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"What Is The Best Place For Me?"
By Kate Granigan

Marshfield - This is a question I hear every day. As a Professional Geriatric Care Manager, it is often part of my work to assist families in finding the “best” living solution for an elder.

Of course we all want the best for ourselves or our loved one, but “the best” in the case of living options is not a cookie cutter answer, but differs greatly, depending on a host of variables. The answer to this question is not as simple as it might seem, but deserves thoughtful attention and careful examination to make the right choice. This choice should be a good fit, not just for now, but for the future. This takes good planning, guidance, honest dialog and some hard work.

Here are a few steps that should be taken to ensure that your choice of living arrangements is “the best” for you or your loved one:

• Do your homework.  There are many living options today and not all are created equal. Understanding the differences between each option, and why it might be a good fit for you is critical. Do not be afraid to ask questions about concerns that may arise such as how changes in health or ability in functioning affects the ability to remain in the setting, what happens if a hospitalization is necessary and the location’s position on bringing in additional help if needed. This is all part of “aging in place,” and is important to consider in making your decision. This may not be important now, but should be considered to avoid an unnecessary move as things change.

• Have honest dialog with all parties.  It is not unusual when considering a move for there to be varying perspectives of what is needed among family members. Starting with an open dialog of why a move might be needed and allowing everyone to share their perspectives can help put concerns and goals on the table. Having a mediator to assist with this as an objective observer of the situation and to facilitate may be useful.

• Have an Objective Assessment.  If there is a good deal of discrepancy between what is thought to be needed, it may be helpful to have an objective assessment done to offer guidance and suggestions.

• Take your ideas on the road.  Make a list of possible options and make a visit to each location and take a tour, ask questions and make notes. If possible, have more than one person make the visits so that you are sure to have a few perspectives. If you are out of state, using the internet and getting reports from someone you trust is critical.

• Compare.  Make a list of pros and cons for each setting and have another meeting with those involved to review. Things to consider are size of community, assistance available, social activities, ability to “age in place,” finances, proximity to one’s community and family…all considerations.

• Trail period.  Many living communities offer the option of a “Respite” or trial stay.  This is a great chance to “live” in the community before making a full commitment.

• Making the move.  If all of the above mentioned is taking into consideration and a community is chosen, using professional assistance in making the move go smoothly can be a good choice to avoid unnecessary stress for all.

Remember, a move at any time of life can be a huge adjustment, even when it is the “best” choice. Recognize that there is an adjustment period in any change and that it is not unusual to feel regret and loss after taking the plunge.

It can take up to six months to begin to feel comfortable in a new community or living environment and often additional support and attention is needed to make the new house a home.
 
About The Author
Kate Granigan, LICSW is Executive Director of C.A.R.E. LLC, The Elder Life Specialists which helps its clients attain their optimal level of functioning by delivering care coordination and support services in a way that preserves dignity and independence for elders. For more information, you may call Kate at (781) 837-7444 or visit the C.A.R.E. web site at www.care-elderspecialist.com.

 


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