Exploring the physical environment in supporting older people in long-term care and shelter accommodation in the Klang Valley in Malaysia

This thesis explores the influence and impact of the physical indoor environment in the context of falls prevention, safety, participation in activities and well-being of older persons. Using a mixed method approach, the first survey covered 240 aged care facilities in the Klang Valley and the second study utilised the Residential Environment Impact Survey (REIS, Version 3.0) at 48 consenting facilities. Major gaps exist in identification of hazards in the physical environment. Screening the indoor environment becomes an integral part needing to be undertaken by all staff within aged care facilities. Best practices are documented, but minimal application is reported.