Lifelong Design

Universal design is convenient for everyone -- not just grandma and grandpa

15 MIN READ

Universal design. Accessible design. Aging-in-place. All of these terms describe a design philosophy that recognizes the need for the built environment to accommodate people of different sizes, shapes, and abilities, and strives to remove obstacles to easy use by current and future occupants.

Some solutions are as simple as wider doorways and lever-handle locksets; others are tailored to particular physical constraints and the needs of caregivers. Still other solutions anticipate the effects of aging on vision, range of motion, and strength.

Many believe these solutions should become standard practice, but it’s not always easy to design for an eventuality that most homeowners don’t want to think about.

Most remodelers who are doing universal design work agree that the biggest obstacle with clients is strictly psychological. And if the client is a baby boomer, there is even more pushback.

Anatomy of Aging: Remodelers Should Consider These Physical Changes When Designing for Clients

  • Vision Changes: may start in our 30s, but accelerate in our mid-50s. Peripheral vision shrinks; we have trouble seeing objects clearly at different distances and in dim light; correctly judging distances; distinguishing certain colors. By understanding how our bodies change over time, we can do a better job of designing our built environment to accommodate a broader range of physical abilities.
  • Muscles: Strength and endurance diminish over time, beginning with loss of muscle mass around age 30. As muscles become weaker, more rigid, and less flexible, movement and gait become slower, more limited, and unsteady; fatigue occurs sooner. All these changes increase the risk of injury.
  • Lungs: Maximum lung capacity may decrease as much as 40% between the ages of 20 and 70.
  • Touch: As we age, reduced skin sensitivity may affect our ability to distinguish changes in temperature or movement, to feel pain, and to react to different stimuli.
  • Bones: Bone replacement slows with age, reducing density and making bones more susceptible to fracture — occurring more quickly in women during and after menopause. Overall height often decreases as vertebrae become less dense, curving and compressing the spinal column into a stooped posture.
  • Hearing: Gradual hearing loss starts in our mid-40s. It becomes harder to hear higher frequencies — particularly when there’s background noise. One-third of people 65 to 74, and half of those over 75, experience significant hearing loss.
  • Brain & Nervous System: Subtle deficits in memory may start in our 40s. One third of people experience more significant loss by their 70s, after which 10%+ develop Alzheimer’s disease.
  • Joints: With less fluid to lubricate joints, cartilage erodes and joints become stiffer — particularly knee, hip, and finger joints — leading to pain, inflammation, stiffness, and sometimes deformity. Most people over 60 experience some joint problems, whether it’s minor stiffness or severe arthritis.

“Baby boomers live in the age of denial,” says Mindy Mitchell, a Certified Aging-in-Place Specialist (CAPS) design consultant with Sun Design, in Burke, Va. “They’re waiting for a catastrophic event before they do something — and then it’s not as well thought out and it’s more expensive because it’s knee-jerk.”

Mitchell adds that at 60, her age actually helps her in pitching universal design because her clients view her more as a peer. “As a boomer, I know we are prone to denial,” she says. “However, having the ‘what-if’ conversation with clients before a catastrophic event occurs gives them the time and space they need to make thoughtful decisions about how they want to live into the future. Do it now, do it later, or do it differently. These are the three choices aging clients face with their homes.”

Andrew Shore, president of Sea Pointe Construction, in Irvine, Calif., has also run into very active clients who don’t want to admit they are growing older and could benefit from universal design features. “We have to subtly educate them and talk about grab bars in showers and how access is going to be if they continue to live in the home,” he says. “It’s more subtle, but you can get them interested and point out the difficulties they might have maneuvering around the home.”

If the client is an avid skier or other type of athlete, you could ask about injuries and how difficult it would be for access if they took a fall on the slopes. “They may not be permanently handicapped, but they may have a disability for a few months while they recover,” he says. “They can admit that [without having to think in terms of] being permanently disabled.”

“When we start the initial design process with our clients, we always talk about the fact that none of us have crystal balls to be able to foresee what our health and mobility challenges may be in the coming years, so it’s important to try to plan for whatever may come to pass,” says Joanne Chappell-Theunissen, co-owner of Howling Hammer Builders, in Lansing, Mich. “I’m always surprised and saddened to see large remodeling projects with huge investments where universal design practices have been totally ignored in favor of aesthetics alone.”

Beyond Grab Bars

To get around any potential prickliness from clients, Russell Glickman, owner of Glickman Design Build, in North Potomac, Md., broaches the subject by asking prospective clients how long they plan to stay in the home — especially if they are of a certain age.

“I ask them if they’re thinking about resale value and things other people might want if they go to sell the house,” he says. “If they’re staying forever, then that’s an obvious need for universal design. And if they’re planning on selling it, then they should consider universal design, due to the aging population. People seem more receptive for other people’s needs, so that tends to be more of a selling point.”

And that seems to be the way in for many remodelers: Tell the potential clients in as subtle a way as possible, “Well, of course you may not need these features, but with an aging population, the next resident might.”

Glickman says he puts the idea out there and that it typically is not a turn-off; people seem to like the idea of making their house more viable for anyone who might be interested in buying it a few years down the road.

Aside from being a benefit for future homeowners and adding value to the home, Greg Buitrago Jr., co-owner of Hammer Contractors Design & Build, in Olney, Md., says that he promotes the familial aspect of universal design to clients who might be on the fence.

“Whether it’s making the home easier for their grandchildren or their parents to navigate, we point to universal design as a way to help with family life and performing day-to-day activities,” he says. “For boomers, we go up a generation and talk about their visiting parents or even their grandkids. We emphasize that it’s better living and safer living.”

Buitrago says that for Hammer Contractors, universal design is not just a selling point to close on the lucrative boomer market. “I’ve seen, from my own parents, how those features literally make life possible,” he says. “When you combine those learning points with the universal design mentality — function with beauty — you’re really able to take care of the client and empathize with them more so than just giving someone grab bars.”

Biggest Challenges: People & Products

Most remodelers and contractors agree that the biggest challenge in pitching universal design is the mindset of potential clients who don’t want to admit they will not remain able-bodied forever.

When Molly McCabe, owner of A Kitchen That Works, in the Seattle area, met with a client who was over 65, she subtly suggested planning for the future.

“I noticed that the hallways, in particular the one from the master bedroom to the master bath, were narrow,” she explains. “I suggested, since it was only framing, that the client consider widening the hallway. The home­owner’s response was, ‘I’ll deal with that when the time comes!’ Needless to say, I received an email canceling our in-office appointment for the following day. I can’t say that I was disappointed.”

Shore says that his biggest challenge was his own staff’s initial reluctance. “At the beginning, there was a little bit of hesitancy with the guys wondering why they need [universal design certifications] or how it’s going to help our business,” he explains. “But once we started designing and selling jobs, they saw the benefit of having the knowledge to help the client. It was a pretty quick transformation in a relatively short period of time.” Adding that even more of Sea Pointe’s employees have gotten CAPS certified as the number of jobs has increased.

For Pam Miller, owner of Alchemy Construction & Consulting, in Santa Rosa, Calif., her clients and her staff were onboard with universal design solutions. The obstacle that she ran into time and time again was the lack of functional and attractive options for barrier-free installations.

“Where I live, you see the same option for a curbless shower pan in almost every kitchen and bath showroom,” she says. “And my clients didn’t want it; they all wanted more barrier-free options, but they didn’t want something that looked like a big piece of plastic that had been cut out of a hospital.”

Her solution? With the help of a few of her subcontractors, Miller opened up a small kitchen and bath showroom that specializes in attractive and safe bathing products. “We all felt a passion for this and just went for it,” she said.

Added Costs

Aside from being in denial about how useful universal design could be, regardless of age or ability, another stumbling block is the perceived uptick in costs. Will universal design improvements cost more?

“It depends,” Glickman says. “If you’re already knocking out a wall and putting in new doors in a newly built wall, putting in a 3-foot door versus a 2½-foot door is not a big deal,” he explains, adding that, “if you have to widen existing doorways with hardwood floors around them, reframe them, adding a new header, maybe moving electrical wires, and then you have to patch the floors and refinish … well that’s a different story. That’s more expensive.”

Buitrago adds a few more specifics in terms of potential cost increases and homes in on bathrooms, saying that the costs could go anywhere from 50% to 70% higher — especially if you’re upgrading a standard master bath into a wet-room system and making the toilet more user-friendly.

Virtual Remodel

To learn more about helping clients adapt their home for retirement, see REMODELING’s Home for Life online tour, which transforms a classic suburban family house into a convenient, energy-efficient, low-maintenance home. You’ll see:

  • Before-and-after floor plans
  • Designs for better use of space
  • Insights from experts
  • Innovative products

“You might have to relocate the commode and a lot of the plumbing, and that’s where you’ll see a big jump in cost,” he says. “But if you’re doing an addition, the universal design upgrades can be incorporated for a marginal cost increase.”

To upgrade a kitchen, however, Buitrago says the increased costs could only fall in the 5% to 10% range depending on the custom cabinet system you’re using or how far down the spectrum from universal design to accessible design you need to go.

Shore is quick to add that, like pretty much every remodeling project, planning is key to keeping costs reasonable and within client expectations. “A well-planned universal design can minimize cost and provide homeowners with a safe, secure environment and the ability to stay in their homes for many years to come,” he says. “Which I think is a pretty good return on investment.”

Trickle Down

Just as it is a scary and unfamiliar territory for clients, universal design could be an unwelcome specialty to subcontractors who are used to doing tiling and plumbing, and framing doors, etc., a certain way.

But while there are new competencies needed for universal design, most subs have been entirely receptive and open to learning new skills. Shore says that his subs have had a largely positive reaction to Sea Pointe undertaking universal design mainly because they saw the project managers take to it so readily.

“Once they saw that the project managers were onboard, they realized that we were taking it seriously and it was taken from design to implementation and installation pretty quickly,” he says. “It was really key having several guys who saw the benefit [of learning universal design] and were willing to get the education and the knowledge.”

Glickman concurs with Shore and simply says that regardless of regular or universal design, his subs “are happy to get the work,” but he adds that the subs are not experts. “They pretty much need to be supervised by us, but they’re happy,” he says. “They have no reluctance to take on those projects at all.”

Waterproofing a bathroom for a curbless shower or a wet room is where a lack of experience can really show, Glickman says, adding that his team has had to fix the work of other people who “did not have that down to a science.”

If you are just embarking on a universal design project for the first time, Glickman recommends hiring a certified universal design expert as a consultant. “It would be wise to bring someone in as an adviser on the first few jobs,” he says. “[Your subs] might be able to do the work themselves but you may need to send your tile sub to a training class.”

Remodeling 911

When a home has to be adapted — usually made accessible — after a client is injured or has taken ill, a remodeler must act quickly. Longacre Construction, in Lewisville, Texas, had to remodel the home of a client who had broken his neck in a biking accident. The resulting injury left him a quadriplegic in a wheelchair that he operates with his head.

According to company vice president Carol Longacre, the job had its share of challenges, but she says it was one of the most rewarding things she has ever done. “I don’t normally do production, but I knew I just couldn’t hand it over,” she says.

Among the upgrades were new wooden floors throughout the home, wider doors, ramps leading to the house, a completely refurbished bathroom, lifts in the bedroom, and offset hinges on doors where the doorways could not be widened.

Longacre Construction got the job on the last day of November, and the client would be back at his home on Christmas Eve, which meant extremely long days for the crew — up to 12 and 14 hours, plus weekends.

“I run a lead carpenter system, and it was a little easier for me because the guys are my employees,” Longacre explains. “That allowed us the flexibility and the quality control to get the job done. I don’t think for a second that I would have the same quality control over subs.”

She adds that, because the workers were all Longacre employees, she did not feel the need to “babysit” them.

Another unique aspect of this job was the opportunity to consult with a physical therapist who explained what adjustments were needed based on the client’s wheelchair. “The therapist said it was nice to have the time with a contractor because they don’t normally get that,” Longacre says.

After the first several jobs, Glickman advises anyone embarking on universal design projects to get certified through the National Association of Home Builders (Certified Aging-in-Place Specialist or CAPS) and Accessible Home Improvement of America (Certified Environmental Access Consultant or CEAC). And the National Association of the Remodeling Industry also offers the UDCP — Universal Design Professional Certification.

But the sooner that subs, salespeople, designers, and everyone else involved in the remodeling field get onboard, the better prepared everyone will be for the impending future.

As vital as universal design is now, Shore says that it is going to come to a head in the next 10 to 20 years. “We’re seeing it now with our parents,” he says, “but it’s going to be more personal as it becomes us, our family, our friends, and our spouses who will be affected by this. It really is a no-brainer that everyone should get involved with this because that’s where the market is going.”

More REMODELING articles about universal design:

15 (or More) Ways to Incorporate Universal Design

Universal Design: An Interview With Richard Duncan, Executive Director of the RL Mace Universal Design Institute

Universal Design Certifications — A comparison of the two association certification programs

Resources

Accessibility Design Tips From The Design Linc: Info on where to find products, technical information, and other resources. Accessible design tips for the bath, kitchen, bedroom, and exterior.

American Association of Retired Persons (AARP): The substantial website offers access to articles, courses, and other resources for home modification and accessible design.

American Foundation for the Blind: Resources and information about all aspects of life for people who are blind or visually impaired.

Center for Universal Design: Safety standards, accessibility guidelines, products and services, technical assistance, and other resources relating to universal design.

Disability Resources Monthly Web-Watcher: Disability-related resources on the Internet selected by Disability Resources Monthly staff and arranged by subject.

Idea — Center for Inclusive Design and Environmental Access: A university-based program aimed at improving the design of environments and products by making them “more usable, safer, and appealing to people with a wide range of abilities.” The website has lots of articles, videos, and training info.

About the Author

No recommended contents to display.