\u00e9gin, C., Boudreault, V., &amp; Sergerie, D. (2007).\u00a0<em>La pr\u00e9vention des chutes dans un continuum de services pour les a\u00een\u00e9s vivant \u00e0 domicile.<\/em><\/h5>\n<\/li>\n<li>\n<h5>B\u00e9gin et al. (2014).\u00a0<em>Chutes Chez les ai\u0302ne\u0301s au Canada deuxie\u0300me Rapport<\/em>.<\/h5>\n<\/li>\n<li>\n<h5>Gagnon, C., &amp; Lafrance, M. (2011).\u00a0<em>Pr\u00e9vention des chutes aupr\u00e8s des personnes \u00e2g\u00e9es vivant \u00e0 domicile: analyse des donn\u00e9es scientifiques et recommandations pr\u00e9liminaires \u00e0 l\u2019\u00e9laboration d\u2019un guide de pratique clinique: Institut national de sant\u00e9 publique du Qu\u00e9bec.<\/em><\/h5>\n<\/li>\n<li>\n<h5>Stark, S., Keglovits, M., Arbesman, M., &amp; Lieberman, D. (2017).\u00a0<em>Effect of home modification interventions on the participation of community-dwelling adults with health conditions: a systematic review. American journal of occupational therapy<\/em><\/h5>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>A major issue for the society In Quebec, for the elderly population, falls are an important issue with a major impact on independance. 20 to 30% of the elderly will fall one time or more in a year. Falls are the main cause of hospitalization for the elderly and it is also a cause of &hellip; <a href=\"https:\/\/physiotherapieuniverselle.com\/en\/blogue\/home-adaptation-interventions-occupational-therapists-role\">Continued<\/a><\/p>\n","protected":false},"author":4,"featured_media":8312,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[444],"tags":[417,406,416,276],"class_list":["post-8335","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-active-life","tag-adaptation","tag-elderly","tag-home","tag-occupational-therapist"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Home adaptation interventions: The Occupational Therapist\u2019s role - Physioth\u00e9rapie Universelle<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/physiotherapieuniverselle.com\/blogue\/lapport-de-lergotherapie-dans-lamenagement-du-domicile-dune-personne-agee\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Home adaptation interventions: The Occupational Therapist\u2019s role - Physioth\u00e9rapie Universelle\" \/>\n<meta property=\"og:description\" content=\"A major issue for the society In Quebec, for the elderly population, falls are an important issue with a major impact on independance. 20 to 30% of the elderly will fall one time or more in a year. Falls are the main cause of hospitalization for the elderly and it is also a cause of &hellip; Continued\" \/>\n<meta property=\"og:url\" content=\"https:\/\/physiotherapieuniverselle.com\/blogue\/lapport-de-lergotherapie-dans-lamenagement-du-domicile-dune-personne-agee\" \/>\n<meta property=\"og:site_name\" content=\"Physioth\u00e9rapie Universelle\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Physiotherapie.Universelle\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-10-11T16:17:59+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-01-17T15:32:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/physiotherapieuniverselle.com\/app\/uploads\/2017\/10\/shutterstock_620447114.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"5257\" \/>\n\t<meta property=\"og:image:height\" content=\"3509\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Lucie Maestri\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lucie Maestri\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/physiotherapieuniverselle.com\\\/blogue\\\/lapport-de-lergotherapie-dans-lamenagement-du-domicile-dune-personne-agee#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/physiotherapieuniverselle.com\\\/blogue\\\/lapport-de-lergotherapie-dans-lamenagement-du-domicile-dune-personne-agee\"},\"author\":{\"name\":\"Lucie Maestri\",\"@id\":\"https:\\\/\\\/physiotherapieuniverselle.com\\\/#\\\/schema\\\/person\\\/9243a676792248d84ed1430b591b30cc\"},\"headline\":\"Home adaptation interventions: The Occupational Therapist\u2019s role\",\"datePublished\":\"2017-10-11T16:17:59+00:00\",\"dateModified\":\"2018-01-17T15:32:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/physiotherapieuniverselle.com\\\/blogue\\\/lapport-de-lergotherapie-dans-lamenagement-du-domicile-dune-personne-agee\"},\"wordCount\":550,\"image\":{\"@id\":\"https:\\\/\\\/physiotherapieuniverselle.com\\\/blogue\\\/lapport-de-lergotherapie-dans-lamenagement-du-domicile-dune-personne-agee#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/physiotherapieuniverselle.com\\\/app\\\/uploads\\\/2017\\\/10\\\/shutterstock_620447114.jpg\",\"keywords\":[\"adaptation\",\"elderly\",\"home\",\"occupational therapist\"],\"articleSection\":[\"Active life\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/physiotherapieuniverselle.com\\\/blogue\\\/lapport-de-lergotherapie-dans-lamenagement-du-domicile-dune-personne-agee\",\"url\":\"https:\\\/\\\/physiotherapieuniverselle.com\\\/blogue\\\/lapport-de-lergotherapie-dans-lamenagement-du-domicile-dune-personne-agee\",\"name\":\"Home adaptation interventions: The Occupational Therapist\u2019s role - 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