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Can Your Family Home be the Retirement Home?

By Ronny Wiskin, CEAC

Today, more families are seeking alternative options to long-term care for their elder loved ones and the opportunity to take charge of personal health and wellness is a shift that society is embracing.

So, why is it, that so many people are choosing to live out their golden years in the comfort of home with family or friends, instead of settling in to a retirement home?

The thought of moving into a retirement home usually begins when managing daily routines becomes difficult to maintain, so the call for change begins as a way to feel safe and connected. When this starts, it can feel like moving is the best option to remain comfortable and secure. Does moving from a fully furnished family home into a nice, but tiny dorm style room make sense for today’s dignified families?

What will happen to your families’ belongings before a move into a smaller space can happen? Many people will downsize by storing, selling or giving possessions away, so that the new residence can be maintained and start off uncluttered for personal health and safety reasons. What will happen to your family home if the elders decide to move in? Especially if de-cluttering your own place needs doing. Has upsizing into a larger home been discussed? Could this accommodate many family members’ privacy, space and belongings? How would life work if we all moved in together? Will our combined equity and assets give our family more flexibility to hire additional help when needed?

When moving into retirement living, people are motivated to live a more manageable lifestyle. A common belief is that retirement residences will have help available whenever needed. It’s also believed that the physical environment will accommodate long term accessibility needs if a loss of mobility occurs. Unfortunately, this can’t be possible in either scenario because barrier free design has not been required under late residential building codes and help with homemaking or personal care will cost too much money for most retirement homes to include in monthly rental fees. Yes the social aspects can be great, but community/cultural centres and social environments for senior adults and elders are available in most urban communities.

Moving into a retirement home will often present some of the same challenges as the existing home. If an injury or illness occurs, performing activities of daily living can be difficult to maintain independently, no matter where you live. Help will need to be brought into the retirement home when individual care attention is needed.

Moving into a nursing home is a common solution for people that require full time assistance, although this personal help will cost over and above the standard living expenses anywhere you go. This is why many of today’s families are choosing to adapt their homes in order to meet the long term care & accessibility needs of multiple generations of family. By bringing a mix of family, private and government provided care services into the home, it allows for a more economical and comfortable lifestyle that avoids having to move away from home when natural changes in lifestyle occur.

North American homes built before and during the 1900’s were not planned with barrier free living or wheelchair friendly access in mind. This is because most local building codes did not specify disability features as a mandatory requirement for residential construction.

There is a greater demand for accessibility today, so the standards are beginning to change by adapting to meet the specifications for practical built-in accessibility features. Of coarse what’s practical for some, may not suit others – Universal Design, is looking to improve best practices in the building industry to help identify and solve these issues, which allow people to “age in place.”

What improvements can be made in order to remain in the home with family members/care givers? Modifications can be made to houses, condominiums, retirement homes and long term care facilities alike. Adaptations are made so that residents are able to live, work and play to the best of their abilities with minimal need for assistance, this is because accessibility achieves greater independence. Considerations should be made to achieve independent living and fall prevention to ensure and preserve long term accessibility in the home for all family members.

Contacting a trained professional that can perform a safety and comfort assessment can help identify risks and prevent major injuries at home. You will begin to realize that by making the appropriate changes it will allow you to live more comfortably and remain independent in your own home for as long as you want!

MED+ HAS BEEN HELPING CLIENTS STAY IN THE HOME’S THEY LOVE SINCE 1990!

Ronny Wiskin is the founder of ReliAble Independent Living Services, is the current Accessibility Solutions Manager at MED+ Home Health Care and is a certified environmental access consultant. Ronny can be reached locally at 416-477-5960 ext. 409 or by email at rwiskin@medplushealth.ca

© 2017 the above can not be copied without written permission of the author.

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How to Stay in the Place you Call Home.

 

Accessible Barrier Free Kitchen Counter

A global aging healthcare crisis is upon us.

Locally in the province of Ontario, 85% of people over the age of 65 want to continue living at home, according to the Ministry of Health and Long-Term Care (MOHLTC).

How will society cope with rising long-term care demands? Not to mention costs that are spiralling out of control at a time when governments are unable to pay, due to growing budget deficits.

Thankfully, we can breathe a sigh of relief, as there are alternative solutions to this pending crisis.

Today, the most common approach for seniors to live out their golden years is referred to as “aging in place or home health care”.  This idea is simple, convenient and is often the preferred choice to live a satisfying and fulfilling life. The idea is built on a five part strategy known as A.G.I.N.G.  ‘in place’. It consists of proven key success factors for remaining at home instead of moving into a long-term care facility.

Access support. Family members, friends and community are essential

Guidance. People with experience can ease the burden of coping with change.

Independence. Begins at childhood and is devastating when lost.

Navigate.Resources are available when help is needed.

Garner safety. Ensure that the environment will not produce a fall or injury.

In modern society, most parents find it difficult to accept help from their adult children. Resistance is not about being a stubborn parent. It is a fact of built-in human neurology that “a parent is the care giver” and this does not change as we age. For children, the best way to assist a parent is to show them how their  decisions help you.  It is important to have an open honest conversation with your parent about how you both feel about nursing homes.

If visiting a parent in a nursing home upsets you or your children, consider offering to visit them more frequently in their own home. Remember, this is the place filled with lifelong memories.  Loneliness is one of the predominant reasons why many seniors choose to move into long-term care facilities. They may suffer from loss of friendships or the ability to get out and socialize. Family, friends and outside resources need to be available if loneliness or depression becomes prevalent.

There are many great resources available online to help guide families through their transition. If a parent is reluctant to accept your concerns and suggestions, do remember that they are still your parents. More often than not, children come to realize that the most effective way to assist a parent in making an important lifestyle decision is to bring in a third party expert. An expert can assist with deciding which options are most suitable for a parent based on their lifestyle and goals. The following educational resources will assist in making well-informed choices:www.eldercarecanada.cawww.ccac-ont.cawww.cilt.ca

All people want to be able to live a high quality of life independently aging at home, regardless of how old they are. When a person suddenly becomes disabled, the fear and loss of independence can be traumatic. At this stage, it is very important that the person received support and assistance in coping with this dramatic change in lifestyle. Most people living with a lifelong disability are often in a position to inspire and motivate others by sharing their story and experiences about how to achieve and live an independent lifestyle.

Government funding continues to shift and adapt to changing needs. While government is reducing support for care in hospitals and nursing homes, they are increasing funding that is directed at making homes accessible. This is occurring because it is essential. The following government resources for home modification are available to the public:www.cmhc-schl.gc.ca,  www.marchofdimes.ca,  www.ccac-ont.ca

Accessibility is a key requirement for safety. The more accessible the home environment is, the greater the possibility to remain at home for the long term. The responsibility of evaluating the home and its surroundings goes to the job of an Occupational Therapist who is qualified not only in assessing the individual’s functional capabilities, but also in making recommendations for adapting the environment to fit the needs of those residing in the home.

Occupational Therapy support and Home Modification specialists can be found at the website www.ccac-ont.ca.

Additional assistance may be needed to perform daily routines safely. The Community Care Access Centre (CCAC) is the governing organization individuals need to contact in order to access and benefit from the limited caregiver support, which is paid by the government. Support can also be accessed nationally through private organizations such as Bayshore Home Health. Additional information can be found at the website www.bayshore.ca

The bottom line for a rapidly aging population is about offering an alternative including barrier free accessible home environments that increase mobility and reduce the need for care. Accessibility offers tremendous opportunities for Independent Living by removing obstacles while performing everyday routine tasks that are essential for a rich and rewarding quality of life.

 

Ronny Wiskin, Founder

Reliable Living Centre. 416-502-9200

ronnywiskin@reliableliving.com