One Saturday
Night lights and grab bars for an elderly parent's bathroom: the walk, done in one Saturday
The bathroom is the whole game. Here is the government's own checklist as a shopping list and an afternoon, stop by stop from her bed to her toilet.
Night lights and grab bars for an elderly parent's bathroom sounds like a hardware store errand, and it is, but the order matters. The CDC publishes a one-sheet home checklist called Check for Safety, and the National Institute on Aging has a room-by-room page that says most of the same things. This page turns them into one Saturday afternoon, walked in the order she walks it at 2am. None of it replaces her doctor looking at why she falls.
The shopping list
Every item here is on the CDC checklist or the NIA page. Buy it before Saturday so the afternoon is installing, not driving.
- Night lights that come on by themselves. The CDC checklist: put in a nightlight so you can see where you're walking; some nightlights go on by themselves after dark. Three: bedroom, hall, bathroom.
- A lamp or touch light for the bedside. CDC: place a lamp close to the bed where it's easy to reach. NIA adds a flashlight by the bed for when the power goes out.
- A motion-activated plug-in light for the hall. NIA suggests motion-activated lights that plug into electrical outlets and automatically turn on when you walk by them.
- Grab bars, at least two. CDC: have grab bars put in next to and inside the tub, and next to the toilet. NIA says the same, adding the outside of the tub and shower.
- A non-slip rubber mat or self-stick strips for the tub or shower. CDC's wording exactly. NIA: nonskid mats, strips or carpet on all surfaces that may get wet.
- Double-sided tape or non-slip backing for any rug you cannot get rid of. CDC: remove the rugs, or use double-sided tape or a non-slip backing so the rugs won't slip. NIA is blunter: don't use throw rugs or small area rugs.
- Glow-in-the-dark switch plates. CDC: you can get light switches that glow.
- Shoes with backs and rubber soles, to live beside the bed. NIA: don't walk on stairs or floors in socks or in shoes and slippers with smooth soles.
The afternoon, stop by stop
Start at two. Curtains drawn. Let her walk it first, and watch her hands, not her feet.
Stop 6, the toilet: the grab bar
Ask her what she holds to sit down and to get up. If the answer is the towel bar, the sink edge, or the toilet-paper holder, that is the first bar. CDC: next to the toilet. Then the tub: next to and inside it. A real grab bar goes into the wall framing, not into drywall with the little plastic anchors from the packet. If nobody in the house can do that safely, the section below on who installs is for you.
Stop 5, the bathroom light: already on
The question is whether she reaches for the switch in the dark. NIA's answer is to leave a light on in the bathroom at night or use a night light that turns on automatically in the dark. A night light in the bathroom outlet, and the switch plate swapped for a glowing one. While you are in there: the CDC checklist asks whether the tub or shower floor is slippery, and the fix is the non-slip mat or the self-stick strips.
Stop 4, the hall: nothing on the floor
Count what is on the floor between the two doors. Laundry basket, shoes, the dog's bed, the cord to the fan. CDC: pick up things that are on the floor; always keep objects off the floor, and coil or tape cords next to the wall. Then the motion light, plugged in low, and NIA's advice of a light switch at each end of a long hall if the hall has a switch at only one.
Stop 3, the doorway: a hand on the frame
Is there a rug in it? CDC's checklist question is do you have throw rugs on the floor, and the answer is remove them or tape them. NIA says do not use them at all. Take the bedroom door rug up today and put it somewhere she will not miss it. Watch where her hand goes as she passes through; if it goes to the frame, that frame is doing a grab bar's job, and it should at least not have a coat hanging on it.
Stop 2, the edge of the bed: where she sits
Nothing to buy here, only a habit. The CDC's brochure on blood pressure that drops on standing says to get out of bed slowly: first sit up, sit on the side of the bed, then stand up, and to make sure you have something to hold on to when you stand. Put the sturdy chair where her hand lands. Put the shoes with backs where her feet land.
Stop 1, the lamp: reachable lying down
The CDC checklist's bedroom question is is the light near the bed hard to reach. If she has to sit up and lean, it is. A touch lamp on the nightstand, or a clip light on the headboard, and the flashlight NIA wants beside it. NIA also says to place a landline or well-charged phone near your bed. Near means on the mattress, in this house.
Is the path from her bed to the bathroom dark?
That question is on the CDC checklist word for word, and it is the one this whole desk is built around. Its answer is the night light that comes on by itself. When you have done the six stops, turn every light off, wait for your eyes to adjust, and walk it. If you cannot see the floor at any point between the mattress and the toilet, you are not finished.
Who installs a grab bar, and who pays?
If someone in the house can find a stud, it is a one-hour job. If not, do not improvise. Aging Ahead lists minor home safety modifications among the services its caregiver program can offer unpaid caregivers, as funding permits, at (636) 207-0847. NIA says many state and local governments have education and home modification programs to help older people prevent falls, and points to the Eldercare Locator at 800-677-1116. If she lives inside the city of St. Louis, that agency is the St. Louis Area Agency on Aging at (314) 612-5918.
On Medicare: this site will not tell you a grab bar is or is not covered. Medicare defines durable medical equipment as durable, used for a medical reason, typically only useful to someone who is sick or injured, used in your home, and expected to last at least 3 years, with you paying 20 percent of the approved amount after the Part B deductible. Whether any particular item fits is a question for her doctor and the supplier.
What about falling out of bed?
Families ask, and the honest answer is that neither the CDC checklist nor NIA's page covers bed rails, so this desk cannot cite anything on them and will not guess. What NIA does say is that after a fall the doctor might suggest that an occupational therapist, physical therapist or nurse visit your home to assess its safety and advise on changes. A bed is exactly what that visit looks at. Ask for it by name.
A safer hallway is still an empty one at 2am. New Plan Care, independently owned non-medical in-home care that pays for a labelled slot on this site, sends overnight caregivers in Ballwin, Chesterfield, Eureka, Glencoe, Grover, Pacific, Valley Park and St. Louis. New Plan Care, Call (314) 405-0887.Paid placement, disclosed on the front page and in the footer.