Preparing to Age in Place

Posted by edsutton @edsutton, Apr 23 7:58am

Many of us in the Aging Well Support Group express similar concerns. We are currently doing o.k. in our homes, on our own, but recognize that disabilities may be on our horizons.
Can we be reasonably proactive about this?
What can we do to stay in our homes as long as possible?
What can we do to gracefully reach out for assistance when we need it?
What can we expect the costs will be as we try to imagine the economies of our lives as we age?
What modifications can we make now that will make life easier when we have less strength and energy?

Interested in more discussions like this? Go to the Aging Well Support Group.

Isn’t it amazing how our society is so different from the ones who have their elders living with them.

I’m 74 years old, and have been living solo for 6 years. I absolutely love the freedom!
Three years ago I was diagnosed with Mild Cognitive Impairment. I was doing well for a while, but about one year ago I noticed some strange behaviors. I also became off balance, my eyes had problems focusing so I started using cane, then a walker.

First I was diagnosed with Ataxia (balance and vision), then my neurologist did extensive testing for dementia.
Three weeks ago I was diagnosed with Alzheimer’s Dementia (mild)!

Now living alone, being off balance, and having double vision is making life interesting. Oh, and I cannot drive anymore. I am managing!
There is the Volunteer Group, “Helping Hands” that provides me with free rides to appointments. I found a woman hairstylist who cuts my hair in my home. I’m using Meals on Wheels so I can get a meal instead of a snack for dinner.

Now the question is, how long will I’ve able to run my own “show”? I’m hoping to hang on for as long as I can.

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@thisismarilynb

I am fairly confident that the reason I am so healthy and with it at my age is because I started racewalking in the mid 80's. I was working full-time and had a family to raise. Nevertheless I took my sweats to work and went to the track every evening after work to several laps. I did this until 2001. Then we moved and I didn't have a track, so I walked on the streets. I continued until my hip wore out and it had to be replaced. I am convinced that this helped me a lot in every way.
Had my evaluation yesterday and am booked for 12 sessions (2 a week) until it is all done. Need to do exercises at home as well.
When my husband retired he did not take 100% of his pension. With my working full-time and what he took in we were able to live well. Now I get the rest of the pension plus my Social Security. Together it is enough to be able to live in my home.

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I love this story!
I was an avid walker and race walker for many years before slowed down by Multiple Sclerosis. My health has declined dramatically since age 50, I went on parliament disability in my mid fifties, and I will be 70 this year.
I'm pretty much housebound but no wheelchair. So I walk when I can but slowly.
I'm envious of your good fortune and wish you continued good health and many more happy years. & thanks for your response!

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@margotcc

Hi Everyone,
I’m still pretty new to this site. I wrote about independent living, but have no idea where I posted it, LOL.
New thoughts…. Am trying to stay as active as I can. Love my water aerobics, and was talked into buying a Fitbit when my kids realized I had isolated and wasn’t moving much during the pandemic. Was that an eye opener!
Am 83, have some old age issues, but am managing pretty well. I am not exactly an athlete, but I have always moved, am still walking almost daily, sometimes do just house walking, and am convinced that helps. Do a lot of stretching too.
I’m very familiar with Alzheimer’s, so I am staying mentally active also, trying anyway. Am taking piano lessons!
Hopefully all of this is helpful to make the right decisions when I need to make them.
God bless!

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Bravo for taking the piano lessons. I read that learning new things is the key to having a healthy brain as we age. I listen to ancient history podcasts most nights before sleep. I’m hoping this passive learning counts but I’m looking for learning a new activity too.

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@SusanEllen66

Isn’t it amazing how our society is so different from the ones who have their elders living with them.

I’m 74 years old, and have been living solo for 6 years. I absolutely love the freedom!
Three years ago I was diagnosed with Mild Cognitive Impairment. I was doing well for a while, but about one year ago I noticed some strange behaviors. I also became off balance, my eyes had problems focusing so I started using cane, then a walker.

First I was diagnosed with Ataxia (balance and vision), then my neurologist did extensive testing for dementia.
Three weeks ago I was diagnosed with Alzheimer’s Dementia (mild)!

Now living alone, being off balance, and having double vision is making life interesting. Oh, and I cannot drive anymore. I am managing!
There is the Volunteer Group, “Helping Hands” that provides me with free rides to appointments. I found a woman hairstylist who cuts my hair in my home. I’m using Meals on Wheels so I can get a meal instead of a snack for dinner.

Now the question is, how long will I’ve able to run my own “show”? I’m hoping to hang on for as long as I can.

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SusanEllen-
I admire your courage and joy!
Do you have a Geriatric Care Manager or a very dependable friend who can help you plan and manage your life situation?
It seems that this is a good time to simplify things as much as possible so that you can run your own show for a long time.

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Habits can make or break our efforts to stay self-sufficient.

I'm working every day to develop and reinforce the habit of finishing what I start. Unfinished tasks pile up quickly and occupy living space.

When I open the mail: Can I handle it just once? Send it straight to the paper recycle bag?

Complete what I'm doing before starting the next thing.

Can I bring it upstairs now, and get in some extra steps?

"Almost finished," "Leave it here for now." These are dangerous thoughts.

Finish it and put it away. Don't let things pile up. Value the open space, which is where our life moves and breathes.

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@joybo99

I love this story!
I was an avid walker and race walker for many years before slowed down by Multiple Sclerosis. My health has declined dramatically since age 50, I went on parliament disability in my mid fifties, and I will be 70 this year.
I'm pretty much housebound but no wheelchair. So I walk when I can but slowly.
I'm envious of your good fortune and wish you continued good health and many more happy years. & thanks for your response!

Jump to this post

God Bless

REPLY
@margotcc

Hi Everyone,
I’m still pretty new to this site. I wrote about independent living, but have no idea where I posted it, LOL.
New thoughts…. Am trying to stay as active as I can. Love my water aerobics, and was talked into buying a Fitbit when my kids realized I had isolated and wasn’t moving much during the pandemic. Was that an eye opener!
Am 83, have some old age issues, but am managing pretty well. I am not exactly an athlete, but I have always moved, am still walking almost daily, sometimes do just house walking, and am convinced that helps. Do a lot of stretching too.
I’m very familiar with Alzheimer’s, so I am staying mentally active also, trying anyway. Am taking piano lessons!
Hopefully all of this is helpful to make the right decisions when I need to make them.
God bless!

Jump to this post

@margotcc, allow me to help (and hopefully not take this conversation off-topic). I bet others would also appreciate this information about how to find your past posts.
You can find all the posts you've made in your profile.
1. Click your @username or the profile icon in the upper right corner of any page.
2. Select "Discussions" to see any discussions you've started. Select "Comments" to see comments.

More tips can be found in the Help Center https://connect.mayoclinic.org/help-center/

Now, back to the topic - one that I revisit often with my mom who is also in her 80s, active and involved in her community. We don't live in the same town. The family enjoys visiting her and when we all gather, we're happy she's still in the house. Her town is the mid-point from where we've all spread to in various cities.

She is more than welcome to move in with my husband and I, but we're also aware that means disconnecting her from her community. She's not ready for that and frankly social connection is an important factor in aging well. Luckily, she has neighbors who also keep a watchful eye for emergency and non-emergency needs.

We started a habit a few years ago. We text daily every morning upon waking and every night upon being in bed. At first, we set up this routine for practical, obvious reasons, but it has turned out to bring us joy and connection. I look forward to those good morning and good night texts. And we get to be silly, serious and thoughtful to spice it up.

REPLY
@joybo99

I love this story!
I was an avid walker and race walker for many years before slowed down by Multiple Sclerosis. My health has declined dramatically since age 50, I went on parliament disability in my mid fifties, and I will be 70 this year.
I'm pretty much housebound but no wheelchair. So I walk when I can but slowly.
I'm envious of your good fortune and wish you continued good health and many more happy years. & thanks for your response!

Jump to this post

Thank you for your good wishes. It is nice to meet a fellow walker. Keep it up and remember - One foot in front of the other.

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This is off-topic.
You state a Great point.There are already "digital companion" type devices to help combat loneliness and provide companionship for people living on their own.

What do I think of these devices? Below are a few examples that recur in my readings.

The Pros are companionship, Availability 24/7 (if hardware, software, routers, or the internet is not broken or needs a reset), and Emotional support.

The cons are a lack of human connection and empathy, dependency and isolation, ethical and privacy concerns, and more privacy concerns, as well as unrealistic expectations. Commentaries on social media's dependency and isolation raise many alarms, and as AI is involved in the companionship of the lonely,
Many will forget that devices are only tools. Again, when lonely and isolated and family never calls or visits, one turns to an outlet that will not pass judgment on one's feelings and provide reassuring words/messages.

From Twitter: https://x.com/GFarrugiaMD/status/1778085115031097844

Dr. Gianrico Farrugia GFarrugiaMD CEO of Mayo active in the development ": Artificial Intelligence in Health, Health Care, and Biomedical Science: An AI Code of Conduct Principles and Commitments Discussion Draft"
·Apr 10 @theNAMedicine
The AI Code of Conduct initiative I am co-chairing has released an early framework of principles and commitments for public comment. Read it here: https://bit.ly/3VRuNTa.

You asked If you knew that Mayo Clinic is a leader in Advance Care at Home. This is not solely for aging in place.

I have followed the Hospital at Home, Advanced Home Care, and others for over 20 years.
The development of AI and the new wave of home care are moving at an alarming pace, which gives me a bit of hope that Dr. Gianrico Farrugia is leading the development of its conduct. Mayo Connect needs to consider a new discussion on AI and the Hospital at Home, Advance Home care for the support groups to start providing information.
Preparing for the Age in Place topic and Mayo Connect is a great start.
I read many great comments, and in each comment, I asked what wearable devices could assist individuals in their home environment.

What measures are you taking to prepare to age in place? Do you want to?
That is a separate post.
Ferris Watson

REPLY
@colleenyoung

@margotcc, allow me to help (and hopefully not take this conversation off-topic). I bet others would also appreciate this information about how to find your past posts.
You can find all the posts you've made in your profile.
1. Click your @username or the profile icon in the upper right corner of any page.
2. Select "Discussions" to see any discussions you've started. Select "Comments" to see comments.

More tips can be found in the Help Center https://connect.mayoclinic.org/help-center/

Now, back to the topic - one that I revisit often with my mom who is also in her 80s, active and involved in her community. We don't live in the same town. The family enjoys visiting her and when we all gather, we're happy she's still in the house. Her town is the mid-point from where we've all spread to in various cities.

She is more than welcome to move in with my husband and I, but we're also aware that means disconnecting her from her community. She's not ready for that and frankly social connection is an important factor in aging well. Luckily, she has neighbors who also keep a watchful eye for emergency and non-emergency needs.

We started a habit a few years ago. We text daily every morning upon waking and every night upon being in bed. At first, we set up this routine for practical, obvious reasons, but it has turned out to bring us joy and connection. I look forward to those good morning and good night texts. And we get to be silly, serious and thoughtful to spice it up.

Jump to this post

Thank you, Colleen.
I appreciate your reply, didn’t mind at all. It was helpful!
And I think you and your family have a wonderful relationship with your Mom!!
My own children are great, but they have such busy lives, with their jobs, their own children, other needy relatives, and even their pets, that I am trying to make it easy for them.
Am thinking ahead — if I do eventually move closer to them, I will use an independent or assisted living facility, am fortunate to be able to afford it. I know I can make that work and be happy there too. But, as I said, I am ok right now to stay here on my own.
God bless.

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