Aging in place

Moving, for most people, is one of the top five stressors in a lifetime. For older Americans, the thought of moving from a long-time home into a nursing home can be devastating. Often this decision is made before it is really needed. Family and friends are concerned about a nasty fall or proper meals and it may seem like they are in a rush to get their loved one to institutionalized care. But, for seniors, it is still desirable to remain at home for as long as possible. Aging with independence and grace is extremely important.

Aging in Place - growing older without having to change residences to secure necessary services - is an issue gaining in national importance. Almost 90 percent of seniors older than 60 want to "live out their lives in familiar surroundings," according to a recent AARP poll. With escalating nursing home costs, it has become more cost effective to provide services to people who stay at home in their communities.

It is a common misconception that when an older person needs nursing home care, the government will pay for it. If you held that belief, you aren't alone. Another recent AARP survey showed that 55 percent of American adults thought they would be taken care of later in life. When it comes to paying for aging services, there are only two ways to prepare: Plan and save. The safety net known as Medicaid is an option, but only for those who have absolutely nothing left to spend.

To manage the concerns of family and friends, and to continue aging with independence for as long as possible, there are several things seniors can do to stay healthy and safe. By using preventative activities, safety aids, programs and local resources, seniors do not have to give up their home quite so soon.

It is extremely important to know your limitations, while retaining current abilities for as long as possible, so a regular physical evaluation is very important. Preventative measures such as eating well and regular physical activity, including balance exercises, can keep people healthy and prevent falls. A home safety evaluation can also identify risks, such as throw rugs or loose steps that could lead to falls. The installation of good lighting, grab bars and railings, a ramp, wider doorways or other home modifications can improve access and safety in the home. Low-tech devices such as grabbers to reach high or low, easy-to-grip utensils, long shoehorns, shower seats or raised toilet seats provide simple solutions to frustrating problems. Useful electronic devices include voice or touch activated appliances or lights and motion sensor systems. Personal emergency response systems, worn around the neck or on the wrist, have proven to be effective ways of ensuring safety and emergency response.

Local senior programs can provide hot meals, social activities, resource information, events for seniors and senior transportation. Sometimes, a little help around the house can keep a person independent. Services such as light housekeeping, cleaning, yard work and chores are typically contracted on an hourly basis. More skilled services such as nursing or therapy, based on medical necessity and a doctor's recommendation, can also be contracted to be done at home. Resources such as the Senior Linkage Line can provide information on Medicare, insurance and planning for later in life.

Although a short summary, these are just some of the issues to consider when aging with independence. Many of these resources and programs are available in rural Minnesota, however, cost can be an issue. If someone needs help and cannot afford to hire a contractor, they can contact Faith in Action for Cass County for "neighbors helping neighbors." Faith in Action volunteers provide assistance with rides to medical appointments and errands, light housekeeping and chores, friendly visiting, respite and home modification.

Faith in Action may be able to provide that extra help a senior needs to remain in their home and community.

Faith in Action for Cass County is a charitable, nonprofit, volunteer organization that helps people in need. Supported by local contributions, Faith in Action provides services to help people age in place with independence and grace.

For more information about Aging in Place, volunteering or receiving services from Faith in Action, please call (218) 675-5435 or (866) 675-5435 or check out the Web site at www.faithinactioncass.com.

In Crow Wing County, contact Lakes Area Interfaith Caregivers at (877) 245-7454.

THERESA ECLOV is the executive director of Faith in Action for Cass County in Hackensack