Many falls happen because the home wasn’t built with aging in mind. Community programs are stepping up to change that. By making the home environment accessible and more supportive, these initiatives help older adults maintain independence and reduce the risk of injury.

If you live in Polk County and are 62 years or older, the Aging in Place program may be able to help. It offers up to $5000 in home modifications to address common concerns, especially in high-risk areas like bathrooms and stairways.

Upgrades may include grab bars, improved lighting, railings, or other changes that make it easier to move around. These simple updates can have a big impact on your ability to stay in your home with confidence.

Need help getting started? Reach out and we’ll connect you with the right resources.

Energy Conservation & Shower Safety:

Whether you’re recovering from surgery, managing a chronic condition like Long COVID, or simply noticing that everyday tasks take more energy than they used to, conserving energy is essential.

Think of energy like a calendar. You only have so many “appointments” in a day and sometimes one task, like showering, can book your whole schedule.

Showering is more complex than people think:

Physical demand: Standing, reaching, bending, turning.

Cognitive effort: Sequencing, problem-solving, staying alert.

Physiological changes: Hot water causes vasodilation, which can increase circulation and leave individuals lightheaded or fatigued—especially if already medically compromised.

Quick Tips for Reducing Shower-Related Fatigue & Fall Risk:

Sit when you can: Reduce postural demands with a shower chair.

Optimize layout: Keep toiletries within arm’s reach to avoid bending or twisting.

Cool it down: Use warm—not hot—water to avoid overheating and dizziness.

Plan ahead: Shower at a time of day when energy levels are higher, and pair it with lower-effort tasks.

Product Spotlight:

Shower Seating Options…

What Actually Works?

The Fiberglass Built-In Bench

Looks great…works terribly. Often too low, too deep, and too slick to offer real support.

Honestly? It’s better suited for your collection of shampoo bottles.

Verdict: Pretty but pointless (for most).

Installed Fold-Down Seat

Ideal if you’re starting from scratch and can install proper wall backing. Height is set at install, which makes it tough to adapt for people of different sizes. No armrests, so grab bars are essential.

Verdict: Sleek with the right set up.

Height Adjustable Shower Chair with Arms

The workhorse. Customizable height, built-in armrests, supportive—and easy to install or move. The catch? It’s not winning any design awards.

Verdict: Functional, not fashionable.

Teak or Wood-Look Stool

Spa vibes, for sure. But often too low, lacks arm support, and may needs regular cleaning to prevent mold. Not ideal for long-term use or people with mobility needs. PS this one swivels!

Verdict: Stylish but short-term.

Tub Transfer Bench

Great for tub/shower combos. Lets you sit outside the tub and slide in safely. Bulky, yes, and you might want a special curtain to manage water splashes.

Bonus: Extenders are available for clawfoot tubs!

Verdict: Big but sometimes essential.

Roll-In Shower Chair

The go-to for people with complex mobility needs or who use a wheelchair. Often used with caregiver support. Note this may require a zero-entry shower to be effective.

Verdict: Cadillac-level support…if your bathroom is built for it.

Therapist Perspective:

Why Energy Matters in the Bathroom

Occupational therapists understand that shower-related fatigue can increase fall risk and decrease independence. Even if someone can technically stand, a seated shower often extends independence longer.

Shower seating supports:

Energy conservation

Safer transfers

Cognitive load reduction

Improved follow-through with hygiene tasks

When paired with grab bars, hand-held showerheads, and non-slip mats, these setups create more accessible bathing environments.

While Medicare does not often cover these simple modifications, it may cover occupational therapy services to help problem solve.

Mini Case Study:

Dual-Task Training for Cognitive and Balance Improvement

Background:

An 83-year-old woman recovering from a hospital stay after pneumonia reported that she was skipping showers because it left her exhausted for the rest of the day. She had experienced a recent fall while drying off and was afraid to shower alone.

Challenges Identified:

Poor endurance and lightheadedness during hot showers

No seating or support in the shower

No grab bars or reachable shelving

Occupational Therapy Intervention:

Installed a height-adjustable shower chair with arms

Added grab bars and a hand-held showerhead

Switched to morning showers when energy was highest

Educated her on using lukewarm water to reduce vasodilation effects

Outcome:

She resumed showers, reduced fear of falling, and no longer avoided bathing. She now reports having enough energy to complete other daily tasks afterward…thanks to modifications that prioritized both access and energy conservation.

Note: Mini case studies are adapted from real-life scenarios but do not represent verbatim patient cases.

Stay tuned for next the next edition of The Balance Bulletin, where we’ll continue exploring practical solutions, case studies, and expert insights to keep homes safer for the people we serve.

Until then, stay balanced!