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Articles and videos

Clinician-written pieces on aging in place, fall prevention, and caregiving, plus videos as we add them. Practical, plain-spoken, and built around one idea: safety and independence are partners, not opposites.

Articles

Longer reads from Dr. Russ L'HommeDieu, DPT, on the real decisions families face at home.

Fall prevention 9 articles

An older woman practicing getting up from a mat using a sturdy chair, with a therapist beside her.

Getting up after a fall

Can you learn to fall safely and get up again?

Yes. You can learn how to land in a way that protects your bones, and you can practice a step-by-step way to get up from the floor.

Russ L'HommeDieu, DPT, ATP, CFPS · 8 min read

An older woman lying on a bathroom floor, reaching for an emergency call button that has fallen out of reach, under the headline I have fallen and I can not get up.

Fall detection

I've fallen and I can't get up

Why the button on a pendant so often goes unpressed, and how radar, Wi-Fi sensing and LiDAR let the home itself notice a fall.

Russ L'HommeDieu, DPT, ATP, CFPS · 11 min read

Older adults doing balance and strength exercises beside chairs in a community room.

Exercise

The exercise that actually prevents falls

The exercise that prevents falls combines strength training with balance work that truly challenges you, done standing, several times a week, for months.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

A dark bedroom with a soft amber floor light guiding the way from the bed to the bathroom door.

Fall prevention

How do I prevent falls at night?

Most night falls happen on the way to the bathroom. Light the path, set up the bed, get up in stages, and review medicines with the prescriber.

Russ L'HommeDieu, DPT, ATP, CFPS · 4 min read

A sturdy chair with a stopwatch on it and a tape mark on the floor, set up for a balance test.

Self-check

Three 5-minute tests to check your fall risk at home

Three short tests used by doctors and therapists can give you a quick picture of your strength and balance: the 30-Second Chair Stand, the 4-Stage Balance Test and the Timed Up and Go.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

An older woman walking confidently down a bright hallway with a handrail.

Fall prevention

Is it normal to fall as you get older?

Falls are common as people get older, but they are not a normal or expected part of aging.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

Health and medical 15 articles

A bathroom with a tub transfer bench, a grab bar and a handheld shower.

Stroke recovery

Home safety after a stroke: setting up for one-sided weakness

After a stroke, the home has to fit a body that now works differently on one side. The safest setup is built around how the person actually moves today, not how they moved before.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

An older man adjusting a hearing aid in a sunny living room.

Hearing

Hearing loss and falls

Yes, hearing loss and falls are linked. Hearing loss raises fall risk on its own, apart from age and other health problems.

Russ L'HommeDieu, DPT, ATP, CFPS · 4 min read

Sturdy closed-back shoes beside worn backless slippers on a tile floor.

Feet and footwear

Your feet, your shoes, and your balance

Your feet are part of your balance system. When they lose feeling, hurt, or sit in loose or slippery shoes, your brain gets poor information about the ground, and a fall becomes more likely.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

A brightly lit kitchen with high-contrast tape on a step edge and a large-print clock.

Low vision

Living with low vision at home

Low vision means vision loss that glasses cannot fully correct, and it roughly doubles the chance of a fall.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

Bifocal eyeglasses resting on the top step of a staircase beside a handrail.

Vision

Bifocals and stairs

Bifocals and other multifocal lenses can make stairs, curbs and thresholds harder to see, because you look down through the reading part of the lens.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

An older woman lying on her side in bed with a hand to her forehead, feeling dizzy.

Vertigo

Vertigo when you roll over in bed: BPPV

If the room spins for a few seconds when you roll over in bed, lie down or tip your head back, the cause is often BPPV (benign paroxysmal positional vertigo).

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

An older couple talking with a clinician in an exam room, with a bag of medicines on the desk.

Talking to your doctor

What to ask your doctor about falls

Your doctor may not ask about falls unless you bring them up, so plan to raise the topic yourself.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

Pill bottles, a weekly pill organizer and a notepad laid out on a kitchen table.

Medications

The medicines that make falls more likely

Many common medicines can make a fall more likely, especially when several are taken together.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

Room by room 9 articles

A garage entry step with a handrail and bright light, and a laundry basket on a rolling cart.

Garage and laundry

How do I make trips to the garage and laundry safer?

Garage and laundry trips combine several fall risks at once: a step down, a hard floor that may be uneven or slick, poor lighting and something heavy in your arms.

Russ L'HommeDieu, DPT, ATP, CFPS · 6 min read

Dishes stored at waist height and a step stool with a handle in a tidy kitchen.

Kitchen

How do I make the kitchen safer?

The biggest kitchen fall risks are reaching up high, bending down low and climbing on a chair to get something.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

Entry steps with handrails on both sides, bright lighting and contrasting step edges.

Stairs

How do I make stairs and steps safer?

Most stair falls can be made less likely with a few changes: handrails on both sides for the full length, light switches at the top and bottom, and step edges that clearly stand out.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

A small dog resting on its bed by the wall while an older man walks past on a clear path.

Pets

Pets underfoot: loving your pet without tripping over it

You do not have to give up your dog or cat to stay safe. Pets are a real trip hazard, and leashes can pull people off balance, but a few habits and small changes to the home can lower the risk.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

A walk-in shower fitted with a vertical entry grab bar, a horizontal back-wall bar, a shower chair and a handheld shower head.

Bathroom safety

What grab bars do I actually need in the bathroom?

Where grab bars usually go, what the standards say, how to anchor them, and why suction cups and towel bars are not the answer.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

A rollator's front wheels at the raised track of a sliding glass door opening onto a screened Florida lanai.

Florida homes

Is a lanai sliding door a fall risk?

Raised tracks, heavy impact glass and a step down to a wet lanai: how to check a sliding door and fix it without breaking its storm rating.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

Equipment and technology 7 articles

A robot vacuum on a living room floor near an older man reading in an armchair.

Technology

Can a robot vacuum tell you if Mom has fallen?

A robot vacuum with a camera can find someone who has fallen and open a two-way call. It cannot catch every fall, so it works best as one part of a bigger safety plan.

Russ L'HommeDieu, DPT, ATP, CFPS · 12 min read

A cane, a quad cane and a walker standing side by side against a wall.

Mobility devices

Cane or walker? Choosing the right one and the right height

The right mobility aid, sized correctly and taught well, helps prevent falls. The wrong one, a damaged one, or one you were never shown how to use can cause them.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

Cost and coverage 7 articles

A home oxygen concentrator, a portable oxygen concentrator and two oxygen cylinders on a table beside insurance cards and a coverage checklist.

Oxygen coverage

Home Oxygen Equipment: What Insurance and Medicare Cover

What Medicare, Medicare Advantage, Florida Medicaid, the VA, TRICARE and private insurance cover for concentrators, portable units and oxygen tanks.

Russ L'HommeDieu, DPT, ATP, CFPS · 19 min read

A generic Medicare card, a calculator and a notepad with a question mark on a kitchen table.

Cost and coverage

Does Medicare pay for a home safety assessment?

What Medicare may and may not cover, other programs that can help, and how our home safety consultations are paid.

Russ L'HommeDieu, DPT, ATP, CFPS · 4 min read

A salesperson with a clipboard at a front door while an older homeowner considers a contract.

Consumer guide

Is a free contractor home safety check really free?

Why free safety checks are usually sales appointments, what a clinician sees that a contractor may not, and your rights when you sign at home.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

For families 6 articles

A daughter and her elderly father talking over coffee on a screened lanai.

For families

How do I talk to my parent about falls without a fight?

Start with what your parent wants, not with what scares you. Talk about staying independent and doing the things they love, rather than about "falls." Use the word "concern" instead of "fear," offer choices instead of orders, and expect this to be several conversations, not one.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

An adult son walking beside his elderly father on a neighborhood sidewalk.

For families

What are the signs my parent may be at higher fall risk?

Watch how your parent moves, not just what they say. Holding on to furniture to get around, pushing up hard with their hands to stand, shuffling or slowing down, and avoiding stairs or outings are all signs worth noticing.

Russ L'HommeDieu, DPT, ATP, CFPS · 5 min read

An older man and his adult daughter reviewing photos of the home on a tablet at the kitchen table.

Aging in place

Can my parent age in place in their current home?

Signs the home is still working, signs it is not, what the evidence says about making it work, and the four questions an assessment answers.

Russ L'HommeDieu, DPT, ATP, CFPS · 4 min read

Planning a home safety visit 5 articles

A clinician with a tablet and tape measure walking through a hallway with an older woman who uses a cane.

Before you book

What happens during a home safety visit?

The planning call, the 60 to 120 minute visit, the fall risk tests we use, and the written photo report and prioritized plan you keep.

Russ L'HommeDieu, DPT, ATP, CFPS · 4 min read

An older woman holding a mug at her kitchen table while her adult daughter rests a hand on her shoulder, beside a notebook that reads Real Risks, What Matters, Better Choices.

Aging in place · Caregiving

The Quiet Negotiation: Safety, Independence, and Compassion

Why you cannot subtract your way to safety, and how families can protect what matters most without shrinking the life they are trying to protect.

Russ L'HommeDieu, DPT, ATP, CFPS · 10 min read

Diagram titled The Three Elements of Home Safety Assessment. An older man with a walker stands outside his home, labeled Human Support, between Impairments (internal factors) and Impediments (external factors). Around them, Risk Assessment leads to Risk Mitigation and Feedback and Adjustment, framed as a 360 degree home safety evaluation.

Home safety assessment · Veterans

The Fight For Freedom: Home Safety Assessments

A framework from a decade of keeping veterans safe at home: impairments and impediments, the human factor, and why the simplest technology is often the best.

Russ L'HommeDieu, DPT, ATP, CFPS · 14 min read

White Papers

In-depth, referenced reports for families, clinicians and referral partners. Free to download.

White paper · Fall prevention

Understanding Fall Risk and Fall Prevention

Why older adults fall, how risk is screened and assessed, and the interventions that work: exercise, medication review, vision, the home and more. Start with our fall risk quick check.

Russ L'HommeDieu, DPT, ATP, CFPS · 43 pages (PDF)

Videos

We are producing short, practical videos on home safety and caregiving.

No videos are posted yet. When we publish one, it will appear here alongside the articles.

Have a topic you would like us to cover? Call (813) 365-9171 or email info@homesafety.solutions.

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