Tips To Help Parents Who Want To Age In Place

July 13, 2009 RSS Feed Print

The Boomerater™ Report, our weekly collaboration with online baby boomer resource Boomerater, this week explores some of the issues involved in helping your parents age in place.

Here is the question from a Boomerater member: “My mom and dad are in their 70's and are in good health. They have told me they would never consider leaving the home they have lived in since they were married and raised all five of their children. With the high cost associated with assisted living and the loss they will probably take in the real estate market, I can also see the financial benefit of their staying in their home. I’d like to hear from other boomers who have helped their parents stay in their homes successfully. What are the modifications to make the home safe and what else should be considered?”

Make a strategic plan. They should consult a financial planner and develop a budget for current and changing financial needs. With an attorney, they should draw up a will, an advanced health care directive, and any other documents their attorney deems necessary. Explore options for managing their affairs should that become necessary. If they have adult children with special needs they should make special plans to arrange for a guardianship or strategic planning.

[See Smart Ways to Access Your Housing Wealth.]

Carefully review the floor plan of the house
. If they can’t do this objectively, hire an architect, residential designer or accessibility contractor to look at the existing floor plan and see how it could be made fully accessible through retro-fitting modifications. Learn how to incorporate elements of universal design so that they can continue to use the same space well into the future in varying degrees of mobility.

Would a dish drawer make more sense than a regular dishwasher? Typically they are more accessible than most dishwashers. Should your oven be at a lower height? Should it have a door that lifts up? Is there a bedroom on the main floor? Or is there a den or bonus room that could be converted to use as a bedroom? If they don’t have a shower or bathtub on the main floor, is there a half bath or a laundry room? There may be a way to reconfigure the existing rooms to accommodate an accessible stall shower as well as a front loading combination washer/dryer that takes up less space. If it has steps, add ramps. Add lifts on the stairs or a pneumatic elevator if necessary, but ensure that they have a good fire escape route and exit route during a power failure.

Consider adding an “always on” generator. Instead of door knobs, change to lever handles. Make the property wheelchair accessible. Most wheelchairs are between 27-28 inches wide. With knuckles on either side you should allow a minimum door width of 32 inches. If your plan includes a future time when in-home care providers may be required 24 hours per day, modify the house in such a manner that you have a minimum of 2 bedrooms so that you may accommodate overnight staff. This advice was provided by Alicia Reid, a Realtor in Redmond, WA.

Tackling Transportation.
Another Boomerater member wrote that one of the biggest dilemmas their parents faced while they stayed in their home was losing the ability to drive to doctors, veterinarians, senior centers, etc. Ask the local hospital, senior center, or local agency on aging (AAA) or Council on Aging (COA) about transportation resources for seniors in your area. My parents had a companion who came in twice a week to drive them to doctor appointments, the grocery store, the library, to have their hair cut, etc.

[Is a Naturally Occurring Retirement Community Right for You?]

Most towns have a local grocery that delivers – Peapod.com is a national service that delivers from local stores. Most drugstores deliver prescriptions without a fee and drugstore.com can ship a huge variety of products. If you don’t have a local store that delivers, netgrocer.com is a backup, though its shipping is expensive. My parents also used Meals on Wheels to get a hot meal brought in everyday.

Read other member tips for helping your parents stay in their home on Boomerater.

Boomerater is an online resource for baby boomers, with local directories to help you find everything from a financial advisor to Alzheimer’s Care facilities. The site also contains forums where boomers can post questions and swap first-hand experiences. If there are questions on your mind that you would like answered by other people who have faced similar situations, or you have advice of your own to share, go to Boomerater.com and participate in the forums. Say that The Best Life sent you.

Tags:
retirement,
aging

Reader Comments Read all comments (10)

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I would like to echo the comments of my Occupational Therapy colleague, Vanessa M. Dazio, OTD, OTR/L of FL, regarding the value of an OT consultation to identifying the best and most cost effective ways to modify a family's home as some members age. In addition, I think it's important to understand the value of an OT's in-put when an illness or injury (such as stroke, severe vision loss due to macular degeneration, hip replacement due to fracture from a fall--to name a few)create the unexpected and urgent need for changes to the home.

Some OT's are specialists in the area of home modifications and have sought additional training and education that helps them to not only advise, but to advocate for their client during a remodel process. CAPS (Certified Aging in Place Specialist--certification from the National Association of Home Builders) OT's have received the same training as CAPS Contractors, Architects, Designers, etc. and are truly valued by these professionals in the home modification/remodel process.

Just one small correction to my esteemed colleague's comments--not ALL OT's have Master's or PhD's. Some of us have been therapists so long that a BS degree was the entry level competency and we have added to that knowledge with incomparable years of experience and continuing education.

You can find CAPS Occupational Therapists at www.nahb.org/CAPSinfo

Sharon Ireland-Burke, BS, OTR/L, CAPS of CA 5:28PM August 21, 2009

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Lynn Svindland of CT 11:45AM July 27, 2009

The comments posted already mention some very real issues regarding the cost of home modification and types of services needed to remain at home. Community resources such as the Area Agency on Aging can be helpful in finding needed resources for those who have limited funds. The services of a geriatric care manager can also be very beneficial in assessing needs, planning for care and/or services needed and implementing the services needed to stay at home.

Planning ahead for future needs helps senior parents stay as independent as possible for as long as possible.

N Iannone of AZ 1:07PM July 14, 2009

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