Aging in Place
Stephanie McKinneyMarci MoesSylvia RevangileMeridith Shumate
What is Aging in Place?• Empowering an older individual to remain in his or
her home while aging.• Successfully• Independently• Comfortably • Safely • Regardless of • Age• Disability • Income
America’s Changing Demographics• Baby Boomers have reached age 65 or older
• In the next 30 years…• The population aged 65 and older will double • One out of five Americans will be over the age of 65• 20% of the population• 85 years is the fastest growing group• Ethnic proportions • Non-Hispanic whites• 84% to 64%
What Does this Mean?• Recent AARP study• 90% desire to remain in the home or community while
aging
• Various demographics• Costs• Nursing Homes• $86,000 per year
• Aging in Place• $23,000
To whom does this appeal?• Low income• Close social networks or relatives living nearby • Married couples• Elderly from Urban areas• Those who are aware• Minorities
Successful Aging• Reduces the risk of disease and disability• Dependent on environment
• Maintaining cognitive and physical functions• Physical activity
• Engaging in social or civic activities • Important in facilitating independence• Provides psychosocial benefits • Goal of aging in place policy
Being Healthy and Being
Active Go Hand in Hand!
Services• Transportation• Affordable Housing • Housing Alternatives• Social Needs• Recreational Activities• Home-health Services
Housing • Pivotal Aspect• Some want…• To remain in the home where they raised their children• To move into a home that was built for an elderly person
• 41% reported housing problems• Physical inadequacy
• Modifications are sometimes necessary
Necessary Modifications• Wider doors• Wider hallways• Lower cabinet spaces• Nonskid floors• Ramps• Grab bars in the shower/restroom• Etc.
Common Remodels
How can a person afford this?
• Virgina• Thousands of tax credits• Modify homes• Housing developments
• NORC• ADU• Livable Communities
NORC• Naturally Occurring Retirement Communities • Neighborhood• Parish• Multi-family Building
• 65 years or older• Help Each Other• Home maintenance • Shopping • Financial management• On-site medical care
New Jersey• Hundreds of thousands of dollars in grants• 60 or older
ADU• Accessory Dwelling Units• Granny Flats • Self-contained living units• Attached • Share
States• Washington• Oregon• North Carolina • Illinois• Massachusetts
Livable Communities • Communities built to facilitate aging in place• Integrated• Land use• Transportation needs
• Fit for elders• Access to transportation• Safe pedestrian conditions • Available• Social • Civic
Transit-Oriented Development
• Walkable • Alternative ways of transportation
Transportation • Problems• Operating• Affording
• Public Transportation• Train• Bus • Volunteer drivers
• Walking• Health• Mobility • Cognition
Complete Streets• Independent means of traveling• Planning • Designing • Constructing • Maintaining • Safe• Accessible
Health Services • Availability is essential • Public• Private • Governmental• Community
• Functional limitation • 42% of people aged 65 or older
• Chronic Disability • 80% of the elderly
• Multiple Chronic Disabilities • 50% of the elderly
Aging in Place• Aspects• Social networks• Support• Safe living conditions• Remaining active in the community • Physically • Mentally
• Decreases the risk of disability and disease
What services are needed?• Health Services• Home nursing visits• Local doctor offices• Public health programs• Nutritional education• Medication• Home-delivered meals• Respite care
What is being done?• Geriatric education centers • Health students• Existing health care professionals
• Disparities in minority elder populations• Affordable Care Act • Boost public health workforce• Educational grants• Public health grants• Preventative training grants
Recreational / Multigenerational• Close social networks• Increasingly important • Elderly with more sources of social support have
better…• Physical well-being• Psychological well-being• Resilience to disease and other stressors
• Close personal relationships• Sense of belonging • Imperative
Young and Old• 20% over 65• 23% under 18• Young and old will make
up nearly half of the population
• Promoting public health for elderly• Public health for the
young• Concentrating on factors
such as • Obesity• Diabetes
• Creating a community that facilitates…• School• Parks• Hospitals• Community centers
• Elder friendly • Child friendly • Remain• Active• Connected • safe
Benefits • 45% of the older population volunteers annually • The elderly earn satisfaction • Children gain…• Wisdom• Patience• Devotion
• “eyes of the street”• Protect the young• Set a good example
Aging in Place
Barriers• Disability• Income • Long term-care • 48% of homeowners • 59% of renters
• Social support • Location • Shortage of the health
workforce that serves the elderly
Benefits• Reduced or managed
disability • Less excessive costs• Strong social network • Sense of significance• Feeling of belonging • Health is greatly
influenced by strong social ties
Maryland• Veteran’s Full Employment Act • Allows military veterans to obtain licensing for health
occupations if their service met requirements
• Benefits • Diverse community • Civilians and veterans • Multiple generations• Races
Future • Gained interest by policy makers on a federal and
state level• Research in the last 30 years• Administration on Aging• National Institute on Aging
• Weaknesses• Still very new, only 30 years old• Predicted diversity• Studies on the effectiveness of services and provisions are yet
to be solidly determined
• Continue to grow, learn, and develop• Making the community more elderly friendly is the
central goal
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