How to grow old in your own homeResearch from Fidelity Viewpoints identifies the a majority of seniors prefer to live at home. Are they ready and able to do so? Reprinted with permission. Visit here.
When Marguerite Sullivan’s spouse passed away, the 78-year-old had no interest in moving. She’s healthy, has many friends, and her 2 sons live nearby. Plus, she’s a confident driver and gets herself to doctor’s appointments and the grocery store.
Those are all important prerequisites for people who want to stay in their homes as they grow older, or “age in place.”
According to an AARP survey , nearly 90% of those over age 65 want to stay in their homes as long as possible. But Sullivan and others like her “need to have a housing plan—and a support system—in place to ensure that they’re living safely and independently,” explains Suzanne Schmitt, vice president for family engagement at Fidelity.
- Develop a housing strategy that will serve your needs as you age. Staying in your home with modifications can be less expensive than moving to an assisted-living community.
- Run a complete safety check, looking for potential hazards, including area rugs that may cause you to trip, loose stair railings, or furniture that obstructs pathways.
- Avoid isolation. Find ways to stay in contact with friends, family, and neighbors on a daily basis—both via technology and in person.
Here are 6 things that aging singles or couples—and their children, other family members, or caregivers—should keep in mind when assessing the living situation. For more detail, read our “Aging well: A planning, conversation, and resource guide.”
1. Develop a real estate and housing strategy
As you plan for living in your later years in retirement, you should have a strategy for how to leverage any real estate assets along with a plan to support your need for future housing.
Real estate is an asset often used to fund retirement and to help pay for long-term health care expenses. Some people find it necessary to sell the family home to pay for higher levels of care or senior living accommodations. Some decide to sell after a spouse dies. Others may have a family member who moves back in to help take care of both the aging parent and the property. Whatever your situation, it makes sense to work with a financial advisor to help determine the role of real estate in your overall financial planning (see Senior Housing Options chart below).
“As people age, housing and caregiving go hand in hand. If your loved one will require higher levels or care, you’ll need a housing strategy that can serve their needs,” says Schmitt. “Keep in mind that what works today in terms of independent living, living with relatives, assisted living, or skilled nursing care may not work for you or your loved one indefinitely.”
2. Explore the benefits of staying put
There are many reasons why aging in place can be a win. For starters, staying in your home can be less expensive than moving to an assisted-living community. There are the upfront costs of moving, an often steep entrance fee, and monthly payments for room and board, which can easily top $3,000 a month.
Even more important are the psychological payoffs of not moving away from one’s friends, medical professionals, and faith community. Though these factors are hard to place a financial value on, they are a vital component of healthy aging.
“The single most predictive factor of whether you’re going to age well—meaning be able to be independent and live a long and healthy life—isn’t money,” says Schmitt. “And it isn’t even necessarily your health. It’s your social connections, which may get lost if you move.”
3. Do a home safety check
The first step in an “aging in place” plan is to run a complete safety check of your home. “Many people don’t know what to look for,” says Schmitt. “There are some hazards that you might take for granted—for example, furniture obstructing pathways or stairs.”
Sullivan’s children did just that. They walked around her house with an eye for any potential hazards that might cause trouble should her vision or mobility begin to deteriorate. Then they hired a home modification professional to help make needed changes.
The good news is that many of the improvements that may make it easier to stay in your house—such as raising electrical outlets to make them more accessible, and installing brighter outdoor lighting—aren’t expensive.
Sullivan’s home was retrofitted by installing secure handrails alongside the stairs to the front door, switching doorknobs to levers, adding automatic lights to hallways, removing rugs that might become tripping hazards, and placing grab bars in the shower.
“There are plenty of easy and relatively low cost options to modify a home,” says Schmitt. “The sooner you start preparing, the better.”
4. Assess transportation
“Driving may be your lifeline and independence,” Schmitt points out. “Coming to the ‘I don’t think I can drive’ moment is tough, but it can’t be avoided.” If you are at the point that you can no longer drive or walk to the grocery store or reach other important services, consider other transportation options.
If you have access to public transit, great. But it doesn’t exist in a lot of places. Meanwhile, the driverless car may still be a few years away. So you may need to make other arrangements, such as ride sharing with friends and neighbors, or transportation assistance that many companion-care services offer. When it comes to groceries and getting things like prescriptions filled, automatic delivery or online delivery can be a great option. A family or friend can help manage orders and accounts and can track order history to help make sure you are getting what you need.
Senior Housing Options
When assessing the option that’s right for you, consider the following:
Health: How is your overall health?
Activity level: How active and independent are you?
Life stage and style: What kinds of access and activities are important to you?
|Age 50+ communities|
|Also known as active adult communities, retirement communities, and livable communities, 50+ options typically offer physical spaces, services, and amenities geared toward older adults who do not need nursing or medical care. Because ﬂoor plans are designed with older adults in mind, occupants may be better able to age in place. And many offer access to shared or public transportation as well as group activities that help residents get and remain engaged.|
|Continuing care retirement community (CCRC)|
|CCRCs offer a range of living and caregiving options that keep pace with residents’ changing needs. Because they typically offer a full range of services from periodic personal care to full-time skilled nursing, the CCRC can be a good option for couples with different levels of need or in instances where one is caring for the other.|
|Assisted living facility (ALF)|
|ALFs typically offer help performing one or more activities of daily living—bathing, dressing, transferring, toileting, eating, and medication management—to residents who are still able to perform some of these tasks on their own. Because most don’t offer 24-hour skilled nursing care, some residents may need to transfer to a skilled nursing facility if they require more care.|
|Skilled nursing facility (SNF)|
|Also known as nursing homes, SNFs are medical facilities that provide 24-hour care and supervision. An SNF may become necessary if your loved one requires round-the-clock oversight, medical care, and supervision.|
|Memory care refers to a relatively new type of secure unit—typically on a separate ﬂoor or in a separate wing—of continuing care retirement communities, assisted living, or skilled nursing facilities. Residents typically have a diagnosis such as Alzheimer’s disease that necessitates care by professionals specially trained to work with the memory impaired. The physical spaces are also structured in ways that uniquely support residents living with memory loss.|
5. Ensure a supportive community or network
Isolation can be a stumbling block to aging well. And it can creep up slowly. No matter how safe the inside of a home is, if there isn’t enough interaction with a community, a plan can fall apart.
“Part of aging in place successfully is being able to stay connected, and not fall into the depression that many people experience because they are isolated,” says Schmitt.
Getting comfortable on a computer so you connect online with your children, grandkids, and others is a good strategy. You might also investigate some of the companionship services available in the community, through websites such as Caregiving.org or tap into local Council on Aging resources.
Pull together a list of friends and relatives who can take you to a doctor’s appointment, or someone to help with errands. If your family doesn’t live nearby, you may want to have a pipeline to neighbors you can call for periodic checkups, especially if you live in an area of the country that experiences power outages and severe weather.
A growing number of communities use the “village” concept for services and support to seniors. The idea, originating in the Beacon Hill neighborhood of Boston, is to create a nonprofit organization that arranges for services—including transportation, home repair, and social activities—for a fee.
6. Make it an ongoing process
“One of the living in retirement myths is that people think they can make a plan once, and they’re done,” says Schmitt. “This is something that needs to be reviewed regularly by you and your family member or caregiver.”
What if you experience a health event, such as a bout of pneumonia that requires a lengthy hospital stay, or a fall that affects your cognitive ability or mobility? These are going to be very important points when you have to take a look at whether the plan you put in place is still going to work going forward.
Are you a concerned friend or family member? If so, check the home of your loved one after it is retrofitted and keep an eye open to see how your loved one is adapting to the changes. You may want to look out for any unexplained bruising on the aging person’s arms or legs. “It can be an indicator that they may be having trouble moving around,” Schmitt notes. Also, look around the home when you visit. Is there a pile of mail? Are things in disarray? Check the refrigerator. Is it bare? Is food spoiling?
“In an ideal world, we will age gracefully in place, but that doesn’t happen very often without careful preparation,” says Schmitt. “Take the time to sit down and get the aging-in-place conversation going.”