Friday, 21 September 2018

Planning Ahead

     If you are a regular reader of this blog, you will know that the key to maximizing your choices as you get older, is being proactive. It is far too common for people to wait for a crisis or significant hospitalization before considering issues around care and relocation. For many, this constitutes 'waiting too long' and they end up in a situation or place they would not have chosen. Often, if they had taken the time to discuss options well in advance and preplan, their transition from independent to requiring care, would have been easier and far less stressful for everyone involved. 

    For many, there is a stigma mixed with denial when it comes to discussing aging and the need for support and care. Most do not consider what they would want in an 'ideal world' or what they will need financially when the time comes. It is always the hope that we won't need care and can live in our homes unassited until the end. Unfortunately, this is rarely the case. 

    For those independent seniors who have not thought about these important issues but wish to be  proactive, there are questions you may want to consider to help you determine if you need to start thinking about options. 

• Are there stairs in your home (either inside or to get inside)?
• If yes, are you having difficulty with going up or down the stairs?
• Do you need help with any household tasks (laundry, cleaning, shopping, etc.)?
• Do you or your spouse need help with any personal care (bathing, dressing etc.)?
• Are you able to prepare nutritious meals for yourself?
• Do you have a yard/yard work/outside maintenance?
• Who does your repairs inside/outside your house?
Do you have people who can assist you with any of the above issues now or in the future or, if you do not, can you afford to pay people to assist with any personal care or household tasks?
• If you already have people assisting you:
     • Are you happy with the service they are providing?
     • Do they provide enough to meet your needs?
     • Can they provide more if you need it?
     • Is the cost affordable?
Are you on a lot of medications?
 If yes, are you able to keep track of when you need to take them?
• How do you get around (drive, cab, transit, family assistance)?
• Are you walking distance to important amenities (doctor, dentist, pharmacy, grocery store, etc.)?
• Do you require any assistive devices to help you to function?
• Do you have any safety concerns?
• Has your family indicated that they have concerns about your living situation/safety?
• How is your hearing?
• How is your sight?
• Are you forgetful?
• Do you have any significant medical issues which require assistance or may in the near future?
• Do you feel isolated/lonely or scared at certain times of day/night?
• Do you get out every day/almost every day or are you always home?
• Do you have hobbies? 
• Are you able to manage your finances?
• Do you ask for help when you need it?
• Do you have a support network, friends or family nearby and available?
 If not, would you like to move closer to family/friends?

      Answering these questions honestly can serve as a ‘conversation starter’ as they will help you to focus in on the type of support you might need currently or, in the near future. While a few potential or minor issues may not be problematic, several might be, and may suggest a need to begin considering resources.

     If, after thinking/talking about your current situation and (potential) concerns with your loved ones, it seems that in the somewhat near future, you might need either additional help in your own home or to relocate to a place where there are more supports to enable you to remain independent, it may be time to start looking at the options available to you based on your current financial, physical and social situation. Discuss any concerns you have with your family and your doctor, so they can assist you in locating supports in your area. It is better to begin doing your research and discussing what your desires are with your family before you need the help and most certainly, before a crisis forces the issue and limits available options.