Environmental adaptations for older adults and their families in the home and community

Environmental adaptation is an important intervention to help older adults remain at home independently and ease the burden of care on their families. A range of adaptations can be considered, including removing or rearranging objects, special equipment, and adaptive tools. Providing an environmental adaptation involves assessment of a person's needs and capabilities and the environment's physical properties; choosing an adaptation; ordering and installing it; and training the older adult and family member in its use. This chapter provides an overview of environmental adaptation as an intervention for the elderly, clinical principles, and the evidence to support this approach.