What are your tips for staying independent at your own home?

Many people say they’d prefer to grow old in their own homes. What are your tips for remaining independent as long as possible. What do you do to:
- Keep up with home maintenance and housekeeping?
- Avoid injuries around the house?
- Combat loneliness or stay connected?

Any other tips?

October 25, 2023: Update from the Community Director

The knowledge exchange shared in this discussion helped to create this article written for the Mayo Clinic app and website. Knowledge for patients by patients and beyond Mayo Clinic Connect. Thank you for all your tips.

Aging at home: Advice for staying independent

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

Profile picture for ladydoz @ladydoz

I have had a Genie bidet through Amazon for several years. It is cold water and is no problem once you try it. I was introduced to this bidet while staying at my son’s home. It is scary the first time as one has no idea of how it will feel. One just has to try it to know that the cold water is not freezing cold as it already is sitting in the pipe. I hope you father will try the cheaper cold water one.

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@ladydoz
Thank you! I’m thinking the same thing….we live in a sub tropical climate and most of the year the cold water is not cold unless you run it for a prolonged period. I think we might try what you suggested and go from there if he is dissatisfied….

And that way maybe I can get the work done on grab bars in a reasonable period of time and he won’t be without his bathroom too long……

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Profile picture for cmdw2600 @cmdw2600

Mine was about $250 and my two handy brothers installed it. I would not want a cold only option. Funny that my 11 year old grandson reports to his parents that he sits down to pee when he’s at Grandma’s because he loves the warm seat! I do too!

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Many of the bidet attachments have a warm water hookup as well.

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I just stumbled upon this post. The article is very helpful. Thank you for putting it all together.
The part about using technology really resonated with me, and I want to share my experience to make someone's life easier.

I'm a caregiver for my mom, who has Alzheimer's, and finding ways to keep her safe and connected has been a big challenge. I always try my best to keep her independent, the longer I can. We recently installed a JubileeTV box, and it is designed to make elderly life easier.

My mom gets confused with regular TV remotes, and she always presses the wrong button. This remote has 6 buttons, which is a lot simpler, but even if she makes a mistake, I can fully control the TV through my app. I also set up reminders for her medicine. For my peace of mind, I can check in on her with a built-in camera and do video calls anytime.
She also loves it because her grandkids can send her pictures that show up right on the big TV screen.

She feels more connected that way, and I am always at peace leaving home.

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One thing that has stood out to me is how much easier it is to stay independent when small home changes are made before they're absolutely necessary. It's easy to think, "I'm managing fine right now," but even simple improvements can make everyday life safer and less stressful down the road.

Good lighting, removing loose rugs, adding grab bars where needed, and making sure frequently used items are easy to reach can all make a real difference. If stairs start becoming more difficult, it's worth talking with an occupational therapist about the safest options for your particular home and mobility needs rather than waiting until a fall or injury forces a quick decision.

A family friend went through something similar with her parents. They both wanted to stay in the home they'd lived in for decades, but the stairs gradually became the biggest obstacle. A brand-new stairlift wasn't within their budget, so after looking at a few local options, they chose a professionally refurbished stairlift that came with installation and a warranty. It worked out really well for them and allowed them to stay safely in their home without the cost of a completely new unit. It was a good reminder that planning ahead doesn't always have to mean making the most expensive choice.

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One thing I'd add is not to wait until a part of the house becomes completely difficult to use before thinking about adaptations.

Stairs are a good example. If they're becoming tiring or making someone less confident, it may be worth looking at the different options early, whether that's adding another handrail, changing how frequently used rooms are arranged, or eventually considering a stairlift. The aim isn't necessarily to make every change straight away, but to know what your options are before something becomes urgent.

The same applies around the rest of the house. Walking through the routes you use most — bedroom to bathroom, kitchen to front door, and so on — can highlight things like poor lighting, awkward steps, trip hazards or places where additional support might help.

For me, that's really what aging in place comes down to: making small changes as your needs change so you can keep using as much of your home independently as possible.

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Stanley-
Do it sooner, not later.
The easiest time to install handrails and grab bars is before you need them.
Once they are installed, you may be surprised how glad you are they're there,
Aging is not just about permanent disability.
As we age we're more prone to muscle, tendon and joint injuries which will heal in a few days,
but while we're healing it's darned nice to have an extra rail or bar to help with stairs or bathroom maneuvers.
I converted a bathtub to a walk in-shower. Two years later my wife had major surgery, and the walk in-shower was crucial to her at-home recovery care.

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I think most of us are stubborn with our independence and don't want to admit that we can't do everything we could when we were younger and don't want to ask for help. Count me in that group. Our physical abilities decline slowly and are imperceptible at first until all of a sudden they are not. We don't plan for this because we don't want to admit it to ourselves. I have to be constantly reminded by my wife that I am not Superman anymore, and when I try to prove her wrong I pay for it over the next few days. I've always found it difficult to say that I can't do something and age and PMR have not changed that. I'm learning and changing slowly but not happily. For me it's about being useful and I just have to get into the mindset that my definition of useful has to change with my decline in physical abilities. I do most of the grocery shopping, cooking and laundry but I still want to be able to do more. It's on me to make the necessary changes and plan accordingly.

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Profile picture for stanleyhudson @stanleyhudson

One thing I'd add is not to wait until a part of the house becomes completely difficult to use before thinking about adaptations.

Stairs are a good example. If they're becoming tiring or making someone less confident, it may be worth looking at the different options early, whether that's adding another handrail, changing how frequently used rooms are arranged, or eventually considering a stairlift. The aim isn't necessarily to make every change straight away, but to know what your options are before something becomes urgent.

The same applies around the rest of the house. Walking through the routes you use most — bedroom to bathroom, kitchen to front door, and so on — can highlight things like poor lighting, awkward steps, trip hazards or places where additional support might help.

For me, that's really what aging in place comes down to: making small changes as your needs change so you can keep using as much of your home independently as possible.

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@stanleyhudson I’d appreciate some tips on how to safety-enhance rentals. Most people reportedly are living in long-term rentals for much longer than previously. Does anyone know of negotiated agreements that give renters ability to add approved safety features, perhaps for small reductions in rent?

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Profile picture for kjoed53 @kjoed53

I think most of us are stubborn with our independence and don't want to admit that we can't do everything we could when we were younger and don't want to ask for help. Count me in that group. Our physical abilities decline slowly and are imperceptible at first until all of a sudden they are not. We don't plan for this because we don't want to admit it to ourselves. I have to be constantly reminded by my wife that I am not Superman anymore, and when I try to prove her wrong I pay for it over the next few days. I've always found it difficult to say that I can't do something and age and PMR have not changed that. I'm learning and changing slowly but not happily. For me it's about being useful and I just have to get into the mindset that my definition of useful has to change with my decline in physical abilities. I do most of the grocery shopping, cooking and laundry but I still want to be able to do more. It's on me to make the necessary changes and plan accordingly.

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@kjoed53 Oh, I get this "...I'm learning and changing slowly but not happily. For me it's about being useful and I just have to get into the mindset that my definition of useful has to change with my decline in physical abilities..."
I am one day out from a spinal injection, seven weeks out from wrist replacement, on my way to becoming bionic, and determined to keep moving - my spouse is the same - but we are a LOT slower (and wiser) in our approach to life.

We recently hired someone (3 young people) to do some overdue refreshing in our home - things like painting ceilings, and tall entryways, building out a new closet, and replacing flooring - they also ended up painting almost every room in our contracted time. 10 years ago we would have done it all ourselves and gone dancing afterwards, but now we admitted that it would have taken us 2 months to do what they did in 4 days! So I get to spend my energy making my sewing room accessible for the long run, clearing unused stuff out of nooks and crannies, and rearranging furniture, shelves and paintings in our fresh space. The same with our 1/4 acre yard with extensive perennial gardens - I now have helpers 1/2 day per week, doing the heavy work like spreading mulch, moving big plants, trimming bushes, and helping with weeding. In the fall a couple comes for 2-3 hours to "put the yard to bed" - job that would now take me a few hours a day for a week!
We really love our house, location and neighbors, so we plan to stay. Our son-in-law already scoped out where we will place an elevator to serve garage (on grade) and living levels up & down 7 steps from the entry. We didn't think about steps when we bought the house over 40 years ago!
But we have been adding railings, grab bars, upgraded lighting for years. Heavy and awkward items have been taken off high shelves (learned after shoulder surgery & wrist replacement.) There are safe step stools upstairs, downstairs and in the garage, and the big ladders have new homes - no more climbing on chairs or extension ladders!

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Oh boy. Yes. I have been diagnosed with a disorder Functional Neurological Disorder FND. I am now close to being pretty much house bound. This disorder makes me fall (twice this year) even though I use a walker. My brain causes me to fall backwards so I hit my head and hurt my jaw joint.
I have double vision, tremors when I’m anxious and a whole host of other problems.
Arthritis, fibromyalgia, and polyneuropathy are the icing on my cake.

I live alone.
I’ve lined up a network of help. My food is delivered from the grocery store. My house gets cleaned every month. My neighbors roll my trash cans down the driveway to the street.
My hair stylist comes to my house.
My friend calls me every night to check on me. My son lives near by if I need help around the house.
I keep busy with jigsaw puzzles, painting, and building my family tree on Ancestry.

I am as well as I can be at almost 77.

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