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Tag Archives: Eldercare

Fundamental Steps to create a Safe Gray Space

27 Friday Feb 2015

Posted by mbtrevino in AARP, Accessible Home, Aging in Place. Seniors, Boomers, HomeDepot, livability, Livable Community, Lowe's, Ott-Lites

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AARP, Accessible Home, Aging, Boomers, Eldercare, HomeDepot, Livability, livable, Lowe's, Ott-Lites

Simple principles can be utilized to modify an existing home and create a more effective space for aging in place. Though these concepts will reduce risk factors for any occupant, they’re particularly relevant for an elder resident’s safety. Enabling dignified self-sufficiency and functional independence are the desired outcomes.

Lighting- Vision gets worse over time. If I could reverse one thing about my own aging process, this would be it. (I am not a candidate for corrective surgery.) Providing proper lighting is not difficult. The lack of it, makes activities of daily living more difficult. The entire space should be well lit. I have several Ott-Lites that I rely upon, one by my couch, another on my bedside table and one in my office. Illuminated rocker switches are better/easier to see and use than traditional toggle light switches. If you can increase natural lighting, this has multiple health benefits; pets and plants require sunlight. Balance the quest for more light against the problem of unwanted glare.

Doors-  Replace doorknobs with lever-style hardware. Turning knobs can become painful and frustrating with stiff joints and loss of grip that often develops over time. Make sure the locking mechanism functions smoothly; update/upgrade if necessary. Trying to force open a difficult lock will annoy almost anyone but can become a real nightmare for a locked-out elder. Duplicate keys should be given to trusted neighbors; just in case. Consider a lighted key-chain for the front door key. (AARP sent one when I enrolled) Also investigate Security Door-Viewers; confidence is empowering. Check out Lowe’s $20 Giant-Screen version. In fact, Lowe’s has an entire department dedicated to the Accessible Home.

Floors – All floors must be slip-resistant. Get rid of area rugs. Install nonskid tape under rugs that you cannot part with. Optimum Technologies Lok Lift Rug Gripper for Runners, 4-Inch by 25-Feet runs around $10. Eliminate slip/trip points like thresholds wherever possible, or reduce their height. For those who use walkers or canes, low-pile carpeting is safest so the device doesn’t catch and cause a fall.

Stairs- For those living on more than one level, stairs can be especially dangerous. Install skid-resistant carpet treads. Sturdy handrails on both sides of the staircase, if possible are mandatory. Clearly defined steps that indicate where the edge of the tread is, will help prevent falls. 3M has a complete product line.

Entryways – Juggling keys, packages, and mail can unbalance someone entering or exiting. Have a chair, table, bench, or other flat surface for setting things down. Hang an accessible key-hook rack. In addition, provide bright lighting at entryways. Home Depot and Lowe’s both have a wide array of motion detector outdoor lighting. Solar pathway lights should be installed and can also be used in an emergency to provide lighting for nighttime power failures. Homebrite Solar 3 Way LED Path Lights, set of 4, $50 is a wise buy.

Bathroom – The best return-on-investment!
A no-threshold shower (walk-in/step-in) with canted floor (very gradual slope to drain) and well placed grab bars are essential to make bathing safer. These must be strategically installed so they are structurally sound and can handle weight. Put grab bars in the shower, by the toilet and sink and other areas in the room where you may need to steady someone or help support a wet, slippery, full-sized human. A single-handled faucet control reduces the chance of scalding at the sink, and a pressure-balanced control does the same in the shower. A hand-held shower head (Home Depot’s $50.00 Waterpic with 5′ hose) was extremely helpful to me when I was recovering from knee surgery. An accident and subsequent operation gave me first-hand experience with mobility challenges. Last, but not least, the $50 Lowe’s hand-held toilet bidet sprayer helps promote personal hygiene and preserve dignity.

Sidewalks- Streets made safer with adequate sidewalks are better for everyone; people walking to work, a parent pushing a stroller, a child riding a bicycle to school. The shared space created by a neighborhood sidewalk encourages community. City officials need time to honor this concept. Begin the process now.

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SilverTsunami

26 Thursday Feb 2015

Posted by mbtrevino in AARP, Aging in Place. Seniors, Boomers, Economic Insecurity, Retirement, SilverTsunami

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Aging, Boomers, Economic Insecurity, Eldercare, Elderly, Poverty, Retirement, SilverTsunami

Millions of people will enter retirement without sufficient resources to house and feed themselves for the rest of their lives. This “Silver Tsunami” is coming as the boomer generation enters their senior years. Between 2010 and 2030, the number of older Americans will double, to 72.1 Million. For the first time in history, people over 65 will outnumber children under 5. This past recession destroyed the dreams of a tradional retirement for many. When seniors are no longer employable or capable of working, there aren’t adequate strategies to keep the boomer generation out of homelessness and hunger. In the next 10 years, the “Silver Tsunami” will burden the social services system, tax communities and stress families to the point of collapse.

President Kennedy established Older Americans Month in 1963. Seventeen million Americans were 65 or older, about a third of those seniors lived in poverty. Now, according to a recent Census Bureau report, there are 40.3 million people aged 65 and older. Over 23 million Americans aged 60+ are economically insecure; living at or below 250% of the federal poverty level. According to AARP, in eight years, from 2001 – 2009, the number of Americans aged 50+ threatened by hunger soared by 79 percent, to nearly 9 million people. The Center for Retirement Research at Boston College said in 2013 that more than half of working-age households faced a deteriorating standard of living in retirement.”

According to the California Commission on Aging, the average income of elderly Californians is about $25,500, and Social Security accounts for 28 percent of older Californians’ income. A UCLA Center for Health Policy Research and the Oakland-based Insight Center for Community Economic Development estimated that 7 out of 10 elderly Latinos and African-Americans and six out of 10 Asians don’t have enough income to pay for their basic needs. Published in 2012, a Pew Research Center study found that the percentage of people ages 55 to 64 who doubt they will have enough to live on during retirement increased to 39 percent in 2012 from 26 percent in 2009. Meals on Wheels Research Foundation reports the number of seniors experiencing hunger rose 200 percent between 2001 and 2011.

There are deliberate decisions to consider and action steps to take.

First- Figure out where you want to live. Housing is the critical issue. The Internet is filled with lists of the most affordable places to retire. Based primarily on home prices, they also take things into consideration like weather and crime rate. Most of them ignore the desire and need to be near family, friends (caregivers) and facilities (healthcare, recreation/community centers/resources) If uprooting and relocating is an option, try an extended stay at a few places before you fully commit to moving. This is a step you should carefully explore before you retire. Prepare your living space for the long haul; if you plan on staying in your current home, make absolute certain it can accommodate you as your body morphs with age and possibly disease. Unforeseen mobility issues will complicate almost every single activity of daily living; practically every possible thing. Think about steps, stairs, hallways, first floor bedrooms, lighting, kitchen and bathroom cabinets, electrical plugs and switches that you can reach. Ease of bathroom access and functionality is essential.  Borrow or rent a wheel chair and see how your activities of daily living work out. Think hard about how much space you actually need and want to maintain. Even if your home is paid off, houses are expensive to heat, cool and maintain. Consider ways your home can provide additional income; rent a room to a college student or another retired person thereby turning it into a source of income for you. If any remodeling or updating needs to be done, do it while you are up for this mentally, and financially challenging process.

Deal with the Directives, wills, etc. (Advanced Directives) Medical and Durable Powers of Attorney. Have these serious,honest and often uncomfortable conversations with your children, friends, family members. Do it now.

Start saving. AARP reports that three out of five households headed by a person 65 or older have ZERO money in retirement savings accounts. Be reasonable about this. Earn potential prosperity from acceptable austerity.

Learn to budget (again) Retired people that live on fixed incomes generally use a combination of Social Security and a pension and/or withdrawals from their 401k or IRA. Occasionally, there may be passive income. Run the numbers now. Create a Long-Term plan and prepare a plan B as well; life can throw costly curve balls.

ALSO- Adjust your expectations. You will not have your parents’ retirement or even the one you were anticipating 10 years ago. Plan to work longer and be creative about producing income and reducing expenses. Be realistic about the life style you want to maintain.

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