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Becoming self efficient could mean different things for different people, but for my husband and myself that means being able to care for our own needs as much as possible as we age. Since my husbands accident at his job left him disabled due to leg and spine injuries things like changing a light bulb is something we had to ask our children to help out with.
We can't always wait for someone to visit, or ask someone to come over to help at the drop of hat, or even worse depend totally on the two children who are still at home, so we are always on the lookout for items that make life easier for us so we can stay independent as long as we can.
My husband was able to find the below device to help change out most of our lightbulbs in our home. The rest we still need help with until they make something to take down a glass casing and change bulbs that are installed sideways.