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Creating the Movement‐Access Continuum in Home Environments for Dementia Care

Since the majority of people with Alzheimer's disease receive some care at home, the environment of that home must be safe and supportive. In-depth interviews of 90 “seasoned” caregivers identified tactics for creating these settings through home modifications and technology. A successful modification strategy follows a three-stage movement-access continuum that responds to the disease course—assistance, restriction with compensation, and wheelchair accessibility. Approaching home modifications along this continuum encourages independence and movement when appropriate while providing safety and control. With a sensitive and ongoing modification strategy, the home environment can become an asset rather than a liability for caregiving.