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Design for a Lifetime

Preparing Your Home for Successful Aging
NYPL FACILITATOR: MODERATOR:

Bridgid Cahalan, MLS Lorraine G. Hiatt, Ph.D. Environmental Gerontologist

PANELISTS:

Gail Ressler, Interior Designer Joelle Lichtman, Interior Designer Manny Feris, Lighting Specialist Phyllis Sperling, Architect
May 28, 2013 5:30-7:30 Schwarzman Building South Court Auditorium

Design for Aging Committee

Design for a Lifetime OUTLINE

What and Why This is Important 1. 2. 3. 4. 5. 6. How to Make It (Design) Happen? Bath and Kitchen Design Does Your Furniture Support Your? Lighting Solutions Auditory Solutions Resources

Questions and Responses

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Lorraine G. Hiatt, Ph.D. Environmental Gerontologist National Design Consultant and 44 years Design Research lghiatt@aol.com Gail Ressler, BS Interior Design griD. Business and Residential Interiors, Specialized in Aging in Place, Universal Designgailressler@gm ail.com Joelle Lichtman, MA Design Consultant, and NY Home Safety Assessments for Older Adults Joelle.lichtman@gmail. com

Phyllis Sperling, AIA Architect Professor Emeritus City Tech CUNY phyllis.sperling@gmail. com

Manny Feris, LEED AP, Lighting Specialist, Lutron OEM Team mferis@lutron.com Brigid Cahalan, MLS Outreach Librarian NY Public Library bridgidcahalan@nypl .org

Gather Ideas, Work with Others

New York Times 12/14/1998 !

Rosemary Bakker, MS, ASID RosemaryBakker.com rbdesign@earthlink.net http://www.ies.org/store/product/lig hting-and-the-visual-environmentfor-senior-living-1032.cfm

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Combine Lists and Users Priorities

For more info: www.lghiatt@aol.com

Capabilities We Bring to Living

Visual Discernment: See, Use with Contrast: Hearing/Understanding: Less Noise

Movement: Building Balance, Agility

Judgment: Safely Use What we Have

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Design for Living in One Place?

Memory Loss in Urban Apartments. Memory for Safety
Can I Reliably Make Needs Known? Do I Follow-through on Important Aspects of Daily Life, Self Care? Will I Exit Under Own Power from Signal, Instruction? Am I Living Well?

http://well.blogs.nytimes.com/2012/12/24/staying-independent-in-old-age-with-a-littlehelp/

How to Make it Happen

Phyllis Sperling Architect

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Do I need an Architect or Interior Designer?

http://seniorcarecorner.com/top-10-design-trends-for-aging-in-place

And, whats is the difference?

Architect?

Interior designer?

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In NYC you need an architect if you plan to make significant alterations to your apartment, or even to one room. Moving partitions, changing plumbing locations and any structural changes require that you file with the NYC Department of Buildings. Only an architect or engineer can file with the DOB.

http://www.huduser.org/portal/publications/pdf/fai rhousing/fairch7.pdf

A major modification like this will likely require an application to the DOB.

http://mlkinteriors.com/aging-in-place.html

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If you decide to do a major renovation:

New York City Local Law 58 requires that all renovations in multiple dwelling buildings (with elevators) must be designed to be adaptable to the needs of the disabled.
These changes include: Interior door widths of 2 10. Corridor widths wide enough for a wheelchair. Reinforcement provided in walls behind the tiles for future grab bars. Minimum clearances in bathrooms and kitchens.
http://www.nyc.gov/html/records/rwg/mopd/html/local58.html

Cosmetic upgrades, replacing plumbing fixtures in place, usually does not require an architect or conformance to LL 58.

http://www.kiplinger.com/slideshow/real-estate/T029-S001-smallremodeling-budgets-big-upgrades/images/8.jpg

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Minor modifications to an existing bath to accommodate Aging-in-place can be done inexpensively.

http://mlkinteriors.com/aging-in-place.html

Both an architect and an interior designer can help you select fixtures, tiles and colors.

http://home4alifetime.com/Photo_Gallery___Links.php

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An example of a renovated kitchen conforming to LL 58.

Both before and after kitchens are too narrow for a Wheelchair or a wide walker.

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This kitchen is good for a contortionist

Adaptable kitchen design

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Other accommodations for successful aging: A decorative grab bar

Color contrast at the edge of the steps

What are your rights?

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Reasonable Accommodation for Persons with Disabilities in Housing

The City Human Rights Law protects the rights of people with disabilities. It requires that landlords, (co-ops and condominiums) reasonably accommodate the needs of disabled tenants, (shareholders or owners) in their apartments or in the common areas. Reasonable accommodation can be structural, such as a ramp or installing grab bars in the bathroom.

You can get help

The law provides guidance in assessing requests for reasonable accommodation. It takes into account the nature and cost of the proposed accommodation and the financial resources of the landlord. If you have a disability and need an accommodation, you should inform the landlord and identify the type of accommodation you need. You may have to give the landlord a note from your doctor or other health care professional stating that you have a disability and describing the functional limitations that your disability imposes. If you need to file a complaint, call (212) 306-7450

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Bath and Kitchen Design

Joelle Lichtman Interior Designer

Aging-In-Place
According to an AARP survey, over 80% of older adults wish to remain in their current home for the rest of their lives. Over 70% of falls occur in the home for those 65+. We need to ensure their home environment is a safe place to live.

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Principles of Universal Design

The design of products and environments to be usable by all people, to the greatest extent possible, without the need for adaptation or specialized design. 1. Equitable Use 2. Flexibility in Use 3. Simple and Intuitive Use 4. Perceptible Information 5. Tolerance for Error 6. Low Physical Effort 7. Size and Space for Approach and Use
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Universal Design

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Bathroom: Before

30 Phillips Lifeline. Falls Prevention and Safety Plan. From: http://www.learnnottofall.com/servlet/DownloadServlet?id=784

Bathroom: After

31 Phillips Lifeline. Falls Prevention and Safety Plan. From: http://www.learnnottofall.com/servlet/DownloadServlet?id=784

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Bathroom: Clear, Visible Pathway

Keep a clear path to the bathroom Light the pathway Products: Motion sensors LED lights or glow tape

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Bathroom: Bathing Safely

Use assistive devices contribute to balance Most falls in the house that occur in the bathroom! Products: Grab bars (not the same as towel bar!) Walk-in shower Shower chair/transfer bench

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Bathroom: Bathing Safely

Utilize tools to control water flow, temperature Products: Handheld shower Anti-scald valve Lever controls

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Bathroom: Bathing Safely

Keep surfaces slip-free Products: Non-slip mat or tape Shower caddy Bathmat outside of tub

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Bathroom: NYC example

Bathroom: Modifications

http://home4alifetime.com/Photo_Gallery___Links.php

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Bathroom: Toileting
Products: Comfort height toilet Attachable bidet Bedside commode
For individuals with visual impairments, use high color contrast and for individuals in wheelchairs removing the bathroom door can allow for more space.

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Kitchen: Before

39 Phillips Lifeline. Falls Prevention and Safety Plan. From: http://www.learnnottofall.com/servlet/DownloadServlet?id=784

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Kitchen: After

40 Phillips Lifeline. Falls Prevention and Safety Plan. From: http://www.learnnottofall.com/servlet/DownloadServlet?id=784

Kitchen: Accessibility
Organize items based on use Utilize appliances with front controls Products/Modifications: Pull out/down storage and appliances Counters at different heights

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Kitchen: Accessibility

Kitchen: Low Physical Effort

Utilize tools with easy to grip handles Modify cooking activities with gadgets Products: OXO Good Grips products Lever controls

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Kitchen: Low Physical Effort

Utilize products with visual and auditory cues Products: Timer (auditory and visual aids) Grabber/Reacher Sturdy stepstool

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Kitchen: Low Physical Effort

Simplify cooking with one touch, easy-to-use or single use products Products: Chopper One-cup coffee maker

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Does Your Furniture Support You?

Gail Ressler Interior Designer

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Lighting Solutions

Manny Feris Lighting Control Specialist

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Lighting Solutions
Livable New York Resource Manual http://www.aging.ny.gov/LivableNY/ResourceManual/Index.cfm

Joan E. Roberts, PhD, Professor of Chemistry Fordham University

LIGHTING FOR MAXIMAL HEALTH AND WELL-BEING

Lighting is not neutral, but has either a positive or negative effect on health. Correct spectrum and timing of lighting is essential because lighting modifies brain neurotransmitters and neuropeptides which, in turn, alter both mood and the human immune response. Proper lighting can improve health and wellbeing while poor lighting can alter mood and increase stress and the risk of diseaselighting in individuals' homes, apartment buildings, assisted living facilities, nursing homes, and other health care settings must be specifically designed to compensate for the decrease in visible light reaching the retinas of those who are over 50 years old, as well as for those individuals of younger ages who have visual impairments.

Lighting Solutions
Recommended FootCandle Levels (IESNA) Library Ordinary reading, stacks..........................20-50 Book repair and binding...........................20-50 Offices Accounting.............................................50-100 Audio-visual areas....................................20-50 Conference areas....................................20-70 Corridors, stairways..................................20(k) Drafting..................................................50-200 General and private offices....................50-100 Lobbies, lounges & reception areas...........0-20

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Why 2700 - 4500 choices?

natural light 12000 K 8000K 6500K 00 K K 5500K 4500K 3000K 2800K K K 1800K K sunrise/sunset candle midnight twilight cold white LED overcast sky noon natural white LED cool fluorescent daylight CFL, warmLED halogen incandescent electric light

Lighting Solutions
EISA: Energy Independence and Security Act aims to increase the energy efficiency of the United States (enacted in 2007) incandescent light bulbs are not being outlawed - new regulations (~30% more efficient) just makes them obsolete the new standards will phase in over 3 years starting in 2012 for medium-screw-base, general service bulbs

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Lighting Solutions
bulbs can no longer be manufactured, butinventory can be sold...until depleted: Screw-base Lamp Wattage Effective Date 100W 75W 60W & 40W 1/1/2012 1/1/2013 1/1/2014

many decorative and specialty incandescent bulbs, and all bulbs less than 40 Watts and more than 100 Watts are exempt MR-16 and AR-111 (low-voltage, halogen) bulbs are exempt

Lighting Solutions
distributed RF wireless lighting control minisystem

dimmers, switches, plug-in lamp dimmers and appliance modules

RF remote control keypads

occupancy/vacancy, daylight sensor

system size: up to 10 RF dimmers

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Lighting Solutions

Wall box sensors

Occupancy Auto On & Auto Off Vacancy Manual On & Auto Off

Countdown Timers
Rated for 600 watts or 3A Switch Timers 5-60 Minutes Eco version 30 Minutes

Auditory Solutions

Phyllis Sperling Architect

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Hearing Loss
There are many household accommodations for people who are deaf or hard of hearing

Amplification phones for the hard of hearing.

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Ear phones that plug into the TV are useful for people with hearing loss.

..as is closed caption TV.

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A CapTel (Captioned telephone) uses voice recognition technology to display text of the conversation on the telephone screen.

Strobe lights, or devices connected to lamps, can signal incoming telephone calls or someone at the door.

This combination alarm clock and fire alarm comes with strobes and a bed shaker.

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For more information contact: The Center for Hearing and Communication, 50 Broadway, NYC

Resources

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Resources: CAPS
Certified Aging-in-Place Specialist (CAPS)
aging-in-place means living in ones home safely, independently and comfortably, regardless of age, income or ability level. It means the pleasure of remaining in a familiar environment throughout ones maturing years, and the ability to enjoy the familiar daily rituals and the special events that enrich all our lives. It means the reassurance of being able to call a house a home for a lifetime.

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Resource: Age-friendly NYC

urban areas are attracting residents in their 50s because they provide walkable, mixed-use living opportunities that are more amenable to aging in place. Libraries Architects Businesses

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Resource:
New York City Commission of Human Rights 40 Rector Street 212-306-7450

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Resource: Design for Aging Committee AIA NY DFA

AIA NY Design For Aging Committee

Mission: Increase public awareness of the needs of seniors living in an urban environment, and encourage design that accommodates those needs Vision: Create an Age-Friendly City for all to enjoy
Learn More, Get Involved: Contact Jerry Maltz, AIA 212.777.5131 njmaltz@earthlink.net

http://boomingboroughs.org/contact/ http://main.aiany.org/eOCULUS/newsletter/

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Thank you!
any questions?

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