Abstract:

Since the majority of people with Alzheimer's disease receive some care at home, the environment of that home must be safe and supportive. In-depth interviews of 90 'seasoned' caregivers identified tactics for creating these settings through home modifications and technology. A successful modification strategy follows a three-stage movement-access continuum that responds to the disease course-assistance, restriction with compensation, and wheelchair accessibility. Approaching home modifications along this continuum encourages independence and movement when appropriate while providing safety and control. With a sensitive and ongoing modification strategy, the home environment can become an asset rather than a liability for caregiving.