1. 6/5/2013 Design for a Lifetime Preparing Your Home for Successful Aging NYPL FACILITATOR: Brigid Cahalan, MLS MODERATOR: 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. How to Make It (Design) Happen? 2. Bath and Kitchen Design 3. Does Your Furniture Support Your? 4. Lighting Solutions 5. Auditory Solutions 6. Resources Questions and Responses 1

2. 6/5/2013 Lorraine G. Hiatt, Ph.D. Environmental Gerontologist Phyllis Sperling, AIA National Design Architect Consultant and 44Professor Emeritus years Design ResearchCity Tech CUNY lghiatt@aol.com phyllis.sperling@gmail. com Gail Ressler, BS Interior Design griD. Business and Residential Interiors, Manny Feris, LEED Specialized in Aging in P, Lighting Place, Universal Specialist, Lutron Designgailressler@gm OEM Team ail.com mferis@lutron.com Joelle Lichtman, MA Design Consultant, Brigid Cahalan, MLS and NY Home Safety Outreach Librarian Assessments for Older NY Public Library Adults brigidcahalan@nypl Joelle.lichtman@gmail..org com 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-environment- for-senior-living-1032.cfm 2

3. 6/5/2013 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, gilityJudgment: Safely Use What we Have 3

4. 6/5/2013 Design for Living in One Place? Memory Loss in Urban Apartments͙. 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-little- help/ How to Make it Happen Phyllis Sperling Architect 4

5. 6/5/2013 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? 5

6. 6/5/2013 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 6

7. 6/5/2013 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-small- remodeling-budgets-big-upgrades/images/8.jpg 7

8. 6/5/2013 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 8

9. 6/5/2013 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. 9

10. 6/5/2013 This kitchen is good for a contortionist Adaptable kitchen design 10

11. 6/5/2013 Other accommodations for successful aging: A decorative grab bar Color contrast at the edge of the steps What are your rights? 11

12. 6/5/2013 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 12

13. 6/5/2013 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. 27 13

14. 6/5/2013 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 28 Universal Design 29 14

15. 6/5/2013 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 15

16. 6/5/2013 Bathroom: Clear, Visible Pathway Keep a clear path to the bathroom Light the pathway Products: Motion sensors LED lights or glow tape 32 Bathroom: Bathing Safely Most falls in the house occur in the bathroom! nce Products: Grab bars (not the same as towel bar!) Walk-in shower Shower chair/transfer bench 33 16

17. 6/5/2013 Bathroom: Bathing Safely Utilize tools to control water flow, temperature Products: Handheld shower Anti-scald valve Lever controls 34 Bathroom: Bathing Safely Keep surfaces slip-free Products: Non-slip mat or tape Shower caddy Bathmat outside of tub 17

18. 6/5/2013 Bathroom: NYC example Bathroom: Modifications http://home4alifetime.com/Photo_Gallery___Links.php 18

19. 6/5/2013 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. 38 Kitchen: Before 39 Phillips Lifeline. Falls Prevention and Safety Plan. From: http://www.learnnottofall.com/servlet/DownloadServlet?id=784 19

20. 6/5/2013 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 41 20

21. 6/5/2013 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 43 21

22. 6/5/2013 Kitchen: Low Physical Effort Utilize products with visual and auditory cues Products: Timer (auditory and visual aids) Grabber/Reacher Sturdy stepstool 44 Kitchen: Low Physical Effort Simplify cooking with one touch, easy-to-use or single use products Products: Chopper One-cup coffee maker 45 22

23. 6/5/2013 Does Your Furniture Support You? Gail Ressler Interior Designer 23

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32. 6/5/2013 Lighting Solutions Manny Feris Lighting Control Specialist 32

33. 6/5/2013 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 well- being while poor lighting can alter mood and increase stress and the risk of disease…lighting 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, stacks20-50 Book repair and binding20-50 Offices Accounting50-100 Audio-visual areas20-50 Conference areas20-70 Corridors, stairways20(k) Drafting50-200 General and private offices50-100 Lobbies, lounges & reception areas0-20 33

34. 6/5/2013 Why 2700° - 4500° choices? natural lightelectric light 12000 K twilight 8000K cold white LED 65000overcast sky 550KK noon natural white LED 4500K cool fluorescent daylight CFL, warmLED 3000Ksunrise/sunsethalogen 2800K incandescent 1800K candle K midnight Lighting Solutions 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 34

35. 6/5/2013 Lighting Solutions bulbs can no longer be manufactured, but…inventory can be sold...until depleted: Screw-base Lamp WattageEffective Date 100W1/1/2012 75W1/1/2013 60W & 40W1/1/2014 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 mini- system dimmers, switches, plug-in lamp dimmers and appliance modules RF remote control keypads occupancy/vacancy, daylight sensor system size: up to 10 RF dimmers 35

36. 6/5/2013 Lighting Solutions Wall box sensorsCountdown Timers Occupancy - Auto On &Rated for 600 watts or 3A Auto OffSwitch Vacancy - Manual On &Timers - 5-60 Minutes Auto OffEco version - 30 Minutes Auditory Solutions Phyllis Sperling Architect 36

37. 6/5/2013 Hearing Loss There are many household accommodations for people who are deaf or hard of hearing Amplification phones for the hard of hearing. 37

38. 6/5/2013 Ear phones that plug into the TV are useful for people with hearing loss...as is closed caption TV. 38

39. 6/5/2013 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. 39

40. 6/5/2013 For more information contact: The Center for Hearing and Communication, 50 Broadway, NYC Resources 40

41. 6/5/2013 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. 82 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 83 41

42. 6/5/2013 Resource: New York City Commission of Human Rights 40 Rector Street 212-306-7450 84 Resource: Design for Aging Committee 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/ 42

43. 6/5/2013 Thank you! any questions? 43