Aging in Place
What is Aging in Place?
Aging in Place is the concept of living out one's life in his/her own home and/or community. Aging in Place does not necessarily mean that someone cannot move, but it is the act of thoughtfully considering and deliberately deciding where to live out one's life - whether in a specific home or location, and then planning and taking action to ensure one's living environment is suitable to support this decision throughout all life stages.
Some advantages of creating an early roadmap of how and where elders want to live out their lives are that family members are given the opportunity to:
fully understand their elder's wishes and preferences
voice concerns
work through practical and emotional issues, and
collectively agree on the role each family member will play
This is a proactive step in the aging process.
Aging in Place Checklist
What makes a home suitable for aging in place?
Suburban or near suburban location
Ideally 1 level with a 2 car garage OR a primary bedroom and bathroom on the main floor
Adaptability of home to make necessary Aging in Place updates
Preparing to Age in Place can take time, particularly if a home needs to be modified to make it suitable for ongoing living. Below is a checklist for the types of updates one may consider when adapting a home to age in place. Note that this list is comprehensive and not all updates will be necessary. The cost of updates will be largely dependent on the home and changes to walls, plumbing or electrical work:
Bathroom:
Tub and shower controls offset
Light in shower stall
Shower stall with low or no threshold, trench drain
Fold-down shower seat
Hand-held shower head with 6’ hose
Lift or transfer seat for bathtub
Lower bathtub for easier access
Grab bars at back and sides of shower, tub, and toilet, or wall- reinforcement for later installation
Adapter to raise toilet seat 21⁄2”–3” higher than standard
Turnaround and transfer space for walker or wheelchair (36” x 36”)
Knee space under sink and vanity
Counters at sit-down height
Emergency alert or call button
Faucets Switches and Controls:
Temperature-controlled or anti-scald valves for faucets ˆ Lever faucet handles
Easy-to-read, pushbutton controls
Lever door handles
Loop drawer handles
Easy-to-read, programmable thermostat
Rocker light switches at each room entry
Lighted switches in bedrooms, bathrooms, and hallways ˆ Light switches at 42” from floor
Electrical outlets 15”–18” from floor
Front controls on cooktop
Entry and Stairs:
At least one entry without stairs
36”-wide doorway with offset hinges
Side window at entrance or lowered peephole
Handrails on both sides of stairs
Outside stair height below 4”
Contrasting strip on stair edge
Ramp slope of no more than 2” per 12” in length, 2” curbs, 5’ landing at entrance
Low (maximum 1⁄2” beveled) or no threshold
No mats or throw rugs
Exterior sensor light focused on door lock
Surface inside doorway for placing packages
Audible doorbell
Flashing porch light
Kitchen:
Cabinets with pull-out shelves and turntables
Wall cabinets set below (about 3”) standard height
Glass cabinet doors or open shelving
Easy-to-grasp cabinet knobs, pulls, or loop handles
Task lighting under cabinets
Electric cooktop with front controls and hot-surface indicator
Microwave at counter height
Wall oven or side opening oven door at counter height
Counter space for transferring items from refrigerator, oven, sink, and cooktop
Contrasting color strip on counter edges
Side-by-side refrigerator/freezer with adjustable upper shelves and
pull-out lower shelves, or a freezer drawer on the bottomRaised dishwasher
Variety in counter height—some at table height (30”)—under-counter seated work area
Gas sensor near gas appliances
Home Design and Layout:
Easy-open windows with low sills
Color contrast between walls and floors, matte finish wall coverings
Adequate, accessible storage
Wide halls and doorways (interior doors and hinges can be removed)
“Flex room” for family visits or live-in care provider
Attached garage with opener or covered carport, room for wheelchair loading
Smoke and carbon monoxide detectors
Low-vision adaptations:
Anti-glare glass
Stick-on, tactile markers on controls ˆ Contrasting color switch plates
Electrical-plug pullers
What Makes a Community or Neighborhood Suitable for Aging in Place?
The AARP offers a list of the following community attributes that support continued independent living for older adults and might make it an ideal location to age in place:
Fitness: well-run community centers, recreation centers, parks, walking trails and paths, wellness facilities and other places where people can socialize and participate in public meetings and events
Community and Activities: churches, employment opportunities, volunteer opportunities, popular activities and hobbies, cultural and educational institutions, and opportunities for civic engagement
Transportation: dependable public transportation as well as the availability of safe and convenient transportation options (such as easily accessed rides from friends and family); proximity to airport, parking options roads, sidewalks and traffic volume
Medical: health care facilities, doctors, hospitals, clinics, specialists and emergency services nearby
Market: Range of housing options including affordable housing, elsewhere in the community if the resident wants to leave the current home
Services: Close to shopping, internet and restaurants
For many people, where they live at retirement - in either a their community or their home - is where they want to live out their lives.
However, the choice of where and how to age in place often depends on the individual's health and support needs, as well as other factors such as safety of the community, access to support services, and whether or how a home might be adapted for aging in place (and the time and resources to do so).
If your intent is to age in place, finding a home that will meet your continuum of needs, or making plans and adaptations well in advance can be an important aspect to successfully staying in a home long term