We contacted the caregivers of patients admitted on a hospital respite
care scheme and asked them about home-made or modified aids and appli
ances. Seven home-made devices were discovered and inspected. They wer
e an electric hoist, a builder's plastic skip used as a bath, a wheelc
hair support and tray made out of chipboard, stair rails made from old
steel pipe, an improvised commode and a modified standard commode ena
bling the user to be cleaned in the sitting position. Several gadgets
were innovative; others were dangerous. Two caregivers had injured the
mselves using the improvised aids. Others were at risk of injury. With
an increasing tendency for Community Agencies to charge for equipment
, more caregivers may design and build their own aids - some of which
may be hazardous. Health professionals who visit elderly people at hom
e should look for home-made gadgets with a view to promoting safety an
d discovering innovations which may help others.