FCE Archives - MeasurAbilities, LLC

Regular Post

Written by Craig B

5 September 2023

What Is A Home Safety Assessment?

What Is A Home Safety Assessment

A home safety assessment is an evaluation of your home to identify and eliminate potential hazards. It is typically performed by a licensed health-care professional, such as an occupational therapist or medical social worker. The assessment may also include home improvement recommendations to help you navigate your environment more securely, such as installing handrails in the bathroom or making sure your house has adequate lighting.

Here are some of the things that a home safety assessment typically covers:

Fall hazards: This includes things like uneven surfaces, slippery floors, and clutter.
Fire hazards: This includes things like faulty electrical wiring, malfunctioning smoke detectors, and flammable materials.
Poison hazards: This includes things like medications, cleaning products, and hazardous chemicals.
Slip and trip hazards: This includes things like loose rugs, uneven steps, and objects that are blocking walkways.
Security hazards: This includes things like unlocked doors and windows, poor lighting, and unsecured appliances.

A home safety assessment can be a valuable tool for helping you stay safe in your home. If you are concerned about the safety of your home, you should talk to your doctor or a home safety professional about having an assessment done.

Here are some of the benefits of having a home safety assessment:

It can help you identify and eliminate potential hazards in your home.
It can help you make your home more accessible and comfortable.
It can help you reduce your risk of falls, injuries, and accidents.
It can help you improve your quality of life and independence.

If you are interested in having a home safety assessment, you can contact your local health department, aging services agency, or a home safety professional. There are also many online resources available that can help you assess the safety of your home.

Here are some additional tips for making your home safer:

Install smoke detectors and carbon monoxide detectors on every level of your home.
Test your smoke detectors monthly and change the batteries twice a year.
Keep stairways and walkways clear of clutter.
Use non-slip mats in wet areas.
Install handrails in the bathroom and near stairs.
Make sure your home is well-lit, especially at night.
Keep medications and cleaning products out of reach of children and pets.
Secure appliances and furniture so they cannot tip over.
Have a fire escape plan in place and practice it with your family regularly.

If you are looking for a complete home safety checklist for your senior loved one(s), then follow our guide below!

Home Safety Checklist For Seniors

A home safety assessment offers a unique way to proactively assess your home’s safety. This assessment can help seniors who live independently or have an older home with potential dangers. Check out the CDC’s guidelines here for more information.

A home safety checklist needs to include the following items:

Floor Safety

❒ Keep paths free of any furniture in each room of the house.

❒ Secure all throw rugs with double-sided tape or nonslip backing.

❒ Make sure there are no other objects, such as papers, boxes, shoes or blankets on the floors.

❒ Keep all wires securely taped or coiled next to walls.

Kitchen Safety

❒ Keep most frequently used items on the lower shelves.

❒ Have a sturdy step stool in the kitchen, if needed.

Bedroom Safety

❒ Tub and/or shower floors should have nonstick rubber mats.

❒ Have grab bars to use for getting in and out of the tub.

❒ Grab bars can be placed around the toilet, as well.

Bathroom Safety

❒ Light(s) should be near the bed within reach.

❒ Light the path from the bed to the bathroom well with nightlights.

Stair Safety

❒ Remove any loose objects from the stairs/steps.

❒ Fix any broken or uneven steps.

❒ Make sure there is no loose or torn carpeting in the area.

❒ Have sufficient lighting above the stairways.

❒ Make sure there is a light switch at the bottom and top of the staircase.

❒ Have handrails on both sides, making sure they are not loose or broken.

❒ Handrails should run the full length of the stairway.

Other Home Hazards

Pests and chemical hazards always pose a threat to homeowners. Use these safety tips:

❒ Test for radon and lead. Homes built before 1978 tend to contain lead in their paint, pipes and soil.

❒ Check for mold/mildew.

❒ Seal up any cracks in your home’s structure.

❒ Use natural pesticides to avoid any contamination.

Health Status Considerations

There are certainly several health factors that could cause a senior’s fall or accident at home, including the following:

Hearing Loss: Even a mild degree of hearing loss could become a fall risk.
Vertigo: This can make the elderly dizzy to the point where they can no longer balance properly.
Vision Problems: Seniors should undergo yearly tests to ensure any eyeglass prescriptions are up to date.
Medications: Certain types of medications can cause balance issues, dizziness or overall weakness.
Strength: Ensure strength, mobility and balance are always in good shape.
Foot Pain: Senior citizens experiencing pain or numbness in their feet could fall at home.
Dehydration: Seniors need to stay hydrated all throughout the day.
Vitamin D Deficiency: Low levels of vitamin D can result in reduced muscle strength and physical performance.

Home Safety Assessment For Seniors

If you are an older adult or have a loved one living on their own, a home safety assessment is a great way to find and eliminate any safety concerns. This assessment is typically performed by a licensed healthcare professional, including medical social workers or occupational therapists. The assessment may include things such as home improvement recommendations. Medical professionals may recommend installing handrails and extra lighting, for instance.

Since falls are one of the most common causes of injury among seniors, these assessments are a crucial preventative measure towards improving safety. One in four Americans age 65-plus fall every year, according to the National Council on Aging. Falls are the number one cause of injury-related deaths for seniors today.

Thinking about adding safety grab bars, a raised toilet seat or other modifications to prevent falls in your home? Our physical and occupational therapists provide free home safety screenings, and will make clinically guided fall prevention recommendations, as well as create a customized plan to fit your individual needs. We follow up with clinically guided installation of all of our fall prevention home safety products.

Our clinically guided solutions will ensure you and your loved ones can navigate your home environment safely and with confidence. Visit our Home Safety Solutions page to learn about the products and services we provide and install (we are licensed, bonded and insured), to help you prevent falls in your home.

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Aging Parents, Disability and Functional Evaluation Solutions, Fall Prevention, FCE, Functional Capacity Evaluations, Home Safety, Senior Living

home safety checklist for seniors

Regular Post

Written by Craig B

14 August 2023

Keeping Healthy For Seniors 2023

Here are some of the benefits of physical activity for seniors:

Reduces the risk of chronic diseases: Physical activity can help to reduce the risk of chronic diseases such as heart disease, stroke, type 2 diabetes, and some types of cancer.
Improves balance and coordination: Balance and coordination are important for preventing falls, which are a major cause of injury and death in seniors.
Strengthens bones and muscles: Physical activity can help to strengthen bones and muscles, which can help to improve mobility and reduce the risk of falls.
Improves mood and sleep: Physical activity can help to improve mood and sleep, which are both important for overall health and well-being.
Increases energy levels: Physical activity can help to increase energy levels and improve stamina.
Promotes independence: Physical activity can help to promote independence and reduce the need for assistance with daily activities.

The Centers for Disease Control and Prevention (CDC) recommends that adults aged 65 and older get at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity each week. In addition, they should do muscle-strengthening activities that work all major muscle groups on two or more days a week.

Some examples of moderate-intensity aerobic activities include:

Brisk walking
Dancing
Biking
Swimming
Water aerobics

Some examples of vigorous-intensity aerobic activities include:

Running
Jumping rope
Swimming laps
Playing tennis
Hiking

Some examples of muscle-strengthening activities include:

Lifting weights
Doing push-ups and sit-ups
Using resistance bands
Gardening
Dancing

It is important to start slowly and gradually increase the amount and intensity of physical activity. If you have any health concerns, talk to your doctor before starting an exercise program.

Here are some of the benefits of physical activity for seniors:

Reduces the risk of chronic diseases: Physical activity can help to reduce the risk of chronic diseases such as heart disease, stroke, type 2 diabetes, and some types of cancer.
Improves balance and coordination: Balance and coordination are important for preventing falls, which are a major cause of injury and death in seniors.
Strengthens bones and muscles: Physical activity can help to strengthen bones and muscles, which can help to improve mobility and reduce the risk of falls.
Improves mood and sleep: Physical activity can help to improve mood and sleep, which are both important for overall health and well-being.
Increases energy levels: Physical activity can help to increase energy levels and improve stamina.
Promotes independence: Physical activity can help to promote independence and reduce the need for assistance with daily activities.

Some examples of moderate-intensity aerobic activities include:

Brisk walking
Dancing
Biking
Swimming
Water aerobics

Some examples of vigorous-intensity aerobic activities include:

Running
Jumping rope
Swimming laps
Playing tennis
Hiking

Some examples of muscle-strengthening activities include:

Lifting weights
Doing push-ups and sit-ups
Using resistance bands
Gardening
Dancing

It is important to start slowly and gradually increase the amount and intensity of physical activity. If you have any health concerns, talk to your doctor before starting an exercise program.

Here are some additional tips for maintaining physical health in your senior years:

Eat a healthy diet. A healthy diet includes plenty of fruits, vegetables, and whole grains. It is also important to limit unhealthy fats, processed foods, and sugary drinks.
Get enough sleep. Adults aged 65 and older need 7-8 hours of sleep each night.
Manage stress. Stress can take a toll on physical health. Find healthy ways to manage stress, such as exercise, relaxation techniques, or spending time with loved ones.
See a doctor regularly. Regular checkups can help to identify any health problems early on.

By following these tips, you can maintain your physical health and enjoy a long and healthy life.

Walking For Seniors

Walking is a great exercise for seniors because it is low-impact and easy on the joints. It is also a good way to improve balance and coordination, which are important for preventing falls.

Here are some tips for walking exercises for seniors:

Start slowly and gradually increase the distance and duration of your walks.
Walk on a level surface, such as a sidewalk or treadmill.
Wear comfortable shoes that provide good support.
Bring a water bottle with you to stay hydrated.
Listen to your body and stop if you feel pain.

f you are a senior who is new to walking, start with short walks and gradually increase the distance and duration of your walks. It is also a good idea to talk to your doctor before starting an exercise program.

Here are some ideas for walking exercises for seniors:

Walk around your neighborhood.
Walk at a local park or trail.
Walk with a friend or family member.
Walk during your lunch break.
Walk after dinner.
Walk while listening to music or audiobooks.
Walk while talking on the phone.

By following these tips, you can enjoy the many benefits of walking and improve your physical health and well-being.

Here are some of the best times of day for seniors to walk:

Morning: Walking in the morning can help to boost your energy levels and improve your mood.
Evening: Walking in the evening can help you to relax and unwind after a long day.
Afternoon: Walking in the afternoon can help to break up the day and give you a chance to get some fresh air.

The best time of day to walk depends on your individual preferences and schedule. If you are a morning person, walking in the morning may be a good option for you. If you are more of a night owl, walking in the evening may be a better fit.

It is important to find a time of day that works for you and that you are most likely to stick with. If you are not sure when to start walking, talk to your doctor. They can help you choose a time that is right for you.

Dancing For Seniors

Dancing is a great way for seniors to stay active and healthy. It is a low-impact activity that is easy on the joints, and it can help to improve balance, coordination, and flexibility. Dancing can also help to reduce stress and improve mood.

Here are some of the benefits of dancing for seniors:

Improves balance and coordination: Dancing can help to improve balance and coordination, which are important for preventing falls.
Strengthens bones and muscles: Dancing can help to strengthen bones and muscles, which can help to improve mobility and reduce the risk of falls.
Improves mood and sleep: Dancing can help to improve mood and sleep, which are both important for overall health and well-being.
Increases energy levels: Dancing can help to increase energy levels and improve stamina.
Promotes social interaction: Dancing can be a great way to meet new people and socialize.
Reduces stress: Dancing can help to reduce stress and improve mental health.

There are many different types of dancing that are suitable for seniors, such as ballroom dancing, line dancing, and Zumba. It is important to find a type of dancing that you enjoy and that is appropriate for your fitness level.

If you are new to dancing, it is a good idea to start with a beginner class. This will give you the opportunity to learn the basics of dancing and to get comfortable with the movements. There are many different places where you can take dance classes for seniors, such as community centers, senior centers, and fitness clubs.

Here are some tips for dancing for seniors:

Start slowly and gradually increase the intensity of your workouts.
Listen to your body and stop if you feel pain.
Wear comfortable clothing and shoes.
Stay hydrated by drinking plenty of fluids.
Find a dance partner who is supportive and encouraging.

Dancing can be a great way for seniors to stay active and healthy. It is a fun and enjoyable activity that can provide many benefits for physical and mental health.

Here are some additional tips for finding a dance class for seniors:

Ask your friends or family if they know of any good classes.
Check with your local community center or senior center.
Look for classes that are specifically designed for seniors.
Make sure the class is at a time that works for you.
Try out a few different classes before you decide which one is right for you.

Biking For Seniors

Biking is a great way for seniors to stay active and healthy. It is a low-impact activity that is easy on the joints, and it can help to improve balance, coordination, and flexibility. Biking can also help to reduce stress and improve mood.

Here are some of the benefits of biking for seniors:

Improves balance and coordination: Biking can help to improve balance and coordination, which are important for preventing falls.
Strengthens bones and muscles: Biking can help to strengthen bones and muscles, which can help to improve mobility and reduce the risk of falls.
Improves mood and sleep: Biking can help to improve mood and sleep, which are both important for overall health and well-being.
Increases energy levels: Biking can help to increase energy levels and improve stamina.
Promotes social interaction: Biking can be a great way to meet new people and socialize.
Reduces stress: Biking can help to reduce stress and improve mental health.

However, there are some safety considerations that seniors should keep in mind when biking:

Wear a helmet: A helmet is the single most important safety gear for cyclists of all ages. It can help to protect your head in the event of a fall.
Be visible: Wear bright clothing and reflective gear so that you are visible to motorists and other cyclists.
Be aware of your surroundings: Pay attention to traffic and pedestrians, and be prepared to stop or slow down as needed.
Don’t bike in bad weather: Avoid biking in icy or snowy conditions, as well as in heavy rain or wind.
Start slowly and gradually increase your distance and intensity: As with any new exercise program, it is important to start slowly and gradually increase the intensity and duration of your rides.

If you are a senior who is new to biking, it is a good idea to start with short rides in a safe area. You can gradually increase the distance and intensity of your rides as you get stronger and more comfortable. It is also a good idea to talk to your doctor before starting a biking program, especially if you have any health concerns.

Here are some tips for finding a safe place to bike:

Look for trails or paths that are designed for cyclists.
Avoid biking on busy roads.
Be aware of potential hazards, such as potholes and uneven pavement.
If you are biking in a city, be aware of traffic signals and obey the rules of the road.

By following these safety tips, you can enjoy the many benefits of biking and stay safe on the road.

Here are some additional tips for biking for seniors:

Choose a bike that is comfortable and fits you properly.
Make sure your bike is in good working order.
Bring water and snacks with you on your rides.
Ride with a friend or family member.
Take breaks when you need them.

Swimming And Water Aerobics For Seniors

Here are some of the benefits of swimming and water aerobics for seniors:

Improves balance and coordination: Both swimming and water aerobics are low-impact exercises that are easy on the joints, making them a good option for people with balance or mobility issues. The buoyancy of the water helps to support the body, which can make it easier to move and balance.
- Strengthens muscles: Swimming and water aerobics can help to strengthen all of the major muscle groups, including the heart, lungs, and muscles in the arms, legs, and core. This can help to improve mobility and reduce the risk of falls.
- Improves cardiovascular health: Swimming and water aerobics are both aerobic exercises, which means they help to improve heart health and circulation. This can help to reduce the risk of heart disease, stroke, and other chronic health conditions.
- Increases flexibility: The buoyancy of the water can help to improve flexibility by taking some of the weight off of the joints. This can make it easier to move the joints through their full range of motion.
- Reduces stress: Swimming and water aerobics can be a relaxing and enjoyable way to relieve stress. The water can help to massage the body and the gentle movements can help to calm the mind.
- Promotes social interaction: Swimming and water aerobics classes can be a great way to meet new people and socialize. This can be especially beneficial for seniors who may be feeling isolated or lonely.
Here are some of the differences between swimming and water aerobics:
- Swimming: Swimming is a full-body workout that can be done in a pool or open water. It is a great way to improve cardiovascular health, strength, and flexibility.
- Water aerobics: Water aerobics is a group exercise class that is typically done in a pool. It is a low-impact workout that is easy on the joints and can be tailored to all fitness levels.
Both swimming and water aerobics can be beneficial for seniors, but the best option for you will depend on your individual preferences and fitness level. If you are new to exercise, water aerobics may be a good option because it is a low-impact workout. If you are looking for a more challenging workout, swimming may be a better choice.

It is important to talk to your doctor before starting any new exercise program, especially if you have any health concerns.

Here are some tips for swimming and water aerobics for seniors:
- Start slowly and gradually increase the intensity and duration of your workouts.
- Listen to your body and stop if you feel pain.
- Wear comfortable clothing and shoes that are appropriate for the water.
- Stay hydrated by drinking plenty of fluids before, during, and after your workout.
- Take breaks when you need them.
By following these tips, you can enjoy the many benefits of swimming and water aerobics safely and comfortably.

Regular Post

Written by webtechs

6 April 2020

The Importance of Clinically Correlating Functional Capacity Evaluation (FCE) Findings

In Chapter 16 of Guide to the Evaluation of Functional Ability, Genovese & Galper 2009, the chapter authors clearly make the case that a Functional Capacity Evaluation (FCE) is a clinical evaluation used to answer questions about an evaluee’s abilities (and limitations) relative to a medical condition(s). Moreover, because the FCE is a clinical evaluation, it needs to be performed by a qualified health care provider.

The discussion points out however, that many FCE evaluators do not produce reports that clinically correlate medical findings (found during the FCE or from review of medical records) with the functional findings of the FCE. In fact, the authors point out that reports they have reviewed provide evidence that some evaluators believe:

An FCE is a “plug and chug” totally objective process, and that all the clinician has to do is gather data and input it into their computer program;
The protocols are stand-alone and that the scoring procedures allow an evaluee’s physical abilities to be determined independent of any clinical judgment;
The evaluator’s role is more technical than clinical, simply observing performance and recording results.

These points could not be further from the truth. Clinical judgment within the functional testing process is not only a positive, it is a must in order for the FCE findings to be meaningful and useful.

Some FCE systems boast that their systems use “distraction-based” testing that is intended to investigate the issue of validity of effort and are entirely focused on objectively determining non-cooperative and poor effort in a legally-defensible way. These systems miss the point of why FCEs should be used.

The FCE as a clinical evaluation performed by a qualified health care professional will identify:

Are there activities the evaluee cannot do or should not do because of an underlying health condition;
Are there activities that might worsen the condition, delay or interfere with the recovery;
Are their activities that may put the evaluee or others at risk if performed by the evaluee.

As the authors so eloquently point out, a skilled FCE evaluator must demonstrate that the underlying health condition has an effect on the evaluee’s functional performance, or visa versa.

It is for these reasons that the FCE can only be properly performed by professionals knowledgeable in anatomy, physiology, pathology, kinesiology; have skills in clinical and functional evaluation methods; and are able to draw conclusions by considering the evaluee’s injury or illness in the context of all the other findings.

Clinical judgement based on solid testing protocols and scoring procedures is the gold standard for determining an evaluee’s function.

Sandy Goldstein, PT, CDMS is a physical abilities measurement specialist, and performs functional testing for SSDI, STD, LTD, PI, WC, Pre-Vocational Planning as well as return-to-work transitions. He can be reached at https://measurabilities.com/ or 480-285-6212

Regular Post

Written by webtechs

4 April 2020

Doctors Who SWAG – The Harmful Impact of Guessing for Disability & Workers’ Compensation Patients

For many worker’s compensation or disability patients, their primary care doctor is the go-to to treat and diagnose their injuries. However, few family physicians are trained to determine a patient’s ability to work – despite being asked to do so repeatedly.

Too often, I’ve heard stories of doctors who SWAGGED (took a scientific wild a** guess) at a patient’s capacity for work without testing. While this SWAG is based on the doctor’s knowledge of the patient’s injuries, guessing at function without testing to confirm it is akin to throwing out a broken lamp without first testing the light bulb to ensure it’s working. And it can have devastating consequences for patients.

Over the years, I’ve done thousands of Functional Capacity Evaluations, or FCEs, but there’s one in particular that I’ll never forget.

GET YOUR DISABILITY CLAIM APPROVED, THE FIRST TIME

Meet Bob, a Plumber

Bob was a 50-something male who had suffered a compression fracture of his thoracic spine eight years prior. If you’re not familiar with the term, a compression fracture is when a bone in the spine fractures or dissolves. This is a common injury caused by falls or other traumatic injuries.

In Bob’s case, the damage was to the thoracic area, located in the middle of the spine. After surgery and extensive physical rehabilitation, he was declared maximum medically improved with permanent restrictions.

The problem here is that Bob was never tested; rather his physician gave him a note stating he should not lift more than 20 lbs. The note had no timeline or follow up scheduled. Bob literally folded up the note, placed it in his wallet, and ceased working as a plumber – his career of nearly 25 years.

For the subsequent eight years, Bob worked as a cashier. By the time he came to me, Bob was barely able to keep afloat and was basically starving. He’d just applied for SSDI and vocational assistance and needed to be evaluated as part of his claim.

The Functional Test Yielded Surprising Results

The functional testing revealed that Bob could safely lift 50 lbs. Based on a reasonable degree of medical and ergonomic certainty, the testing showed that he could have likely worked as a plumber all along.

This is a stark lesson to all medical, vocational, and human resources professionals. The advantages of going the extra step and using objective functional testing to assess function and fitness-for-duty cannot be overstated.

In Bob’s case, a referral for an FCE could have circumvented years of missed wages and distress.

Research supports that job-specific testing is superior to functional estimates by a physician.

The well-known research study Comparing self-report, clinical examination and functional testing in the assessment of work-related limitations in patients with chronic low back pain (Brouwer et al., 2009) showed the importance of functional testing. Researchers concluded that the limitations derived from physicians’ clinical examination were higher than those derived from Functional Capacity Evaluation.

With our clients’ lives and livelihoods at risk, I strongly advocate objective functional and fitness-for-duty testing. Not because it is my line of work; it’s simply the right thing to do. Ethically and legally, we medical, vocational and human resources professionals owe it to our clients to not cut corners when assessing function and fitness-for-duty.

When objective testing is performed, the results provide evidence-based information on which stakeholders can rely to place a worker into a specific job, or at least, to specific job tasks.

LEARN ABOUT OUR GREEN LIGHT CLAIMS CONSULTATION

References

Brouwer, S., Dijkstra, P. U., Stewart, R. E., Göeken, L. N., Groothhoff, J. W., & Geertzen, J. H. (2009, 7). Comparing self-report, clinical examination and functional testing in the assessment of work-related limitations in patients with chronic low back pain. Retrieved from Northern Centre for Health Care Research, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands website: https://www.tandfonline.com/doi/abs/10.1080/09638280500052823