AARP Hearing Center
As loved ones age it’s a delicate balance to help them retain independence and dignity while ensuring that their living spaces are safe and comfortable.
Sooner rather than later, it’s important to initiate “the talk” — or several talks — about planning and paying for where relatives will live as their health or financial needs change. Families often avoid these challenging conversations because they can be uncomfortable and emotional, and good intentions can be misconstrued. But if you delay the discussion until a crisis occurs, such as a fall or early signs of dementia, your options may be limited.
“So many people wait and react, instead of being proactive,” says Ryan McEniff, owner of Minute Women Home Care, a provider of home health aides in Lexington, Massachusetts, and a board member of the National Aging in Place Council. “You don’t need detailed plans, but have a couple of building blocks in place. … Do your homework.”
Experts who specialize in aging issues agree that having the right approach is key. Part of that is making sure that aging adults understand that any concerns for their well-being stem from your love.
Try to see the other person’s perspective, and have a collaborative conversation, says Ali Hall, a San Francisco–based consultant with the Motivational Interviewing Network of Trainers. “Having a hidden agenda or manipulating people to do something is not the way to go about it,” she cautions. “Look for solutions together.”
First, figure out what worries your loved one the most, Hall says. “Usually, people rant about what they don’t want; the flip side is what they want.”
Prioritize autonomy and independence and provide limited, pre-vetted options. Always explain why you’re offering a particular option and ask what the person thinks will work for them. Here are some topics for discussion:
Aging in place
One of the most important housing questions to ask your family member, Hall says, is, “Do you want to stay here?” The vast majority of older adults want to live in their homes as long as possible — 77 percent of Americans age 50 and older, according to an AARP survey.
If aging in place is the priority, discuss how to make the home safer and more comfortable as needs change, which may require making physical changes and accommodations to the residence. AARP’s survey found that more than a third of Americans envision making simple modifications, such as adding an outdoor ramp or handrails on stairs, with a quarter planning a major renovation, such as building an addition.