Event: Falls Prevention and Home Safety for the Elderly
Date: 15 February 2014
Venue: AICare Hub
Presentation: Making the Home Safer
by Mr Tim Xu (Principal Occupational Therapist, Thye Hua Kwan Moral Charities)
How is a home modification assessment conducted? How do you apply for an assessment?
Event @ AICare Hub (15 Feb) - Falls Prevention and Home Safety for the Elderly
1. Tim Xu Tianma, Principal Occupational Therapist 1
THK Therapy ServicesTHK Therapy ServicesTHK Therapy ServicesTHK Therapy Services
Tim Xu Tianma, Principal Occupational Therapist 2
Speaker: Tim Xu Tianma /Speaker: Tim Xu Tianma /Speaker: Tim Xu Tianma /Speaker: Tim Xu Tianma / 徐天马
Principal Occupational Therapist /Principal Occupational Therapist /Principal Occupational Therapist /Principal Occupational Therapist / 首席职能治疗师
THK Therapy ServicesTHK Therapy ServicesTHK Therapy ServicesTHK Therapy Services 太和观治疗中心
2. Tim Xu Tianma, Principal Occupational Therapist 3
THK Therapy ServicesTHK Therapy ServicesTHK Therapy ServicesTHK Therapy Services
Tim Xu Tianma, Principal Occupational Therapist 4
Why Home Assessment?
为什么要做家居环境评估
�Improve environmental safety for people with
disabilities 改善环境安全
�Improve safety for the caregivers改善看护者安全
�Ease the care with environmental set up and assistive
devices 通过环境改善和使用辅助器具减轻看护负担
�More effective learning for caregivers 提供看护者更有
效的学习环境
�Maximize independence 提高独立性
3. Tim Xu Tianma, Principal Occupational Therapist 5
Tim Xu Tianma, Principal Occupational Therapist 6
Home Visit
Referral
OT to discuss the
Findings with the clients
OT to conduct
Environmental
assessment
Prescription of assistive
Devices (e.g. eSMF, etc)
Give recommendations
For environmental modifications
(e.g. HDB EASE, etc)
OT to call the
Family member
Prior to visit
OT to confirm
the appointment
Follow up with the envt mod
& purchase of assistive devices
(e.g. eSMF, HDB EASE, etc)
Functional assessment & train
the use of assistive devices at home
Case close
Refer to step
Down care
Pre-
visit
During
visit
Post-
visit
(Without Client)
4. Tim Xu Tianma, Principal Occupational Therapist 7
Home Visit
Referral
OT to assess the client’s
Activities of Daily Living
OT to conduct
Environmental
assessment
Prescription of assistive
Devices (e.g. eSMF, etc)
Give recommendations
For environmental modifications
(e.g. HDB EASE, etc)
OT to call the
Family member
Prior to visit
OT to confirm
the appointment
Follow up with the envt mod
& purchase of assistive devices
(e.g. eSMF, HDB EASE, etc)
Functional assessment & train
the use of assistive devices at home
Case close
Refer to step
Down care
Pre-
visit
During
visit
Post-
visit
(With Client)
Tim Xu Tianma, Principal Occupational Therapist 8
OT assessment 职能治疗评估
Physical
体能
Cognitive
认
知
Psycho-
social
社
会
与
心
理
Self-care
生活自理
Work
工作
Leisure
休闲
Environment 环境
5. Tim Xu Tianma, Principal Occupational Therapist 9
Tim Xu Tianma, Principal Occupational Therapist 10
6. Tim Xu Tianma, Principal Occupational Therapist 11
Tim Xu Tianma, Principal Occupational Therapist 12
Cluttered pathway 杂乱的通道
�Before �After
7. Tim Xu Tianma, Principal Occupational Therapist 13
Cluttered pathway杂乱的通道
�Before �After
Tim Xu Tianma, Principal Occupational Therapist 14
Cluttered pathway 杂乱的通道
�Before �After
8. Tim Xu Tianma, Principal Occupational Therapist 15
Wiring and towel 电线和地毯
• Before • After
Tim Xu Tianma, Principal Occupational Therapist 16
Low Sofa / seat 座椅过低
�Before �After
9. Tim Xu Tianma, Principal Occupational Therapist 17
Low bed 床过低
�Before �After
Tim Xu Tianma, Principal Occupational Therapist 18
Community Environmental Hazards
社区环境障碍
�Non lifting landing
Steps
Narrow
common
corridor
10. Tim Xu Tianma, Principal Occupational Therapist 19
Community Environmental Hazards
社区环境障碍
�Public car park �Wet market
Tim Xu Tianma, Principal Occupational Therapist 20
Safe Community Environment
安全社区环境
�Improvement
11. Tim Xu Tianma, Principal Occupational Therapist 21
Safe Community Environment
安全社区环境
�Improvements
Tim Xu Tianma, Principal Occupational Therapist 22
12. Tim Xu Tianma, Principal Occupational Therapist 23
�HDB EASE
建屋发展局的乐龄易计划
�Grab bars, anti-slip floor
treatment, ramp
Tim Xu Tianma, Principal Occupational Therapist 24
SMF
年长者行动基金
13. Tim Xu Tianma, Principal Occupational Therapist 25
�Private vendors / contractors 私人商家或装修商
Tim Xu Tianma, Principal Occupational Therapist 26
1 2 3 4
5 6 7
9
8
10
1
1
12
14. Tim Xu Tianma, Principal Occupational Therapist 27
1 3
6
10
1
1
Tim Xu Tianma, Principal Occupational Therapist 28
2 4
5 7
9
8
12
15. Tim Xu Tianma, Principal Occupational Therapist 29
Limited
activities
FallsFallsFallsFalls
Fear of
falling
Weakened
muscles
Decreased
tolerance
Less
mobility
Increased
Risk of falls
ViciousViciousViciousVicious
CycleCycleCycleCycle
Tim Xu Tianma, Principal Occupational Therapist 30
减少
活动
跌倒
恐惧感
肌力
下降
耐力
减退
行动
不便
跌倒
机率增加
恶性循环
16. Tim Xu Tianma, Principal Occupational Therapist 31
预防跌倒
Tim Xu Tianma, Principal Occupational Therapist 32
Participation!
参与活动!
17. Tim Xu Tianma, Principal Occupational Therapist 33
Useful Resources
�Smart Phone Apps 手机应用程序
Tim Xu Tianma, Principal Occupational Therapist 34
Useful Resources
�Smart Phone Apps手机应用程序
(for Andriod system only)
18. Tim Xu Tianma, Principal Occupational Therapist 35
Useful Resources
�Smart Phone Apps手机应用程序
Tim Xu Tianma, Principal Occupational Therapist 36
太和观老年康复与保健计划
THK Rehabilitation & Wellness
Program for Seniors
64511813 / 64714270
Email: therapy@thkmc.org.sg
Website: http://www.thkmc.org.sg/thk-therapy-services/