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name: aging-in-place-assessment description: "Assess whether and how someone can safely stay in their own home as they age — the home hazards, the support gaps, and the modifications and services that make it work. Use when asked can my parent stay in their home safely, aging in place assessment, is it safe for them to live alone, or what do we need for them to stay home. Produces a room-by-room safety read (fall hazards, accessibility), an honest look at the daily-living and support gaps, the modifications and services that could close them, warning signs that home may no longer be safe, and how to raise it respectfully — helping a family make a clear-eyed, dignity-preserving decision. Not medical advice."

Aging-in-Place Assessment

Most older people want to stay in their own home — and often can, with the right changes and support. But "they're fine" is sometimes denial, and "they can't cope" is sometimes overcaution. This gives a clear-eyed assessment: the home's actual hazards, the honest gaps in daily living and support, what could close them, and the warning signs that home genuinely isn't safe anymore — so the family decides with eyes open, and with the person's dignity front and center. Not medical advice.

What This Skill Produces

• A home safety read — the hazards room by room (fall risks like rugs/stairs/bathrooms, lighting, accessibility) and what to fix
• A daily-living gap check — honest look at how they're managing meals, hygiene, medications, mobility, finances, and getting around
• The support & modification options — what could make home work: home modifications, in-home help, meal/transport services, tech (alerts, monitoring), and family support
• Warning signs — the signals that home may no longer be safe (falls, missed meds, wandering, unmanaged bills, hygiene decline, isolation)
• How to raise it respectfully — approaching the conversation preserving the person's autonomy and dignity, not talking over them
• A boundary — this supports a family decision; medical/OT professionals should assess where health is involved

Required Inputs

Ask for these if not provided:

• The person — age, health, mobility, cognition, and what they want
• The home — layout (stairs, bathrooms), and known hazards
• How they're managing — daily living, meds, finances, social contact — honestly
• Support available — family nearby, budget for help/modifications
• The trigger — a fall, a scare, general worry, or planning ahead

Framework: Safety, Gaps, Support, Dignity

1. Assess the home. Go room by room for hazards — falls are the biggest risk (loose rugs, poor lighting, bathroom/stairs) — and note accessibility issues and quick fixes.
2. Check daily living honestly. How are they really doing with meals, hygiene, medications, mobility, money, and driving/transport — past both denial and overcaution.
3. Match support to gaps. For each gap, the option that closes it: modifications (grab bars, ramps, lighting), in-home help, services (meals, transport), tech (alert systems), and family support.
4. Watch the warning signs. Name the signals that home may no longer be safe — recurrent falls, missed medications, wandering, unpaid bills, hygiene or nutrition decline, dangerous cooking, isolation.
5. Preserve dignity. Center the person's wishes and autonomy; involve them in the decision rather than deciding over them — and raise concerns respectfully.
6. Bring in professionals. Where health, cognition, or safety are seriously in question, an occupational-therapy or medical assessment is the right next step.

Output Format

Aging in place: [person] · home [layout] · what they want [x]

Home safety (room by room): [fall hazards · lighting · bathroom/stairs · accessibility → fixes]. Daily-living gaps (honest): [meals · hygiene · meds · mobility · finances · transport]. Support to close gaps: modifications [grab bars/ramps/lighting] · in-home help · services [meals/transport] · tech [alerts] · family. ⚠️ Home may not be safe if: [falls · missed meds · wandering · unpaid bills · hygiene/nutrition decline · isolation]. Raise it respectfully: [center their wishes and autonomy].

Supports a family decision — not medical advice. For health/cognition/safety concerns, get an occupational-therapy or medical assessment.

Quality Checks

• [ ] Assesses home hazards room by room (falls prioritized)
• [ ] Honestly checks daily-living management (past denial/overcaution)
• [ ] Matches specific support/modifications to each gap
• [ ] Names the warning signs that home may be unsafe
• [ ] Centers the person's dignity and autonomy
• [ ] Flags when a professional assessment is needed; not medical advice

Anti-Patterns

• Reflexive "they're fine" (denial) or "they can't cope" (overcaution).
• Ignoring fall hazards — the biggest risk.
• Deciding over the person instead of with them.
• No specific support options for the gaps.
• Missing the warning signs or the professional-assessment line.

Example Trigger Phrases

• "Can my dad safely stay in his home as he gets older?"
• "Aging-in-place assessment for my mother who lives alone."
• "Is it still safe for my parent to live independently?"
• "What do we need to set up so my grandma can stay in her home?"
• "How do I bring up that home might not be safe anymore, respectfully?"