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?"