avoid environmental hazards that may lead to a fall. 8 This makes individuals feel more competent, and motivates them to become even more active in decreasing their risks of falls. The individual has reduced accidents in their own homes, as well as when they venture out into the community. Clearly, for the frail senior wishing to minimize their risk of injury, home care occupational therapy is an essential service. Occupational therapists not only address safety among seniors in the form of falls prevention. They also work to promote valued daily activities to improve health and quality of life. The therapist begins by asking the individual to identify his or her goals. These become the focus of therapy. They may include bathing more independently or comfortably, making a meal or resuming a favourite leisure activity. Through training, reorganization of the environment or use of specialized equipment, these goals are accomplished. Patients report the importance of this and their appreciation of the occupational therapist's focus on their personal goals. States one patient, "The way they done things. They was for me...Like they don't tell me 'don't do this, don't do that. You can't do this and you can't do that' because they know better." 9 In an innovative American program, occupational therapists work with seniors before problems due to aging start to affect occupations. These researchers reasoned that, "many of the principles of occupational therapy intervention, given their focus on fostering productive and meaningful activity (occupation), maximizing independence, and enhancing function, constituted