Making lighting work for visually impaired older people

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1 Keeping safe and maintaining independence: older people and sight loss Making lighting work for visually impaired older people Peter Hodgson Thomas Pocklington Trust

2 Summary l Prevalence of sight loss l Importance of lighting l Lighting equipment l Lighting adaptations l Supporting materials and services

3 Prevalence of sight loss l Best estimates 13% of those aged 75+ have serious sight loss 33% of those aged 90+ have serious sight loss l Sight loss is a normal part of ageing 14 million people in UK over 60 l Specific eye conditions can make this worse incidence increases with age

4 Prevalence of sight loss l Sight loss affects everyday lives of 2 million people in UK l Secondary to main reason for referral l Most people with sight loss have some residual vision l Lighting can help people to make the most of their vision

5 Pocklington research l Findings from home visits Low levels of lighting Glare from light fittings Slow adaptation to different levels Poor control Lack of available information / support

6 Pocklington research l Assessments and adaptations to general lighting and task lighting in over 100 homes l Light for Sight Good Practice Framework

7 Light for Sight l 8 Key Elements l Endorsed by 12 organisations including: Department of Health RIBA & RICS VISION 2020 UK College of Occupational Therapists

8 Good general and task lighting

9 Daylight l Control with blinds l Keep curtains clear of window l Reduce external obstructions l Keep windows clean l Light coloured sills and frames reflect light into room

10 Improve energy efficiency Move to energy saving lamps. can be confusing!

11 Improve energy efficiency l Replace incandescent tungsten filament Tungsten halogen

12 Compact fluorescent (CFL) Plug-in Globe Pear Candle Spiral Double turn Triple turn

13 Light Emitting Diodes (LED) l LED lamps Technology developing rapidly High initial outlay, but cheap to run

14 Choosing lamps l Ricability guide l Now available!

15 Choosing lamps l Lumens should be shown on packaging from autumn 2012 Tungsten bulb Lumens 150w w w 700

16 General lighting l Ceiling mounted l Diffusing shades Even lighting Avoid glare Hide direct view of lamp

17 General lighting l Uplighters Light reflected from ceiling

18 Task lighting l Adjustable task lights l Portable task lights l Ceiling or wall mounted spotlights l Under cupboard lights

19 Lighting adaptations l Improve general lighting levels dimmable high frequency fluorescent in kitchen brighter lamps (CFL) in diffusing shades additional lights l Add task lighting fluorescent lighting under kitchen cupboards mirror/shaver lights in bathrooms lighting in wardrobes and walk-in cupboards

20 Hallway and stairs l General lighting Good level No glare Reveal steps l Task lighting Telephone l Good contrasts Surfaces

21 Kitchens

22 Bathroom

23 Bathrooms

24 Bedroom

25 Cupboards and wardrobes

26 Communal areas

27 Lighting - Top tips l Tasks and movement around the home l Amount of light l Control switching and dimming l Diffuse, even lighting, no dark shadows l Multiple light points l No glare no direct view of lamp

28 Lighting adaptations - Top tips l Avoid disruption to decoration l Use existing fixed wiring points l Lighting track for additional lights l Use existing electrical sockets l Use micro-trunking for wiring if needed l Convert existing twin sockets to triples

29 Seven characteristics of good lighting Lighting should always be: ü Appropriate to each person ü Sufficient for activity and orientation ü Even, across different areas ü Adjustable for flexibility ü Energy efficient and sustainable ü Simple to install ü Adaptable for the future.

30 Multiple light sources

31 Lighting good practice guide l Lighting in new and existing homes l Guidance on specification l Case studies l Checklists

32 Adaptations good practice guide l Practical guidance l Adaptations l Involving people l Specific spaces l Indoors and outside l Checklists

33 Lighting booklet l Advice on lighting l Non-technical information l Lamps and light fittings l General lighting l Task lighting l Further sources of help

34 Lighting training l One day workshop l Lamps & fittings l Demonstrations l Practical exercises l Case studies l Design tools

35 Contact details

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