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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:
- Identify at least two ways of improving
their bathroom safety
- Enter and leave a bathtub safely, using appropriate
technical supports
Required materials
- Illustration: Hands
and knees method of standing up in a bathtub
- Buyers guide: Practical
items for your bathroom
- Checklist: Do
you use your sea legs in the bathroom?
- A bathtub for practicing transfers (if a bathtub
is not available, use a few cardboard boxes or pictures).
- Illustration: Use
your sea legs in the bathroom!
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 doesnt 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 shes 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. Luckys 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: Ive
been bathing this way for 65 years and I never fell before.
Im 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 dont know where to buy
one. |
| Argument: Its 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
dont like rubber mats. Theyre difficult to clean.
|
| Argument: You dont 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
dont need a grab bar. I hold on to the soap holder and
the towel bar. Ive 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
cant install grab bars because I rent. |
| Argument: The rules on this matter are
clear. You do not require your landlords 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 buyers 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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