How can I make my home easier to navigate if I have multiple sclerosis?

To make your home easier to navigate if you have multiple sclerosis (MS): Install ramps, railings, and grab bars. If a door is at the top or bottom of the ramp, there should be a level area in front of the door; a platform 5 feet wide by 3 feet long is recommended to enable a person in a wheelchair to unlock and open the door. Whenever possible, put railings on both sides of a ramp.

Railing height above ramps is a matter of personal preference. The average-sized person usually finds that a height of 35 to 36 inches works well; if you are short, you may want to consider a railing 32 to 34 inches high. The railing itself should be 1 1/4 to 1 1/2 inches in diameter and provide a 1 1/2 inch clearance from any obstruction, such as a wall.

Before installing grab bars, determine where they would provide the most help. A space the width of a clenched fist (about 1 1/2 inches) should exist between the grab bar and the wall. Be sure to anchor the grab bars to the studs in the wall, so they can withstand the pressure and weight of being used.

Vinyl-covered grab rails are easier to grip and absorb less heat than metal. Install hand railings on both sides of a stairway so that you have support going up and down stairs. Basement stairs will be safer if you add abrasive rubber treads to each step.

For added safety, paint the edge of the steps with luminous paint to make them more visible. To improve the lighting in the stairwell, use at least a 100-watt bulb. Install a floor-to-ceiling pole by the bed, toilet, living room chair, and dining room table; use them as a steadying or balancing aid or to help you get to a standing position.

The attractive, durable, heavy-gauge steel poles are held in place by controlled tension, requiring no special tools or structural changes for installation. 5. Save steps and attract the attention of someone who is in the basement by turning the light switch at the top of the stairs on and off a few times.

The flashing lights will get the person's attention even if he has the volume on the TV or stereo cranked up.

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