Livable Later

Practical home changes for staying safely at home

Lighting and fall prevention

Clear paths through living rooms and hallways

A 36-inch clear path, furniture that does not migrate, and no glass table at shin height. Hallways are routes, not storage.

Living rooms are arranged for conversation and for the television, which puts tables in the walking line and leaves the best chair facing away from the door. Hallways are arranged for extra chairs, bookcases, and the shoes that did not make it to a closet. The CDC's floor questions are the policy for both: Can you walk through without weaving around furniture? Are there throw rugs? Are there cords? Are papers, shoes, and books on the floor? A yes to any of those is a fall you can schedule or cancel.

The 2010 ADA Standards ask for a 36-inch clear walking surface in section 403.5. A private house is not required to meet that. It is still the right width for a walker and for a person carrying nothing in their hands, which is the goal. A hallway that is 36 inches on the plan and 28 inches once a bookcase is added is a 28-inch hall.

Draw the path before you move the sofa

Walk from the usual chair to the kitchen, from the front door to that chair, and from that chair to the bathroom. Those are the paths. Everything else is furniture. The CDC says to ask someone to move the furniture so the path is straight. Take the offer seriously. A path with two turns has two chances to catch a foot in low light.

Measure the clear width at the narrowest point, including baseboards and the arm of a sofa that sticks out. If it is under 36 inches, move something. If the walls themselves are under 36 inches, no arrangement will produce a wheelchair route. Be honest about that and read the door and hall discussion before you buy a narrower walker and hope. Walkers and wheelchairs have published widths. Measure yours. Do not measure the catalog's slimmest model if that is not the one in the closet.

Glass tops and sharp corners at shin and knee height are a laceration problem as well as a trip. A glass coffee table in the path between the sofa and the television is a bet against balance. Move it out of the path or replace it with something you can see, with a finished edge, that does not shatter. Contrast helps: a table the same color as the floor disappears, which the National Eye Institute's contrast guidance predicts. A darker wood table on a light floor is easier to avoid.

Chairs that recline into the path

Recliners with an extended footrest are a different shape than the chair you walked around at noon. If the footrest lands in the path, the path is gone every evening. Either the chair faces a different way or the path moves. Lift chairs and the business of standing up are covered in the chair guide. Here the issue is the footprint. Leave the footrest up once and walk past it in the lighting you actually use at night. If you clip it, the layout is wrong.

Ottomans, footstools, and stacks of books used as footstools are low and unlit. They fail the CDC clutter question. A footstool that someone needs to elevate a leg, on a clinician's advice, can live directly in front of the chair and nowhere else, and it goes back to that spot every time. A footstool that migrates to the hallway is a hazard with a medical alibi.

Throw blankets that drag on the floor extend the chair into the path. Tuck them or shorten them. A blanket underfoot is a rug you did not mean to buy.

Hallways, doors, and the light switch

A hallway should contain the walk and the light, not a gallery of extra chairs. A chair in a hall for "just in case someone needs to sit" becomes the thing they fall over. Put the spare chair in a room. If the distance is so long that a rest is necessary, put one chair in a widened spot, with arms, out of the 36-inch line, and light it.

Every doorway on the path gets the threshold test: vertical edges over one-quarter inch get beveled or removed. Carpet that changes to a hard floor often hides a metal strip that has lifted. Press it with your foot. If it moves, it is a trip. Fasten it or replace it.

Switches belong at each end of a hall, not in the middle where you walk half the length in the dark. The CDC's glowing-switch idea for stairs applies. A hall that is dark because the bulb is out is the NIA's "do any bulbs need replacing" question. Keep the replacement where a person can reach it without a chair used as a ladder. The CDC is explicit: never use a chair as a step stool. A step stool, if you truly need one, has a bar to hold. In a hall, prefer a fixture a shorter adult can relamp from the floor.

Floor vents and registers sit in the walking line in many halls. A register that rocks, or that rises more than a quarter inch, is a level change. Screw it down or replace it with a flat one. The same is true of a transition strip at the bathroom.

Rugs, runners, and oxygen tubing

Runners in halls look traditional and catch toes at the edge. If you keep one, it has to be secured the way the CDC says — double-sided tape or a non-slip backing — and its edge should not curl. Wall-to-wall carpet that is tight and low is easier than a runner. Loose carpet on stairs is a separate and worse problem, covered in the stair guide. In a hall, trip on the edge and you have a wall to hit.

Tubing and cords along the floor, including oxygen tubing prescribed for someone in the house, are a line across the path. This is not advice about the oxygen. It is advice about the line: route it along the wall, out of the walk, and ask the equipment supplier whether a longer tube or a different route can keep it off the hallway floor. Do not cover a cord or a tube with a runner. You have hidden it from the eye and not from the foot. The rug and cord guide goes room by room.

Pets sleep in halls because halls are warm. A dog in the dark path is a moving ottoman. A bed for the animal, off the path, in a corner that is always the same corner, is the practical compromise. You will not argue a pet out of the house. You can give it a spot that is not the walking line.

A path audit

With a tape and the lights you use at 8 p.m.

  • Mark the three real paths: door to chair, chair to kitchen, chair to bathroom.
  • Measure the narrowest clear width. Move furniture until you have 36 inches, or admit the walls will not allow it.
  • Sit in the recliner with the footrest up. Walk past it.
  • Remove glass and sharp corners from the path. Secure or remove rugs.
  • Press every transition strip and floor register. Fasten what moves.
  • Add a switch or a night light so the hall is never walked in the dark.
  • Route cords and medical tubing along the wall. Ask the supplier before you reroute medical equipment in a way that could kink it.
  • Take extra chairs and shoes out of the hall. Leave storage in rooms.

If the hallway is the barrier that remains after the clutter is gone, the answer is architectural and it may be expensive. Price it with the bid guide before you assume a contractor can "just take a few inches." Sometimes the safer plan is to stop using the far bathroom and make the near one work, which is a bathroom project, not a hallway project. Choose the smaller wall to move.

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