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Universal design for kupuna and keiki

AGING MATTERS

Most Maui residents prefer to age in place — staying in their home and community — and universally designed products support that preference.

Universal design refers to products, buildings, and public spaces that are accessible to all — regardless of age or ability. A quick look around the community will find many examples.

• Curb cuts. Sloping curbs at cross walks make it easier for those using wheelchairs, walkers, canes, strollers, or carts.

• “Kneeling” buses. Buses that lower when the door opens to make the step smaller make it easier for those who use crutches or walking aids or have short legs or stiff joints to use public transit.

• Lever handles. Door handles that can be opened by pushing down on a lever rather than gripping and turning a round knob make it easier for people with their hands full as well as those unable to grip a knob because of limited grip strength or stiff finger joints.

• Closed captioning. Text on a movie, television, or other audiovisual device that makes it easier for people with low hearing, those watching in a public place where volume must be turned off, or those who need captions in another language.

Many of today’s homes and apartments create challenges for those with differing abilities. For example: Many doorways are not wide enough for a wheelchair to pass through; kitchen sinks are not accessible to those in a wheelchair or walker; throw rugs are tripping hazards; and bathtubs are difficult to maneuver.

Some of these can be costly to remedy. But there are many simple and inexpensive devices that can make a home or apartment more accessible. These universally designed devices are helpful for all — adults, caregivers, kupuna, and children.

A quick internet search can bring up many items that help with a variety of challenges. Some searches may include: arthritis aids, low-tech assistive devices, mobility aids, stroke aids, and daily living aids. Local durable medical equipment stores sell many assistive devices and have catalogs to browse and order equipment that is not in stock. Pharmacies also carry many assistive devices.

The following are examples of simple devices that sell for $20 or less.

• Plastic food guard. For those with limited hand use, eating can be a challenge. Food such as peas and other items easily move around the plate and sometimes roll off it when “chased” by a fork or spoon. A food guard attaches to any plate and creates a barrier that can be used to stop food from rolling off the plate.

• Jar opener. The most simple is a rubber gripper. A more complex is attached under a cabinet and has metal teeth that grip the jar lid. They are helpful for those without a strong grip or anyone working with a tight lid.

• Long handled toilet brush. This allows individuals to clean the toilet without bending over. It is also useful for people who are tall.

• Hands-free cardholder. Most can hold up to 7 cards. They allow children with small hands and anyone with stiff fingers to play without gripping the cards.

• Pen and pencil cushions. These are commonly used with young children learning to write and are also helpful for those with arthritis.

• Gas cap wrench. Gas caps are easy to tighten and often difficult to loosen. For those with limited hand flexibility, they can be very challenging. A gas cap wrench attaches to the cap handle and extends out to a lever. It can then be pressed down to open. It’s similar to the concept of a lever door handle.

Take a tour around your home to see what small changes could be made to increase access for all abilities.

* Heather Greenwood-Junkermeier is with the University of Hawaii at Manoa Cooperative Extension, Maui Aging and Intergenerational Programs. Aging Matters appears on the third Saturday of each month.

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