1. A T HM Think about somebody being “at home with growing older,” this could be yourself or someone you know: Are there any tasks or activities that have become more difficult to accomplish? Name 2-3 things that have become challenges. Think about your home: Are there specific things that you would find difficult to give up? AT HOME WITH GROWING OLDER

2. AGING AT HOME - GRACEFULLY A T HM HOME AND QUALITY OF LIFE A T H M ARCHITECTURE / DESIGN TOOLS / TECHNOLOGY HEALTH / HUMAN CONNECTION MENTAL HEALTH / EMOTION

3. A T HM HOW CAN MY HOME GROW WITH ME? HOW CAN I CONTINUE TO GROW IN MY HOME? MOTIVATION

4. A T HM Defining the principles and practices of “Aging in Place” to support informed decisions. Encouraging simple, cost-effective solutions for increased independence. Making information accessible to people of all ages and abilities. GOALS

5. A T HM A STORY - LINDA Her high cabinets make it difficult to reach things. Climbs on a step stool every day to reach her clothes.

6. A T HM RECOMMENDATIONS - LINDA Install a double rod system ($20) in her closet that hangs off the main rod so she doesn’t have to use a step stool Move her card writing center from the foyer to the living room where she can enjoy more light Encourage her to use her crafting skills and supplies to personalize her cane

7. A T HM Healthcare Model User Design Research Geriatric Assessment Tools (ADLs) Occupational Therapy Assessment Tools Home Assessments CURRENT STATE OF AFFAIRS

8. A T HM Most people want to grow old in their own homes People want control and choices Aging can be a period of growth Our homes, the products and services in it can be a resource or a hindrance A multidisciplinary and integrated approach leads to balanced, person-centered solutions BACKGROUND

9. A T HM HM A T Light Views Flow Material Colors Ergonomics Material Interaction Experiences User Needs Assessments ADL Compliance Care Plans Care Support Rehabilitation Cognition Memory Decision Making Feelings Motivations HEALTH / HUMAN CONNECTION MENTAL HEALTH / EMOTION ARCHITECTURE / DESIGN TOOLS / TECHNOLOGY PHYSICAL / ENVIRONMENTALSOCIAL / PYSCHOLOGICAL DIFFERENT PERSPECTIVES

10. MODEL A T HM Safety Connection Beauty Function EMOTIONSOCIAL ENVIRONMENTACTIVITIES Feelings Sense of Self Sense of Ease Making Decisions Belonging Visitability Neighborhood Community Social Services Caregivers Nutrition Money Transportation Faith Lifestyle Light Warmth Comfort Accessibility Independence

11. A T HM NEEDS UNRECOGNIZED NEEDS DESIRES EXPECTATIONS

12. A T HM ARCHITECTURAL / DESIGN PERSPECTIVE A Spaces that are both functional and beautiful VS.

13. A T HM TOOLS / TECHNOLOGY PERSPECTIVES T Interactions that are healthy, intuitive and delightful VS.

14. A T HM H HEALTH / HUMAN CONNECTION PERSPECTIVES VS. Promote optimal health, function and support

15. A T HM M MENTAL HEALTH / EMOTIONAL PERSPECTIVES VS. Develop understanding, coping strategies and support

16. A T HM MODEL Empowerment Control/Choice Engagement Resource Participation Fear Loss Avoidance Problem Isolation VS.

17. A T HM PILOT PROCESS Provides an opportunity for client to talk about their thoughts and feelings about aging / options Two, two-hour meetings with four evaluators who provide different perspectives to meet client’s needs A comprehensive written report is delivered with suggestions and observations Follow-up debriefing with client / family Potential, ongoing check-ins

18. A T HM ATHM TOOL - CLIENT’S STORY Beliefs / Spirituality Health / Fitness Social / Community Activities / Transport Family / Friends Nutrition / Medications Legal / Financial Home / Support

19. A T HM How long do I have to live? How do I want to live now? What was important to me when I was younger? What does living in an institution mean to me? Is my home an institution? ATHM TOOL - SELF ASSESSMENT OPPORTUNITY TO REFLECT ON ONE’S OWN LIFE

20. A T HM ATHM TOOL - SELF ASSESSMENT Where is home? Meaning of home? What does it take to feel at home? How can I make my home an ally? OPPORTUNITY TO REFLECT ON ONE’S OWN HOME

21. A T HM ATHM TOOLS: OBSERVATIONS + QUESTIONS KITCHEN Meal prep Ability to reach for, carry or open items Getting food from the stove to table Bringing food into the house Ability to clean up

22. A T HM TOOLS: OBSERVATIONS + QUESTIONS BATHROOM Ability to bathe and toilet Brushing teeth Grooming and self image Getting to the bathroom on time Safety and maneuverability

23. A T HM TOOLS: OBSERVATIONS + QUESTIONS BEDROOM Picking clothes Dressing Getting in and out of bed Changing sheets Night lighting Views Getting to the bathroom at night

24. A T HM TOOLS: OBSERVATIONS + QUESTIONS GETTING AROUND HOUSE Safe Transitions Adjacencies Lighting Railings Clutter Furniture / Obstacles Assistive Devices (Cane?) Fitness Level / Injuries

25. A T HM ATHM TOOL: OBSERVATIONS + QUESTIONS KEY ACTIVITIES MEDICATIONS Storage Adherence Interactions KEEPSAKES Storage Maneuverability

26. A T HM ATHM TOOL: OBSERVATIONS + QUESTIONS OUTDOORS / ACCESSIBILITY Ability to enter and leave home unaided Visitability Railings Uneven surface hazards Enjoyment of outdoors Shade

27. A T HM SUMMARY PHYSICAL ENVIRONMENT: Architecture Adaptive Tools WELL BEING: Communication Transportation Health / Activities Emotional /Spiritual Legal / Financial

28. A T HM FINDINGS The most significant barrier to change is one’s emotional attachment to the way one has lived for a long time. It takes a conversation to find out what the real and not the stated problem is (‘telling one’s story’) One of the biggest barriers to simplifying life is getting rid of books and personal papers. It is personal and intimate to walk through someone’s house. It is hard to make changes on your own - one needs the partnership of family/friends/neighbors Each situation is different Suggestions for change have to be followed up with concrete recommendations. Resources are often not known.

29. A T HM AT HOME WITH GROWING OLDER THANK YOU! For more information about our model please contact: sstadler@athomewithgrowingold.com