Lack of Proper Storage and Presence of Clutter
Given that bathroom design has remained virtually unchanged since the introduction of indoor plumbing, designs to safely accommodate supplies, towels and other bathroom related items is grossly inadequate. Many people are forced to place shampoos and bathing soaps, brushes, razors, wash clothes, and various other items in and around the tub or shower, often in dishes or add-on accessories within the bathing area. This can lead to accidentally stepping, sitting or leaning on items that result in an injury, and can lead to a pain and reflex reaction, or slip related falls. Items on seats, benches, or left about the tub or shower can fall onto the floor of the bathing area of tubs or showers, and lead to injury, or falls, resulting from over exertion, over extension, or loss of stability attempting to retrieve them. Many bathrooms lack sufficient storage for towels and other clothing or grooming items. The areas outside the bathing area, but in proximity to the bathtub or shower can be cluttered with towels, scales, baskets and the like on the floor, doors, or other improper locations. These can lead to tripping, or loss of balance while attempting to maneuver around them or while attempting to pick them up for use.
Improper Flooring Material
Bathrooms are historically floored with tile, or hard surface materials that are resistant to water. However, this generally means that these materials offer less traction, particularly in the presence of water. When we add the reduced stability of older people due to aging relating conditions, the fatigue and weakness that often follows bathing, or the need for an assistant to help getting into and out of the bath, these surfaces are quite dangerous. Mats and anti-slip pads are a help, but the risk of feet becoming tangled and tripping on them, as well as the risk of these mats becoming crumpled or moved during use, raises a separate issue of safety. Also, these items are rarely a whole floor solution. This means there tends to be areas around or away from the mats that are not protected from slipping. Any item that is not securely affixed to the floor can be a hazard. Carpeting in the bathroom helps address the traction problem, but creates issues of mildew, and inability to navigate easily with the use of assistive devices, such as walkers and wheelchairs.
Lack of Support
There are no proper supports and lifting aids in traditional bathroom designs, such as grab bars, poles, lifting devices, raised toilets and other appliances. If they are present at all, these tend to be added as an after thought, and are frequently installed improperly for the intended use. Often, towel bars, or non-ADA compliant grab bars are used. These can actually lead to injury because of the likelihood they will fail or break when subjected to the stress of a person attempting to stop a fall, raise them self or stabilize their full body weight.
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