Now or Never: Long-Term Care Strategy with Kosta Yepifantsev

Join Kosta and his guests: Cindy Hardin-Weiss, and Christina Hardin-Weiss Co-Founders of Adaptive Equipment and Caregiving Corner, working to enhance continuity of care from healthcare facility to home, increase client and caregiver safety during daily care and improve and maintain the client’s optimal level of functional independence.

Today we’re talking about home modifications, equipment, and aging in place.

In this episode: AARP found 80% of Americans turning 65 want to age in place. What are the top three pieces of adaptive equipment you believe every senior should have in their home to ensure their independence and quality of life? What specific home modifications or strategies do you recommend to create a safer, more accessible environment for those wishing to age in place while living with dementia? What’s the most effective way to identify the appropriate home modifications and adaptive equipment to meet an individual’s specific needs?  

Find out more about AEC Corner:
https://adaptiveequipmentcorner.com/

Find out more about Kosta Yepifantsev:
http://kostayepifantsev.com/

What is Now or Never: Long-Term Care Strategy with Kosta Yepifantsev?

Now or Never: Long-Term Care Strategy is a podcast for all those seeking answers and solutions in the long-term care space. Too often we don’t fully understand the necessity of care until it’s too late. This podcast is designed to create solutions, start conversations and bring awareness to the industry that will inevitably impact all Americans.

Christina Hardin-Weiss: I think
anybody that's got a loved one

that wants to age in place, do
it with dignity and being able

to provide an adult to be able
to live as independently as

functionally independent as
possible. is really the biggest

gift I think you could give your
loved one.

Caroline Moore: Welcome to Now
or Never Long-Term Care Strategy

making. themselves. with Kosta
Yepifantsev a podcast for all

those seeking answers and
solutions in the long term care

space. This podcast is designed
to create resources, start

conversations and bring
awareness to the industry that

will inevitably impact all
Americans. Here's your host

Kosta Yepifantsev.

Kosta Yepifantsev: Hey, ya’ll!
This is Kosta and today I’m here

with my guests: Cindy
Hardin-Weiss, and Christina

Hardin-Weiss Co-Founders of
Adaptive Equipment and

Caregiving Corner, working to
enhance continuity of care from

healthcare facility to home,
increase client and caregiver

safety during daily care and
improve and maintain the

client’s optimal level of
functional independence. Welcome

to the show, Cindy and
Christina, would you start by

telling us a bit more about
adaptive equipment and

caregiving corner and your
experiences in the care industry

overall?

Christina Hardin-Weiss: My name
is thanks for having us, Kosta.

We really appreciate being on
here. My name is Christina, I'm

a speech therapist. I've been
practicing for probably around

25 years, and most of my career
has been in long term care. And

so we'll

Cindy Hardin-Weiss: Yeah, and
I'm Cindy and I'm a physical

therapist. I have been
practicing for about 30 years

and most of my career has been
in the home health setting.

Kosta Yepifantsev: Very cool. So
what got you into this industry?

Christina Hardin-Weiss: Well, I
knew I wanted to be in

healthcare. I didn't realize
that I kind of fell into the

geriatric population. I didn't.

I didn't it wasn't something
that I planned. I had a graduate

assistantship where I worked at
a VA VA center near my college

of my university. And the second
I walked through the door and

knows exactly what I wanted to
do long term care was for me.

And so I Yeah, it's something
that I've always enjoyed working

with the adult population,
stroke rehab in particular, and

people living with dysphasia.

And I'm

Cindy Hardin-Weiss: just, you
know, I've loved the geriatric

population all along. I think
about my second job was home

health and fell in love with
home health, I love the

atmosphere, I love being in
other people's spaces, you

really get to know them a little
bit better. And so really fell

in love with that and just kind
of stayed with that for most of

my career.

Kosta Yepifantsev: Amazing.

Well, this is going to be an
exciting episode talking about

minor home modifications,
talking about adaptive

equipment. I think a lot of
times when people are nearing

retirement or when they need
long term care, they don't

really think about that two
storey house with three bedrooms

upstairs. You know, that was
pretty much the predominant

build through most of the 90s
and 2000s. A lot of people are

having to figure out what to do.

So on that note, AARP found 80%
of Americans turning 65 want to

age in place. What are the top
three pieces of adaptive

equipment you believe every
senior should have in their home

to ensure their independence and
quality of life.

Cindy Hardin-Weiss: So what I
would say is as far as adaptive

equipment, it may not be
specifically adapted equipment,

but to age comfortably. Today,
three of the top areas that

we're always telling people to
check are your toilet height. A

lot of times it's too too short.

Your comfy chair height, because
as we age and as we get a little

bit weaker, our comfy chair
becomes a little bit too low

sometimes. And then the bed
height because our bed heights

right now are just astronomical.

It's artists that tall, you know
trying to pull volts your way

into the bed. So if there are
adaptive pieces that you can get

to help you know, if you got a
toilet that's too low, you can

get a toilet riser. We always of
course suggest getting handles

on that for a nice push off for
safety. As far as the comfy

chair, you know, you may look at
furniture risers, some people go

to lift chairs, it just depends
on on what you need there. And

then the bed height I always
suggest that I love for people

to bring the bed down to them if
that's an option. But some of

those options I always say hey,
if you're in the if you're in

the market for a new mattress,
please check and see if you can

order a special boxspring that's
only four inches tall instead of

the normal six inches tall, you
know and check your mattress

height because you really you
really want that to do decent

height. Because if you're
getting off the bed, and if you

have to actually start sliding
off the bed before he touched

the floor, you're increasing
your fall risk. And so those

three main areas,

Kosta Yepifantsev: yeah. And you
know, I never really thought

about bed height before I
thought of the other two and

come into contact with them
often but I feel when you're

when you're talking about pole
vaulting into the bed, that's

that's what I have to do. You
know, I've got to get a running

start, you know, so I can get
in. So where do people go to buy

these toilet riser with handles?

These other adaptive tech
technologies? Or I'm sorry,

adaptive equipments, where would
you go and buy those?

Cindy Hardin-Weiss: A lot of
times, it depends on if they're

a bathroom item. Unfortunately,
they are not typically covered

by Medicare, and a lot of the
references will will follow suit

with Medicare. Now, another
healthcare advantage or the

health editor advantage Medicare
Advantage plans may have

stipulations, and may may cover
some of that, but not typically.

So what I suggest is, you can
always go to a local medical

supply store. If you're an
Amazon shopper, you can check on

Amazon. The big thing we always
tell people is you got to know

your measurements. If you're
looking oil at riser, do you

have a standard or a little
toilet? Because hygiene products

are usually not returnable?

Yeah. So

Christina Hardin-Weiss: another
place they could look Costa is

they could do they could go to
their local lending closet, look

online for your local health
equipment lending closet,

China's larger cities will do
equipment drives couple times a

year and they will collect used
gently used equipment. And then

they will refurbish it, and then
lend it out for free or low, low

charge to community members. If
it's unusable, they will still

take it, they will recycle it,
keep it out of the landfill, and

then take that money and the
recycle money and put it back

into their not for profit
organization. So that's a great

way to help to help yourself as
far as your pocketbook is

concerned as well as the
environment too. So

Kosta Yepifantsev: that is
great. So let's talk about home

modifications, Christina, what
specific home modifications or

strategies do you recommend to
create a safer, more accessible

environment for those wishing to
age in place while living with

dementia? Or other disabilities?

Christina Hardin-Weiss: Yeah,
and dementia in particular,

that's, that's such a, that's
such a tough one. I think just

you know, working in long term
care, like I have, the majority

of my patients always want to
age in place, you ask anybody,

yes, I want to go home. And I
want to age in place. And so we

always try to address it as
whatever it wherever you call

home, because you do have those
people that are comfortable

living in congregate living like
that. But as far as with the

with somebody living with
dementia, you know, there are so

many, there's so many things
that a person can do as far as

the environment, and it's not
major changes that need to be

made. It just needs to be you
didn't you just need to think

about what what, what does that
person, what makes that person

comfortable, you know, maybe
make sure that you've got

pictures of family members up,
you know, lighting is always an

issue. Maybe sometimes personal
living with dementia, they're

you know, they've done studies
where they've linked vision

issues with people with with
dementia. And so make sure that

there's adequate lighting,
there's natural lighting, put

put motion sensor lights in
areas that are kind of dark.

That way when they walk by that
floods that area, especially the

floor. As a person advances with
dementia, their vision, instead

of looking straight ahead or up,
they tend to look more down

towards the floor. So while
they're walking, then tend to

put those motion sensor lights
when they walk by and it will

flood their path. Of course,
make sure that you're you know

that your pathways and stuff
like that are clear, try to keep

the home as clutter free as
possible. When it comes to color

contrast, that's huge. You have
to make sure that they're if

you're putting a their plate on
a white placemat on the table,

maybe make sure they get you use
a red plate for that contrast.

But and not all, all color
contrasts work for every person,

it's different for each person,
find out what your loved one

that what that contrast works
for your loved one. And, and so

it's just it's just things like
that, if they've got a routine,

make sure that you know what
their routine is. Lots of times

people living with dementia are
still able to live functionally

independent. But you might have
to write out this the

instructions, no big deal. It
still makes them independent,

right? It's not what they did
when only one but it's certainly

still functional and it's
independent. And the bottom line

on that is dignity. For me.

That's just huge. And I think
anybody that's got a loved one

that wants to age in place. Do
it with dignity and being able

to provide an adult to be able
to live as independently as

functionally independent as
possible. is really the biggest

gift I think you can If you're
locked down,

Kosta Yepifantsev: where do you
go to find these types of

resources? Like the knowledge
that you have? Obviously, you've

learned from being a part of the
industry and working with people

that have disabilities. But
where does like your average Joe

go? Is there a website? Is there
a resources out available to

them in the community so that
they can get these types of

like, I would have never thought
about putting pictures up on the

wall of family members so that
you know, especially when you

have like late stages of
dementia, that was that's a

great idea. But where does
somebody go to find that out?

Christina Hardin-Weiss: You
know, we usually the first place

we usually tell people to go is
to go to their area agency on

aging, every state has a handful
if not more area agencies on

aging, they are federally
funded. That's usually where

your Meals on Wheels program
comes through. They do the

senior health insurance programs
to help seniors with their

understand their insurance,
sometimes they will help people

who are living with disabilities
and they will like ours in

particular is really big, we
have a we have an Air Force Base

near us. So they're very helpful
for sure the veterans as well on

so I would find out where who is
your local area agency on aging

caster, you would be surprised
how many people we ran across

the don't know who their AAA is.

And so I would find out who my
AAA is, they are a wealth of

information, especially when it
comes to tapping those resources

within the community that are
available to those individuals.

So that would be the first place
I would start as far as finding

more resources to tap into.

Kosta Yepifantsev: It's great.

Cindy, from a physical therapist
perspective, what aspects of

home design are often
overlooked, but can

significantly impact the seniors
ability to age in place safely.

Cindy Hardin-Weiss: I think the
two biggest ones for me is

especially if you know, when
we're younger, we never think

about these different things.

But I think the entry and exit
to the home, how you're getting

in how you're getting out, and
the bathroom setup, especially

the shower. You know so many
homes that I am in all of the

time have the tub shower
combinations that makes it very

difficult and very unsafe at
times to get in and get out as

people age. That is a big hang
up for a lot of people and

getting in and out of the house
because there's so many other

steps here there steps there.

There's you know, the second
story, those all those types of

things. But I think really the
the interior entry and exit

because all you know, I hear all
the time, I've got so many

doctor's appointments, I've got
to get out, I gotta get out of

my house. So those things are
very top priority, I would say,

Kosta Yepifantsev: you know, if
I can add just one small thing

that I've noticed, while
performing minor home

modifications, there are some
alternatives that don't require

you to take your entire tub and
surround out and replace it with

a shower. There's this thing
that I think is rather genius.

It's called a Tub Cut. Yeah,
it's it's really it doesn't work

if you have like a cast iron
tub. But you know, those are far

and few between nowadays. But if
you have like acrylics around,

you cut a piece out of it, and
you stick this like thing on on

where you cut, and you use like
some some compound to seal it.

And it has like a little door
even sometimes you can that you

can put on it. And I think and
it's really not that expensive.

I mean, relative to doing an
entire, you know, modification

to your home, right?

Cindy Hardin-Weiss: Yeah, I
think there are so many yeah,

there's so many great, great
items and ideas like that out

there.

Christina Hardin-Weiss: Yeah, it
isn't genius. Anyway, we find

lots of times cost is that we
get we get companies that reach

out to us. And usually the
majority of them are companies

that have been founded by former
caregivers, they found a

particular product help them
during their caregiver journey.

And so they turned entrepreneur,
entrepreneur when their

caregiver journey journey ends.

And so they reach out to us and
it's usually a mom and pop, we

get the whole story about how it
came to be. And it's just, I

mean, their people are just
ingenious. They're just, I mean,

you know, necessity is the
mother of invention. And it

couldn't be further from the
truth whenever we hear these

stories all the time. Yeah.

What's the

Kosta Yepifantsev: most
effective way to identify the

appropriate home modifications
and adaptive equipment to meet

an individual's specific needs?

Yeah,

Cindy Hardin-Weiss: we we think
the most effective way and, you

know, this sometimes goes into
being a little bit more

proactive. But you know, you
have to you've got to have a

home assessment. You've got to
have a therapist come out, an

occupational therapist, a
physical therapist, to come out

and really assess the individual
needs because there there are so

many things that you learn when
you're in those people's

environments. You learn a little
bit more about them and And then

you can kind of problem solve,
you can try to do the most

efficient and effective changes.

Or maybe there doesn't need to
be large changes, maybe there's

a piece of equipment kind of
like the Tub Cut out, you know,

rather than been tearing out a
shower. But we we can't express

enough really getting that
assessment to really find out

because, you know, everything
doesn't work for everybody. And,

you know, it's

Kosta Yepifantsev: what
conditions are you like, should

you be aware of? Or is it like
if somebody starts falling

repeatedly? Is that when you
should get the assessment? Is

there something that happens in
infliction of some kind? That

says, Okay, I think it's time
for us to take the next steps.

Cindy Hardin-Weiss: Yeah, I
usually Yeah, I think it's, we

usually call it with any type of
changing condition, whether it

is okay, falling in a lot of
times, you know, I, I like to

tell people, again, we really
try to encourage people to be

proactive, but even if you see a
loved one, or if you yourself

feel like you start to even what
we call furniture crews, you

know, you're starting to hold on
to stuff as you're walking

through the house, or you've had
some trips and stumbles, but not

literally fall into the floor.

Or if there's a change in
condition, maybe you know, you

just feel like you're getting a
little bit weaker, things that

you used to do are becoming a
little bit harder to do anything

like that is a good indication
that, hey, it's time just to at

least get a professional
opinion. And, you know, when we

come out or when any
professional comes out, they can

always give you suggestions. And
what I what we'd like to do is

rank than in what what probably
should be done right now and is

the to do right now. And then
what are some future goals? Or

some things that maybe we can
put on the backburner and let

people choose what their what
they want to do, but at least

have that written out so that
you kind of know what to expect?

And what do you what is

Christina Hardin-Weiss: the
there's a statistic about

falling when a person falls
there,

Cindy Hardin-Weiss: they're 50
for the doubles or chance,

basically, to fall a second time
and something a lot of people

Christina Hardin-Weiss: don't
tell their doctor that they had

a fault. So they there's a
there's just that 50% Yeah. And

that's a huge, that's a huge
gap. And for not to not tell

people and then if you if you
fall once and you have, you

know, it doubles your risk of
falling again, and you didn't

tell anybody about it. You know,
there's, there's a lot of people

out there that we could we could
help, we need to help have

Kosta Yepifantsev: to think I
think a lot of times there's a

stigma. And I speak about this a
lot. But I think there's a

stigma. When you get to a point
to where you you know, you age

and an injury may occur. You
don't want to lose control

autonomy and independence. And
like you were saying earlier,

you don't want to lose dignity.

And so you try to for and this
is not what I recommend doing.

But a lot of people they try to
go until they absolutely can't

anymore. And at that point,
their overall health and decline

has gotten to an untenable
point,

Christina Hardin-Weiss: right?

Yeah. Yeah, that's huge. And
it's important, I feel like for

caregivers, for family
caregivers, then to kind of

stay, you know, to stay present
in that your loved ones in their

life and tried to take in some
of that information, and reach

out to people that that had the
resources. So

Kosta Yepifantsev: I am curious
if somebody needs access to a

physical therapist or an
occupational therapist

assessment, is that something
that Medicare would pay for? Or

is there an agency that they can
reach out to? How does that

process work?

Cindy Hardin-Weiss: Usually,
what we what we'd like you to do

is, is yes, try to reach out to
your primary care doctor that

initially let them know what's
going on, and they can make a

referral week therapy can always
come in, you know, the majority

of the time it's going to be
covered. Even just an

evaluation. There are a lot of
times that I may go into a home

and evaluate somebody and we
decide, you know, hey, you're

doing okay, we've gone over some
things. It was an evaluation

only. But yeah, there's always
if there's any type of changing

condition that's well warranted
to at least get an evaluation.

Christina Hardin-Weiss: Yeah.

And for a loved one, let's say a
loved one goes into the, into

the hospital for you know, some
acute reason. There. You know,

that's always that's always a
good time for the family

caregiver, to go through the
home, get us a home safety

checklist, go through their home
before they bring their loved

one home, goes through the
house, find their areas that

they're concerned about, and
take it back to the therapy

department or to a social social
worker before they bring their

loved one home so that that
healthcare facility can at least

help address and validate that
caregivers concerns.

Kosta Yepifantsev: Absolutely.

Can you discuss the role of
technology in promoting aging in

place and how it can be
integrated with home

modifications and adaptive
equipment to provide a more

comprehensive support system for
seniors? Yeah,

Christina Hardin-Weiss: exactly.

I think I think the smart home
technologies really is I think

we're really at that point now
where it's going to be, you

know, when I first started in,
in, in long term care, we didn't

see a lot of thought as
smartphones and tablets is

different. And as as we've gone
on, you start seeing the family

caregivers bringing in tablets,
and of course, now everybody 80%

of the population has a
smartphone now, right? So

you're, we're seeing more and
more of that, Cindy, and I live

in Illinois, and we had the
opportunity to go to our

Illinois Assistive Technology
program in Springfield,

Illinois. And boy, they have the
way they had their setup as they

have smart room set up that that
that a family member or an

individual can walk through and
find out what kind of smart

technology is out there, and
then have a new habit

implemented and learn more about
it. And they haven't implemented

into what they think would be
helpful. I mean, they had a

smart, they had a smart living
room, they had with all the

smart hugs, they had a smart
kitchen, a smart laundry room, a

smart bedroom, and a smart
bathroom, right in there. And

everything was connected to one
of the virtual assistants. And I

mean, some of the stuff that
that it was, it was amazing.

Yeah, so go ahead. No, I was
just gonna say it's just, you

know, I don't think I know, I
didn't realize some of that

stuff was out there even so, and
we work with it all the time.

You know, it just makes sense.

But I really think that it's,
it's going to be helpful in

helping those individuals that
are wanting to age in place. And

not only those people, but their
loved ones, their family

caregivers, to be able to give
them that space, gym place and

keep their dignity and allow
them to be that adult and sit

and still be still have that
child parent relation, that

loving relationship instead of
always be harping on a mom and

dad, why aren't you doing this
kind of stuff. So I really see

smart technology and home mods
like that, including being

included in home modifications,
as really helping that that a

lot those relationships a lot.

Kosta Yepifantsev: I have a
colleague in Tennessee, whose

mom lives in Massachusetts. And
she's, I believe in her 80s Now,

but she's a fall risk. And she
has some other health conditions

that she's working through. So
my colleague incorporates a

sensor system throughout the
entire home. And one of the

interesting aspects of I mean,
there's a lot of features that

it has, but one of the most
interesting is it will alert her

if she has stayed over a certain
period of time in one spot. And

so, like, a lot of times,
especially somebody that is a

fall risk, they have that, you
know, purse, personal emergency

response system, that necklace
that where they can push the

button, but some people don't
like to sleep in it, and they

take it off, and then they don't
put it back on. And I think one

of the beautiful things about
technology is when you start

using it, it only improves it
can it only gets better, a

becomes more functional, it
identifies what doesn't work,

and then you create technology,
that's even better. Right. And

so that's one of the things as I
see us progressing in the long

term care industry is, you know,
I just I don't think that

there's ever going to be enough
support for one human being to

care for another human being.

And that be the only way things
can happen. I just don't think

that there's enough of those
ones to care for the other one.

No, unfortunately, it

Christina Hardin-Weiss: feels
like at this point right now. We

are people are going into health
care facilities, and they're

getting all that skilled care in
New when they go back to their

home, all of that skilled care
and know how falls on the family

caregiver shoulders. And I feel
like that technology is going to

help is at least going to help
give them the tools that they

need to be able to, you know, to
monitor to know what's next as

far as actual physical providing
that care, but it's so it's just

it's we are that that point
where all of that care is

falling on the family caregiver,
and it's a tough situation.

Kosta Yepifantsev: And they're
not in the medical profession. I

mean, a lot of the times, you
know, yeah, and the chances

Christina Hardin-Weiss: of them
getting hurt, providing physical

therapy increases exponentially
too.

Kosta Yepifantsev: I will say,
you know, it's a physical

therapist. There's there's one
component of technology that I

don't think that we put enough
emphasis on and it's probably

just because it's a lot more
expensive than you know,

developing smaller sensors or
little cameras or alarms, you

know, things like that. But it's
the mechanical technology. It's

the you know, the electrical
airlifts that people use in

nursing facilities, but how do
you make something that people

would be willing to use in their
own home? You know, like,

sealing track systems, there's
so many different mechanical

tech that is missing from,
really from maybe not in

facilities, but definitely in
people who are just middle class

Americans who are trying to
afford, you know, caring for

someone, let alone buying a
piece of equipment. Right?

Christina Hardin-Weiss: Exactly.

Yeah. And that's where I would,
that's where I would tend to

tell individuals, you know,
especially when they first

become caregivers, they're
running around with their hair

on fire, because they, you know,
it's a lot, it's overwhelming,

go to your area agency on aging,
find out what resources are

available, find your local
lending closet, why buy it

before you try it, maybe you
want a good point, you then you

got all this money out of your
pocket. And then also check for

your Assistive Technology
program in your state, almost

every state has one. And some of
them have some really great

lending programs and reuse
programs. They've got lending

like with augmentative, and
alternative communication

devices that they can lend out.

They've got reuse programs,
where they get wheelchairs, and

walkers and canes and all kinds
of stuff that they can lend out.

Kosta Yepifantsev: So if we're
talking about things like

building a weird wheelchair
ramp, or if we're talking about

putting in a walk in shower, I
think we can all agree one of

the scariest parts of home
modifications is the price. Are

there any cost effective
strategies you recommend? Before

we literally rip our entire
house apart?

Cindy Hardin-Weiss: That again,
I'm gonna fall back to please

make sure you get some type of
professional assessment because

Okay, there are there are ways
around, there are corners to

cut. But it has to be a safe
corner to cut, you know, and so

I really think, you know,
getting that assessment, getting

that one on one to really find
out the specific needs. And then

the other thing is, is maybe
maybe you know that the

individual thinks, Well, I've
got this area, this area in this

area, and we have to rip the
whole thing out, well, maybe we

can save on this one and put a
little bit more here. But it's

it's, it's getting that
individualized assessment,

that's going to be helped to be
the most cost effective, I

think, just in doing that.

Kosta Yepifantsev: So before we
wrap up, I'm going to ask you

kind of a broad technical
question. And it may be a little

long winded. So bear with me
here. Alright, so you've been

working in minor home
modifications, adaptive

equipment for how long now?

Cindy Hardin-Weiss: Well, our
careers but

Christina Hardin-Weiss: yeah,
adaptive according to care. I

mean, corner. We've been doing
this since probably 2015.

Kosta Yepifantsev: Yeah. Okay.

So something that I've noticed,
while being in this industry,

and I've been doing this for
about 12 years, when would they

were building all of these homes
in the 50s 60s 70s and 80s? Why

did they build them so that
wheelchairs couldn't fit in all

the doorways? Why did they
always only put in a tub shower

combo? Like, you know, it seems
and if you go back to like the

70s, and 60s, especially like
these doorways are like, some of

them are 20 inches. They're
tiny. You know what I'm saying?

And so I just, I don't
understand. Do you have any any

thoughts as to why these homes
are not adapted for either

multigenerational housing or
aging in place? Like what did

they think was going to happen
when you needed to be in a

wheelchair? or something of that
nature?

Cindy Hardin-Weiss: Um, I'm not
100%. Well, it's, it's it's

yeah, that's just you know, one
question there.

Christina Hardin-Weiss: Were
people smaller than maybe,

Kosta Yepifantsev: maybe, right.

Christina Hardin-Weiss: Over
time, we just everybody just

shut up and started getting
bigger and

Cindy Hardin-Weiss: broader. And
yeah, that that is a good

question. I

Christina Hardin-Weiss: don't
because wheelchairs have changed

much. But

Kosta Yepifantsev: yeah, and
wheelchairs really the component

that I'm most curious about,
because, I mean, even if you

don't consider the population
getting larger, I still think

like, Okay, well, wheelchairs
have been generally the same

size. And so many times I go
into people's homes to do an

assessment that you're
describing. And it's always some

kind of door widening that's
included that's necessary for

people to safely add to people
to actually even be able to

enter or exit a room. So I
always I was always fascinated

by that.

Christina Hardin-Weiss: Yeah,
yeah, that's yeah, who set the

standard for a wheelchair then
if that's the case,

Kosta Yepifantsev: right. Or who
set the building standard? Yeah,

Cindy Hardin-Weiss: right. Yeah,
right. Right. It's probably, you

know, yeah, I don't I just don't
think people thought of that.

And I don't Yeah, I don't think
it was brought to the forefront

until you know, you start having
the things like that. Our

opinions with the Disabilities
Act and things like that, that

really started bringing people's
awareness to those facts, and

life

Christina Hardin-Wei: expectancy
probably wasn't as long then

either, you know, and when they
were building that dielectrics I

mean, we've, we've gone up quite
a bit, you know. So

Kosta Yepifantsev: I think it's,
I think it's fascinating how far

we've come, you know, talking
about the American with

Disabilities Act. But also, I
mean, I believe, is, I believe

why a lot of this has happened
is because at that time, we

weren't planning on Aging at in
place, we were planning on

considering a nursing facility.

Once a, you know, once a fall
happened, or a broken hip, you

know, the, one of the most
common injuries that people

experience. And once you know,
with 80% of Americans wanting to

stay in their own home, you
know, this, this sort of rubber

meets the road, right?

Cindy Hardin-Weiss: Yeah, I
think with that, too, you've got

to think about to the medical
technology now, even some of

those things that are going on,
you know, I'm sure in the past a

broken hip meant a lot different
circumstance than what it does

now.

Kosta Yepifantsev: Yeah,
absolutely. Good point.

Cindy Hardin-Weiss: So you might
play into it, as well. So,

Kosta Yepifantsev: so we always
like to end the show with a call

to action. What's one thing we
can all do today to make our

community and world a safer,
more adaptive place to live?

Christina Hardin-Weiss: Well,
you know, and I've, I've said it

a couple of times already Costa
I, for myself, I, I feel like

making sure that you know, as a
family caregiver, as an

individual wanting to age in
place, know who your area agency

on aging is, know that they've
got a ton of resources out

there, you know, know that you
have a lead, there could be a

lending closet close by that you
might have an assistive

technology pro program close by,
and know that you don't have to

do this by yourself. If you're
the family caregiver, you do not

have to do this by yourself.

There's a ton of services and
people in this industry that are

just, you know, are willing to
help and do what they can for

for the good of the population.

Cindy Hardin-Weiss: Yeah, and I
would say to, you know, if

you're an individual or a
caregiver of a loved one, and

the plan is that I want to age
in place, then, uh, we can't

preach enough to try to breed be
proactive with those things

that, you know, try to look
forward and look into the future

about you know, hey, well, is
this going to work for me when I

get or if this happens, or if
this is going to work for me

that really try to be proactive
in in your, you know, quest for

aging in place.

Caroline Moore: Thank you for
joining us on this episode of

Now or Never Long-Term Care
Strategy with Kosta Yepifantsev.

If you enjoyed listening and you
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Long-Term Care Strategy is a

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Today’s episode was written and
produced by Morgan Franklin.

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Kosta? Visit us at

kostayepifantsev.com