It goes without saying that as we age, our needs change. Suddenly, it’s not so simple to reach up and grab that book from the top shelf, and even the once mundane task of showering is a difficult and dangerous chore. But leaving home for a nursing facility takes its toll, both emotionally and financially.

The average annual cost of nursing home care in 2011 was $86,040. Hiring in-home assistance is cheaper—but still not ideal—with annual fees averaging $38,000. But is it possible for seniors to maintain independence without completely surrendering themselves to someone else’s care? Yes. It just takes some determination and room-by-room modifications.

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Aging in Place: You do not need to leave your home!

Given that 89% of people do not want to leave their homes, this statement featured on the article The Technology for Monitoring Elderly Relatives on The New York Times (July 28, 2010) about new technologies to help people stay at their home, makes total sense.

The purpose of many of these technologies is to provide enough supervision to make it possible for elderly people to stay in their homes rather than move to an assisted-living facility or nursing home — a goal almost universally embraced as both emotionally and financially desirable.

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The 1980s-era medical alert pendants made famous by their television advertising (“I’ve fallen, and I can’t get up!”) are now among a wide array of devices that can help keep an eye on aging parents and get them help when they need it.

Available technologies include:

• Sensors in the home to track an older person’s movement, from the front door to the medicine cabinet to the refrigerator to the stove. The sensors are linked with computers that can issue alerts when people deviate from their routine.
• Global positioning system devices, using the GPS technology that’s become so common in cars, that can help locate someone with dementia who’s wandered from home.
• Computerized pillboxes that track whether medication is being taken on time.

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The facts are well known, the St Louis Today reports: “…By 2030, about 72 million Americans will be 65 or older — roughly twice the number in 2000, according to estimates by the National Institute on Aging. While plenty of attention has been given to how this coming tidal wave of seniors will strain Medicaid, aging specialists and health care advocates are also beginning to address the “forgotten population” — those who may have enough assets to pay for some health care services but not the cost of a long-term nursing home.

It can be a difficult population to care for. Typically, people 80 or older have one chronic disease; those 85 or older have two chronic diseases. Many of these seniors also have problems doing everyday tasks such as cooking meals, washing their clothes or tying their shoes. On average, 24-hour care in a nursing home runs about $60,000 a year…” Therefore the need for building that safety net for all elders.

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Living Well provides medical advocacy to help patients who are hospitalized

On the Wellness section of the New York Times, Pam Belluck compile the advice of three experts  on the questions family members can ask to lower a patient’s risk for delirium during a hospital stay.

Pam says “…Many readers have asked me what family members can do to help lower an elderly patient’s risk. To find out, I turned to three experts –  Dr. Margaret Pisani at the Yale University School of Medicine, Dr. Wes Ely at Vanderbilt University School of Medicine and Dr. Sharon Inouye at Harvard Medical School. Based on their advice, here are six questions family members should ask to lower an elderly patient’s risk for hospital delirium…”

Read the article

Home Safety, important matter to age in place.

Our homes fulfill many needs for us. Often, the most basic need is for shelter from the elements and intruders. Once we are protected and secure, other needs can be met. Comfort and a place for self-expression are vital for our well-being. Home gives a feeling of independence. Ourhome should also be a place in which we can be safe from accidents and injuries.

A  Housing Safety Checklist for Older People prepared by Sarah D. Kirby, Extension Housing Specialist, and published by NORTH CAROLINA COOPERATIVE EXTENSION SERVICE. North Carolina State University and North Carolina A&T State University commit themselves to positive action to secure equal opportunity regardless of race,color, creed, national origin, religion, sex, age, or disability. The guide-checklist stresses that “…Home accidents are a major source of injuries and can cause death. Older persons, whose bones are often less dense and more brittle, are especially vulnerable to serious injuries from home accidents. A simple fall that results in a broken bone can become a serious, disabling injury that limits one’s independence…”

On the guide, you will find a series of checklists. Use these lists as you go through your home. Make a check mark next to those items or behaviors that you already have. If there are items that you do not check, then your home is not as safe as it could be. By improving those items not marked, you can make your home a safer and more comfortable place to live. While the suggestions in this publication are for older people, they apply to all age groups as well.

To Download the guide, click here.

Medical advocacy is a key component of Living Well’s approach to care that has been demonstrated to lead to improved quality of life and avoid further complications for seniors’ health. It is vital to avoid unnecessary visits to the ER and prolonged home stays.

Pam Belluck offers advice on how to prepare when an elderly patient is headed to surgery or a hospital stay in a recently post in The New York Times. She offers  Six Questions to Protect Elderly Patients.

Read the article.