A Room-by-Room Safety Makeover for Dementia at Home

Front Entry & Living Areas

Goals: clear pathways, fewer tripping hazards, strong visual cues.

Quick wins

• Remove or tape down throw rugs; coil and secure cords; declutter walkways.

• Create a sturdy “safe seat” (chair with arms, correct height for easy standing).

• Add motion nightlights on routes used at dusk/night.

• Mark step edges with high-contrast tape; avoid glossy floors that glare.

• Install door chimes or sensors if wandering is a risk.

Setups that help

• A small table by the door for keys, glasses, and ID bracelet.

• A wall hook for a light cardigan/wrap (temperature changes can trigger agitation).

• TV on “gentle” content (nature, music) and lower volume in evenings.

Red flags

• New shuffling, furniture “surfing,” or recent near-falls → ask for PT/OT evaluation.

Kitchen

Quick wins

• Use auto-shutoff appliances (kettle, coffee maker); consider induction cooktop.

• Lock or relocate knives/cleaners; store matches/lighters out of sight.

• Label cupboards and drawers with large, plain words + simple icons (“MUGS,” “PLATES”).

• Create a hydration station: clear cups, measured pitcher, favorite beverage.

• Post a simple plate visual: protein + veg + whole grain; keep snacks visible.

Setups that help

• Pre-portion snacks in small containers for easy choices.

• Simplify the microwave with two or three preset buttons and a visual guide.

• Weekly pill organizer stored securely; one pharmacy if possible.

Red flags

• Scorch marks, spoiled food, or repeated missed meals → request nursing/OT support.

Bathroom

Quick wins

• Install stud-mounted grab bars beside the toilet and in the shower (avoid suction-only).

• Add a raised toilet seat and non-slip mats inside/outside the tub.

• Use a hand-held shower, shower chair, and contrasting towels for visibility.

• Keep toiletries within easy reach; remove door locks if there’s a trapping risk.

• Nightlight path from bed → bathroom.

Care tips

• Warm the bathroom beforehand; offer “shower or warm washcloth?” (two choices).

• Lay out supplies in order of use; narrate one step at a time.

Red flags

• New incontinence, skin breakdown, or fear of bathing → call clinician; OT can help.

Bedroom

Quick wins

• Bed height ≈ knee level; ensure a clear path to the bathroom with nightlights.

• Lay out complete outfits together; big drawer/closet labels (e.g., “PAJAMAS”).

• Reduce clutter; avoid loose bedding. Consider satin side panels to ease turning.

• Keep a comfort item (soft blanket, familiar photo, favorite music) within reach.

Evening routine

• Lights on before dusk, early light dinner, calming music, toileting, then bed at a consistent time.

Red flags

• Increased night wandering or falls → ask for home safety reassessment and sleep review.

Hallways & Stairs

Quick wins

• Bright, even lighting; switch to warm bulbs at night to reduce glare/shadows.

• Handrails on both sides of stairs if possible.

• High-contrast tape on stair edges; remove throw rugs.

• Put familiar photos at eye level as orientation cues.

Red flags

• Hesitation at thresholds, holding walls, or skipping steps → PT for balance/gait.

Exits & Outdoors

Quick wins

• Door chimes/alerts; inform trusted neighbors and share a contact number.

• Medical ID bracelet with name and 24/7 phone number.

• Non-slip mats at thresholds; a bench or chair for shoe changes.

• Create a safe walking route (level path, shade); schedule a regular daily walk.

Red flags

• Trying exterior doors repeatedly, getting lost, or sunburn/dehydration → reassess routine and supervision.