Fall Prevention Archives - MeasurAbilities, LLC

The Vital Role Of Clinician Insight In Home Modifications and Accessibility Solutions

Regular Post

Written by Brian B

3 January 2025

The Vital Role Of Clinician Insight In Home Modifications and Accessibility Solutions

In today’s age of Amazon and direct access to durable medical equipment (DME), it’s tempting to assume that anyone can set up a safe and accessible home for individuals with mobility or health challenges. However, a recent experience reinforced for me the irreplaceable value of a trained eye when planning home modifications. As a seasoned CAPS certified occupational therapist with 37 years of experience, rarely does a client’s situation fit neatly into a one-size-fits-all solution. My visit to a client’s home illustrated precisely why clinical expertise is critical in creating safe and functional environments tailored to individual needs.

The Client’s Context

The client I visited was preparing to return home after a fall and subsequent hip fracture. Gathering a comprehensive history of both the client and their spouse revealed a complex scenario:
•The client is 5’2” tall, has moderate dementia, a history of falls, vascular issues in the left leg, and emphysema requiring continuous oxygen.
•The spouse has bilateral macular degeneration, resulting in total blindness in the left eye and significant visual impairment in the right.
•Both were previously independent in basic activities of daily living (BADLs).
•The client’s expected recovery level was to transition home using a walker.

The Family’s Initial Requests

The family initially sought several standard DME solutions, including:
•Grab bars for the master bathroom’s walk-in shower
•A toilet insert with arms
•Ramps for home access
•A hospital bed

Clinical Evaluation and Recommendations

Upon touring the home and considering the physical, cognitive, and visual needs of both individuals, it became evident that their situation required a more nuanced approach. The client’s dementia, visual processing challenges, and physical needs, combined with the spouse’s significant vision loss, shaped my recommendations:

1. Environmental Adjustments:
o Create visual contrast on steps for better depth perception.
o Remove area rugs to eliminate tripping hazards.
o Replace rolling and swiveling chairs with stable alternatives.

2. Lighting Modifications:
o Increase light bulb wattage for improved visibility.
o Balance lighting across rooms to minimize glare.

3. Bathroom Adaptations:
o Use the guest bathroom instead of the master bathroom for safer accessibility.
o Install grab bars by the toilet and in the tub/shower areas.
o Add a standard transfer tub bench for easier and safer transfers.
o Remove glass shower/tub doors and the water closet door for easier maneuvering.

4. Bedroom Adjustments:
o Lower the height of the current adjustable bed rather than opting for a hospital bed, which was unnecessary.

5. Access and Mobility Changes:
o Install railings or grab bars near steps and high thresholds (over 1 inch), instead of ramps, due to balance and ambulatory concerns.

6. Avoiding Inappropriate Solutions:
o No toilet riser was recommended because the current “comfort height” commodes were already suitable for the client’s stature.

Contrasting Recommendations from a DME Representative
A sales representative from a DME company had proposed several costly and, in this case, unnecessary solutions, including:
• A standing recliner
• Ramps
• A hydroglide transfer tub bench
• An Orbit rotating hospital bed
• Grab bars and toilet risers with arms

While these items might seem helpful, they did not align with the client’s specific needs. For example, the client’s ability to complete stand-pivot transfers independently rendered the standing recliner and Orbit bed unnecessary and even potentially dangerous. Encouraging the client to perform these transfers supports strength and balance maintenance, which are crucial for recovery and independence.

The Value of Clinician Expertise

This experience highlights the critical role of clinicians in assessing and addressing the unique needs of clients. Generic solutions often fail to account for the interplay of medical, cognitive, and environmental factors that impact safety and functionality. By tailoring modifications to the individual, clinicians can:
• Optimize safety and functionality within the home
• Avoid unnecessary costs associated with unsuitable equipment
• Empower clients to maintain and improve their physical capabilities
As convenient as direct-to-consumer DME options may be, they cannot replace the insight and judgment of trained professionals. Ensuring a safe return home for clients like this one requires more than equipment—it requires expertise.

Written by Lauren Kelly, OTR/L, CAPS

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Aging Parents, Fall Prevention, Home Safety

Regular Post

Written by Craig B

8 November 2024

What Are the rules of pickleball?

Read on to learn more about how to play Pickleball!

1. Court Setup and Equipment

Court Size: 20′ x 44′, the same size for both singles and doubles.
Net Height: 36 inches at the sidelines and 34 inches at the center.
Paddle and Ball: Played with a solid paddle (wood, composite, or graphite) and a perforated plastic ball (similar to a wiffle ball).

2. Serving

Underhand Serve: The serve must be made underhand with the paddle below the waist and contact with the ball made below the server’s waist.
Diagonal Direction: Serve diagonally to the opposite service box.
One Attempt: Only one serve attempt is allowed, except in the case of a “let” (when the ball touches the net but lands in the correct service box).
Both Feet Behind the Line: At least one foot must be behind the baseline during the serve.

3. The Double-Bounce Rule

After the serve, the receiving team must let the ball bounce once before returning it. Similarly, the serving team must let the return bounce once before playing it. After these two bounces, players may volley (hit the ball without letting it bounce) or play off the bounce.

4. Non-Volley Zone (The Kitchen)

The area within 7 feet on either side of the net is the non-volley zone, commonly called the “kitchen.”
Players cannot volley the ball (hit it out of the air) while standing inside the kitchen or touching the kitchen line.
Players may enter the kitchen to play a ball that has bounced but must exit before volleying the ball again.

5. Scoring

Points are Only Scored by the Serving Team: A team scores a point only if they win a rally while serving.
First to 11 Points: Games are typically played to 11 points, but a team must win by at least 2 points. Some tournaments or games may go to 15 or 21 points.
Switching Servers: In doubles, both players on a team serve before the serve is turned over to the opposing team, except at the start of the game, where the first server gets only one serve.
Side-Out: When the serving team loses a rally, it’s called a “side-out,” and the opposing team gets the chance to serve.

6. Faults

Faults result in the loss of serve or a point, and they occur when:

The ball is hit out of bounds.
The ball does not clear the net.
The ball is volleyed from within the non-volley zone (kitchen).
The ball bounces twice before it is returned.
The ball is struck more than once by the same team before going over the net.

7. Doubles Play

Each team member serves and rallies until both players have had a chance to serve (except for the first service of the game).
When the serving team wins a point, the server switches sides with their partner, and the server continues to serve.

8. Singles Play

The server serves from the right side when their score is even and from the left when their score is odd.
Other than that, the rules are the same as for doubles.

By mastering these rules, players can enjoy the game of pickleball whether in casual settings or competitive matches!

Pickleball is often considered an excellent sport for seniors for several reasons:

1. Low Impact:

Joint-Friendly: Pickleball is generally easy on the joints compared to high-impact sports like tennis or running. The smaller court and slower pace reduce stress on the knees, hips, and other joints.

2. Moderate Exercise:

Cardiovascular Benefits: The game provides good cardiovascular exercise, helping to maintain heart health and improve overall fitness.
Muscle Strength: It helps build and maintain muscle strength, particularly in the legs, arms, and core.

3. Social Interaction:

Community Aspect: Pickleball is often played in a social, friendly environment. It provides opportunities for socializing and meeting new people, which can be beneficial for mental health and well-being.

4. Easy to Learn:

Simple Rules: The game is relatively easy to pick up, with simple rules and a straightforward scoring system. This makes it accessible for beginners and those who may not have played sports before.

5. Adaptable:

Adjustable Intensity: Players can adjust the intensity of the game based on their fitness level. It can be played at a leisurely pace or more competitively, depending on the players’ preferences and abilities.

6. Cognitive Benefits:

Mental Stimulation: The game involves strategy, quick thinking, and hand-eye coordination, which can help keep the mind sharp and improve cognitive function.

7. Flexibility:

Indoor and Outdoor: Pickleball can be played both indoors and outdoors, allowing for year-round play regardless of weather conditions.

8. Safety:

Reduced Risk of Injury: Due to its lower impact nature and smaller court size, the risk of injury is relatively low compared to more intense sports.

Additional Tips for Seniors Playing Pickleball:

Warm-Up: Proper warm-up and stretching are important to prevent injuries and improve flexibility.
Proper Gear: Use supportive footwear and consider using a paddle with a comfortable grip to minimize strain on the hands and wrists.
Hydration: Stay hydrated and take breaks as needed, especially in hot weather.
Consult a Doctor: If you have any health concerns or conditions, consult with a healthcare provider before starting any new sport or exercise routine.

Overall, pickleball offers a fun, engaging, and health-promoting activity that can be enjoyed by seniors of various fitness levels.

How To Play Pickleball

Pickleball is a fun and accessible sport that combines elements of tennis, badminton, and table tennis. It’s played with a paddle and a plastic ball on a court similar to a badminton court. Here’s a basic guide on how to play pickleball:

1. Equipment:

Paddle: A solid, perforated paddle, usually made of composite materials or wood.
Ball: A lightweight plastic ball with holes, similar to a wiffle ball.
Net: A net set at a height of 34 inches in the center and 36 inches at the sidelines.
Court: A rectangular court measuring 20 feet by 44 feet for both singles and doubles, divided by a net.

2. Court Layout:

Service Area: The court is divided into two halves by the net. Each half has a service area, which is the area where serves are made.
Non-Volley Zone (Kitchen): A 7-foot area on either side of the net where players cannot volley (hit the ball before it bounces).

3. Basic Rules:

Objective: The objective is to score points by hitting the ball over the net and into the opponent’s side of the court, where it must bounce or be returned in play.
Serving:
- The serve must be made underhand and diagonally into the opponent’s service area.
- The server must stand behind the baseline and keep one foot behind the line.
- The serve must clear the non-volley zone.
Double Bounce Rule: After the serve, each side must let the ball bounce once before volleying it (hitting it in the air).
Scoring:
- Games are typically played to 11 points, but a team must win by at least 2 points.
- Only the serving side can score points.
- In doubles, each player on the serving side gets a chance to serve before the serve changes sides.
Faults:
- A fault occurs if the ball lands outside the court, does not clear the net, or is hit into the non-volley zone on a volley.
- Stepping into the non-volley zone and volleying the ball is also a fault.

4. Playing the Game:

Serving: The game starts with one player serving from the right side of their court. After each point, the server switches sides.
Rally: Players hit the ball back and forth over the net. Each side must return the ball before it bounces twice on their side.
Volleys and Groundstrokes: Players can hit the ball either on the bounce (groundstroke) or in the air (volley). However, volleys cannot be made from within the non-volley zone.
Switching Sides: In doubles, after scoring, the server switches sides with their partner, and the receiving team also switches sides.

5. Strategy:

Placement: Aim for open spaces on the opponent’s side of the court to make it harder for them to return the ball.
Positioning: Stay near the baseline when receiving serve and move towards the net as the rally progresses. For doubles, communicate and cover the court effectively with your partner.
Soft Shots: Use dinks (soft, controlled shots) to drop the ball into the non-volley zone, making it challenging for opponents to attack.

6. Scoring System:

Traditional Scoring: Points can only be scored by the serving side. The server continues to serve until a fault occurs.
No-Volley Zone: When serving, the ball must clear the no-volley zone (kitchen) to be considered a legal serve.

7. Etiquette:

Respect: Show respect for your opponents and teammates, and maintain good sportsmanship throughout the game.
Communication: In doubles, communicate with your partner about positioning and strategy.

8. Practice and Enjoyment:

Learn and Practice: Take time to practice basic shots, serving, and court positioning. Many communities offer beginner clinics and practice sessions.
Have Fun: Enjoy the game and the social aspects of pickleball. It’s designed to be accessible and enjoyable for players of all skill levels.

Pickleball is a great sport that emphasizes fun, fitness, and friendly competition. With these basics, you can start playing and enjoying the game!

Regular Post

Written by Craig B

1 September 2024

Avoiding Falls In Public and at Home

Avoiding falls in public is crucial for seniors to maintain their safety and independence. Here are some practical tips to help prevent falls and reduce the risk of injury:

1. Wear Proper Footwear:

Supportive Shoes: Choose shoes with good arch support, non-slip soles, and a secure fit. Avoid wearing high heels, flip-flops, or slippery-soled shoes.
Avoid Slippers: Avoid wearing slippers or loose shoes outside, as they can increase the risk of tripping.

2. Use Assistive Devices:

Walking Aids: Use a cane, walker, or other mobility aids if needed. Make sure these devices are properly adjusted and maintained.
Grab Bars: Install grab bars in strategic places at home, such as near stairs and in the bathroom.

3. Be Mindful of Your Surroundings:

Watch Your Step: Pay attention to the ground and any potential hazards like uneven surfaces, potholes, or curbs.
Avoid Obstacles: Stay clear of obstacles such as outdoor furniture, signs, or other items that might be in your path.

4. Improve Balance and Strength:

Exercise Regularly: Engage in exercises that improve balance, strength, and flexibility, such as Tai Chi, yoga, or specific balance training exercises.
Strength Training: Incorporate strength training exercises to maintain muscle strength, which can help with stability.

5. Stay Hydrated and Nourished:

Hydration: Drink plenty of water, as dehydration can lead to dizziness and an increased risk of falling.
Balanced Diet: Maintain a balanced diet rich in calcium and vitamin D to support bone health and prevent falls.

6. Plan Your Outings:

Daylight: Whenever possible, plan to go out during daylight hours to improve visibility and avoid walking in low light.
Accompanied Travel: If possible, travel with a companion who can assist you if needed.

7. Use Safety Features:

Handrails: Utilize handrails on stairs and ramps. Ensure that they are sturdy and securely installed.
Well-Lit Areas: Choose well-lit routes and avoid poorly lit areas to reduce the risk of tripping or missing steps.

8. Monitor Health and Medication:

Regular Check-Ups: Have regular check-ups with your healthcare provider to monitor health conditions that may affect balance, such as vision or inner ear issues.
Medication Review: Review medications with your doctor, as some medications may cause dizziness or affect balance.

9. Practice Safe Walking Techniques:

Slow and Steady: Walk slowly and carefully, especially when navigating uneven surfaces or obstacles.
Focus: Keep your focus on where you’re walking rather than looking around or using your phone.

10. Use Fall Prevention Programs:

Community Programs: Participate in fall prevention programs offered by local community centers or health organizations. These programs often include exercises and education to help reduce fall risk.

11. Emergency Preparedness:

Emergency Contact: Carry a phone or an emergency alert device to call for help if you do fall or need assistance.
Medical Alert System: Consider using a medical alert system that allows you to call for help quickly if needed.

By incorporating these strategies into daily routines, seniors can significantly reduce their risk of falling in public and maintain greater confidence and safety while moving about.

Falls are a major cause of injuries and death among older adults. Here are some tips to help you avoid falls at home:

Make sure your home is well-lit. This will help you see where you are going and avoid tripping over objects.
Remove clutter from walkways. This will also help you avoid tripping.
Secure loose rugs and carpets. Loose rugs and carpets can be a tripping hazard. Secure them with double-sided tape or tacks.
Install grab bars in the bathroom and near stairs. Grab bars can help you steady yourself when you are getting up or down.
Use a cane or walker if you need one. A cane or walker can provide you with extra support and help you avoid falls.
Wear comfortable shoes that fit well. Shoes that are too loose or too tight can make you more likely to trip.
Get regular exercise. Exercise can help improve your balance and coordination, which can help you avoid falls.
Get your vision checked regularly. Poor vision can make it more difficult to see where you are going, which can increase your risk of falls.
Take your time. Don’t rush when you are walking or moving around. Take your time and be careful.
Tell your doctor if you have any balance or mobility problems. Your doctor can help you develop a plan to prevent falls.

If you have fallen in the past, it is important to take steps to prevent future falls. Talk to your doctor about your risk of falls and get help developing a plan to stay safe.

Here are some additional tips for older adults:

Get up and move around regularly. Don’t sit or lie down for long periods of time.
Stay hydrated. Dehydration can make you dizzy and more likely to fall.
Eat a healthy diet. A healthy diet can help you maintain a healthy weight, which can reduce your risk of falls.
Manage your chronic conditions. Conditions such as arthritis, heart disease, and diabetes can increase your risk of falls. Make sure to manage these conditions under the guidance of your doctor.
Stay mentally active. Mental activity can help improve your balance and coordination.
Stay socially active. Social activity can help reduce stress, which can also increase your risk of falls.

By following these tips, you can help reduce your risk of falls and stay safe at home.

There are many comfortable shoes for seniors on the market, but some of the most popular include:

Walking shoes: Walking shoes are designed to provide support and comfort for walking. They typically have cushioned soles and arch support.
Running shoes: Running shoes are designed for high-impact activities like running. They typically have more cushioning than walking shoes and may also have features to prevent ankle rolling.
Trail shoes: Trail shoes are designed for walking or hiking on uneven surfaces. They typically have good traction and durability.
Diabetic shoes: Diabetic shoes are designed for people with diabetes. They typically have features to help prevent foot ulcers, such as extra width and cushioning.
Comfort shoes: Comfort shoes are designed to be as comfortable as possible. They may have features such as memory foam or gel inserts.

When choosing comfortable shoes for seniors, it is important to consider the following factors:

The person’s foot type: Some people have wider feet, while others have narrower feet. It is important to choose shoes that fit the person’s foot type well.
The person’s activity level: If the person is active, they will need shoes that provide more support and cushioning. If the person is less active, they may be able to get away with shoes that are less supportive.
The person’s budget: There are a variety of comfortable shoes available at different price points. It is important to choose shoes that fit the person’s budget.

It is also important to have the shoes fitted by a qualified professional, such as a podiatrist or an orthotist. This will help ensure that the shoes provide the correct amount of support and comfort.

Here are some additional tips for choosing comfortable shoes for seniors:

Try on the shoes at the end of the day: Your feet tend to swell throughout the day, so it is important to try on shoes at the end of the day when your feet are at their largest.
Walk around in the shoes: Don’t just stand in the shoes when you try them on. Walk around in them to make sure they are comfortable and provide good support.
Bend your knees: When you bend your knees, the shoes should not feel too tight.
Have the salesperson check the fit: The salesperson should be able to check the fit of the shoes and make sure they are not too tight or too loose.

Balance issues are common in older adults. They can be caused by a variety of factors, including:

Age-related changes in the inner ear: The inner ear is responsible for balance, and it can start to decline with age.
Vision problems: Poor vision can make it difficult to see where you are going, which can lead to balance problems.
Dehydration: Dehydration can make you dizzy and more likely to fall.
Medications: Some medications can cause dizziness or drowsiness, which can increase the risk of falls.
Medical conditions: Medical conditions such as arthritis, diabetes, and Parkinson’s disease can also increase the risk of balance problems.

Balance problems can lead to falls, which are a major cause of injuries and death in older adults. If you are a senior, it is important to take steps to prevent balance problems and falls.

Here are some tips for preventing balance problems in seniors:

Get regular exercise: Exercise can help improve balance and coordination.
Wear comfortable shoes that fit well: Shoes that are too loose or too tight can make you more likely to trip.
Make sure your home is well-lit: This will help you see where you are going and avoid tripping over objects.
Remove clutter from walkways: This will also help you avoid tripping.
Secure loose rugs and carpets: Loose rugs and carpets can be a tripping hazard. Secure them with double-sided tape or tacks.
Install grab bars in the bathroom and near stairs: Grab bars can help you steady yourself when you are getting up or down.
Use a cane or walker if you need one: A cane or walker can provide you with extra support and help you avoid falls.
Get your vision checked regularly: Poor vision can make it more difficult to see where you are going, which can increase your risk of falls.
Take your time: Don’t rush when you are walking or moving around. Take your time and be careful.
Tell your doctor if you have any balance or mobility problems: Your doctor can help you develop a plan to prevent falls.

If you have fallen in the past, it is important to take steps to prevent future falls. Talk to your doctor about your risk of falls and get help developing a plan to stay safe.

Arthritis, Disability and Functional Evaluation Solutions, Fall Prevention, Falls After Hospital Discharge, Home Safety, Home Safety Solutions, Senior Falls, Senior Living

Regular Post

Written by Craig B

1 August 2024

Is Pickleball A Good Sport For Seniors

Pickleball is often considered an excellent sport for seniors for several reasons:

1. Low Impact:

Joint-Friendly: Pickleball is generally easy on the joints compared to high-impact sports like tennis or running. The smaller court and slower pace reduce stress on the knees, hips, and other joints.

2. Moderate Exercise:

Cardiovascular Benefits: The game provides good cardiovascular exercise, helping to maintain heart health and improve overall fitness.
Muscle Strength: It helps build and maintain muscle strength, particularly in the legs, arms, and core.

3. Social Interaction:

Community Aspect: Pickleball is often played in a social, friendly environment. It provides opportunities for socializing and meeting new people, which can be beneficial for mental health and well-being.

4. Easy to Learn:

Simple Rules: The game is relatively easy to pick up, with simple rules and a straightforward scoring system. This makes it accessible for beginners and those who may not have played sports before.

5. Adaptable:

Adjustable Intensity: Players can adjust the intensity of the game based on their fitness level. It can be played at a leisurely pace or more competitively, depending on the players’ preferences and abilities.

6. Cognitive Benefits:

Mental Stimulation: The game involves strategy, quick thinking, and hand-eye coordination, which can help keep the mind sharp and improve cognitive function.

7. Flexibility:

Indoor and Outdoor: Pickleball can be played both indoors and outdoors, allowing for year-round play regardless of weather conditions.

8. Safety:

Reduced Risk of Injury: Due to its lower impact nature and smaller court size, the risk of injury is relatively low compared to more intense sports.

Additional Tips for Seniors Playing Pickleball:

Warm-Up: Proper warm-up and stretching are important to prevent injuries and improve flexibility.
Proper Gear: Use supportive footwear and consider using a paddle with a comfortable grip to minimize strain on the hands and wrists.
Hydration: Stay hydrated and take breaks as needed, especially in hot weather.
Consult a Doctor: If you have any health concerns or conditions, consult with a healthcare provider before starting any new sport or exercise routine.

Overall, pickleball offers a fun, engaging, and health-promoting activity that can be enjoyed by seniors of various fitness levels.

How To Play Pickleball

1. Equipment:

Paddle: A solid, perforated paddle, usually made of composite materials or wood.
Ball: A lightweight plastic ball with holes, similar to a wiffle ball.
Net: A net set at a height of 34 inches in the center and 36 inches at the sidelines.
Court: A rectangular court measuring 20 feet by 44 feet for both singles and doubles, divided by a net.

2. Court Layout:

Service Area: The court is divided into two halves by the net. Each half has a service area, which is the area where serves are made.
Non-Volley Zone (Kitchen): A 7-foot area on either side of the net where players cannot volley (hit the ball before it bounces).

3. Basic Rules:

Objective: The objective is to score points by hitting the ball over the net and into the opponent’s side of the court, where it must bounce or be returned in play.
Serving:
- The serve must be made underhand and diagonally into the opponent’s service area.
- The server must stand behind the baseline and keep one foot behind the line.
- The serve must clear the non-volley zone.
Double Bounce Rule: After the serve, each side must let the ball bounce once before volleying it (hitting it in the air).
Scoring:
- Games are typically played to 11 points, but a team must win by at least 2 points.
- Only the serving side can score points.
- In doubles, each player on the serving side gets a chance to serve before the serve changes sides.
Faults:
- A fault occurs if the ball lands outside the court, does not clear the net, or is hit into the non-volley zone on a volley.
- Stepping into the non-volley zone and volleying the ball is also a fault.

4. Playing the Game:

Serving: The game starts with one player serving from the right side of their court. After each point, the server switches sides.
Rally: Players hit the ball back and forth over the net. Each side must return the ball before it bounces twice on their side.
Volleys and Groundstrokes: Players can hit the ball either on the bounce (groundstroke) or in the air (volley). However, volleys cannot be made from within the non-volley zone.
Switching Sides: In doubles, after scoring, the server switches sides with their partner, and the receiving team also switches sides.

5. Strategy:

Placement: Aim for open spaces on the opponent’s side of the court to make it harder for them to return the ball.
Positioning: Stay near the baseline when receiving serve and move towards the net as the rally progresses. For doubles, communicate and cover the court effectively with your partner.
Soft Shots: Use dinks (soft, controlled shots) to drop the ball into the non-volley zone, making it challenging for opponents to attack.

6. Scoring System:

Traditional Scoring: Points can only be scored by the serving side. The server continues to serve until a fault occurs.
No-Volley Zone: When serving, the ball must clear the no-volley zone (kitchen) to be considered a legal serve.

7. Etiquette:

Respect: Show respect for your opponents and teammates, and maintain good sportsmanship throughout the game.
Communication: In doubles, communicate with your partner about positioning and strategy.

8. Practice and Enjoyment:

Learn and Practice: Take time to practice basic shots, serving, and court positioning. Many communities offer beginner clinics and practice sessions.
Have Fun: Enjoy the game and the social aspects of pickleball. It’s designed to be accessible and enjoyable for players of all skill levels.

Pickleball is a great sport that emphasizes fun, fitness, and friendly competition. With these basics, you can start playing and enjoying the game!

How Seniors Can Keep Healthy This Summer

Regular Post

Written by Craig B

5 July 2024

Keeping Healthy For Seniors 2024

Maintaining health as a senior involves a holistic approach that encompasses physical, mental, and emotional well-being. Here are some comprehensive tips for seniors to stay healthy:

Physical Health

Regular Exercise:
- Engage in moderate physical activities such as walking, swimming, or tai chi for at least 30 minutes a day, most days of the week.
- Incorporate strength training exercises to maintain muscle mass and bone density.
- Include flexibility and balance exercises to reduce the risk of falls.
Balanced Diet:
- Eat a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats.
- Stay hydrated by drinking plenty of water throughout the day.
- Limit salt, sugar, and saturated fats to reduce the risk of chronic diseases.
Regular Health Check-Ups:
- Schedule annual check-ups and routine screenings (e.g., blood pressure, cholesterol, cancer screenings).
- Keep vaccinations up to date, including flu and pneumonia vaccines.
- Monitor and manage chronic conditions like diabetes, hypertension, and arthritis with the help of healthcare providers.
Medication Management:
- Take medications as prescribed and keep an updated list of all medications.
- Discuss any side effects or concerns with your doctor or pharmacist.
- Use a pill organizer to avoid missed or double doses.
Good Sleep Hygiene:
- Aim for 7-9 hours of sleep per night.
- Establish a regular sleep routine and create a comfortable sleep environment.
- Avoid caffeine and heavy meals before bedtime.

Mental Health

Stay Mentally Active:
- Engage in activities that challenge the brain, such as puzzles, reading, or learning new skills.
- Stay curious and continue to learn new things.
Social Connections:
- Maintain strong social connections with family, friends, and community.
- Participate in social activities, clubs, or volunteer work.
- Use technology to stay in touch with loved ones if in-person meetings are not possible.
Stress Management:
- Practice relaxation techniques such as deep breathing, meditation, or yoga.
- Engage in hobbies and activities that bring joy and relaxation.
- Seek support from friends, family, or professionals when feeling overwhelmed.

Emotional Well-Being

Positive Attitude:
- Focus on the positives and practice gratitude.
- Set realistic goals and celebrate small achievements.
- Maintain a sense of purpose through activities and relationships.
Emotional Support:
- Don’t hesitate to talk about your feelings with trusted friends or family.
- Consider joining support groups for seniors to share experiences and receive encouragement.
- Seek professional help if experiencing signs of depression or anxiety.

Safety and Prevention

Fall Prevention:
- Keep the home free of tripping hazards, such as loose rugs or clutter.
- Install grab bars in the bathroom and handrails on stairs.
- Use non-slip mats in the bathtub and shower.
Home Safety:
- Ensure good lighting in all areas of the home.
- Keep emergency numbers easily accessible.
- Consider wearing a medical alert system if living alone.
Healthy Living Environment:
- Maintain a clean and organized living space.
- Ensure proper ventilation and air quality.
- Regularly check for safety issues like smoke detectors and carbon monoxide alarms.

Lifestyle Adjustments

Avoid Tobacco and Limit Alcohol:
- Quit smoking to improve overall health and reduce the risk of many diseases.
- Limit alcohol intake to moderate levels as advised by healthcare providers.
Healthy Weight Management:
- Maintain a healthy weight through balanced diet and regular exercise.
- Seek guidance from healthcare providers for personalized weight management plans.
Hydration:
- Drink enough fluids daily, as seniors are more prone to dehydration.
- Include a variety of fluids, such as water, herbal teas, and soups.

By adopting these practices, seniors can significantly improve their quality of life and maintain their independence and well-being for as long as possible. Regular communication with healthcare providers is essential to tailor these tips to individual needs and conditions.

Regular Post

Written by Craig B

7 March 2024

Installing Safety Grab Bars

Installing safety grab bars can be a relatively straightforward DIY project, but it’s important to ensure their proper installation for safety and functionality. Here’s what you need to know:

Before you begin:

Planning and Location:
- Identify the user’s needs: Consider their height, strength, and specific requirements when choosing locations and types of grab bars.
- Choose the right locations: Common areas for grab bars include next to toilets, bathtubs, and showers. Ensure they are positioned for easy reach and leverage during transfers.
- Check your local building codes: Some areas might have specific requirements for grab bar installation.
Tools and Materials:
- Grab bars (choose appropriate weight capacity and style for your needs)
- Stud finder
- Drill and drill bits (suitable for your wall material)
- Level
- Pencil
- Screws or appropriate mounting hardware (depending on wall material and chosen grab bar)
- Optional: Safety glasses, dust mask, caulk

Installation steps:

Locate the studs: Use a stud finder to mark the locations of studs behind the wall where you plan to install the grab bar. This is crucial for ensuring secure mounting as studs provide the most reliable support.
Mark the mounting holes: Hold the grab bar against the wall, aligning it with the desired location and stud markings. Use a level to ensure proper alignment and mark the mounting holes through the grab bar template (if provided) or by directly marking the screw holes on the wall.
Drill pilot holes (if required): This step depends on your wall material. For concrete or masonry walls, drilling pilot holes is necessary. Use the appropriate drill bit size for the screws or anchors you’ll be using.
Install the grab bar:
- Mounting on studs: If the mounting holes align with the studs, use the provided screws directly to secure the grab bar to the wall, tightening them firmly with a screwdriver.
- Using anchors (for drywall or non-stud locations): Use the appropriate anchors and screws as per the manufacturer’s instructions. These anchors typically involve inserting them into the drilled holes and then screwing the grab bar into the anchored inserts.
Apply caulk (optional): For additional water resistance, especially around bathtubs or showers, apply a thin line of caulk around the base of the grab bar where it meets the wall.

Additional tips:

Double-check everything: Ensure the grab bar is secure, level, and positioned appropriately before fully tightening the screws or applying caulk.
Consult a professional: If you are unsure about any aspect of the installation, especially if dealing with complex setups or load-bearing walls, consider consulting a professional handyman or contractor for assistance.

Remember, safety is paramount. Ensure proper installation following the manufacturer’s instructions and relevant building codes for secure and reliable grab bars.

Arthritis, Disability and Functional Evaluation Solutions, Fall Prevention, Falls After Hospital Discharge, Home Safety, Home Safety Solutions, Senior Falls, Senior Living

Functional Capacity Evaluations (FCEs) and Physical Therapy

Regular Post

Written by Craig B

8 February 2024

Functional Capacity Evaluations (FCEs) and Physical Therapy

Read on to learn more about functional capacity evaluations and physical therapy.

Functional Capacity Evaluations (FCEs):

What are they? An FCE is a set of tests administered by a qualified professional (usually a physical or occupational therapist) to assess your ability to perform daily activities and job-related tasks.
What do they involve? These tests typically include:
- History taking: Discussing your medical history, current condition, and relevant goals.
- Physical examination: Evaluating your musculoskeletal function, strength, range of motion, balance, and coordination.
- Functional testing: Simulating activities from your daily life or work environment, like lifting weights, climbing stairs, or walking specific distances.
- Psychological evaluation: Sometimes included to assess pain tolerance and coping mechanisms.
Purpose: FCEs are used for various reasons, including:
- Determining your ability to return to work after an injury or illness.
- Setting realistic goals for physical therapy.
- Identifying areas for improvement and designing an effective treatment plan.
- Providing objective data for disability claims or legal proceedings.

Physical Therapy:

What is it? Physical therapy is a healthcare profession that aims to restore, maintain, or improve physical function, mobility, and overall well-being through:
- Exercise: Strengthening muscles, improving flexibility, and enhancing balance and coordination.
- Manual therapy: Techniques like massage, joint mobilization, and soft tissue manipulation to reduce pain and improve movement.
- Modalities: Using heat, cold, ultrasound, or electrical stimulation to manage pain and promote healing.
- Education: Providing guidance on self-management strategies, injury prevention, and healthy lifestyle habits.
How does it relate to FCEs?
- The information gathered from an FCE helps guide the physical therapist in developing a personalized treatment plan tailored to your specific needs and functional limitations.
- As you progress through physical therapy, re-taking an FCE can track your improvement and measure the effectiveness of your treatment program.

Overall:

FCEs and physical therapy are often employed together to understand your functional capabilities and provide targeted interventions to help you regain or improve your ability to perform everyday activities and achieve your desired goals.

Additional notes:

The specific components of an FCE and physical therapy program may vary depending on your individual circumstances and diagnosis.
Consulting with a healthcare professional experienced in both FCEs and physical therapy can help you determine if these approaches are right for you.

What Happens At A Disability Functional Capacity Evaluation

A Disability Functional Capacity Evaluation (FCE) is a comprehensive assessment conducted by healthcare professionals, often occupational therapists or physical therapists, to evaluate an individual’s physical and functional abilities. The primary purpose of an FCE is to assess how an individual’s health condition, injury, or disability affects their capacity to perform various tasks and activities, particularly in a work-related context.

Key components of a Disability Functional Capacity Evaluation may include:

Physical Assessment:
- Strength and Endurance: The evaluation assesses the individual’s muscle strength and endurance, examining how well they can perform physical tasks over time.
- Range of Motion: The range of motion in different joints is evaluated to determine any limitations or restrictions.
Functional Activities:
- Lifting and Carrying: The individual may be assessed on their ability to lift and carry objects of varying weights and sizes.
- Pushing and Pulling: The evaluation may include tasks that involve pushing or pulling.
- Bending and Stooping: The ability to bend, stoop, or squat may be evaluated.
- Climbing: Depending on the individual’s job requirements, climbing tasks may be assessed.
Posture and Mobility:
- Sitting and Standing: The individual’s ability to sit and stand comfortably may be assessed, including the duration of time they can maintain these positions.
- Walking: Walking patterns and distances may be evaluated.
- Balancing: The assessment may include tasks that assess balance and coordination.
Coordination and Dexterity:
- Fine Motor Skills: The evaluation may assess fine motor skills, hand dexterity, and coordination.
- Gripping and Manipulation: Tasks that involve gripping and manipulating objects may be included.
Cognitive and Psychological Factors:
- Attention and Concentration: The evaluation may assess the individual’s ability to focus and concentrate on tasks.
- Memory: Memory-related tasks may be included.
- Psychological Factors: Emotional and psychological factors that may impact performance are considered.
Job-Specific Tasks:
- Job Simulation: Depending on the individual’s occupation, the FCE may include specific job-related tasks to assess their ability to perform essential job functions.
Report and Recommendations:
- Following the assessment, a detailed report is typically generated. This report outlines the individual’s functional abilities, limitations, and recommendations for accommodations or modifications.

Disability Functional Capacity Evaluations are often used in workers’ compensation cases, disability determinations, rehabilitation planning, and return-to-work assessments. The information gathered from an FCE helps healthcare professionals, employers, insurers, and other stakeholders make informed decisions about an individual’s capabilities and limitations in the context of their work-related tasks.

Can Physical Therapy Improve My Quality Of Life?

Physical therapy has the potential to significantly improve your quality of life in numerous ways. Here are some potential benefits:

Reduced pain and discomfort: Physical therapy can address various causes of pain, from muscle strains and joint issues to chronic conditions like arthritis. By improving strength, flexibility, and movement patterns, physical therapy can significantly reduce pain and discomfort, allowing you to participate in activities you enjoy.
Improved mobility and function: Physical therapy can help you regain or improve your ability to move and perform daily activities, such as walking, climbing stairs, getting dressed, and bathing. This increased independence can boost confidence and self-esteem, leading to a better quality of life.
Enhanced balance and fall prevention: Physical therapy can improve your balance and coordination, reducing the risk of falls, which is especially important for older adults. This can provide peace of mind and allow you to engage in activities without fear of injury.
Better management of chronic conditions: Physical therapy can be an effective tool for managing chronic conditions like heart disease, diabetes, and chronic pain. By improving physical fitness and managing symptoms, physical therapy can help you live a more active and fulfilling life.
Improved mood and overall well-being: Physical activity has been shown to have a positive impact on mood and mental health. Physical therapy can help you increase your activity level, leading to reduced stress, anxiety, and depression, and promoting feelings of well-being.
Faster recovery from surgery or injury: Physical therapy is often crucial for recovering from surgery or injuries. By helping you regain strength, flexibility, and function, physical therapy can shorten your recovery time and get you back to your normal activities faster.
Reduced reliance on pain medication: Physical therapy can help manage pain, potentially reducing your dependence on pain medication and its side effects. This can lead to a safer and healthier lifestyle.
Improved sleep quality: Regular physical activity can promote better sleep quality. As physical therapy helps you become more active, you may experience improved sleep, further contributing to a better overall quality of life.

It’s important to note that the specific benefits of physical therapy will vary depending on your individual needs and goals. Consulting with a qualified physical therapist can help you determine if physical therapy is right for you and develop a personalized treatment plan to maximize your quality of life.

Remember, even if you are experiencing minimal limitations, physical therapy can still be beneficial in promoting overall health, preventing future injuries, and maintaining your independence as you age.

home safety checklist for seniors

What Is A Disability Functional Capacity Evaluation (FCE) Test?

Regular Post

Written by Craig B

1 December 2023

What Is A Disability Functional Capacity Evaluation (FCE) Test?

What Is A Home Safety Assessment

Key components of a Disability Functional Capacity Evaluation may include:

Physical Assessment:
- Strength and Endurance: The evaluation assesses the individual’s muscle strength and endurance, examining how well they can perform physical tasks over time.
- Range of Motion: The range of motion in different joints is evaluated to determine any limitations or restrictions.
Functional Activities:
- Lifting and Carrying: The individual may be assessed on their ability to lift and carry objects of varying weights and sizes.
- Pushing and Pulling: The evaluation may include tasks that involve pushing or pulling.
- Bending and Stooping: The ability to bend, stoop, or squat may be evaluated.
- Climbing: Depending on the individual’s job requirements, climbing tasks may be assessed.
Posture and Mobility:
- Sitting and Standing: The individual’s ability to sit and stand comfortably may be assessed, including the duration of time they can maintain these positions.
- Walking: Walking patterns and distances may be evaluated.
- Balancing: The assessment may include tasks that assess balance and coordination.
Coordination and Dexterity:
- Fine Motor Skills: The evaluation may assess fine motor skills, hand dexterity, and coordination.
- Gripping and Manipulation: Tasks that involve gripping and manipulating objects may be included.
Cognitive and Psychological Factors:
- Attention and Concentration: The evaluation may assess the individual’s ability to focus and concentrate on tasks.
- Memory: Memory-related tasks may be included.
- Psychological Factors: Emotional and psychological factors that may impact performance are considered.
Job-Specific Tasks:
- Job Simulation: Depending on the individual’s occupation, the FCE may include specific job-related tasks to assess their ability to perform essential job functions.
Report and Recommendations:
- Following the assessment, a detailed report is typically generated. This report outlines the individual’s functional abilities, limitations, and recommendations for accommodations or modifications.

home safety checklist for seniors

Regular Post

Written by Craig B

1 November 2023

Best Balance Exercises For Seniors

Exercises for balance problems are designed to improve your stability and reduce the risk of falls, especially as you age. Balance exercises can benefit people of all ages, but they are particularly important for older adults. These exercises help strengthen the muscles that support your balance and coordination. Here are some balance exercises you can incorporate into your routine:

Single-Leg Stance:
- Stand near a wall or sturdy surface for support.
- Lift one foot slightly off the ground while keeping your knee bent. Try to balance on one leg for 30 seconds.
- Repeat on the other leg. Over time, try to extend the duration.
Tandem Stance:
- Stand with one foot directly in front of the other (heel to toe).
- Hold this position for 30 seconds. If you need support, place a hand on a stable surface.
- Switch the position of your feet and repeat.
Heel-to-Toe Walk:
- Create an imaginary straight line on the ground or use masking tape.
- Walk heel-to-toe along the line, taking small steps. Focus on balance and coordination.
- Turn around and walk back in the opposite direction.
Sit-to-Stand Exercises:
- Practice going from a seated position to a standing position without using your hands or arms for support.
- To make it more challenging, stand up and sit down slowly to work on control and balance.
Tai Chi:
- Tai Chi is a low-impact, slow-motion exercise that focuses on fluid movements and balance. Taking Tai Chi classes can help improve balance, strength, and flexibility.
Yoga:
- Many yoga poses emphasize balance and flexibility. Poses like Tree Pose, Warrior III, and Half Moon can be beneficial for improving balance.
Balance Board or Disc Exercises:
- Using a balance board or disc can challenge your balance and coordination. Start with simple exercises, like standing on one leg on the board, and progress to more advanced movements.
Leg Swings:
- Hold onto a stable surface for support, and swing one leg forward and backward. This exercise can help improve your dynamic balance.
Bosu Ball Exercises:
- A Bosu ball is a half-ball with a flat platform on one side. Exercises on a Bosu ball challenge your balance and core strength. For example, you can stand on the flat side while maintaining your balance.
Step-Ups:
- Use a sturdy step or platform, and step up and down, leading with one leg. This exercise mimics the action of climbing stairs, which is a common daily activity that requires balance and strength.
Calf Raises:
- Stand with your feet hip-width apart, and rise up onto your tiptoes. Hold the position briefly and then lower your heels back down. This exercise targets the calf muscles and balance.
Seated Leg Lifts:
- While seated, extend one leg straight out and hold it for a few seconds. Lower it and repeat on the other leg. This exercise helps improve balance and leg strength.

When performing these exercises, it’s important to prioritize safety. Start with exercises that are appropriate for your current level of fitness and balance. If you have a medical condition or balance concerns, consider consulting with a physical therapist or fitness professional to create a tailored exercise program that addresses your specific needs and limitations. Additionally, perform these exercises on a non-slip surface, and always have a support or handrail nearby to ensure safety.

Most seniors love to stay active. Whether it’s indoors or outdoors, activity is vital in independent and assisted living facilities. With a plethora of exercises and games available across the state, we’ve hand-picked some of the best physical games for seniors.

Yoga

Yoga is the perfect activity for the indoors or outdoors-man. This is a highly effective practice for senior citizens. Yoga is comprised of controlled body positions and stretches, with a goal of physical and mental well-being. The activity is perfect for participants looking to attain deep spiritual tranquility. This is one hobby that is great for the body and soul!

Health Benefits

There are numerous health benefits for yoga participants. Weight loss is, of course, at the top of the list. With the possible weight loss comes a more balanced metabolism, with a lowering of blood sugar and blood pressure. But, that’s not all! Yoga can result in increased muscle strength, flexibility and better balance. Yoga, which is a practice believed to be more than 5,000 years old, has been shown to improve cardiovascular and blood circulation, as well.

Shuffleboard

Beginning in 15th century English pubs, this sport has constantly changed over time, but the goal has remained the same. This is one of the most popular sports to play for seniors because of its competitive, yet lighthearted nature. A player wins in shuffleboard when reaching a score of 15, but some bigger tournaments could require 21 points for a win. Alternating turns, each player slides four weights across an opponent’s board. Sliding your weights to the highest available scoring area is the objective here. Players can also knock opposing weights off the board with their own weights or use them to protect their current score.

Health Benefits

Shuffleboard increases heart rate and reduces stress at the very same time. Another benefit is the obvious workout for various muscle groups.

Line Dancing

A simple way to take part in the recommended 30 minutes of aerobic exercise per day is by partaking in line dancing. The sport is great for the heart and it keeps its dancers healthy and in shape. If you’re intimidated by dancing, there is no need to worry because line dancing is the perfect exercise for beginners.

Health Benefits

There are many health benefits in the world of line dancing. Improved stamina, posture and balance are just some of the benefits. The exercise can lower stress and improve stamina in the process. Avid dancers may see a lowered risk of osteoporosis, diabetes, heart disease and high blood pressure, as well.

Bocce Ball

This sport’s history is fascinating! Dating back to ancient Egypt in 5200 B.C., bocce ball’s popularity began to soar in Greece hundreds of years later. The sport made its way to Belgium, Flanders and Holland after that. Bocce ball took center stage during the first Bocce Olympiad held in Athens in 1896. It wasn’t until the late 1980s that the sport officially took off in the United States, though. Open Bocce is the most played version of the game. Eight balls, plus a smaller ball (pallino) are shared between 2, 4, 6 or 8 players. A random player is chosen to throw the pallino first, then all participants try to get their ball closest to the pallino. The closest to the pallino receives one point after each round. Additional points are awarded when the leader’s ball is closer to the pallino than any other opponent’s shots. Once a total of 13 points is attained by one player, a winner is crowned.

Regular Post

Written by Craig B

1 October 2023

Picking the Right Walking Cane

Walking canes are mobility aids designed to assist individuals with balance and stability issues while walking. They come in various styles, materials, and designs to cater to different needs and preferences. Here’s an overview of walking canes:

Types of Walking Canes:

Standard Canes: These are the most common type of walking canes and are typically made of wood or metal. They have a single straight shaft and a handle at the top. Standard canes provide basic support and are suitable for individuals with mild balance or mobility issues.
Folding Canes: Folding canes are designed for easy portability. They can be folded into a more compact size when not in use, making them convenient for travel or storage.
Quad Canes: Quad canes have a four-pronged base at the bottom, offering greater stability than standard canes. They are suitable for individuals who require extra support and balance assistance.
Offset Canes: Offset canes have an angled handle that aligns with the user’s wrist, providing a more ergonomic grip. They are designed to reduce wrist strain and offer better stability.
Derby Canes: Derby canes have a curved handle that is comfortable to grip and aesthetically pleasing. They are often made of wood and are favored for their elegant design.
Seat Canes: Some walking canes come with a built-in seat, allowing users to sit down and rest when needed. These canes are particularly useful for individuals who may get fatigued easily.

Materials:

Walking canes can be made from a variety of materials, including:

Wood: Traditional canes are often made from wood, such as oak, cherry, or maple. Wood canes are known for their aesthetic appeal and durability.
Metal: Aluminum and steel are commonly used for modern walking canes. Metal canes are lightweight, sturdy, and resistant to wear and tear.
Carbon Fiber: Carbon fiber canes are exceptionally lightweight and durable. They provide a high level of strength while remaining easy to handle.

Features and Adjustability:

Height Adjustment: Many walking canes are adjustable in height, allowing users to customize the cane to their specific needs. Proper height adjustment is essential for maximizing comfort and stability.
Grips: Canes may feature various types of grips, including foam, rubber, or ergonomic handles, designed to provide a comfortable and secure hold.
Cuff or Strap: Some canes come with a wrist cuff or strap that prevents the cane from falling to the ground when not in use, making it easier to retrieve.

Choosing the Right Cane:

When selecting a walking cane, it’s essential to consider factors such as your mobility needs, comfort, and personal preferences. Consult with a healthcare professional or physical therapist if you have specific mobility concerns. They can help you determine the most suitable type of cane and provide guidance on proper use.

Proper fit and usage are crucial for getting the most benefit from a walking cane while ensuring your safety. Regular maintenance, such as checking for wear and tear and replacing worn-out rubber tips, is also important for the safe and effective use of a cane.

To Stand Up And Walk

Quad cane: Push up from the armrest of the chair or from the bed to a standing position. Grasp the cane and make sure you are steady.
Standard cane: Hold the handle of the cane in one hand as you push up from the armrest. Once standing, pause to be sure you are steady.
Move the cane forward a short distance. Make sure you keep the cane a few inches out to the side.
Step forward with your injured or weaker leg first, putting weight onto the cane. Then take a step with your stronger leg.
Look up to see where you are going, not always down at the floor.

To Sit Down Onto A Chair

Back up until you feel the chair against your legs. Instructions based on type of cane are:

Quad cane: Place both hands on the chair arm. Ease down into the chair.
Standard cane: Hold the cane in one hand and the armrest with other hand. Ease down into the chair.

To Go Up The Stairs

Push down on the cane. Step up with your stronger or uninjured leg. Then step up to the same step with your weaker or injured leg. Bring the cane up.

To Go Down The Stairs

Place your cane down one step. Step down with your weaker or injured leg. Then step down with your uninjured leg.

If you have a railing, hold onto it with your other hand. If you use a large quad cane, you may need to turn it sideways so it fits on the step.

To Prevent Falls

Be sure your cane is in good condition. Your cane should have grooved rubber tips covering the bottom of each leg(s) of the cane.
Avoid throw rugs and waxed floors.
Be careful when walking on wet or slippery surfaces.
Wear low-heeled, tie shoes for better support.

Follow your physician’s orders regarding any limits on your activities.

Source: https://my.clevelandclinic.org/health/articles/15541-how-to-use-a-cane

Having a home safety assessment performed to identify fall risk and provide safety recommendations followed up by installation, can greatly reduce your risk of falls in your home environment. You are unique and your needs are too!

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