\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{ts3414}
\pdfinfo{
  /Title (ot-aging-in-place.pdf)
  /Creator (Cheatography)
  /Author (ts3414)
  /Subject (ot aging in place Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{A3A3A3}
\definecolor{LightBackground}{HTML}{F3F3F3}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{ot aging in place Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{ts3414} via \textcolor{DarkBackground}{\uline{cheatography.com/195341/cs/40977/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}ts3414 \\
  \uline{cheatography.com/ts3414} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 22nd October, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{x{2.64 cm} x{5.36 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{definition}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Aging in Place is the idea that an elderly person will be able to live in the residence of his or her choice for as long as possible} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
must be able to & have needs met and maintain QoL \tn 
% Row Count 5 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{continue to live at home}}  \tn
% Row 0
\SetRowColor{LightBackground}
decreased mobility - possible need to use a cane, walker or w/c & -Widen doorways to accommodate a walker or wheelchair. -Add a ramp to one entryway of the home. -Raise sunken living room or sunken den floors to make the floor of the home one level. -Install chair lifts for second story or basement stairs. -Remove throw rugs. -Remove unnecessary furniture and clutter. -Provide chairs with firm support and/or place chairs on risers. -Install a raised toilet seat or a tall toilet. -Install a hand held shower and provide a shower stool or bath bench. -Install grab bars in the bathroom, near the bed, and near the entry ways. \tn 
% Row Count 29 (+ 29)
% Row 1
\SetRowColor{white}
reduced vision, including visual impairment due to cataracts, glaucoma, MD or diabetic reniopathy & -Increase lighting by installing brighter LED light bulbs, additional light fixtures, or additional lamps. -Increase contrast on floors, walkways and steps.   -contrast dark rugs or mats on light floors, light rugs or mats on dark floors.   -place contrasting tape on the edges of steps. -Keep needed items in the same places for easy access.   -frequently used kitchen items between chest and head height. -keep items where they are used. -Provide large button electronic and communication devices. -large button telephone   -large button television remote -Use magnifiers -Adjust settings on computers to enlarge print and increase contrast. -Mark stove dials, water faucet handles with raised dots to mark temperatures. \tn 
% Row Count 66 (+ 37)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{continue to live at home (cont)}}  \tn
% Row 2
\SetRowColor{LightBackground}
hearing loss & -Increase the volume on telephone settings, doorbell, smoke and carbon monoxide alarms. -Replace old smoke and carbon monoxide alarms with alarms that include flashing lights. -Use telephones and alarm clocks that include flashing lights. -Provide an alarm clock that includes a bed shaker. -Sign up for telephone TTY service if hearing impairment is severe \tn 
% Row Count 18 (+ 18)
% Row 3
\SetRowColor{white}
decreased neck and upper body range of motion & -Rearrange kitchen and bathroom cupboard so that frequently used items are placed between waist and head height. -Provide a reacher for higher or lower shelves. -Use long handled bathing and grooming tools – long handled sponge, long handled comb. -Place grab rails on the bed to assist with bed mobility. -Use long handled tools for gardening and yard work \tn 
% Row Count 36 (+ 18)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{continue to live at home (cont)}}  \tn
% Row 4
\SetRowColor{LightBackground}
decreased strength and endurance & -Slide heavy objects along countertops, tables, or the floor rather than lifting. -Use a wheeled cart to transport heavy objects. -Place chairs or benches in strategic places around the house or yard to provide frequent rest spots. -Provide an electric or large handled manual jar opener. -Replace round door knobs with lever style door handles. -Request that prescription medications be placed in prescription bottles with regular caps rather than child proof caps. \tn 
% Row Count 24 (+ 24)
% Row 5
\SetRowColor{white}
decreased reaction time and declining cognitive skills & Provide a white board or large calendar to write down important dates and appointments. -Use a white board or pad of paper to write a daily to do list. -Place medications in a weekly pill organizer. -Set alarm reminders for medication and meal times. -Provide prepackaged meals that can be easily heated in a microwave. -Set the hot water heater temperature to 120 degrees or lower to prevent accidental burns. -Label cupboards, closets, and drawers with the contents. -Organize clothing into outfits that may be easily obtained and put on. -Place written safety reminders near the stove, coffee maker, and any other devices that might be accidentally left on. \tn 
% Row Count 57 (+ 33)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}