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AGING IN PLACE: WHY? (Part 1 of a series by Eryn Sellarole, MS, OTR/L, CAPS)

Aging in Place is the ability to live independently, comfortably, and safely in one’s own home or community as you age. Why age in place?

Familiarity and Comfort

‍Aging in place allows individuals to stay in a familiar environment, which can provide a sense of comfort and security. Being surrounded by the same possessions, neighborhood, and community can contribute to a higher quality of life.

Independence

‍Maintaining independence is a significant advantage of aging in place. Individuals can continue to manage their daily routines, make decisions about their own lives, and maintain a sense of control over their environment.

Emotional Well-being

‍Staying in one's own home often fosters emotional well-being. It can help prevent feelings of isolation and loneliness, as individuals can maintain their social connections, visit with friends and family, and stay engaged in their community.

Cost Savings

‍Aging in place can be more cost-effective than moving into a senior living facility, as long as the home is safe and can be adapted to accommodate changing needs. Senior living facilities can be expensive, and aging in place can help individuals save money.

Personalized Care

‍Those who age in place can receive personalized care that is tailored to their specific needs. This care can be provided by family members, home health aides, or other professionals who can create a care plan designed to meet the individual's unique requirements.

Sense of Community

‍Many individuals develop strong ties to their local community over the years. Aging in place allows them to continue to be part of that community, participate in activities they enjoy, and receive support from neighbors and local organizations.

Retained Autonomy

‍Aging in place allows older adults to maintain their autonomy and retain control over their living environment, daily routines, and decision-making processes. This can lead to a greater sense of self-worth and satisfaction.

Lower Stress Levels

‍Moving to a new living arrangement can be stressful. Aging in place minimizes the disruption and stress associated with relocating.

Familiar Health Care Providers

‍Staying in one's community often means continued access to familiar health care providers, which can be essential for managing chronic conditions and maintaining overall health.

** It’s important to note that aging in place may not be suitable for everyone, and it depends on individual circumstances, health, and the safety of the living environment. In some cases, transitioning to a senior living facility may be the better option for ensuring the well-being of the individual. Assessing one's unique needs and resources is essential when considering aging in place. **

AGING IN PLACE: FALLS AWARENESS (Part 2 of a series by Eryn Sellarole, MS, OTR/L, CAPS)

Aging in Place is the ability to live independently, comfortably, and safely in one’s own home or community as you age. Let’s explore information around the high rate of falls and risk factors that can impact one’s ability to age in place.

Rate of Falls

• Falls are the second leading cause of unintentional death.
• Individuals age 60+ suffer the greatest number of fatal falls.
• 37+ million falls require medical attention.
• Medical costs of fatal falls total over $50 billion per year.
• The rate of falls is expected to grow from 52 million in 2018 to 73 million in 2030.
• Each year, there are 32,000 deaths, 3 million ER visits, 800,000 hospitalizations, and 300,000 hip fractures as a result of falls.
• New Hampshire has one of the highest fall rates in the nation (contributing factors could include weather or age of homes).
• New Hampshire has the 15th highest fall death rate in the nation at 103 of every 100,000 falls.

Are you at risk? High risk factors include (but are not limited to):

• Males (higher risk taking/hazardous occupations)
• Alcohol
• Social economic factors (poverty, poor housing, etc.)
• Unsafe environments (low light, slippery floors, poor footwear, clutter, stairs, etc.)
• Underlying medical conditions (lower or upper body weakness, dementia, neurological conditions, cardiac conditions, anxiety, poor sleep, vitamin D deficiency, neuropathy, etc.)
• Side effects of medication that can impact balance or cause immobility
• Physical factors (poor mobility, cognition, vision, pain)

It’s important to be aware of your risk factors and to talk with your doctor about any concerns you may have.

AGING IN PLACE: FALLS PREVENTION & ENVIRONMENTAL SOLUTIONS (Part 3 of a series by Eryn Sellarole, MS, OTR/L, CAPS)

Did you know there are both physical AND psychological consequences of falling? We know that 1 in 5 falls results in a head injury or broken bones. We also know that falls increase the fear of falling. Falls can lead to decreased social participation and activity level and increased anxiety and perception of frailty. Limiting mobility leads to increased weakness, which leads to increased risk of falls. Don’t get caught in the vicious cycle! Prevention is KEY!

Environmental Solutions (this is not an exhaustive list)

• Improve home’s accessibility by installing ramp or incorporate in landscaping
• Ensure good lighting; install motion detected lighting or nightlights
• Remove all tripping hazards (including doorway thresholds, rugs, cords)
• Install lifts (chair, elevator, platform)
• Widen doorways (at least 32”)
• Install grab bars for the shower, tub and toilet
• Replace knobs with lever handles

AGING IN PLACE: COGNITIVE SOLUTIONS FROM AN OCCUPATIONAL THERAPY PERSPECTIVE  (Part 4 of a series by Eryn Sellarole, MS, OTR/L, CAPS)

Occupational therapists (OTs) play a crucial role in facilitating aging in place, particularly by addressing cognitive challenges that may arise. Let’s explore various cognitive solutions that OTs use to support aging individuals in maintaining their independence and well-being.

Understanding Cognitive Decline in Aging

Cognitive decline is a common aspect of aging, affecting memory, attention, problem-solving, and executive functions. These changes can impact daily activities, making it difficult for seniors to manage their homes, finances, medication, and personal care. Early intervention by OTs can mitigate these challenges and help seniors maintain their independence.

Cognitive Assessments

The first step in providing cognitive solutions is a thorough assessment. Occupational therapists use standardized tools to evaluate cognitive functions and identify specific areas of decline. Common assessments include the Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and the Cognitive Performance Test (CPT). These assessments help in creating personalized intervention plans tailored to the individual's needs.

Cognitive Training and Rehabilitation

Cognitive training involves structured activities designed to improve specific cognitive functions. OTs might use computer-based programs, puzzles, memory games, and other exercises to enhance memory, attention, and problem-solving skills. Cognitive rehabilitation, on the other hand, focuses on compensatory strategies to cope with cognitive deficits. This may include teaching clients how to use calendars, to-do lists, and alarms to manage daily tasks.

Routine and Structure

Establishing a daily routine can significantly benefit individuals with cognitive decline. Occupational therapists help clients develop structured schedules that include regular times for meals, medication, exercise, and leisure activities. Consistency in daily routines aids in reducing confusion and anxiety.

Social Engagement

Social isolation can exacerbate cognitive decline. Occupational therapists encourage seniors to stay socially active through community programs, clubs, and support groups. Engaging in meaningful social interactions can stimulate cognitive functions and provide emotional support.

Health and Wellness

Promoting overall health and wellness is integral to cognitive solutions. OTs advocate for a balanced diet, regular physical activity, deep breathing, reducing stress, and adequate sleep, all of which have a positive impact on cognitive health. Additionally, managing chronic conditions such as diabetes, hypertension, and depression is crucial in preventing further cognitive decline.

Technology Solutions for Home Safety

Technology plays a pivotal role in enhancing home safety for individuals with cognitive impairment. OTs can recommend and assist with the implementation of various technological solutions, including:

• Smart Home Systems: Devices like smart speakers, thermostats, and lights can be controlled remotely or set to operate on a schedule, reducing the need for manual adjustments and minimizing potential risks.
• Medication Management Systems: Automated pill dispensers and reminder systems ensure that medications are taken correctly and on time.
• GPS Tracking Devices: Wearable devices with GPS tracking can help locate individuals who may wander, providing peace of mind for caregivers.
• Fall Detection Systems: Wearable or home-based sensors can detect falls and automatically alert caregivers or emergency services.
• Video Monitoring Systems: Cameras can be placed in key areas of the home to monitor the safety and well-being of the individual, allowing caregivers to check in remotely.
• Stove and Appliance Safety: Devices that automatically shut off stoves and other appliances after a set period can prevent accidents caused by forgetfulness.

Provided by Eryn Sellarole, Occupational Therapist and Certified Aging in Place Specialist at Lake Sunapee VNA