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Activity tool 1. Use your sea legs in the bathroom!

Used with permission from the Régie Régionale de la santé et des services sociaux de Montréal Centre, Programme Intégré d'Équilibre Dynamique (PIED).

Objectives

After completing this activity, participants will be able to:

  1. Identify at least two ways of improving their bathroom safety
  2. Enter and leave a bathtub safely, using appropriate technical supports

Required materials

Meeting plan

Introduction

  • Review of proper footwear
  • Presentation of capsule topic

Activities

  • The story of Mrs. Lucky
  • Entering and exiting a bathtub safely

Conclusion

  • Review of highlights
  • Closing

Acknowledgements

Some of the illustrations were reprinted with the permission of the Association pour la santé et la sécurité au travail, secteur affaires sociales (ASSTSAS).

Introduction

Review of proper footwear

Ask participants whether they found any shoes in their closet that might be good candidates for a “lemon prize”? What have they done with them?

Presentation of capsule topic

Explain that the capsule is about things that every participant can do to improve their safety in a bathroom.

Activities

The story of Mrs. Lucky

Tell the story of Mrs. Lucky to explore unsafe behaviour and the dangers in a bathroom.

“Mrs. Lucky goes to the bathroom. As she nears the bathtub, she trips on a shag mat crinkled up on the floor. Luckily, she catches her balance and does not fall.

She fills the bathtub with hot water and pours in two capfuls of bath oil. Then, she drops her bathrobe on the mat and steps in the bathtub with a firm grip… on the towel bar. Luckily, the towel bar only bends. It doesn’t break.

After enjoying her hot bath, Mrs. Lucky decides to wash her hair. To lift herself up from the tub, she grabs on to the soap holder attached to the wall. Suddenly, the soap holder breaks off the wall. Luckily, she manages to stand up anyway.

Now that she’s standing, she realizes that she forgot to pull the plug to empty the tub. She leans over and hits her head on the faucet. Luckily, she manages to stay on her feet anyway and to pull the plug.

As she washes her hair under the shower, Mrs. Lucky feels dizzy. To regain her balance, she clutches the shower curtain, which rips under the strain. Luckily, the dizziness passes and she turns off the taps.

She leaves the bathtub. As she lifts one leg over the side of the tub, she slips on the oily bottom. Miraculously, she ends up sitting astride the side of the tub, safe and sound. She breathes a sigh of relief and stands up.

Once out of the tub, Mrs. Lucky stretches to reach for a towel. As she does, she catches her foot on the bathrobe lying on the floor. Unfortunately, Mrs. Lucky falls, flat on her face, on the bathroom floor.”

Participants’ advice to Mrs. Lucky

Ask participants for their help in identifying the risks that might cause Mrs. Lucky to fall and in coming up with alternatives (chart):

“What advice would you give Mrs. Lucky?”

Risks Possible Alternatives
A crinkled up bath mat as she gets in the tub Purchase a low-pile mat with a slip-resistant backing.
Using bath oil Instead, use body lotion after bathing.
Clutter (her bathrobe on the floor) Install hooks to hang up clothing.
Unsafe supports (towel bar, soap holder, shower curtain) Install firmly fastened grab bars to the wall or side of the bathtub.
Risk of dizziness when she washes her hair Install a hand-held shower and wash hair while sitting down.
Leaving the bathtub with wet feet Dry off before leaving the bathtub. If necessary, install a hook or towel bar within easy reach of the bathtub.

Mrs. Lucky’s reservations

As participants try to identify alternatives, perform a role-play in which they have to convince Mrs. Lucky to change her behaviour and organize her bathroom differently. After each suggestion, she expresses her reservations. To get participants to respond, ask them:

“What would you say to convince Mrs. Lucky?”

The aim of these activities is to create “cognitive dissonance” in participants. More specifically, as they come up with arguments to convince Mrs. Lucky, participants may start to feel uncomfortable about their own unsafe behaviour. To resolve this contradiction, they may start practising the safe behaviors they recommended to Mrs. Lucky. This is the discomfort principle created by “do what I say and not what I do.”

Reservation: “I’ve been bathing this way for 65 years and I never fell before. I’m too old to change my habits now!”
Argument: Over the years, your life has changed in many different ways. The new habits you developed became automatic over time. Now that you know about the dangers in your bathroom, you will find new ways of dealing with them.
 
Reservation: “My shag bathmat is a little slippery, but it matches the colour of the ceramic tiles in my bathroom.”
Argument: A wide selection of bathroom safety accessories is now available on the market. You can certainly find another mat that matches your bathroom but has a low pile and a non-slip backing.
 
Reservation: “A bath chair is too expensive and I don’t know where to buy one.”
Argument: It’s true that safety devices are an expense. However, if you compare the cost to what could happen if you fell, the decision may be easier. A lot of technical aids are now sold in drug stores and department stores. You can also check whether you are eligible for the program “Home Adaptations for Seniors’ Independence ” from CMHC (Handout 3 )
 
Reservation: “I don’t like rubber mats. They’re difficult to clean.”
Argument: You don’t have to clean the mat every time you take a bath. Once in a while, you can put it in the washing machine with a load of laundry.
 
Reservation: “I don’t need a grab bar. I hold on to the soap holder and the towel bar. I’ve been doing that for twenty years and I never fell before.”
Argument: Soap holders and towel bars are not designed to support the weight of a person. Many people have had a nasty surprise when their soap holder or towel bar fell even though they had been using them for years.
 
Reservation: “I can’t install grab bars because I rent.”
Argument: The rules on this matter are clear. You do not require your landlord’s permission to install grab bars. However, your landlord may require, when you move, that you leave the grab bars on the wall or repair the wall. The simplest solution is probably to talk to the landlord about it. Your landlord may offer to install the devices for you.

Safely entering and exiting a bathtub

Remember that bathroom falls can be very dangerous and that entering and exiting a bathtub is a complicated task that demands a lot of balance.

Show participants how to enter and leave a bathtub safely and ask interested participants to practice the maneuver. If a bathtub is not available, give a demonstration.

Hand out the sheet on “Hands and feet method for standing up in a bathtub.”

Discuss the major items of bathtub safety devices using the buyer’s guide, “Practical items for your bathroom,” and hand out a copy to each participant.

Give the names of neighborhood dealers who sell or install grab bars.

Conclusion

Review of highlights

Hand out the illustration, “Use your sea legs in the bathroom!” and the checklist, “Do you use your sea legs in the bathroom?” Remind participants about the most important bathroom safety rules:

  • install proper non-skid mats
  • use safety supports (for example, wall-mounted grab bars)
  • use a safe technique for entering and exiting the bathtub

Closing

Congratulate participants for the good advice they gave to Mrs. Lucky and encourage them to apply the same principles themselves in their own bathrooms.

Active Independent Aging was a joint venture between the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. For more information please visit our website at: www.falls-chutes.com. Funding provided by Health Canada/Veterans Affairs Canada Falls Prevention Initiative. The views expressed herein do not necessarily represent the official policies of Health Canada, Veterans Affairs Canada, the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. The information in this handout is current as of 2004.

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Last modified May 20, 2004