The Benefits of Home Assessments: A Q&A with a Physical and Occupational Therapist

Home assessments conducted by physical and occupational therapists are key to creating safer, more accessible living environments. We sat down with a therapist to learn more about the process and how it benefits clients.

Q: How does a customer benefit from having a home assessment performed by a physical or occupational therapist?
A: Physical and occupational therapists are uniquely trained to address physical, mental, and sensory limitations. Through activity analysis and environmental assessments, we can identify hazards that may inhibit movement, present fall risks, or limit independence. These assessments are designed to enhance safety and support clients in maintaining their autonomy at home.

Q: How do you determine which areas of the home to prioritize during the evaluation?
A: Research from the National Institute on Aging and the CDC highlights stairways and bathrooms as some of the highest-risk areas for falls. We focus on these spaces first but also assess for other hazards, such as low lighting, cluttered walkways, and tripping hazards like power cords and area rugs.

Q: How do you involve clients and their families in the evaluation process?
A: Collaboration is essential. We encourage families and clients to actively participate in the process by sharing insights into daily routines and identifying areas of concern. Together, we review the client’s strengths, needs, and the home environment, as well as any caregiver assistance required. This helps us create a customized home accessibility plan.

We also ask about long-term goals, both for the individual and their caregivers. Recommendations often include strategic placement of items like grab bars, ramps, or stairlifts, as well as bathroom modifications tailored to the client’s needs.

Q: How do you address hesitations or resistance from clients about modifying their homes?
A: We focus on education and empathy. By explaining how each modification directly supports a daily activity or routine, clients better understand the value of these changes to their health and well-being.

Many families worry that home modifications are expensive or require major renovations, but that’s not always the case. There are often simple and affordable adjustments we can make within the existing home to significantly improve safety and accessibility.

Q: Can you share examples of modifications you frequently recommend?
A: Common recommendations include:

• Grab bars: Installed in bathrooms or other key areas, even in fiberglass shower units.
• Bathroom upgrades: Walk-in showers, flip-down teakwood seats, handheld shower heads, comfort-height toilets, and bidets.
• Stairlifts: Both straight and curved models to suit different staircases.
• Ramps: For wheelchair or walker access.
• Durable medical equipment: Lift chairs, adjustable beds, and other supportive items.

These changes are tailored to meet the client’s unique needs while enhancing their ability to navigate their home.

Q: How do you address aesthetic concerns from clients who want safety features to blend in with their home decor?
A: The good news is that many modern accessibility products are designed with aesthetics in mind. For example, dual-function grab bars can double as towel racks or toilet paper holders to integrate seamlessly into the space.

Custom options, such as stairlifts with personalized finishes or handrails that match the home’s existing style, are also available. These modifications don’t have to make a home look clinical or institutional—they can be both functional and stylish.

Q: How have you seen home modifications improve clients' independence and quality of life?
A: Home modifications can be life-changing. They promote safety, boost independence, and enhance confidence in performing daily tasks. For example:

• A grab bar can help someone lift or lower themselves while bathing or toileting.
• A ramp can provide a wheelchair user with the freedom to enter and exit their home independently.
• Barrier-free showers make bathing safer and more accessible, reducing infection risks.
• Stairlifts restore access to key areas of the home, such as bedrooms or social spaces.

These modifications also reduce caregiver burdens and lower the risk of injuries for those assisting loved ones.

Q: What advice would you give to families considering home modifications for their loved ones?
A: Start with an open conversation about long- and short-term goals. Engage with occupational and physical therapists to identify the most effective equipment and modifications for your needs.

If a therapist isn’t already part of your care team, GreenLight Mobility has therapists on staff who can perform home assessments and recommend appropriate solutions.

Q: Are there recent advancements in home safety equipment that you find particularly helpful?
A: Assistive technology has made great strides in recent years. Features like voice activation, fall detection, and activity monitoring now provide real-time updates to caregivers and medical professionals, enhancing safety and independence for clients.

This Q&A sheds light on the vital role that physical and occupational therapists play in creating safe and accessible homes. If you’re considering home modifications, consulting with a professional is the first step toward a safer and more comfortable living space.