Aging in place

[AlanP233040]

I recently asked a couple I know who, like me, are retired: “Do you guys talk about aging?” This subject had been on my mind, and not for no reason. I expected to hear something like, “Sure, sometimes we do.” The response I got was, “That’s all we talk about!”

I’m guessing we are not alone in this obsession. What will all our lives be like as we age until we can’t age any more? From a practical point of view: How will we manage basic life chores if, as could be the case, we find them difficult or even impossible to do?

Aging in place has become a popular goal for some. Even when this is a possibility, some things will still require special attention regardless of our physical circumstances. We may need assistance with things like financial and medication oversight, food shopping and preparation, managing healthcare appointments, and then there’s the issue of social isolation. Finding someone who can help manage these things into and through old age is a challenge. And certain of these can represent sensitive and personal issues.

Passed by Congress in 1965, the Older Americans Act requires that states submit a State Plan on Aging. The plan addresses a range of issues but it does not require specific actions to be taken, that’s up to each state to define. Elder Care is a branch of the U.S. Department of Health and Human Services, Administration for Community Living. Besides offering some information resources, Elder Care has a database with links to agencies focused on aging.

Most of what Elder Care represents are large agencies – useful, but missing a lot of smaller locally based groups (They state: “To ensure the integrity of the Eldercare Locator database, Agencies on Aging does NOT accept unsolicited entries from organizations.”).

AARP (previously and appropriately called, American Association of Retired Persons) is a large nonprofit offering an array of services and contacts to individuals on a wide range of issues. It is mainly focused on ages 50 and older, but has added some services for those 18 to 50 years.

There are many agencies and organizations dedicated to providing assistance to individuals who have a range of physical and psychological issues. However there are still two main problems: locating the exact resource that is needed, and finding ongoing assistance for day-to-day living issues. Larger services, like Elder Care and AARP, can lead individuals to services, but this can require patching together different resources in the hopes of getting exactly what you need.

Wouldn’t it be great if there was a group based in your community that could provide personalized assistance for a range of issues?

Village-to-Village Network (VtVN) helps communities create their own locally based assistance programs. In their words: “VtVN Villages are community-based, nonprofit, grassroots organizations formed through a cadre of caring neighbors who want to change the paradigm of aging.” VtVN supplies information, connections to existing VtVN Villages, and encouragement to interested citizens, helping them create their own neighborhood assistance organization. Each VtVN associated organization is unique and independent, offering their own range of assistance for issues of their choosing.

Networking that depends on personal contact on a local level is one way citizens can take control of their lives and help others in the process. Having on hand local help is like having a group of capable friends willing to step in when needed. Every village, town, and city, should have an organization like this.

[iLuvNature]

(Sunday 1/14/24)

Hi Alan @AlanP233040 , an EXCELLENT topic!!!

I want to "age in place" in my home as long as I can "safely" do this.

In my very humble opinion, Seniors NEED to stop looking for "support" from organizations and TRY to do as much for themselves as they can.

Some of these organizations are great and do TRY to help us when they can. But the others, nope.

For me at age 65, still driving and healthy physically and mentally - I want what years I have LEFT to be ones of PEACE...  😎

[GailL1]

So an organization to set up other organizations.  

I think we have a multitude of them already - yep, my community has one but they are more of a clearinghouse.

I do think people are looking for hands-on help but it also gets back to the ole problem of paying for hands on help.

Some can pay - some can’t.  

When a person of age begins to need help it needs to be something they can count on being there when needed - the best way to get that is to pay for it.  Now that could be out of pocket or it could be thru some government helping hand program.

Aging in Place is a great concept and can save money (personal or government)  at least for as long as it doesn’t end up costing more than an alternative.

But when the need becomes so great that it is 24/7 or should be - it is time to look at alternatives.

I’m sure it is a fine service but the services may already be in existence with other orgs.  

Rural communities seem to have great need - how is VtVN in those areas?

[AlanP233040]

You're right, 24/7 is a horse of a different color. At to VtVN, all their groups are independent and can structure any way they wish - some charge fees, so charge none. One in my village arranges car trips to appointments, and delivers one meal a day for some people, plus other stuff - they charge nothing. 24/7 in-home...difficult, unless, as you say, you have money.