An innovation for relocating a toilet to ease access for the frail elderly at home

The scope of this project was to investigate the feasibility of a device that allows for a toilet to be relocated within the bathroom by determining constraints for such a device and developing a working prototype.

Research Results

Findings: Results indicated that this product concept can create more space next to the toilet for a caregiver to stand and help with toileting activities without having to adopt extreme postures. Clinicians were very positive about the potential of the device and believe the Toilocator will be an excellent economical alternative to a costly bathroom renovation.

Impact of findings: One real estate accessibility expert noted that this could be a game-changer for condominiums. Although more work is needed, the finding of this work indicate that an adapter to raise and shift the location of the toilet would be a very useful product for many frail older adults who require support for toileting activities.

About the Project

The ability to get on and off the toilet can mean the difference between living at home and having to move into long-term care for frail older adults. Osteoarthritis, affecting over 7 million people in the US and Canada, is very common in those who are frail, making it difficult for them to use a standard-height toilet.

In addition, bathrooms do not typically provide extra space around a toilet to allow caregivers to position themselves to assist safely or to allow for wheelchair or walker users to transfer onto the toilet while maintaining support of their assistive devices. This is why we proposed to develop a device which would allow the toilet to be repositioned in the bathroom to make it more accessible, in addition to raising the height of the toilet. In its new position, there is enough space beside the toilet for a caregiver to stand and help with toileting activities without having to adopt extreme postures.

This innovative toileting product supports the frail elderly and their caregivers at home and helps to optimize their care. The toilet relocating device makes even temporary installation and removal possible without any damage to the bathroom.

Project Team

Principal Investigator:

Tilak Dutta, PhD, PEng — Toronto Rehabilitation Institute, University Health Network

Co-Investigators:

Richard Birtwhistle, MD, MSc, CCFP, FCFP — Queen’s University

Geoff Fernie, PhD, PEng — Toronto Rehabilitation Institute, University Health Network

Project Contact: Tilak Dutta — tilak.dutta@uhn.ca

HTIG 2014-07

Communication to Family

Key Findings:

  • Therapists felt the concept prototype was promising
  • The main benefit of the sample device was to provide more space for the caregiver

Why was this study needed?

The ability to get on and off the toilet can mean the difference between living at home and having to move into long-term care for frail older adults. However, bathrooms do not typically provide extra space around a toilet to allow caregivers to position themselves to assist safely or to allow for wheelchair or walker users to transfer onto the toilet while maintaining support of their assistive devices.

Suggestions on how these findings could impact frail older adults and/or their family caregivers and how this might be measured:

Overall, clinicians were very positive about the potential of the device and believe the toilet relocating device will be an excellent economical alternative to more costly bathroom renovations.

Brief comment on type of study in lay terms:

Our research team created and tested a sample device, ToiLocator, which would allow the toilet to be relocated in the bathroom to make it more accessible, in addition to raising the height of the toilet. We installed the sample device in a simulated bathroom at Toronto Rehab Institute.

Communication to Policy Makers

Key Findings:

  • Therapists felt the concept prototype was promising
  • The main benefit of the prototype was to provide more space for the caregiver

Why was this study needed?

The ability to get on and off the toilet can mean the difference between living at home and having to move into long-term care for frail older adults. However, bathrooms do not typically provide extra space around a toilet to allow caregivers to position themselves to assist safely or to allow for wheelchair or walker users to transfer onto the toilet while maintaining support of their assistive devices.

Suggestions on how administrators or policy makers could use the findings:

  • Overall, clinicians were very positive about the potential of the device and believe the toilet relocating device will be an excellent economical alternative to more costly bathroom renovations.
  • One real estate accessibility expert noted that this could be a game-changer for condominiums where the location of the soil pipe cannot be changed at all.

Brief comment on type of study:

Our research team developed and evaluated a concept prototype device, ToiLocator, which would allow the toilet to be repositioned in the bathroom to make it more accessible, in addition to raising the height of the toilet. It was installed in a bathroom mock-up at Toronto Rehab Institute.

Communication to Researchers

Key Findings:

  • Therapists felt the concept prototype was promising
  • The main benefit of the prototype was to provide more space for the caregiver

Why was this study needed?

The ability to get on and off the toilet can mean the difference between living at home and having to move into long-term care for frail older adults. However, bathrooms do not typically provide extra space around a toilet to allow caregivers to position themselves to assist safely or to allow for wheelchair or walker users to transfer onto the toilet while maintaining support of their assistive devices.

Brief overview of the methodology:

Our research team developed and evaluated a concept prototype device, ToiLocator, which would allow the toilet to be repositioned in the bathroom to make it more accessible, in addition to raising the height of the toilet. It was installed in a bathroom mock-up at Toronto Rehab Institute.

Potential impact of findings on clinical practice/patient care and how this impact might be measured:

  • Overall, clinicians were very positive about the potential of the device and believe the toilet relocating device will be an excellent economical alternative to more costly bathroom renovations.