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WESTMEAD HOME SAFETY ASSESSMENT SHORT FORM NAME: THERAPIST: DATE OF VISIT: / / TYPE OF RESIDENCE: OWNERSHIP: DIAGNOSIS: AGE: No. FALLS PAST YEAR: FUNCTIONAL VISION: MOBILITY: FUNCTIONAL COGNITION:.

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How to fill out the Westmead Home Safety Assessment online

The Westmead Home Safety Assessment is a valuable tool designed to identify potential fall hazards within a person's home. This guide provides step-by-step instructions to assist users in accurately completing the assessment online, ensuring a thorough evaluation of safety in residential environments.

Follow the steps to complete the assessment online:

  1. Press the ‘Get Form’ button to access the Westmead Home Safety Assessment and open the document for editing.
  2. Begin by entering the user's name in the designated field at the top of the form. This should be the name of the individual for whom the assessment is being completed.
  3. Next, fill in the therapist's name, ensuring that the contact person is correctly designated.
  4. Enter the date of the visit, using the specified format (day/month/year). This helps to track when the assessment was conducted.
  5. Indicate the type of residence by selecting appropriate options, such as house, apartment, or another type of dwelling.
  6. Document the ownership status of the residence, whether it is owned, rented, or shared.
  7. Record the diagnosis related to the user's mobility or health condition, as this information is essential for tailoring safety recommendations.
  8. Include the age of the user in the specified field.
  9. Indicate the number of falls the user has experienced in the past year; this can provide insight into their current risk level.
  10. Describe the user's functional vision and mobility status thoroughly, as this will inform necessary adjustments to their living environment.
  11. Evaluate the user's functional cognition to ensure they can navigate their space safely.
  12. Lastly, outline any home and community supports or assistance that the user currently has in place.
  13. In the summary and action plan section, articulate a plan addressing identified hazards and suggested interventions.
  14. After completing each section, review the document for accuracy and completeness.
  15. Users can then save changes, download the document, print it for records, or share it with relevant parties.

Complete your Westmead Home Safety Assessment online today for a safer home environment.

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A home safety assessment is an evaluation of your home to identify and eliminate potential hazards. Who can perform a home safety assessment? It's usually performed by a licensed health-care professional, such as an occupational therapist or medical social worker.

To identify hazards in the physical home environments of older adults at risk of falling.

Home assessments are an important component of home care. They determine the degree of safety, function and comfort of patients in their homes, and evaluate the need for adaptive equipment and assistive devices.

Some of the most common hazards at home include fire, poisoning and allergies. There may also be risks posed by your home's contents, such as falls, choking, cuts and burns. This is not an exhaustive list, so you may find it useful to do your own research and conduct a risk assessment of your home.

A home safety assessment includes 3 parts: assessment of (1) commonly used areas inside and outside the home; (2) observation of the older person moving around the home environment; and, (3) fall risk and health status of the older person.

You'll start in a chair, stand up, and then walk for about 10 feet at your regular pace. Then you'll sit down again. Your health care provider will check how long it takes you to do this. If it takes you 12 seconds or more, it may mean you are at higher risk for a fall.

Review Electrical Cords and Outlets. Inspect Home Heating. Check Smoke and Carbon Monoxide Detectors. Use Fire Extinguishers. Develop an Escape Plan. Protect Small Children. Prevent Burglaries. Take Extra Precautions.

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