Home Designs For Life: Remodeling Ideas To Increase Safety, Function, And Accessibility In The Home.

Episode 24: Home Modification for People with a Spinal Cord or Brain Injury or People who Simply want to Age-In-Place

August 31, 2022 Janet Engel, OT/L, CAPS Season 2 Episode 24
Home Designs For Life: Remodeling Ideas To Increase Safety, Function, And Accessibility In The Home.
Episode 24: Home Modification for People with a Spinal Cord or Brain Injury or People who Simply want to Age-In-Place
Show Notes Transcript

Kris Wilson, Occupational Therapist, Certified Environmental Access Consultant, and owner of Modified Independence Evaluations, Inc., educates us on home modifications for people with spinal cord and brain injuries. He also discusses Workman's Comp and Veterans accessing the resources they are entitled to and desperately need. Kris also dives deep into home safety and the importance of hiring a Home Modification OT before you make any changes in your home. 

Support the show

https://homedesignsforlife.com/

homedesignsforlife@gmail.com

[00:00:00] Janet: And with us today, we have Kris Wilson. He is an occupational therapist. He is also a certified environmental access consultant, and he is the business owner of Modified Independence Evaluations in North Florida. Kris, thank you for being with 

us 

[00:00:20] Kris Wilson: today. Thanks for having me this morning, Janet. Of 

[00:00:23] Janet: course.

[00:00:24] Janet: So, Chris, I know that you have been an occupational therapist for about 14 years. You own your own business doing home modifications. You specialize with traumatic brain and spinal cord injury patients. Tell me about your career and how you started in the home modification 

[00:00:46] Kris Wilson: arena. So years ago I was in the Navy.

[00:00:49] Kris Wilson: I was a nuclear engineer on a submarine and I got.

[00:00:51] Kris Wilson: Okay. Can you hear me? Okay. 

[00:00:51] Janet: Just pick up. 

[00:00:51] Kris Wilson: Okay. Okay. So I multiple just pick up as pick up where you left them. Eventually they discharged me and after those surgeries always had therapy. So I decided to become a therapist went to university of St. [00:01:00] Augustine to get my master's degree. And on one of my first field works with my teacher.

[00:01:03] Kris Wilson: We went into a home for a lady that needed her home. so at that moment, I knew exactly what I was meant to do. I worked in inpatient rehab, outpatient rehab, skilled nursing and eventually landed in home healthcare where I still currently work as an OT PRN. And in October of 2019, I started my business working for the state of Florida brain and spinal cord injury program.

[00:01:28] Kris Wilson: And from there in January of 2020, I got on board with workers comp in the state of Florida and covering the Southeast. And then in January of 2022, I launched a private pay version of my business, where I do home modifications consultations for anybody who wants to pay, to have a professional come into the home and look at what needs to be modified.

[00:01:54] Janet: Okay. So I'm interested in learning about your process and how it [00:02:00] changes or perhaps doesn't change depending on the type of person you're doing the evaluation for their injury, their age, perhaps. So what is your process when you are doing a home 

[00:02:10] Kris Wilson: modification for someone? Well, the first thing that I'm going to consider is traumatic brain.

[00:02:13] Kris Wilson: What is. What is their cognitive and functional status. You know if they're walkie talkie and you know, they're physically debilitated, then that's gonna change what I need to do, because that means that we now have to have a caregiver involved. Most people marry somebody that's in the same age as them.

[00:02:30] Kris Wilson: So, you know, if I've got a, an older person that has a brain injury, that means they've probably got an older person that's taken care of them. So what do I have to do to modify the environment, to make it easy for this older person to take care of this other person, if it's the opposite and they're cognitively debilitated, but they're physically able to take care of themselves, then that brings in a whole different set of circumstances.

[00:02:54] Kris Wilson: You know, when they have a brain injury, sometimes they can be combative. So we don't want to do anything. [00:03:00] That's going to make them feel uncomfortable. We want to look more towards using things that are familiar to them to make it feel more like a routine like they were used to instead of a house full of new equipment that they've gotta learn how to negotiate.

[00:03:13] Kris Wilson: So in, in either case, it would just depend on, on, on the client's first, the client's status, second, the caregiver status. And then third, then we can modify the box that we call the home and try to remove any of those obstacles. But the home is the easiest part because it's the only stationary thing that has no emotions.

[00:03:35] Kris Wilson: It has no, you know, personality, it's just a home. It's just a box. That means that the walls can be moved. The plumbing can be moved. The electrical can be moved. The thing we can't do is change the situation that client is in.

[00:03:48] Janet: Right. Right. So let's talk about someone with a spinal cord 

[00:03:48] Kris Wilson: injury. So I'm gonna go in what is your, the first thing typically, they's still, you have that type of, so when I get the referral from the state, typically they're still in rehab, so I want to get those notes and I want to know exactly how they're doing.

[00:03:56] Kris Wilson: A lot of times I just experienced this yesterday. Actually I went to the [00:04:00] house and spoke with the wife and the wife's like, oh, he's walking everywhere and he's doing great and everything like that. But her motivation was to get her husband home. When I had a chance to look down at the therapy notes from the, you know, a couple days before he's not walking everywhere.

[00:04:14] Kris Wilson: So, you know, what she reports to me is a lot of different than what the therapists are gonna report to me. And to be honest, Sometimes the therapists in the rehab facility have their own motives. You know, the insurance is gonna run out and they need to get 'em outta the rehab or whatever. So you gotta take some of that with a grain of salt too.

[00:04:33] Kris Wilson: But in that case, again, if there're a spinal cord injury, then I'm expecting that home health is going to be involved. So what I'm trying to do is I'm trying to set up my fellow therapists that are gonna be coming out to that house with everything that they need, because there's nothing more frustrating than going in for a home.

[00:04:50] Kris Wilson: And realizing that the equipment is two weeks away. So I to get in and to get my report done, get everything sent to the appropriate people. That way, that exactly [00:05:00] equipment shows up that way. The equipment is there the day before or the day that the person gets home from rehab. That way that that plan of care that started care can be done in home care.

[00:05:10] Kris Wilson: And they can get started within that 48 hours and have everything at home that they need.

[00:05:14] Janet: Which is just crucial. And especially because you don't wanna go as a therapist, you don't want to go in a home, see a patient for the first time, do an evaluation and then realize it's too dangerous for you to even take them to the bathroom, to evaluate a transfer because the equipment isn't in.

[00:05:34] Janet: So, so then that 

[00:05:34] Kris Wilson: visit was, yeah, we don't useless visits are bringing gathering information. I try not to waste any visits. There's a lot that has to happen in a short amount of time.

[00:05:39] Janet: Exactly. Hm it, yeah, especially now. So now you told me that you have started a new branch of your business, which is focused on private pay, mainly people that want to age in place. So discuss your thought process and you know, how you 

[00:05:53] Kris Wilson: so go. So I start with a basic consultation. It's $175.

[00:05:53] Kris Wilson: People are concerned with the bathroom. So I price the bathroom at $175 for a consultation. [00:06:00] That gets me in the home to look at, you know, what they're gonna consider to be the most problem area of the home. I can make recommendations for the appropriate equipment and everything like. Okay. That process is just a matter of building a rapport with the client.

[00:06:14] Kris Wilson: I'm not required to be there by Medicare for home health. So now it's just more about building a relationship with that person. I will say that as a home health therapist, if I tell somebody to take their throw rugs up, they look at me like I'm crazy, but as a home modifications consultant and they paid me $175, if I tell 'em to throw rugs up, they're gonna take their throw rug.

[00:06:37] Kris Wilson: because now they have it. Right? So now they have some skin in the game. They have a vested interest and that's great. So, so really the process is to know them getting into the home, making the simple recommendations to get the bathroom going. And I priced it $175 because the going rate to install a grab bar down here in Jacksonville is $275.

[00:06:44] Kris Wilson: And that's if the contractor purchases a one foot grab bar, 12 inches, one foot grab bar and comes out to the home and has to put it in the tile. I have arrangements with several contractors that I work with, who specialize in the senior arena and they have the [00:07:00] price down to $75. As long as the client purchases, the grab bar.

[00:07:04] Kris Wilson: So now I've already saved them. At least my consultation fee on one visit after I get into the home. And I look at the home, if I feel like there's some safety concerns, then I'm gonna start talking to them about those safety concerns. Say, Hey, you know it's all well and good that we're gonna put a grab bar in here, or we're gonna put a shower in your tub, but, you know, I just understand that your husband.

[00:07:25] Kris Wilson: Was just diagnosed with, you know, Parkinson's or whatever. We've gotta look at something further down the road. This is gonna get 'em home, but this isn't gonna be the end all be all. Especially if you're trying to age in place and you're trying to stay off the floor. So then the conversation continues.

[00:07:40] Kris Wilson: We look at the rest of the home for another consultation fee, if they're interested. And that's when we get involved with ramps, stair. Elevators. I do pool modifications lifts zero entries to pools. Anything that, that people want their, your home should reflect what you need. And what you want. [00:08:00] So we just go up from there.

[00:08:02] Kris Wilson: And I even have at the highest level for a thousand dollars. Somebody can hire me to come in. I do just like I would do for workers comp or the state of Florida. I take pictures and measurements of, you know, say the bathroom. If we're gonna blow the bathroom up, put in a comfort height, toilet put in a roll in shower instead of a tub.

[00:08:20] Kris Wilson: I can take all of those measure. Make recommendations for every piece of equipment that needs to go into that bathroom and then they can take the report. They can contract any of the contractors that I have, that I've built a relationship with and get a quote from them by looking at the report. So now they don't have to worry about in this time of COVID three different contractors with three different agendas walking into their home and overpricing.

[00:08:47] Kris Wilson: and instead they can look at my report and see exactly everything. It needs to go into it and they can quote that report. They can quote that work over the phone to that client. And they know that they're getting the peace of mind [00:09:00] that I looked at their situation and made recommendations and they don't have to worry about a contractor trying to put in six grab bars when they really only need one.

[00:09:08] Janet: exactly. And you just, with all of the three examples that you gave us, someone with a traumatic brain injury, a spinal cord injury, and someone who simply wants to age in place, you just gave great examples of why hiring an occupational therapist is crucial to having someone do a good job. Okay. And actually save you money.

[00:09:36] Janet: Yep. So that you're only spending money on a home modification once because that occupational therapist is going to take into account what your abilities are today and what they may be in the future, according to the condition, or perhaps simply the aging process, you know, we all age, even if we're really healthy, Every day we're aging [00:10:00] and aging.

[00:10:00] Janet: Unfortunately  you know, there are things that come with it, you know, like low vision, you know  we don't feel the floor as, as well as we did, you know, just our balance may not be what it was 20 years ago. And you are taking all of that into account where a general contractor, they may be very good at their job, which is knocking down walls and building things, but they do not understand how the human body works and they do not understand well that how.

[00:10:31] Kris Wilson: Disease that general contractor has a vested interest. And that's where making that client the, in the future, when they need another grab bar or they need a ramp or something like that, I have a vested interest in helping them stay safe at home because I don't want to have to see them then in home care because something that they did cause them to fall and changed their life.

[00:10:43] Janet: right. Right. And tell me an example of someone that, you know, a client that you've had in the past that has spent money already modifying their 

[00:10:43] Kris Wilson: home. So I'm glad you brought that up because our brothers is something with  it used to be that the process for a veteran to get a grant for home modifications was they had to submit an application.

[00:10:52] Kris Wilson: The VA would contact me or there's only three of us in Jacksonville who do what I do by the way. So they would contact [00:11:00] one of us. We'd go out to the home, make the recommendations. And then the VA would issue the grant for an approximate value that we put on it. Right. So now the VA has taken us completely out of the loop.

[00:11:13] Kris Wilson: I just had this happen a few weeks ago, lady, her husband's a veteran. She gets a VA grant. for 20, some odd thousand dollars to modify the bathroom. And when it turned out she called the contractor. She had three different quotes. The VA issued the grant and the problem was that they didn't address probably half of the issues.

[00:11:38] Kris Wilson: The biggest issue was that the VA was gonna have to send a caregiver into the. 99% of the home CNA agencies here in north Florida. I know a lot of the owners and they have a stipulation in their contract with their CNAs, that they are not allowed to go into wet spaces. This contractor [00:12:00] built this big, beautiful six by six.

[00:12:02] Kris Wilson: I call it a party shower. I mean, you'd fit a lot of people in there and they put the shower controls all the way at the back of the. Which meant that the caregiver would have to get the veteran into the shower in his shower, buddy chair, and then walk into the shower to turn the water on and then walk into the shower to adjust the temperature and then walk into the shower to spin him around, to clean him up.

[00:12:25] Kris Wilson: And when the agency showed up, I know the owner of the. They showed up and they said, I'm sorry, but we can't do any of this. We can't use this. And they ended up having to sponge, bathe the gentleman and never ever were able to use that shower. I spoke to the wife, she spoke to the contractor and they wanted another $3,000 to move the shower controls to an appropriate location in the shower.

[00:12:50] Kris Wilson: That was, that's an oversight that the contractor had no idea. He was making. And if they would've hired me, we would've [00:13:00] made less modifications. She would've spent less money out of that grant, which means that ultimately there would've been more money in grants for other veterans who needed equipment.

[00:13:09] Kris Wilson: Right.

[00:13:09] Kris Wilson: Exactly 

[00:13:11] Janet: right. Right. Yeah. It would've been money 

[00:13:14] Kris Wilson: better spent. Yeah. It's very frustrating to me. And I've spent I've terrible. Well, pivoted and I've spent a lot of time because I live in a military town down here in Jacksonville. I've spent a lot of time educating spouses and veterans that if you're going to go for a grant.

[00:13:32] Kris Wilson: You need to involve me or another OT. That's a certified access consultant. Somebody that can look at their situation and make recommendations because it's our only opportunity to get involved. Otherwise we're just working with the, you know, the pieces that these contractors leave behind for us.

[00:13:50] Kris Wilson: And we're already working with a with a patient that isn't a hundred percent. You know, if you have a patient that's not a hundred percent in the setup, that's not a hundred percent. You can never expect to get a hundred [00:14:00] percent value and response out of that intervention.

[00:14:03] Kris Wilson: Right, exactly. 

[00:14:05] Janet: Right. Yeah. And usually you only have one time 

[00:14:08] Kris Wilson: that do it, right? Yeah. And the grants are hard to come. Come by. Once the monies are spent, especially with them settling the camp June lawsuit for Parkinson.  The agent orange is now. I mean that's so locked up that people aren't even getting benefits from it right now.

[00:14:15] Kris Wilson: So we're running into a lot of issues with that. And I wish, you know, if people are listening to this podcast, please talk to your representatives about getting somebody an access consultant involved. I know everybody in this country loves our veterans and we want to take care of our veterans and the right way to take care of our veterans is to be fiscally respons.

[00:14:34] Kris Wilson: With what we're providing to them and making sure that it's medically necessary, not just throwing a bunch of stuff at the wall and seeing what sticks 

[00:14:42] Janet: Okay, great. I'm glad you, you brought that up because yeah, 

[00:14:47] Kris Wilson: it's that topic has never been brought up in my passion, especially in areas where there's a heavy veteran and military presence. We end up, I think as veterans just end up sticking around, close to wherever we were discharged from usually.

[00:14:47] Kris Wilson: So, you know it's very important and it's one of the, it's one of the passions that I found in doing this business is advocating for veterans because God knows I'm gonna need it someday. And if we don't handle it responsibly and we don't do the right things, then you [00:15:00] know, future veterans are gonna suffer.

Yeah, 

[00:15:03] Janet: I agree. So what about when you have a client that wants to age in place? They're older, they wanna be able to stay in their home. Like most people, about 85% of people report that they want to stay in their home for as long as possible. If not forever. So tell me about experiences that you've had with clients where for example, they've already attempted to make a modification but haven't had the right 

[00:15:33] Kris Wilson: information.

[00:15:34] Kris Wilson: I had this happen if years ago. How do you try to nurse that I worked with in home health. She was she was in the ER and she had an aneurysm and while she was in rehab, her husband had the tub taken out and had a walk-in tub put. $12,000. And she came home and tried to use it the first time And what people neglect to realize about those walk-in tubs is they can take upwards of eight minutes to fill up, which means that you're [00:16:00] sitting there naked while you're waiting for the tub to fill up. And then they can take upwards of 10 minutes to drain, which means that you're sitting there and you're human soup waiting for the drain to go down.

[00:16:10] Kris Wilson: So then you can open the door and dry off and everything like that. She used that tub one time. Right. And after that, it ended up becoming a hamper for all of her dirty clothes. Every time she used the toilet. And instead we got her a $55 tub transfer bench. And by the time I was done working with her, she was able to bathe herself with her left hand.

[00:16:32] Kris Wilson: And to this day, I still refer to a tub transfer bench as a $55 fix to a $10,000 problem.

[00:16:38] Kris Wilson: Yeah. Yeah. And those, you got the base model without the jets and it was still 

[00:16:38] Janet: full, so expensive too. And people. 

[00:16:38] Kris Wilson: Oh yeah. And it was 

[00:16:38] Janet: still, yeah, because they can be upwards of 20 something thousand dollars or 30 something and people, 

[00:16:43] Kris Wilson: right. Don't eight that you still, you gotta get, you gotta get up one T like you're going upstairs and you gotta get in there.

[00:16:43] Kris Wilson: And then the other thing that people don't think about is say you live with your kids. And you got the walkin tub, but you still need help washing your back and your butt. Now your kids have to lean over the edge of that walkin tub in order to get down and access the areas they gotta get to.

[00:16:57] Kris Wilson: Oh yeah. Yeah. Very [00:17:00] difficult. Yeah. They're over four feet tall, which is very 

[00:17:02] Janet: high. Yeah. The edge of it. Yeah, exactly. And so another pet peeve of mine is the bath fitter. Type of arrangement. Many people think that it's a quick fix to remodeling your bathroom and I don't agree. One big problem is that when you.

[00:17:02] Janet:  Add a bath fitter or something like it. Now you've created a distance between your surface and the wall. So if you need to add a grab bar or let's say a shower seat, you won't be able to adhere it easily. Oh. So tell me, 

[00:17:02] Kris Wilson: I know you had an extreme, the lady spent over 20 grand to have a bathroom done.

[00:17:02] Kris Wilson: That gentleman had a stroke on his right hand side. So his right arm and right leg were flacid and he had hemianopsia on the right side. So he couldn't see anything. And so she had all the work done. They put the grab bar on the right hand side, they actually moved the shower controls over where the shower head was on the right hand shower.

[00:17:23] Kris Wilson: The contractor thought he was doing the right thing to make it easy for everybody. But in fact, the gentleman, the first time you went in, he actually missed the grab bar and he fell. And as a result, It actually made it a lot harder for his wife to be able to assist him because the shower controls were on the wrong side.

[00:17:40] Kris Wilson: His weak side was towards the outside of the shower and it just made it a lot more difficult. If I had been involved, I could have worked in conjunction with bath fitter. They could have said, Hey, you need to talk to this guy and make sure that everything that we need from a DME and safety standpoint is taken care of.

[00:17:59] Kris Wilson: They could have still [00:18:00] used bath fitter. I don't have a problem. As long as the space is modified, it just has to be modified. Right. And there's nothing wrong with, you know, trusting somebody who knows what they're doing. The example I use all the time is you wouldn't, if you're, if your lawn moer was running bad, you wouldn't take it to a car mechanic.

[00:18:19] Kris Wilson: It's a motor and it's got oil and gasoline in it, but it's probably not necessary to do that. So, you know, the, in, in a case like that lady, she probably would've spent about the same amount of money, but the contractor wanted money to move the shower, head and everything back to a different location, which means that it was gonna be more money for her.

[00:18:41] Kris Wilson: If I'd have been involved from the beginning, I could have drawn up plans for them re Rebath or bath, or whoever could have come in and still done their work that they're good at. I'm really not good at putting in bathtubs and showers. I can't lay a tile square to save my life. that's why I specialize in what I [00:19:00] specialize in.

[00:19:00] Kris Wilson: And that's what that, why they specialize in what they specialize in. We can work together in this world. Exactly. I can work with other contractors. I work with a lot of contractors when they get somebody in, that's doing a multi-generation set up in a home. They'll call me, pay me the consultation fee.

[00:19:16] Kris Wilson: Tell me, tell the client, Hey, I'm sending somebody in to look at your situation. I provide them everything that they need, and then their product actually looks. their finished product actually, is it looks good. And it has function and it has safety. The two parts that they can't provide are the two parts that are gonna be the most important things to that client.

[00:19:37] Kris Wilson: And if you think that somewhere down the road, when grandma falls, that they're not gonna be upset with bath fitter, you'd be crazy because if they involve somebody like me, we could keep her from falling and their product would still look good. Right. So, you know, it's about not trying to save money by cutting out the [00:20:00] occupational therapist that serves a unique role in making recommendations, because we're very knowledgeable about equipment as well, and lots of products that are out there that aren't even considered durable medical equipment.

[00:20:15] Janet: but can be used for safety purposes. Like Ponte Giulio they make many products that are beautiful and they're also safe and they're accessible. Absolutely. And they increase a person's function and independence. And so if you're familiar with what's out there as we are, then you're able to make better recommendations so that people not only have a space.

[00:20:40] Janet: Absolutely. That works for them, but they also have a space that looks good. And that is going to be resellable. You know, when they wanna sell their home, it's actually going to be a good thing that they made these modifications. It's gonna be money in their pocket , instead of being an ugly [00:21:00] modification. Exactly.

[00:21:00] Kris Wilson: Yeah. And I love and looks like it's I love the literal, like, well, I just don't want it to look, you know, like you said, like a hospital and that's when I get to break out the catalog and actually start looking, you know, like, okay, what color grab bars, lady that was sorry, I just gotta text message. I had a lady that sorry, I lost my train of thought.

[00:21:00] Kris Wilson: Oh, yeah, no, I had a lady who was a, yeah. I had a lady who was a, so you take out the catalog and she wanted all of her grab bars to, and you wanna show them, so went through the catalog, couldn't find pink grab bars. So what we did was we ordered stainless grab bars, and then here an orange park, I know a guy who does powder coating.

[00:21:00] Kris Wilson: So she paid and had him powder coded pink. And then I contacted another gentleman who I know he does slip resistant floor. And he put a ceramic coating on it that had a grip on it. And I tell you I, I grabbed ahold of that grab bar and it was almost like the grab bar grabbed me back. It was it was cool in her whole house, you know, everywhere she needed a grab bar.

[00:21:00] Kris Wilson: She wanted pink grab bars, really? So we did that, you know,

[00:21:00] Janet: Okay. Well that's great. And yep. You know, and so you serve two purposes, you made it pink for her liking and then also as she gets older and she has vision 

[00:21:00] Kris Wilson: changes now. Yeah. We have hopefully walls also really contrast the, and so she 

[00:21:00] Janet: has contrast. Yeah, absolutely.

[00:21:00] Janet: Well, that's great. So just tell me more about, you know what advice you have for people in general. And it can be anyone, it can be someone, you know, with a spinal cord injury or someone that is getting older and simply wants to stay in their home as most of us do. What are your recommendations for.

[00:21:21] Janet: If you wanna go down that route of making a whole modification for it to be well worth your money?  A good 

[00:21:28] Kris Wilson: investment, I would say when I was a kid, my dad always used to told me that you can fix something once the right time or write the one right one time, or you can fix something wrong a hundred times.

[00:21:28] Kris Wilson: In my opinion, we all put our seat belts on before we get in or before we start driving our. So really at that point where you're driving your car is probably about the time you start thinking about retirement. And at that point, you know, when you go into retirement, you're gonna be on a fixed income.

[00:21:47] Kris Wilson: So what do I need to do with the residual income that I have coming in right now? I've gotta make sure that I've got enough savings. I've gotta make sure that I've got you know, a good health plan in place. And I've gotta make sure that my home is ready for me to age in [00:22:00] place. so the way to prevent falls from the beginning is to make those modifications before the falls even start happening.

[00:22:07] Kris Wilson: Okay. So that's where somebody like  like myself should be involved. Yeah. Looking at the home and saying, okay, you don't have any comorbidities right now. You've never fallen. What can we do to just make this place safe? So in that case, you know  if their sensibility is, oh, I'd just like a grab bar to make it a little bit easier.

[00:22:25] Kris Wilson: That's fine. Right. If they're looking for the, you know, the whole shebang, let's do the whole shebang, cuz then we never have to go back in and do it when we're on a fixed income versus coming out of the hospital with a broken hip and Medicare gave me a three in one bedside commode, and now I'm going home with home healthcare.

[00:22:43] Kris Wilson: And now I've gotta try to figure out how to manage my home life. I don't have an easy button anymore, cuz I'm not in the hospital. I can't press that red button. Now we're trying to chase this situation and we're trying to figure out what needs to be done. Right. That's fine, but we've gotta get in there and we've gotta make those [00:23:00] modifications and make the home safe as quickly as possible.

[00:23:03] Kris Wilson: And, you know, and I too, I do try to forecast, you know, if we get an insidious diagnosis, like a Parkinson's or ALS or something, we know where that road goes. If we get a diagnosis like dementia, we know we don't want to take the shower out. We wanna leave the tub. That way we could even get one of those chairs that lowers down into the tub, because we know that they like to be submerged.

[00:23:21] Kris Wilson: They don't like all the noise. They don't like all the splashing. They don't like all that stuff. So, you know, even with the dementia diagnosis, we can say, okay, this is what we can do with the bathroom. This is what we can do with the home.  You know, it just depends on the person. Some people. I think some people go into older age thinking I have everything lined up and then they just forget one thing.

[00:23:39] Kris Wilson: And then there's other people that are just going into it and they're just gonna have at it. And whatever happens, I'm looking for the people that are looking to check that last box off and say, okay, now my home is ready. And in the long run, I'm gonna save them a ton of money and a ton of headache because I guarantee.

[00:23:57] Kris Wilson: That if I had the opportunity to trade somebody a [00:24:00] thousand dollars versus sitting in a hospital bed, a thousand dollars consultation with me to keep them from falling versus sitting in a hospital bed with a broken whatever they would gladly change that trade that thousand dollars for that situation.

[00:24:11] Janet: Yes. Way cheaper. And. You're only going to affect their lives in the future for the better, where that broken hip. Yep. Even after 

[00:24:19] Kris Wilson: get. Yeah, I like it. I like the positive residuals versus the negative residuals. Yeah.

[00:24:19] Kris Wilson:  So I've got exactly several things. I've got some constructional videos on YouTube about some of the common DME that Medicare sends home with patients, shower chairs tub benches, bedside commodes I've even got a tutorial video on there about how to make a bed handle at a PVC. In the back of my car for home health, I carry all the tools I make bed handles for a lot of my patients because that's one of the number one concerns getting in and outta bed.

[00:24:19] Kris Wilson: So you can find me on YouTube. It's Modified Independence. My  my website is modified dash independence. That's independence with a C I'm on Facebook modified independence evaluations. Gonna start making Instagram videos pretty soon. Increase my social media president presence. So website Facebook.

[00:24:38] Kris Wilson: Okay. You can call me (904) 710-8571. If I'm not in your area and you've got a smartphone, I can do a zoom consultation with you and still provide peace of mind to you and your family members. If you go home over the holidays and you're like, man, grandma looks like she's gonna tip. Pull me up on zoom.

[00:24:57] Kris Wilson: Hire me for a consultation. Take me over to [00:25:00] grandma's house. Put me on camera. I'll talk to grandma to look at the home. I'll give you a comprehensive report and show you everything that needs to be done to that home. That way you can leave after family vacation and know that home is gonna be safe for your family members.

[00:25:13] Janet: That's. That's great. And I know, you know I look at my mom that had she's blind in one eye because she had a retinal detachment. And I think about that all the time. You know what is it that she needs? You know, how can we make this space safer? And it just really does give you a peace of mind when you know that you can hire someone, even if they're not in your area.

[00:25:35] Kris Wilson: Absolutely. And you can still absolutely. I do them all the time for worker's comp doing a virtual. It's not that assessment of I don't have to touch. I don't have to touch anybody. Yeah. As long as I can see what I gotta see, that's it. Yep. Well, 

[00:25:46] Janet: right. Well, that's great. Thank you so much, Kris I learned so much with you today and I know that our listeners have as well, you know, you've really broadened our perspective on [00:26:00] what we need to be thinking about and things that we can certainly plan for and will really have a positive effect on how we age and what our.

[00:26:11] Janet: Looks like and how we function in it, which is, I always say the key is to plan. And that is why I started this podcast because there wasn't enough information out there available for people in one space where you could learn about aging in place, or you could learn about home safety or learn about equipment.

[00:26:33] Janet: And that's what I'm trying to provide on this podcast. invite people that have different perspectives, different expertise, and just educate the public on how you can plan for the future and how you can make aging 

[00:26:49] Kris Wilson: easier. And I'd love to have conversation with you anytime you wanna have me on.

[00:26:50] Kris Wilson: I also forgot my email address is modifiedindependence@gmail.com. Again, that's independence with a C.

[00:26:57] Janet: Okay. Great. And I will put that [00:27:00] link on the podcast notes. So anyone that wants to reach out to 

[00:27:04] Kris Wilson: Kris will educate people together. Janet, that link we'll let '

[00:27:07] Janet: em know, and you will be able to get ahold of him. 

[00:27:10] Kris Wilson: Thank you. Thank you for your time. Have a great day. Yes. 

[00:27:13] Janet: Yes. I would love to. Thank you so much, Kris.

[00:27:16] Kris Wilson: You too.