In a previous article, Building an Aging Alone Plan, I pointed out that living alone as we get older doesn’t support optimal health. And, if we’re smart, we’re building a strategy to create support and close ties.
Another common theme for older adults living at a distance from family is “Who will care for me if I need help?” It’s the question I asked myself many years ago after helping my parents with elder care needs.
When Mom’s health declined and Dad was diagnosed with Alzheimer’s, my sisters and I stepped in to help. I have no daughter or son to do the same for me, nor do many other older adults, and it’s why we must create strategies that replace family caregivers.
Today’s 17 million “solo agers” are already creating a demographic that is unprecedented in American history. And that number triples for the world. It was declared that the aging alone segment would be a hidden tsunami.
“Older age is a time of life when people often need to rely on family, friends, and other social relationships for care they no longer can do for themselves. If an elderly adult lacks those relationships, however, they may have to lean more heavily on paid professional care, potentially leading to a lower quality of life and higher costs for families and government.”
In research from 2018, academic scientists found that older adults are less likely to have a relative living nearby. The share of retiring adults with a relative in their neighborhood (outside their home) fell from 34 percent in 1994 to 22 percent in 2014. And the data predicts the number will continue to rise well into the next decade and beyond.
Giving care to an older adult requires a lot of time and energy. The tasks my parents needed were my wake-up call as to why I needed a caregiving plan and why I encourage others at risk of aging alone to have one as well.
You and I simply cannot afford to ignore planning for the long-term because facing the challenges alone will put you in uncompromising situations.
Retirement and older age will look much different for baby boomers than it did for our parents and grandparents. We’ve been caught in the transition from institutional responsibility for retirement security to an increasing amount of individual responsibility.
Pensions are largely a thing of the past, which means many of us are responsible for our own preparedness.
If a person does not have offspring to rely on, chances are they will have to pay for care when needed, and since it’s costly, my advice is to create a close knit group of peers who will share the care.
The personal support team offers one another medical rides, help at home when ill, wellness checks, and simply lending an ear when life gets tough. These are some of the biggest challenges an older adult lives with.
About 30 percent of solo agers prefer a supportive lifestyle like moving to an Independent and Assisted Living community, or CCRC, for the sake of having nearby assistance and built-in activities.
Recently, I contacted close to 20 life care communities and they reported nearly 30 percent of the residents to be solo agers. Before moving into one, make sure the lifestyle fits your preferences and the monthly expenses won’t drain the budget.
However, other shared lifestyles are cranking up. Co-housing developments, tiny house villages, and sharing our homes with roommates were growing rapidly in interest before Covid, and have hitched up again. Those who prefer this over senior housing do so because they feel more freedom and connectedness with the larger community.
When choosing this style of housing, make sure you have the ability to be mobile and can drive. Living in the suburbs has the potential to create isolation and loneliness.
Adults without family support also must have a healthcare proxy or arrange for future legal guardianship – someone who will take over in a fiduciary capacity if the person cannot make decisions for themselves.
The agent or proxy could be a relative or a friend or even a professional fiduciary or private guardian. Solo agers have a heightened need to have these legal docs in place while they are still young and healthy since no adult child will be rushing in to help with decisions.
Plan early and think through the process of selecting a trustworthy agent; someone you can count on wholeheartedly to follow your wishes.
There are a million things to plan for, but you need to start with health, housing, support system, finances, legal documents, and transportation. These are the top issues that most older adults will and do face.
Your plan should start with action steps that compensate for the top worries:
Growing older may seem far off, and since most of us cannot fathom anything significant enough that far down the line, we do nothing or the very least we can to get by.
Dr. Bill Thomas, a geriatrician, says, “Human beings have a very limited ability to accurately predict or even imagine the needs of their future self. This is especially true when that future contains scary possibilities and lies decades in the future.”
After much research and reading, I’m convinced a plan for the long-term does not require accuracy, because life is dynamic and there’s nothing accurate about the future.
However, if we carefully observe and mentally take note of what elders live through, there’s a chance that we can learn through observation and make a fairly thorough plan for our future.
Then we can avoid the bi-product of not planning which, according to Dr. Bill Thomas, is this: “People who are not prepared get care that is chosen by someone else.”
How close do you live to a friend or relative? Do you have a support group or community? How often do you review your care plan? Please share with our community.
Pensions are a thing of the past??? What country do you live in? Pensions are available & supportive in Australia (although there is always room for improvement by the government!)
Annual review in Jan/Feb. for any updates needed, winter months/tax prep time coincide.
But anytime there is a significant change is the right time to update.
No plan yet? Start with listing your values and wishes: what and who are most important to you now? Think 5-10 years ahead and act now: move to that elevator building now or closer to community, trusted family or friends, work on maintaining connections.
Few people may have long term care insurance, as many have found it too costly to consider.
Incorporate exercise for the body and activity/learning for the mind to preserve your health. Consider taking up mindfulness, meditation, a new language or hobby, music; read or listen to books.
The easiest start is to automate all your bill payments, as this may preserve your housing options if you unexpectedly require prolonged hospitalization.
Next step is to complete your Health Care Proxy or Living Will. In NYS, the forms are available on line and do NOT require an attorney to complete.
Power of Attorney is more complex and elder care attorney or firm is essential. If you have assets and may need Medicaid (which is a payor for some long term home health care and nursing home care, which can easily cost $10k per month), the attorney can advise you BEFORE the need arises, as the look back period for NH Medicaid is 5 years.
And the cost of doing nothing is to default to the court system to appoint a guardian which is a long, onerous and expensive procedure which may not reflect your wishes and is certain to create chaos and unnecessary stress.
If you have not yet done so, do estate planning which may include a simple Will or establishing a trust and requires an attorney and the funds to complete the documents properly.
Your primary care provider and trusted family or friends should have access to your Health Care Proxy and Living Will and as indicated/appropriate, the name of your elder care attorney.
Lots of information about what I must do if I don’t have a family or special friend but tell me HOW to get a healthcare proxy or arrange for future legal guardianship.
That is of interest to me as well.
In USA: Find an elderly care attorney or law firm that specializes in elderly care to formulate Health Care Proxy(HCP), Living Will and Power of Attorney(POA). If you have 1-2 or more persons that could be trusted and are willing and able to follow you wishes (and I would recommend that the agent is able to act alone to avoid conflict) and accept responsibilities for either HCP or POA ( may be different persons).
Reason to select a few persons is that when the time comes one may be unavailable and if you do not have POA, the courts system of appointing a guardian is onerous, time consuming and expensive and totally out of your control.
If you do not have persons for HCP or POA, an elder law firm will have options explained which depend on your state. A Living Will can be made that is helpful in outlining your wishes for care.
Your primary care provider and close trusted friend(s) or relative should have copies of HCP and Living Will. Also, they would benefit from knowing the name of your elder care attorney to notify if you are hospitalized and cannot speak for yourself.
Right now, automate all your bill payments as weeks/months in the hospital can jeopardize housing situations and your options.
Consider Medic Alert bracelet options (about $50/year for this service) as your medical info as well as contacts can be stored and accessed anywhere in the world (plus, ID and info are often stolen or missing of you have the unfortunate event of falling out in the street or being the victim of a crime). I live in NYC and did house calls for many years.
I am an adult/gerontological and palliative care nurse practitioner with over 40 years working with families. I have worked with my family and friends to support their choices and options in planning for future needs. Often speaking with your friends and community, perhaps church members is helpful to support each other, as these concerns are of aging, as well as younger adults.
The time to plan is now….
Kathleen R. Douris, APRN-BC MSN
see an estate planning attorney! Pick one that does not do other types of law (elder law and tax law are exceptions since they have a large overlap). A good estate planning attorney can ensure your health care proxy and other basic docs, referred to ancillary documents, actually do what you want and can share examples of how things can play out with pros and cons.
this topic is hitting home because I am moving closer to family and giving up a home I love…it’s hard but a wise action……
Good for you. Hope everything works out!
Hello 👋 I live in a community for 62 years old and older and or disabled and they have social activities here for us to do a lot of times. It’s nice to see somebody and have things to do. I also engage in activities outside of the apartment complex on my own. I have no transportation. However, I can use transportation through my insurance through senior services and I go on a little adventures. I seek them out, and I have found them out by using the bus services even in my own town. I also ride my 🚴 bike. As suggested there are many things we can do.✌️