Where Will I Live Next?

Careful consideration goes into housing accommodations for seniors. There are several levels to be examined. As long as independent living is a realistic possibility, that is obviously the first choice. Even, with independent living, however, there are considerations having to do with care and keeping of property that may challenge physical ability.

So long as one can live in his/her/their own home and has ample assistance, as needed, can assure others of the ability to be safe to take on tasks judiciously that deserves to be the choice. Emotionally and psychologically being in one’s own home offers peace of mind and satisfaction. When the issue becomes one of safety and adequate day to day care, then examining other options becomes necessary. Reality checks may need to be frequent and they always need to be candid and honest.

There may be efforts on the part of the aging person to “hide” evidence of inability to live alone. Usually there will be hints that give away lack of care of the house, kitchen area, bath rooms, etc. If hygiene seems compromised, its time to talk; if there are throw rugs throughout the house which could contribute to falling, its time to move them; if there are appliances which could start fires, they need to be put away; if there are problems with vision, a serious visit to an ophthalmologist needs to be scheduled. If “fear of falling” is a consideration, a ‘call for help” button worn around the neck may be a good idea.

The matter of moving from one domicile to another is among the toughest of issues for the aging. It does not get any easier as each year passes. Even if decisions and agreements have been reached, dementia may interfere with acting out those previous understandings.

When the time comes, however that is determined, the following questions need to have been raised and honestly appraised.

*Are daily care needs such as to require assistance?

*Is there a facility, conveniently located, that will serve the family well?

*Have cost issues been resolved?

*Has a complete physical been done?

*Can regular visits be arranged for by family members?

*Depending on the care receiver’s ability to understand, has the new arrangement been explained?

*Is there comfort with the care givers in the new environment?

*If the facility offers independent living, is that an option?

*If assisted care is the only option, have family members reviewed the operations and licensing issues surrounding the facility?

These are among the larger issues requiring resolution. Hopefully, that resolution will be achieved in the best self interest of all involved.