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.

@joanland

A physician commented to me that he had been thinking of two options: would it be better to go before one's parts started to wear out and therefore to live w/o pain and or discomfort, but to die younger, or to live longer and experience the trauma and pain of having various joints and other parts wear out and go through their replacement or repair, but to live longer?
I happen to be among those who have lived long enough to have two replaced knees, one replaced shoulder, and am facing a hip replacement and possibly a re-placement of one of those knees. Yes, I've enjoyed all that the extra years have allowed me to be a part of.

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I have had both knees and both hips replaced as well as active Rheumatoid Arthritis for 25 years. Many years of pain and disability. I am grateful to have had good medical care and the chance to catch up and experience, with so much less pain, the events that I missed out on before. I absolutely want those extra years!

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@theresa105

I have had both knees and both hips replaced as well as active Rheumatoid Arthritis for 25 years. Many years of pain and disability. I am grateful to have had good medical care and the chance to catch up and experience, with so much less pain, the events that I missed out on before. I absolutely want those extra years!

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I thought it was very interesting that a physician who deals with arthritis issues and pain was contemplating such a choice, which isn't really a choice. We play the hand we are dealt. When do we stop replacing parts and simply accept the deterioration of the quality of life as joints wear out? That is a question many of us will likely face.

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@theresa105

I have had both knees and both hips replaced as well as active Rheumatoid Arthritis for 25 years. Many years of pain and disability. I am grateful to have had good medical care and the chance to catch up and experience, with so much less pain, the events that I missed out on before. I absolutely want those extra years!

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Theresa-
This is such an encouraging post!
I've seen several persons' lives improved greatly by knee and hip replacements.
And the technology is improving.

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@thisismarilynb

I don't garden. My husband loved to do it and I let him. Now he is gone and I am alone. I will be 90 on my next birthday. Having trouble getting used to that number. I am extremely fortunate to be healthy at my age. Currently I am having physical therapy for a rotor cuff problem. But that is it. My intention is to stay in my home because I can. When and if I need assistance, I will use caregivers. When you check out the cost for assisted living it is shocking. And the rooms/apartments are so small you will not be able to take any of your own things with you. So that's my plan to age in place.

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Hello MarilynB: I am 88, so fit into this group, I think. I had 2 strokes about 18 months ago and have mostly recovered, except my right foot, leg, and hand are not quite normal. Therefore, I no longer drive. I live in a rural area in my own home alone, with help from a daughter and hubby who live 7 miles away. I have the usual helps here: chair in the shower, arms beside the commode, a bedside commode in the bedroom, a walker nearby if needed and a cane. I have a couple who help with anything I can't do: floors, windows, flower beds, dusting, etc. for $25 an hour each; not bad! Since I don't drive, my daughter takes me everywhere: groceries, library, Church (sometimes), etc. Aging in place is lonely sometimes but I prefer home to anywhere else! My best to you!

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@dorisjeanne

Hello MarilynB: I am 88, so fit into this group, I think. I had 2 strokes about 18 months ago and have mostly recovered, except my right foot, leg, and hand are not quite normal. Therefore, I no longer drive. I live in a rural area in my own home alone, with help from a daughter and hubby who live 7 miles away. I have the usual helps here: chair in the shower, arms beside the commode, a bedside commode in the bedroom, a walker nearby if needed and a cane. I have a couple who help with anything I can't do: floors, windows, flower beds, dusting, etc. for $25 an hour each; not bad! Since I don't drive, my daughter takes me everywhere: groceries, library, Church (sometimes), etc. Aging in place is lonely sometimes but I prefer home to anywhere else! My best to you!

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And my best to you. I am truly sorry you do not have full mobility due to your strokes. Since I first wrote I have turned 90. It is a little frightening because I know there are not many years left. So far, though, I am good. I can still drive. In fact several weeks ago my friend asked me to take her to the E.R. It was not close by. But I got her there. By the time she was discharged it was dark. Not my favorite time for driving. However I am proud to say I drove this ess-shaped freeway in the dark and got us both home safely. I have a cleaner every three weeks. I pay her $100.00 and she does everything. Probably takes her 3-4 hours. I do everything else for myself. Just changed out my summer sheets for my flannel winter sheets and blankets. I found it a little hard to carry everything into the garage for storage but I managed. I guess that is what I do. I manage. I still use a cane when I am out because I am afraid of falling, even though the surgeon who did my hip replacement scolds me for this and says I can walk fine. And yes, I can walk fine, but I am still frightened of falling. I agree that staying in my own home alone is lonely. Unlike you I have no support system. But that's the way it is.

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Thank you for your response! Yes, without my daughter and her husband, I doubt I'd even be alive. I envy you that you can still drive; I voluntarily gave it up. My right side just isn't reliable and that's the side you use driving! It really forces me to stay home most of the time; I am about 20 miles from town; 9 miles from a small one. But I love it here! I am in the Ozarks in a log home, which I had always wanted. I do my own house work, except for floors and dusting; do most cooking: a lot of sandwiches, soup, etc. My daughter sends me leftovers also. Take care and be careful driving!

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@dorisjeanne

Hello MarilynB: I am 88, so fit into this group, I think. I had 2 strokes about 18 months ago and have mostly recovered, except my right foot, leg, and hand are not quite normal. Therefore, I no longer drive. I live in a rural area in my own home alone, with help from a daughter and hubby who live 7 miles away. I have the usual helps here: chair in the shower, arms beside the commode, a bedside commode in the bedroom, a walker nearby if needed and a cane. I have a couple who help with anything I can't do: floors, windows, flower beds, dusting, etc. for $25 an hour each; not bad! Since I don't drive, my daughter takes me everywhere: groceries, library, Church (sometimes), etc. Aging in place is lonely sometimes but I prefer home to anywhere else! My best to you!

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@dorisjeanne I'm sorry about the challenges you've been facing and dealing with since your 2 strokes. But I'm glad that you seem to have a great support system that's so helpful to you. And I definitely agree with you: Aging in place IS lonely sometimes...and I, too, prefer home to anywhere else.

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@dorisjeanne

Thank you for your response! Yes, without my daughter and her husband, I doubt I'd even be alive. I envy you that you can still drive; I voluntarily gave it up. My right side just isn't reliable and that's the side you use driving! It really forces me to stay home most of the time; I am about 20 miles from town; 9 miles from a small one. But I love it here! I am in the Ozarks in a log home, which I had always wanted. I do my own house work, except for floors and dusting; do most cooking: a lot of sandwiches, soup, etc. My daughter sends me leftovers also. Take care and be careful driving!

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Doris and Marilyn-
You are both so inspiring!
This morning I was finishing my little kitchen routine by wiping off the kitchen counter and I noticed it was time to make an attitude change. Having a clean counter is a good thing, and I can appreciate many things about it: the nice counter top that is easy to clean, the soft dish cloth and the clean water, and the fact that I can see and do this little task to start the day. Without grumping to myself!
If I live to be 85 or 90, my energies will likely be less and I probably won't be doing all the enjoyable crafts and studies I can currently do.
So it could be good preparation to be learning to appreciate basic self-care tasks like wiping the kitchen counter. They will be "bigger" parts of my life some day.

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