Designing and creating a “forever home” for successful Aging In Place is a business in need by many today desiring to hold onto their home and age comfortably. Homes are aesthetically pleasing (non-institutional) with increased accessibility and functionality for those with mobility issues. The specialist will provide:

  • In-Home assessments to evaluate the client’s specific wants, needs, goals, and design solution ideas
  • property evaluations and feasibility studies to potential home-buyers and land / building developers
  • Design for new construction, remodeling, and additions to your home and property

Services

A partial or complete redesign are available options. The following list of functions can give you a place to start assessing the home to determine a partial/full list of items you may require:

STAIRS and TRIP HAZARDS

  • Are throw rugs being used? Are loved ones tripping?
  • How are stairs being navigated the stairs? Are they using the handrail? Are they also holding onto the other wall for support? Are there other vertical transitions or thresholds between heights or materials that were an issue for them to navigate?

DAYLIGHTING

  • Is their house light and bright, or dark and dim? Is there too much glare during certain times of day with the sun at certain angles in the sky / through the windows (late afternoon? early morning?) Are blinds, shades, or external overhangs needed to help with the glare coming into the rooms.
  • Does it feel warm and inviting, or cold and dark?
  • Does it feel “lived in”, or a bit too “empty”? Are visitors comfortable in your parents home?

TASK LIGHTING

  • Do they have sufficient lighting (both ambient and task) at the places where they stop and do work such as a desk, cooking and prep areas, reading chairs, etc.?
  • Is the light blocked by the occupant?
  • Does their body cast a shadow on the work space they are trying to use?

FIXTURE OPERATION

  • How are the use of faucets and sinks managed? Do they require you to grip and twist handles, or can you push a lever with your wrist for operation?
  • How about door handles or door knobs? Are there doorknobs that are tough to turn and require a grip and twist?
  • Are there doors that are “tight” or “tough” to open, that seem to require an extra thrust and then they “release” open all at once?

GRIP ASSISTANCE

  • How did they do holding onto a stack of dishes or a handful of silverware? How about their cooking utensils, did they seem to cause discomfort or require extra effort or focus to utilize?

PLUGS and SWITCHES

  • Did you notice how Mom or Dad’s hands use a standard light switch? Do they flip it up and down with ease and without pain? Do they alter how they use their hand for this task?
  • Do they have trouble reaching down to standard height outlets for cords and plugs?

CLEAR SPACE and MANEUVERABILITY

  • How did they do moving down the hall, and through / around doors that needed to be opened or closed on the way through them?
  • Are there door swings that are a hindrance to the open floor space in a room that make it tough to move about freely inside the room? Are there door swings that create tough to reach areas in a room when they are open?

ACCESSIBLITY to their THINGS

  • How did they do getting dishes in and out of the sink, dishwasher, cabinetry? Could they safely and easily get items out of all upper and lower cabinetry in the kitchen, laundry room, garage, etc.?
  • Do shelves come “up” and “down” to meet the user at a comfortable height, or is it an exercise in precarious reaching?

Specialization

A “home designer” requires no licensing or exams process for residential design

A licensed Architect has typically completed on average 8 years of schooling and apprenticeship training under an architect, before attempting the NCARB’s A.R.E. licensing exams. A minimum of 9 exams totaling 36+ hours of testing related to all aspects of design and construction, life safety, health, and welfare of the public in the built environment is required to receive a license.

CAPS Certified Architects or home designers (Certified Aging In Place Specialists)  is a designation sponsored by the National Association of Home Builders. It requires only three days of instruction to qualify. It is a known and understood credentialing & designation in the industry for additional training specific to working with older clients.

Preparation

Walking through the services section will give you the detailed assessment tool for determining specific needs you will want to ask for when seeking a consult with a home designer, or Architect. Take a notebook with your findings with room under each bullet point to write comments from the professional with which you are working.

Evaluation

  • Will you manage the bidding of the design and permit drawings, as well as the interviewing and selection of a General Contractor for your remodel, addition, or new home?
  • Define the types of licenses you hold; Architect, or home designer; CAPS Certified, or other-wise credentialed?
  • Define complete fee structure.
  • Hourly Rate(s), Percentage of Construction Cost, Flat Fee, NTE “Not To Exceed”
  • What does their Fee include? Is that to the point of Permit submittal level drawings & documents? What’s included in “Full Service”? Can it be done more “A La Carte”?
  • Are drawings submitted for permitting? Interview Contractors with you? Provide Construction Observation?
  • Provide a few recent (last 2 years) project client references that can be contacted.

Planning & Design Articles

  • How to Prepare Your Home for Aging in Place - Did you know that studies show that only 1 percent of homes are aging in place ready? Yet, if you don’t live in an environment that can support you, studies show that over 75% of seniors who are hospitalized by a fall, it is because of an accident in the… …Read More
  • Aging in Place: Growing Old at Home - The stairs are getting so hard to climb. Since my wife died, I just open a can of soup for dinner. I've lived here 40 years. No other place will seem like home. These are common issues for older people. You may share the often-heard wish — “I want to… …Read More
  • Aging in Place: Living Sustainably Helps our Southern Resident Killer Whales - On Thursday, April 4th, Q13 Fox ran a special on our Southern Resident Killer Whales. For those of you who may not know, fighting for these icons of the Pacific Northwest has been a huge part of my life. Growing up in Anacortes as I did, as a small child… …Read More
  • Aging in Place checklists - If you or a senior loved one are aging in place, here are some checklists to make your living environment safer for your aging years. Featured here are checklists for the exterior and interior of your home and a home-care provider checklist. Aging in Place: Exterior Checklist Walkways and Sidewalks… …Read More
  • Is Aging in Place Right For Your Parent? - Recent Studies indicate that 95% of seniors want to “age in place” in their aging years as opposed to retirement living. With the advancement of services for seniors, technology and home design, more and more seniors have the option to do just that. To many seniors, moving away from home… …Read More
  • Advocating for Your Parent: Are they a Good Fit to Age in Place? - If you are reading this, no doubt you are in the shoes I was in for six years as I cared for my own mother until she passed away in 2011. Today I look back and see how I began to find my own stride as her caregiver, and as… …Read More
  • Infographic: Is Your Senior Loved One Aging in Place? - Celebrate Spring! Make it a family event! Organize a spring cleaning party Create an indoor herb garden Plant spring flowers Clean up their yard See the infographic for more ideas! …Read More

Planning Radio Show Segments

  • Senior Real Estate Planning: How to Protect Family Wealth and Avoid Costly Mistakes

    What happens when aging parents face major housing, healthcare, and financial decisions without a plan? Too often, families find themselves making emotional decisions during a crisis, leading to unnecessary stress, financial loss, and even family conflict. The good news is that many of these challenges can be avoided through proactive planning.

    In a recent episode of Answers for Elders, host Suzanne Newman sat down with certified Senior Real Estate Planner Cory Boldhoff, founder of The Complete Real Estate Group and Complete Senior Solutions. Cory helps families build, protect, and transfer generational wealth through real estate while navigating some of the most important decisions older adults face as they age.

    Why Planning Ahead Matters

    Many seniors believe they will remain in their homes for the rest of their lives. While aging in place is a goal for many older adults, circumstances can change quickly. A fall, medical event, or unexpected health diagnosis can force families into making difficult decisions under pressure.

    According to Cory, the difference between proactive planning and crisis planning can have a significant impact on both quality of life and family relationships. Families who prepare early often have more options, more control, and greater peace of mind.

    Unfortunately, many families wait until an emergency occurs before discussing housing, healthcare, finances, and long-term care. By then, choices may be limited and emotions are often running high.

    The Hidden Cost of Not Having a Plan

    Throughout the interview, Cory shared personal stories illustrating what can happen when important planning conversations never occur.

    One story involved a family member who lived independently well into her nineties but never established the legal and financial protections needed to support her wishes. After her passing, family members spent years navigating probate and disputes over assets. Relationships that had once been close were permanently damaged.

    In contrast, another family member created a comprehensive plan that included long-term care preparation, estate planning, and housing decisions made well before a crisis occurred. As a result, she maintained a high quality of life, received appropriate care, and left her family with clarity rather than conflict.

    These examples highlight an important reality: planning is not just about finances. It is also about preserving family harmony and honoring personal wishes.

    The Four Essential Plans Every Adult Should Have

    Cory believes every adult should have four foundational plans in place, regardless of age.

    1. Estate Plan

    An estate plan typically includes a trust, will, powers of attorney, healthcare directives, and other legal documents that ensure your wishes are carried out if you become incapacitated or pass away.

    Without these documents, families may face costly probate proceedings and unnecessary legal complications.

    2. Legacy Plan

    A legacy plan goes beyond financial assets. It addresses the values, stories, traditions, and life lessons you want to pass on to future generations.

    Many families discover that preserving memories and family history is just as important as transferring wealth.

    3. Long-Term Care Plan

    Most people will need some form of assistance as they age. A long-term care plan helps identify how care will be provided and how those expenses will be funded.

    Planning ahead allows seniors to explore options before a health crisis limits their choices.

    4. Crisis Plan

    A crisis plan answers critical questions before an emergency occurs:

    * Who will make decisions if you cannot?
    * Where would you want to receive care?
    * Who has access to your legal documents?
    * How will family members coordinate responsibilities?

    Having these answers documented can significantly reduce stress during difficult times.

    Your Home Is More Than a Place to Live

    For many older adults, their home is their largest financial asset. Yet few people understand how housing decisions affect retirement income, healthcare options, estate planning, and wealth transfer.

    Cory emphasizes that senior real estate planning is about much more than selling a home. It involves understanding how a property can support long-term goals while preserving financial security.

    Options may include:

    * Aging in place with home modifications
    * Downsizing to a more manageable property
    * Relocating closer to family
    * Moving into independent or assisted living
    * Leveraging home equity to fund future care needs

    Every family’s situation is unique, which is why education and planning are so important.

    Avoiding Family Conflict Through Communication

    One of the most powerful themes from the interview was the importance of family communication.

    Many parents assume their children will simply “work things out” after they are gone. Unfortunately, misunderstandings about inheritance, caregiving responsibilities, and real estate often lead to disagreements that can last for years.

    Cory shared examples of families who believed everyone was on the same page, only to discover vastly different expectations when conversations finally occurred.

    Discussing wishes while parents are healthy allows families to clarify expectations, address concerns, and create plans that reflect everyone’s needs and priorities.

    The Five Pillars of Senior Planning

    Cory’s approach to senior planning focuses on five interconnected areas:

    * Housing and real estate
    * Financial resources
    * Legal planning
    * Healthcare planning
    * Family communication

    When these areas work together, seniors are more likely to maintain independence, preserve dignity, and enjoy a higher quality of life.

    Ignoring any one of these pillars can create challenges that affect the entire family.

    Start the Conversation Before a Crisis Occurs

    Perhaps the most important takeaway from this discussion is that planning is not about preparing for the end of life. It is about creating opportunities for a safer, healthier, and more fulfilling future.

    Whether you’re an older adult thinking about your next chapter or an adult child concerned about aging parents, the best time to start planning is before a crisis forces difficult decisions.

    By creating an estate plan, discussing long-term care options, reviewing housing needs, and communicating family wishes, you can protect both your loved ones and the legacy you’ve worked so hard to build.

    Watch the Full Interview

    Watch Suzanne Newman and Cory Boldhoff discuss senior real estate planning, aging in place, wealth preservation, long-term care preparation, and family legacy planning on Answers for Elders.



     

    Listen on Apple Podcasts

    Prefer audio? Listen to the full episode on Apple Podcasts and your favorite podcast platform.

     

    Frequently Asked Questions

    What is a Senior Real Estate Planner?
    A Senior Real Estate Planner helps older adults and their families make informed decisions about housing, estate planning, wealth preservation, long-term care, and senior living transitions.

    When should seniors start planning for future housing needs?
    The best time is before a crisis occurs. Planning early gives families more options and helps seniors maintain control over important decisions.

    How can a home help fund long-term care?
    Depending on individual circumstances, home equity may be used through downsizing, relocation, reverse mortgage strategies, or other planning tools to support future care needs.

    What documents should every senior have in place?
    Most experts recommend having a trust or will, healthcare directive, financial power of attorney, and a plan for long-term care and emergency situations.

  • DIY or Call a Pro? Aging in Place Home Projects Every Senior Should Think Twice About

    As summer arrives, many families turn their attention to home improvement projects. Adult children often visit aging parents and notice things around the house that need attention—a sticking shower door, a loose handrail, poor lighting, or a bathroom that no longer feels safe.

    While do-it-yourself projects can save money and provide a sense of accomplishment, some home modifications carry significant risks, especially when aging in place is the goal. In this episode of the Answers for Elders Radio Show, host Suzanne Newman welcomes aging-in-place specialist Paul Kocharhook of Pathway Design and Construction to discuss a critical question: Which projects are safe to tackle yourself, and which ones should always be left to professionals?

    For older adults, the answer can mean the difference between maintaining independence and creating expensive—or even dangerous—problems.

    Aging in Place Requires More Than Basic Home Repairs

    One of the biggest misconceptions homeowners make is assuming that aging-in-place modifications are simply regular remodeling projects.

    They’re not.

    Creating a home that supports safety, mobility, and independence requires specialized knowledge. A doorway may appear simple to widen, but hidden structural elements, electrical wiring, plumbing lines, and building code requirements can turn a straightforward project into a costly mistake.

    Paul shared examples of homeowners opening walls only to discover missing structural supports or unexpected obstacles hidden behind drywall. What seems like a simple modification may impact the integrity of the entire home.

    For seniors planning to age in place, every change should be evaluated through the lens of safety, accessibility, and long-term functionality.

    Questions to consider include:

    • Will this modification reduce fall risks?
    • Will it accommodate future mobility challenges?
    • Is it safe for someone using a walker or wheelchair?
    • Does it meet current building codes?
    • Could a mistake create water damage, electrical hazards, or structural problems?

    These considerations often make professional guidance well worth the investment.

    Home Projects Seniors Should Never DIY

    Paul offered a simple framework when deciding whether to tackle a project yourself:

    If something goes wrong and someone could get hurt, call a professional.

    Several categories of projects consistently fall into that “call a pro” category.

    Plumbing Repairs

    Water can be deceptively destructive.

    A small leak hidden inside a wall can cause thousands of dollars in damage before it’s discovered. Improperly installed fixtures can lead to mold growth, rotting wood, damaged flooring, and insurance headaches.

    Suzanne shared a personal story about a clogged drain she initially tried to fix herself using drain-cleaning products. Ultimately, a plumber solved the problem quickly and explained that repeated use of chemical cleaners could actually damage pipes.

    When plumbing is involved, prevention is often much less expensive than repairs.

    Electrical Work

    Electrical wiring presents obvious safety risks, but many homeowners underestimate how easy it is to encounter wiring hidden behind walls.

    Adding outlets, installing lighting, relocating switches, or opening walls near electrical lines should generally be handled by qualified electricians.

    Mistakes can lead to:

    • Electrocution
    • Fire hazards
    • Code violations
    • Expensive repairs later

    Structural Modifications

    Removing walls, widening doorways, installing ramps, or modifying entryways often affects the structural integrity of a home.

    Paul explained that even seemingly simple projects can involve load-bearing walls, support beams, headers, or posts. Improper modifications may weaken the structure and create serious safety concerns.

    When accessibility improvements are needed, professional evaluation is essential.

    Bathroom Safety: The Most Important Room in the House

    If there is one area where aging-in-place expertise truly matters, it’s the bathroom.

    Bathrooms remain one of the most common locations for falls among older adults. Yet many homeowners assume any contractor can convert a bathtub into a walk-in shower.

    According to Paul, that’s often not the case.

    Walk-In Showers Require Specialized Planning

    A successful aging-in-place shower design involves much more than removing a tub.

    Professionals must consider:

    • Shower entry and exit locations
    • Drainage and waterproofing
    • Seating placement
    • Handheld shower positioning
    • Slip-resistant flooring
    • Future mobility needs

    Paul described a recent project where a fold-down shower seat had been installed in the wrong location, making it virtually unusable for a tall homeowner.

    Good design isn’t one-size-fits-all.

    Grab Bars Must Be Installed Correctly

    Grab bars are among the most effective fall-prevention tools available, but placement matters.

    The ideal location depends on:

    • Individual height
    • Mobility limitations
    • Strength and balance
    • Bathroom layout

    Just as important, grab bars must be anchored securely into structural framing. Improperly installed bars can fail when needed most.

    Wheelchair and Walker Accessibility

    Many bathrooms simply aren’t designed for mobility devices.

    A certified aging-in-place specialist understands important considerations such as:

    • Turning radius requirements
    • Transfer space near toilets
    • Doorway width
    • Accessible sink placement
    • Shower access

    Sometimes gaining even a few inches of space can dramatically improve usability and safety.

    Kitchen Modifications That Improve Safety and Independence

    The kitchen is another area where thoughtful modifications can significantly improve quality of life.

    As we age, bending, reaching, and carrying become more difficult. Poorly designed storage can create daily frustration and increase fall risk.

    Some helpful aging-in-place kitchen improvements include:

    Better Cabinet Access

    Many older cabinets contain deep shelves that make items difficult to reach.

    Potential solutions include:

    • Pull-out shelves
    • Sliding organizers
    • Lazy Susan systems
    • Full-extension drawers

    These modifications reduce bending and reaching while improving accessibility.

    Improved Lighting

    Good lighting becomes increasingly important as vision changes with age.

    Professional upgrades may include:

    • Under-cabinet lighting
    • Task lighting
    • Improved color rendering
    • Additional electrical outlets

    For individuals with vision impairments, lighting choices can significantly impact safety and functionality.

    Accessible Appliances

    Suzanne highlighted a kitchen she visited where the dishwasher was elevated to reduce bending.

    Other accessible design options may include:

    • Drawer-style dishwashers
    • Side-opening ovens
    • Pull-out storage systems
    • Wider walkways around kitchen islands

    Small changes can make everyday tasks substantially easier.

    Why Aging in Place Remodeling Is Different From Traditional Remodeling

    Many homeowners assume that any contractor—or even a handy family member—can install accessibility features.

    Unfortunately, that’s not always true.

    Aging-in-place remodeling requires understanding how people move through a home, how mobility changes over time, and how design can either support or hinder independence.

    A doorway that seems wide enough may not accommodate a walker or wheelchair. A shower seat may look properly installed but be completely unusable for the person who needs it. A grab bar may appear secure but fail when someone puts their full weight on it.

    This is why professionals with aging-in-place training bring something unique to the table.

    Certified Aging-in-Place Specialists (CAPS) are trained to evaluate a home’s layout and recommend solutions based on the specific needs of the individual—not just standard construction practices.

    As Paul explains, accessibility isn’t one-size-fits-all.

    The goal isn’t simply to remodel a home. The goal is to create an environment that allows someone to function safely and comfortably for years to come.

    One Home Maintenance Task Seniors Should Stop Doing

    Toward the end of the conversation, Suzanne raised a topic many seniors don’t like to hear.

    Ladders.

    For older adults, ladder use presents a significant fall risk.

    Even individuals who feel physically capable may experience:

    • Reduced balance
    • Slower reaction times
    • Joint stiffness
    • Changes in vision
    • Decreased strength

    Standing several feet off the ground on a narrow ladder rung can quickly become dangerous.

    Paul’s advice was simple:

    If a ladder is required, find someone else to do the work.

    Hiring help—or asking a younger family member—is far less expensive than recovering from a serious fall.

    The Hidden Benefit of Hiring Help

    One of the most meaningful moments in the conversation centered around a mindset shift many seniors face.

    For decades, people pride themselves on doing everything themselves.

    But there comes a point when independence isn’t about doing every task personally.

    It’s about making choices that preserve your health, safety, and energy.

    Suzanne shared how she initially thought she needed to learn lawn care after moving into a new home. Instead, she hired help and discovered that outsourcing physically demanding tasks allowed her to focus on activities she actually enjoyed.

    Many communities also offer volunteer assistance programs for seniors who need help with:

    • Yard maintenance
    • Housekeeping
    • Home organization
    • Grocery shopping
    • Meal preparation

    The goal isn’t giving up independence.

    The goal is preserving it.

    Frequently Asked Questions About Aging in Place Remodeling

    What is a Certified Aging-in-Place Specialist (CAPS)?

    A CAPS professional has specialized training in home modifications designed to help older adults remain safe, comfortable, and independent in their homes.

    Are walk-in showers worth the investment?

    For many seniors, yes. Properly designed walk-in showers reduce fall risk, improve accessibility, and support aging in place. However, they should be professionally designed and installed.

    Can grab bars be installed by a handyman?

    While some handymen can install grab bars correctly, proper placement and secure anchoring are critical. Aging-in-place specialists understand how to customize installation for the user’s needs.

    What home modifications help wheelchair users most?

    Common modifications include wider doorways, accessible bathrooms, ramps, improved flooring transitions, and kitchen accessibility upgrades.

    Why are homemade ramps dangerous?

    Improper slope, poor drainage, inadequate handrails, and unsafe surfaces can make homemade ramps difficult or dangerous to use.

    Final Thoughts

    The desire to save money with DIY projects is understandable. Many seniors have spent a lifetime solving problems themselves and taking pride in maintaining their homes.

    But aging-in-place modifications are different.

    These projects affect mobility, accessibility, fall prevention, and long-term safety. When done incorrectly, they can create hazards that put both health and independence at risk.

    As Paul Kocharhook reminds listeners, the best aging-in-place solutions start with understanding the person who will be living in the space.

    Whether you’re planning a bathroom remodel, considering a ramp, installing grab bars, or improving kitchen accessibility, investing in qualified expertise can help ensure your home supports you—not challenges you—as you age.

    A safer home today can mean greater independence tomorrow.

    Watch the Full Interview

    Watch these conversations on YouTube.

    Listen on Apple Podcasts

    Prefer audio? Listen to the complete Trustcasters episode on Apple Podcasts.

    Be sure to subscribe to the Answers for Elders podcast and YouTube channel for more expert advice on senior living, caregiving, home safety, and aging well.

    Visit PathwayDC.com or call 206-937-4809 for more information. If you’re in the Seattle area, mention Answers for Elders to get a free consultation. Paul will come out, check out your home, make sure that it is safe, and talk about different potential projects, whether for now or in the future.

  • Why Planning Ahead for Senior Care Is One of the Greatest Gifts You Can Give Your Family

    When it comes to aging, many families avoid difficult conversations until a crisis forces them to act. A fall, hospitalization, dementia diagnosis, or caregiver burnout can suddenly leave loved ones scrambling to make life-changing decisions under intense stress.

    In this episode of the Answers for Elders Radio Network, host Suzanne Newman welcomes long-term care experts Lindsay Friedman and Kisha Steineger for an important discussion about proactive senior care planning. Together, they explain why preparing for aging before a crisis occurs helps seniors maintain dignity, independence, and choice while giving families greater peace of mind.

    Whether you’re caring for aging parents, helping a spouse navigate health challenges, or planning for your own future, this conversation offers valuable guidance on senior living options, caregiving, long-term care planning, and how to avoid making critical decisions in the middle of an emergency.

    Watch the Episode

    Listen to the Podcast

    Why Families Need to Plan for Aging Before a Crisis Happens

    One of the biggest challenges families face is that conversations about aging often happen too late.

    As Suzanne Newman points out, many people don’t explore care options until they’re forced to. A hospitalization, stroke, fall, or cognitive decline can suddenly create urgent decisions about housing, caregiving, finances, and medical support.

    When families wait until a crisis occurs, they often face:

    • Fewer senior living options
    • Limited availability in preferred communities
    • Higher stress levels
    • Family disagreements
    • Increased caregiver burden
    • Financial uncertainty

    Planning ahead creates a completely different experience.

    Instead of reacting under pressure, families can take time to discuss wishes, evaluate resources, compare care options, and make thoughtful decisions. Most importantly, seniors themselves remain actively involved in shaping their future.

    As Suzanne emphasizes throughout the conversation, proactive planning is ultimately about honoring:

    • Dignity
    • Choice
    • Respect
    • Independence

    When everyone understands the plan, family members are less likely to argue about what should happen, and seniors retain a stronger voice in their own care.

    Understanding Senior Living Options Before You Need Them

    One of Kisha Steineger’s primary roles as a senior care consultant is helping families understand the different levels of care available.

    Many people assume senior housing is only for those who can no longer live independently. In reality, today’s senior living communities offer a wide range of options designed to meet different needs and lifestyles.

    These may include:

    Independent Living

    Independent living communities are designed for active older adults who want maintenance-free living, social opportunities, dining services, and a built-in community.

    Many seniors discover that moving earlier can actually improve quality of life by reducing isolation and increasing social engagement.

    Assisted Living

    Assisted living provides support with daily activities such as:

    • Medication management
    • Bathing and dressing
    • Meal preparation
    • Transportation
    • Personal care

    Residents maintain independence while receiving assistance when needed.

    Memory Care

    Memory care communities offer specialized support for individuals living with Alzheimer’s disease and other forms of dementia.

    These environments are designed to promote safety, structure, and meaningful engagement while reducing stress for families.

    In-Home Care

    For seniors who wish to age in place, in-home care services can provide assistance ranging from companionship and household help to personal care and advanced support.

    The right solution varies from family to family, which is why personalized guidance is so important.

    The Hidden Impact of Caregiver Burnout

    One of the most powerful themes in this episode is the reality of caregiver burnout.

    Families often focus on the individual needing care, but Kisha notes that many crises occur because the caregiver becomes overwhelmed.

    This is especially true for spouses.

    When one spouse develops Alzheimer’s disease, mobility challenges, or chronic illness, the other often assumes caregiving responsibilities around the clock. Over time, the physical, emotional, and financial demands can become unsustainable.

    Caregiver burnout can lead to:

    • Exhaustion
    • Depression
    • Anxiety
    • Health problems
    • Social isolation
    • Increased family conflict

    In some situations, the caregiver becomes ill or hospitalized before the person receiving care.

    This creates an even greater crisis because the family’s primary support system suddenly disappears.

    Planning ahead helps families identify backup resources, evaluate care options, and establish support systems before caregiver burnout reaches a breaking point.

    Financial Planning and Long-Term Care: What Families Often Overlook

    Another major topic discussed in the episode is the financial side of aging.

    Many families don’t realize how important estate planning and long-term care planning are until a health crisis exposes potential problems.

    Suzanne shares an example of a woman whose husband has Alzheimer’s disease. She can no longer care for him alone, but she fears losing her home because of how assets were structured.

    Situations like these highlight the importance of working with qualified professionals before an emergency occurs.

    Families should consider:

    • Estate planning
    • Powers of attorney
    • Healthcare directives
    • Long-term care funding strategies
    • Asset protection planning
    • Medicaid planning where appropriate

    The earlier these conversations happen, the more options families typically have available.

    Another common misconception is that senior living communities are always unaffordable.

    Kisha explains that while monthly costs may initially seem high, many families fail to compare those costs against current expenses such as:

    • Mortgage payments
    • Property taxes
    • Utilities
    • Home maintenance
    • Food
    • Transportation
    • Household services

    When viewed as a comprehensive lifestyle package, senior living may be more financially realistic than many families assume.

    Why Working With a Senior Placement Advisor Can Make All the Difference

    One of the strongest recommendations from both Lindsay and Suzanne is to seek guidance from experienced senior care professionals.

    A qualified senior placement advisor helps families:

    • Understand care options
    • Assess current and future needs
    • Tour communities
    • Compare costs
    • Evaluate care quality
    • Access local resources
    • Navigate complex decisions

    Perhaps most importantly, experienced advisors understand the local senior care landscape and can provide recommendations tailored to a family’s unique circumstances.

    Kisha emphasizes that every family is different. There is no one-size-fits-all solution.

    The best advisors take time to learn:

    • Family dynamics
    • Care needs
    • Personal preferences
    • Financial considerations
    • Long-term goals
    • Cultural values

    This personalized approach allows families to make informed decisions rather than feeling pressured into quick choices during stressful situations.

    For many families, simply having a knowledgeable guide can significantly reduce anxiety and uncertainty.

    Frequently Asked Questions About Senior Care Planning

    When should families start planning for senior care?

    Ideally, planning should begin long before a crisis occurs. Starting early allows seniors to participate fully in decisions and gives families more options regarding housing, finances, and caregiving support.

    What is the difference between independent living and assisted living?

    Independent living is designed for active seniors who want a maintenance-free lifestyle and social opportunities. Assisted living includes additional support with daily activities such as medication management, personal care, and mobility assistance.

    Can seniors remain at home as they age?

    Yes. Many seniors successfully age in place with support from family caregivers, home modifications, and professional in-home care services. The best solution depends on individual health needs and available support systems.

    How can families avoid caregiver burnout?

    Caregivers should seek support early, explore respite care options, involve other family members when possible, and create a long-term care plan before responsibilities become overwhelming.

    Are senior placement services expensive?

    Many senior placement advisors offer services to families at no direct cost because they are compensated by participating senior living communities when a placement occurs. Families should always ask how an advisor is compensated and what services are included.

    The Bottom Line: Planning Creates Choice, Confidence, and Peace of Mind

    Aging is inevitable, but crisis-driven decision-making doesn’t have to be.

    As Suzanne Newman, Lindsay Friedman, and Kisha Steineger explain in this thoughtful conversation, proactive planning allows families to approach aging with confidence rather than fear.

    By discussing wishes early, understanding care options, organizing financial and legal affairs, and building relationships with trusted professionals, families can reduce stress and preserve what matters most: dignity, independence, and strong family relationships.

    The greatest gift you can give yourself and your loved ones may simply be having the conversation before it’s needed.

    Listen to this episode of Answers for Elders Radio Network to learn how thoughtful planning today can create greater peace of mind for tomorrow.

    Connect with Kisha Steineger at Care Patrol

    Connect with Lindsay Friedman

  • Safe Gardening and Outdoor Living for Seniors: Aging in Place Tips for a Safer Backyard

    As spring turns into summer, many older adults look forward to spending more time outdoors. Whether it’s tending roses, growing vegetables, enjoying a morning cup of coffee on the patio, or simply soaking up the sunshine, outdoor spaces often play a major role in quality of life.

    However, gardens, patios, walkways, and yards can also present significant safety challenges as we age. Uneven surfaces, slippery pathways, poor lighting, and difficult-to-reach gardening areas can increase the risk of falls and injuries.

    In this episode of the Answers for Elders Radio Show, host Suzanne Newman welcomes aging-in-place expert Paul Kocharhook, President of Pathway Design + Construction, to discuss practical ways seniors can continue enjoying their outdoor spaces safely. Their conversation offers valuable guidance for older adults who want to remain independent at home, as well as adult children looking to help aging parents stay safe while aging in place.

    Watch on YouTube

    Listen on Apple Podcasts

    Why Outdoor Spaces Matter for Healthy Aging

    When people think about aging in place, they often focus on indoor modifications such as grab bars, wider doorways, walk-in showers, and wheelchair accessibility. While those features are important, Paul emphasizes that the outdoor environment deserves equal attention.

    Spending time outdoors offers numerous physical and emotional benefits for older adults.

    Sunlight helps support healthy vitamin D levels, which contribute to bone health. Outdoor activities encourage movement and exercise. Gardening provides opportunities for stretching, walking, lifting, and maintaining flexibility. Just as importantly, being outside supports emotional well-being.

    Paul discusses the concept of “biophilic design”—the idea that humans benefit from a strong connection to nature. Whether it’s enjoying flowers, growing vegetables, or simply sitting beneath a tree, outdoor spaces can reduce stress, improve mood, and create a sense of purpose.

    For many seniors, gardening isn’t simply a hobby. It’s part of their identity.

    Suzanne shares the story of a neighbor who grew award-winning dahlias throughout his life. Even into his later years, tending his garden brought him joy and fulfillment. That’s why aging in place isn’t about giving up beloved activities—it’s about finding safer ways to continue enjoying them.

    Common Outdoor Fall Hazards for Seniors

    One of the biggest concerns discussed in the episode is fall prevention.

    Many outdoor environments contain hidden hazards that can become dangerous for older adults, especially those with mobility challenges, arthritis, vision changes, or balance concerns.

    Some of the most common outdoor risks include:

    * Uneven grass and lawn surfaces

    * Tree roots hidden beneath walkways

    * Loose gravel and decorative stone paths

    * Garden hoses stretched across walkways

    * Slippery patios and decks

    * Poor outdoor lighting

    * Stepping stones placed too far apart

    * Moss-covered surfaces

    * Unstable outdoor furniture

    * Ladders used for yard maintenance

    Paul cautions that many seniors continue climbing ladders for roof cleaning, pruning, or maintenance projects. While they may have done these tasks safely for decades, aging changes balance, strength, reaction time, and recovery ability after a fall.

    His advice is simple: hire help for ladder work whenever possible.

    A fall from a ladder can quickly turn into an emergency room visit, surgery, or a lengthy rehabilitation process.

    Creating Safe Garden Paths and Accessible Walkways

    A safe outdoor environment starts with a safe path.

    Many gardens evolve organically over time, often without considering future mobility needs. Seniors may find themselves walking across uneven grass, dirt, bark mulch, or decorative rock to reach their favorite planting areas.

    Paul recommends creating stable, continuous walking surfaces that provide predictable footing.

    Some options include:

    * Smooth concrete pathways

    * Properly installed paver walkways

    * Compacted crushed granite paths

    * Wide, level access routes

    One important distinction he makes is avoiding loose pea gravel. While it may look attractive, loose gravel shifts underfoot and can create instability.

    He also advises caution with decorative stepping stones placed throughout lawns. While these may enhance visual appeal, they often require users to lift their feet higher and navigate uneven spacing, increasing the risk of tripping.

    For seniors who use walkers, canes, or mobility devices, path width becomes especially important.

    Paul recommends walkways approximately 48 inches wide whenever possible. This width provides room for walkers, oxygen tanks, and easier turning and maneuvering.

    The goal is to create outdoor access that feels comfortable and secure, not intimidating.

    Senior-Friendly Patio Design and Outdoor Seating

    Patios often become gathering places during spring and summer, making safety especially important.

    Paul strongly discourages using stamped concrete surfaces for senior-friendly outdoor spaces. While stamped concrete can be beautiful, it often becomes extremely slippery when wet and requires ongoing maintenance.

    Instead, he recommends stable, level surfaces that provide reliable traction.

    Outdoor furniture also deserves careful consideration.

    Many popular patio chairs prioritize style over accessibility. Deep chairs, low seating, folding furniture, and Adirondack chairs can make standing difficult for older adults.

    Better options include:

    * Chairs with sturdy armrests

    * Firm seating surfaces

    * Stable, non-rocking furniture

    * Weather-resistant materials such as teak or high-quality resin furniture

    Armrests are particularly valuable because they provide leverage when transitioning from sitting to standing.

    Shade is another important factor.

    As we age, skin becomes more sensitive to sun exposure and overheating becomes a greater concern. Pergolas, umbrellas, covered patios, and shaded garden seating areas can make outdoor spaces more comfortable and safer during warmer months.

    Even a simple garden bench placed beneath a shade structure can create a welcoming retreat.

    Gardening Modifications That Help Seniors Stay Independent

    One of the most inspiring parts of Suzanne and Paul’s conversation centers around adapting gardening practices rather than giving them up.

    Raised garden beds are one of the most effective aging-in-place solutions available.

    Traditional gardening often requires kneeling, crouching, and repeated bending—activities that become increasingly difficult for people with arthritis, joint pain, or mobility limitations.

    Raised beds allow gardeners to work comfortably while standing or sitting.

    Paul recommends heights of approximately 30 to 34 inches, similar to countertop height. These dimensions allow easier access while reducing strain on the back, knees, and hips.

    Other helpful gardening modifications include:

    • Ergonomic hand tools
    • Electric pruning shears
    • Vertical gardens
    • Automatic irrigation systems
    • Gardening benches with support handles
    • Lightweight watering equipment
    • Elevated hose connections

    Suzanne shares her personal experience with electric pruning shears, calling them a “game changer” for gardeners with arthritis. These battery-powered tools reduce hand strain and make pruning much easier.

    Vertical gardens are another creative option. By growing upward instead of outward, seniors can continue gardening while minimizing bending and kneeling.

    The key message is clear: modify the task, not the passion.

    Outdoor Lighting and Safety Features Every Senior Should Consider

    Many outdoor falls occur simply because hazards aren’t visible.

    Paul notes that older adults often require significantly more light to see clearly than younger individuals.

    Simple improvements can dramatically enhance safety:

    • Solar pathway lights
    • Motion-activated lighting
    • String lighting along fences
    • Illuminated walkways
    • Step lighting
    • Entryway lighting

    Lighting should ideally be spaced consistently throughout walking areas, helping identify elevation changes, obstacles, and pathway edges.

    Other important safety features include:

    • Grab bars near slopes or steps
    • Resting benches every 30–40 feet for larger properties
    • Secure handrails
    • Clearly defined walking routes

    These modifications not only reduce fall risks but also increase confidence when navigating outdoor spaces.

    Aging in Place Means Adapting, Not Giving Up

    Perhaps the most important takeaway from this episode is that aging in place should never mean giving up the activities that bring meaning and joy.

    Too often, families focus solely on what older adults can no longer do.

    Paul encourages a different approach.

    Instead of saying, “You shouldn’t garden anymore,” ask, “How can we make gardening safer?”

    Instead of abandoning outdoor spaces, adapt them.

    Install a raised garden bed. Add lighting. Create a safer walkway. Hire someone to mow the lawn. Bring in assistance for heavy lifting and ladder work.

    Small changes can make a tremendous difference in preserving independence, reducing caregiver stress, and helping older adults continue living fulfilling lives in the homes they love.

    Frequently Asked Questions About Gardening Safety for Seniors

    What is the safest type of garden path for seniors?

    Stable, level pathways made from concrete, properly installed pavers, or compacted crushed granite are generally safer than loose gravel, bark, dirt, or stepping stones.

    Are raised garden beds helpful for older adults?

    Yes. Raised garden beds reduce bending, kneeling, and strain on the back, knees, and hips while making gardening more accessible and enjoyable.

    What outdoor furniture is safest for seniors?

    Chairs with sturdy armrests, firm cushions, and stable frames are typically easiest for older adults to use. Avoid deep seating and low-profile furniture that makes standing difficult.

    Why is outdoor lighting important for aging in place?

    Older adults often need significantly more light to see clearly. Good lighting helps prevent falls by improving visibility around pathways, patios, steps, and gardens.

    Can seniors continue gardening if they use a walker?

    Absolutely. Wide, level pathways and raised garden beds can make gardening accessible for seniors who use walkers, canes, or other mobility devices.

     

    Want more practical aging-in-place tips? Listen to Suzanne Newman and aging-in-place specialist Paul Kocharhook discuss outdoor safety, gardening accessibility, fall prevention, and smart backyard modifications that help seniors continue enjoying life at home.

    Be sure to subscribe to the Answers for Elders podcast and YouTube channel for more expert advice on senior living, caregiving, home safety, and aging well.

    Visit PathwayDC.com or call 206-937-4809 for more information. If you’re in the Seattle area, mention Answers for Elders to get a free consultation. Paul will come out, check out your home, make sure that it is safe, and talk about different potential projects, whether for now or in the future.

  • How a ‘Care Quarterback’ Can Help Families Navigate Senior Care with Confidence

    Navigating senior care can feel like trying to solve a puzzle without all the pieces. Families are often faced with difficult decisions about healthcare, housing, finances, caregiving, and long-term planning—usually during a crisis. When an aging parent falls, receives a dementia diagnosis, or suddenly requires a higher level of care, adult children and spouses are often left scrambling for answers.

    In this episode of Answers for Elders Radio Show, host Suzanne Newman welcomes Lindsay Friedman, Founder and CEO of CareBLOOM and LT Care NAV, along with special guest Ryan Callahan, founder of Callahan Care Solutions. Ryan, a registered nurse with extensive experience in hospice and geriatric care, shares why families need a trusted guide—someone he calls a “care quarterback”—to help coordinate the many moving parts of aging and caregiving.

    Their conversation offers practical insights for older adults, family caregivers, and anyone planning for the future. Most importantly, it highlights why proactive planning can help families avoid costly mistakes, reduce stress, and preserve precious time together.

    Watch the Episode

    Listen to the Podcast

    Navigating senior care can feel like trying to solve a puzzle without all the pieces. Families are often faced with difficult decisions about healthcare, housing, finances, caregiving, and long-term planning—usually during a crisis. When an aging parent falls, receives a dementia diagnosis, or suddenly requires a higher level of care, adult children and spouses are often left scrambling for answers.

    In this episode of Answers for Elders Radio Show, host Suzanne Newman welcomes Lindsay Friedman, Founder and CEO of CareBLOOM and LT Care NAV, along with special guest Ryan Callahan, founder of Callahan Care Solutions. Ryan, a registered nurse with extensive experience in hospice and geriatric care, shares why families need a trusted guide—someone he calls a “care quarterback”—to help coordinate the many moving parts of aging and caregiving.

    Their conversation offers practical insights for older adults, family caregivers, and anyone planning for the future. Most importantly, it highlights why proactive planning can help families avoid costly mistakes, reduce stress, and preserve precious time together.

    What Is a Care Quarterback and Why Do Families Need One?

    When families begin caring for an aging loved one, they quickly discover that senior care involves much more than medical appointments. There are financial decisions, insurance questions, legal documents, housing concerns, caregiver support needs, and long-term planning considerations.

    Ryan Callahan describes his role as a “care quarterback”—someone who helps families build a roadmap and coordinate all the resources needed to support an aging loved one.

    Drawing on years of experience as a hospice nurse and healthcare professional, Ryan explains that many families don’t know where to begin. They may need:

    • Home care services
    • Medicaid planning assistance
    • Financial guidance
    • Elder law support
    • Assisted living recommendations
    • Veteran benefits assistance
    • Caregiver resources

    Rather than leaving families to navigate these systems alone, a care quarterback helps identify needs, connect the right professionals, and coordinate communication among everyone involved.

    Perhaps most importantly, Ryan helps families regain something they often lose during caregiving: time.

    Many adult children and spouses become consumed with managing appointments, paperwork, and caregiving responsibilities. As Ryan points out, they often stop being daughters, sons, spouses, or friends and become full-time care managers instead. Having someone coordinate the process allows families to spend more meaningful time with their loved ones.

    The Hidden Financial Challenges of Long-Term Care

    One of the most eye-opening parts of the discussion focuses on the financial realities of aging.

    Many older adults assume they have enough money to support themselves throughout retirement. However, few fully understand the rising costs associated with long-term care.

    The reality is that a significant percentage of older adults will eventually rely on some form of public assistance or benefits program to help pay for care. Yet many families don’t know what programs are available—or how to qualify for them.

    Ryan’s unique background includes working with Medicaid eligibility and appeals. During that time, he reviewed hundreds of applications and saw firsthand how complicated the process can be.

    Many families are surprised to learn that qualifying for Medicaid often requires meeting both:

    • Financial eligibility requirements
    • Medical necessity requirements

    Even when families meet financial criteria, applications can be delayed or denied because of incomplete documentation, missing diagnoses, or unclear descriptions of care needs.

    Ryan explains that many caregivers unintentionally minimize their loved one’s challenges. They may say things like:

    “Mom is doing pretty well.”

    “Dad still lives independently.”

    “We help out a little.”

    But when asked deeper questions, the reality often reveals significant care needs and safety concerns.

    Accurately understanding and documenting these needs can make a major difference when applying for benefits and support programs.

    Why Waiting for a Crisis Can Cost Families More

    One theme emerges repeatedly throughout the episode: planning ahead matters.

    Unfortunately, many families don’t start thinking about long-term care until a crisis occurs.

    Ryan recalls numerous situations where families initially believed everything was under control, only to face a sudden emergency days or weeks later. A fall, hospitalization, infection, stroke, or worsening chronic condition can instantly change a loved one’s care needs.

    Common conditions that may increase care requirements include:

    • Dementia
    • Parkinson’s disease
    • Diabetes
    • Heart disease
    • Mobility challenges
    • Chronic illnesses

    Yet even healthy older adults can experience unexpected health events that require immediate changes in care.

    Without a plan in place, families often find themselves making emotional decisions under pressure.

    A proactive care plan can help answer critical questions before a crisis occurs:

    • What level of care might be needed in the future?
    • How will care be funded?
    • What benefits may be available?
    • Who will make decisions if a loved one becomes incapacitated?
    • What housing options should be considered?

    Having these conversations early gives families more choices and often leads to better outcomes.

    Understanding Medicaid, Medicare, and Long-Term Care Planning

    One of the most valuable insights from this episode is the importance of integrating healthcare planning with financial planning.

    Ryan shares a real-world example involving a couple where one spouse had rapidly progressing Parkinson’s disease. Although they had substantial financial assets, previous planning decisions inadvertently affected their Medicaid eligibility.

    Situations like this illustrate why healthcare realities and financial strategies must work together.

    Families often assume that estate planning alone is enough. However, healthcare needs can dramatically change financial requirements over time.

    That’s why Ryan collaborates closely with:

    • Financial advisors
    • Medicaid planners
    • Elder law attorneys
    • Estate planning professionals
    • Care management experts

    Together, these professionals can help families protect assets while ensuring access to needed care.

    The goal isn’t simply preserving wealth—it’s creating a comprehensive strategy that balances quality of life, care needs, and family goals.

    Ryan emphasizes that every family, regardless of whether they have limited savings or significant assets, should understand what benefits and resources may be available.

    Supporting Family Caregivers Before Burnout Happens

    Caregiving affects more than the person receiving care.

    Spouses, adult children, and other family caregivers often experience:

    • Chronic stress
    • Physical exhaustion
    • Anxiety
    • Social isolation
    • Financial strain
    • Caregiver burnout

    Ryan notes that hospice programs often provide support not only for patients but for entire families. However, before hospice becomes appropriate, many caregivers struggle to find similar levels of support.

    This is where care coordination can make an enormous difference.

    When caregivers receive help navigating resources, coordinating services, and planning ahead, they’re better able to maintain their own health and well-being.

    Suzanne highlights how many spouses sacrifice their own needs while caring for a loved one. Over time, this imbalance can create serious health consequences for caregivers themselves.

    Supporting caregivers isn’t just compassionate—it’s essential to sustaining quality care for aging loved ones.

    The Urgent Need for Better Senior Care Education

    One of the most moving moments in the conversation involves a story about an elderly veteran with dementia who lacked family support and financial resources.

    The story serves as a powerful reminder that many older adults fall through the cracks simply because they don’t know what resources exist or how to access them.

    Ryan believes one of the biggest challenges facing families today is a lack of education around aging.

    Many people don’t fully understand:

    • The differences between independent living, assisted living, memory care, and nursing homes
    • How Medicare works
    • What Medicaid covers
    • When to apply for benefits
    • How long-term care is funded
    • What planning options are available

    By increasing awareness and encouraging earlier conversations, families can make informed decisions before emergencies arise.

    As Ryan explains, there is no age that’s “too young” to start planning.

    The earlier families begin discussing aging, finances, healthcare preferences, and future care needs, the more options they’ll have available.

    Frequently Asked Questions About Senior Care Planning

    What is a care quarterback?

    A care quarterback is a professional who helps families coordinate healthcare, caregiving, financial planning, benefits, and community resources for an aging loved one. They serve as a central point of guidance and support.

    When should families start planning for long-term care?

    Ideally, planning should begin before a health crisis occurs. Early planning allows families to explore care options, understand costs, and prepare for future needs.

    Does Medicare pay for long-term care?

    Generally, Medicare covers short-term medical care and rehabilitation but does not pay for most long-term custodial care needs. Families should explore additional funding options and planning strategies.

    What is the difference between Medicare and Medicaid?

    Medicare is a federal health insurance program primarily for older adults and certain individuals with disabilities. Medicaid is a needs-based program that may help cover long-term care costs for eligible individuals.

    How can caregivers avoid burnout?

    Caregivers can reduce burnout by seeking support early, using available community resources, sharing responsibilities, prioritizing self-care, and working with professionals who can help coordinate care.

    Final Thoughts: Planning Today Creates Peace of Mind Tomorrow

    Aging is a journey that every family will eventually face. While the road can be complex, it doesn’t have to be navigated alone.

    In this insightful Answers for Elders episode, Ryan Callahan reminds us that proactive planning, education, and coordination can dramatically improve outcomes for older adults and their families. Whether you’re caring for a loved one today or simply preparing for the future, having a trusted guide can help reduce uncertainty, protect family resources, and preserve what matters most—time together.

    By starting conversations early and building a plan before a crisis occurs, families can approach aging with greater confidence, clarity, and peace of mind.

    Connect with Ryan Callahan

    Connect with Lindsay Friedman

  • When Is It Time to Ask for Help? Navigating Senior Care Decisions with Confidence

    Caring for an aging parent, spouse, or loved one is one of the most meaningful responsibilities many of us will ever undertake. It can also be one of the most overwhelming.

    For family caregivers, there often comes a moment when questions begin to surface. Is Mom still safe at home? Can Dad continue living independently? Am I doing enough? What happens if I can’t keep up with everything anymore?

    In this episode of the Answers for Elders Radio Show, host Suzanne Newman welcomes Lindsay Friedman, Founder and CEO of CareBLOOM and LT Care NAV, along with special guest Brad Roland, Senior Care Advisor and franchise owner with CarePatrol of Wake County, North Carolina.

    Together, they discuss one of the most important challenges families face: recognizing when it may be time to seek additional support and understanding the senior care options available. Their conversation offers reassurance, practical guidance, and a reminder that asking for help is not a sign of failure—it is often one of the most loving decisions a family can make.

    Watch on YouTube

    Listen on Apple Podcasts

     

    The Hidden Reality of Family Caregiver Burnout

    Most caregivers never expected to become caregivers.

    A spouse may gradually begin helping with medications, meals, and transportation. An adult child may start managing bills, doctor appointments, or household tasks for an aging parent. Over time, these responsibilities often expand until caregiving becomes a full-time role.

    According to Brad Roland, one of the biggest challenges families face is that caregiving responsibilities tend to grow so gradually that many people don’t realize how overwhelmed they have become.

    During the interview, Brad shares the story of a family caring for a father with Parkinson’s disease. His wife serves as the primary caregiver and recently confided that it took her four hours just to help her husband get up and ready for the day.

    Perhaps even more telling was her reason for not asking for assistance.

    “I didn’t want to bother anyone.”

    That statement reflects what many caregivers experience. They often put their own needs aside, believing they must handle everything themselves. They may feel guilty asking for help or worry that others won’t understand.

    Unfortunately, isolation is one of the most common symptoms of caregiver burnout.

    Caregivers frequently become disconnected from friends, social activities, hobbies, and even their own health care needs. Their world begins to revolve entirely around the person they are caring for.

    As Brad explains, one of the first things families need to hear is simple:

    You are not alone.

    Aging in Place vs. Assisted Living: Understanding Your Options

    One of the most valuable aspects of this conversation is the discussion about senior care options.

    Many older adults hope to age in place for as long as possible. In fact, the vast majority of seniors would prefer to remain in their own homes if it can be done safely.

    Brad fully supports that goal.

    His role as a Senior Care Advisor is not to push families toward assisted living or memory care. Instead, he helps them understand all available options and determine which solutions best fit their unique circumstances.

    Some of the care options discussed include:

    • Aging in place with family support
    • Professional in-home care services
    • Independent living communities
    • Assisted living communities
    • Memory care communities
    • Residential care homes
    • Specialized support programs

    The key is understanding when a current care arrangement may no longer be sustainable.

    For some families, adding in-home care support can significantly improve quality of life while allowing an older adult to remain at home. For others, safety concerns, medical needs, dementia progression, or caregiver exhaustion may indicate that a higher level of support is needed.

    The important message is that families have choices.

    The more education and planning that occurs early in the process, the more options remain available when difficult decisions need to be made.

    Why Asking for Help Is an Act of Love, Not Failure

    One of the most powerful themes throughout the episode centers on a common belief many caregivers carry:

    “I promised I would take care of them.”

    This is particularly common among spouses.

    Brad frequently works with husbands and wives who made vows decades ago and feel deeply committed to honoring those promises. While that devotion is admirable, it can sometimes create unrealistic expectations.

    As Brad explains, caring for a loved one does not necessarily mean providing every aspect of care personally.

    Instead, it may mean ensuring they receive the best care possible—even if some of that care comes from trained professionals.

    This shift in perspective can be transformative.

    Families often feel tremendous guilt when considering outside help or senior living options. Yet many discover that professional support allows them to return to their most important role: being a spouse, daughter, son, or loved one.

    Rather than spending every moment managing medications, transfers, bathing assistance, or daily care tasks, family members can focus on meaningful time together.

    Suzanne highlights this concept beautifully during the conversation.

    Professional caregivers can provide care.

    Family members can provide love, connection, companionship, and emotional support.

    Both roles are equally important.

    Overcoming Fear About Senior Living Communities

    For many families, fear is one of the biggest obstacles to exploring care options.

    When people hear terms like assisted living, memory care, or senior living, they often picture outdated nursing homes from decades ago.

    Those perceptions can prevent families from exploring solutions that might dramatically improve quality of life.

    Brad notes that one of the most effective things he does is personally accompany families to visit communities and see modern senior living environments for themselves.

    Education changes everything.

    Many families are surprised to discover vibrant communities that offer:

    • Social engagement and activities
    • Restaurant-style dining
    • Wellness programs
    • Transportation services
    • Professional care staff
    • Housekeeping and maintenance
    • Opportunities for friendship and connection

    Instead of focusing solely on what someone may be losing, these visits help families see what their loved one might gain.

    For older adults who have become isolated at home, a senior living community can often restore opportunities for social interaction, purpose, and daily engagement.

    The decision remains deeply personal, but having accurate information helps families make choices based on facts rather than fear.

    The Value of Working with a Local Senior Care Advisor

    One of the most practical takeaways from this episode is the value of working with a local senior care advisor.

    The senior care system can feel incredibly complicated.

    Families must evaluate care levels, understand costs, compare communities, navigate waiting lists, identify financial resources, and determine eligibility for various programs.

    Trying to manage all of this during a health crisis or caregiving emergency can be overwhelming.

    That’s where professionals like Brad Roland and CarePatrol become valuable resources.

    As a local advisor, Brad helps families:

    • Understand available care options
    • Evaluate care needs
    • Tour communities
    • Compare services and amenities
    • Explore financial resources
    • Learn about veteran benefits
    • Navigate difficult decisions
    • Create a plan for future care

    Perhaps most importantly, local advisors understand the resources available within a specific community.

    Unlike a national call center or generic online directory, they have firsthand knowledge of local providers, care communities, and support services.

    This personalized guidance can save families significant time, stress, and uncertainty.

    Planning Ahead Creates Better Outcomes

    One message echoed throughout the conversation is the importance of planning before a crisis occurs.

    Many families wait until an emergency room visit, fall, hospitalization, or sudden health decline forces them to make decisions quickly.

    At that point, options may be more limited and emotions are often running high.

    By starting conversations earlier, families can:

    • Understand available resources
    • Discuss care preferences
    • Explore financial planning options
    • Build a support network
    • Create contingency plans
    • Reduce caregiver stress

    Even if a loved one remains safely at home for years, having a plan in place creates peace of mind.

    As Brad points out, exploring options does not mean you must act immediately.

    It simply means you are prepared when the time comes.

    Frequently Asked Questions About Senior Care Decisions

    How do I know when it’s time to seek help for an aging parent?

    Warning signs may include increasing safety concerns, frequent falls, memory issues, medication mistakes, caregiver exhaustion, social isolation, or difficulty managing daily activities. If you’re asking whether it’s time for help, it may be worth exploring available resources.

    What is caregiver burnout?

    Caregiver burnout occurs when physical, emotional, and mental stress become overwhelming. Common symptoms include exhaustion, anxiety, depression, isolation, sleep problems, and neglecting your own health and well-being.

    Does moving to assisted living mean I’ve failed as a caregiver?

    Absolutely not. Seeking professional support is often a compassionate decision that ensures your loved one receives appropriate care while allowing you to maintain your role as a spouse, child, or family member.

    Can seniors stay at home and still receive support?

    Yes. Many older adults successfully age in place with assistance from family caregivers, home care agencies, healthcare providers, and community resources.

    What does a senior care advisor do?

    A senior care advisor helps families understand care options, assess needs, identify appropriate resources, tour communities, explore financial assistance programs, and make informed care decisions.

    Listen to the Full Episode

    Navigating senior care decisions can feel overwhelming, but you don’t have to do it alone.

    In this insightful episode of Answers for Elders Radio Show, Suzanne Newman, Lindsay Friedman, and Brad Roland share practical advice, compassionate guidance, and valuable resources to help families move forward with confidence.

    Whether you’re caring for a spouse, parent, or loved one, this conversation offers reassurance that support is available—and that asking for help may be one of the most important caregiving decisions you’ll ever make.

    Listen to the full episode above and subscribe to Answers for Elders for more trusted guidance on caregiving, aging in place, senior living, long-term care planning, and family support.

    Connect with Brad Roland at Care Patrol

    Connect with Lindsay Friedman

  • Aging in Place | Meet Addison, 24-7 Virtual Caregiver

    Addison is an AI-powered virtual caregiver for a senior loved one designed to provide 24/7 care and safety support from home. Addison provides real-time health monitoring, continuous support for the at-risk, aging and ill, designed with tons of built-in tracking and monitoring features like GPS, fall detection, insulin tracking, and more. Addison helps patients better manage their health, improve the efficacy of caregivers, and improve their quality of life. Addison also helps to overcome social isolation and poor mood as a companion.

    Meghan Phelan joins Suzanne to talk about the benefits of bringing Addison into the home of a senior loved one. Meghan says, “It’s a monitor, like an iPad. So you get the monitor and then you pick as many devices as you want to go along with it. It comes with two. So that can be for monitoring. It could be like insulin checks, it could be there’s other GPS trackers. So it’s all these little gadgets that come with it. But you personalize what you want. I think a lot of the most sought after are the fall monitoring. So they’ll plug in the sensors, set up reminders, and they’ll set up the vitals that you want to track to your doctor. You also get TeleHealth access to a doctor, literally called PocketMD. And you know how it goes on the weekends. So if you wake up and all of a sudden something’s not right, all you have to do is is reach out to somebody right there, right on the screen. Hey, Addison, can you call the doctor?”

    Meghan adds, “We haven’t even talked about was the companionship side of it. We all have Chat GPT now on our phones, and I say that that’s my best friend, you know. And the same thing goes for Addison. She’s on there, and Addison can fetch, ‘Hey, I want to make a spaghetti recipe tonight. Can you put me together something?’ you know, or ‘Can we do some chair exercises?’ So the whole part of the physical help, yes, the monitoring is there, but also what comes with Addison is the companionship side.”

    Call Meghan to set up a demo of the Electronic Caregiver, featuring Addison and Pocket M.D., at 786.759.1676.

    Meghan Phelan also talks about making an aging in place plan, even if you never need to use it. Meghan says, “Everybody needs an age-in-place plan. Whether you activate that age-in-place plan, we don’t know, but at least you have it in place. One is, to get your physical space ready. Number two is A.I., and what are we doing with technology? And number three is the human part of it: Do you have your team place, a CPA, an attorney, living wills, and all that, home care teams. And do you know your market? You need to know your market. So when I talk aging in place plan, those are the three things that I focus on.”

    Meghan and Suzanne go in depth at improving the safety of our home environment – “I look at bathroom, kitchen, hallways. Those are my first three… I usually recommend local safety experts that come in, and they’ll do free safety inspections, and then they’ll know where to get [whatever products are needed].” Then they tie it in with the addition of the Electronic Caregiver, an AI-powered virtual caregiver for a senior loved one designed to provide 24/7 care and safety support.

    Next, Meghan talks about a TeleHealth service called Pocket M.D., as well as the expanded availability of support networks for seniors.

    Meghan says, “We call it the Pocket M.D. And basically it’s like having a medical doctor in your back pocket, available to you 24/7 wherever you go, primary care in your back pocket. You’re not paying for a doctor visit, because it’s right there in your phone, all included in the Addison [AI] model of a subscription.” Not feeling well? Just say, “Hey, Addison, can you call my Pocket M.D.? And they’ll connect them with an M.D. on the other side. And from there, the M.D. will do the assessment and whatever is needed for follow-up care order… And in addition to that primary care aspect, there’s wellness checks with nurses.”

    Regarding support groups, Meghan says, “COVID was devastating, but in so many ways it opened the door for seniors to get more access to help, because a lot of businesses like mine and the Alzheimer’s Association, we pivoted: how can we get to the client now? And that was virtually. So I do my support groups, and they do support groups through the Alzheimer’s Association every month, and we do it online, or we do it call-in. But I’m on Zoom and that’s how I’m running my support groups.”

    Call Meghan to set up a demo of the Electronic Caregiver, featuring Addison and Pocket M.D., at 786.759.1676.

    Watch on YouTube

    Listen on Apple Podcasts

  • Aging in Place | For Ourselves and Our Kids

    Baby Boomers are redefining retirement, with 95% wanting to age in place. Aging-in-Place specialist Paul Kocharhook, President of Pathway Design + Construction joins the Trustcasters at Answers for Elders to share more about how to keep our homes safe as we age gracefully, how to live more fluidly and easily in your home, and how to transform our homes to support us as we age without compromising aesthetics.

    In this episode of Answers for Elders, Paul joins Suzanne Newman to talk about aging in place. If you’re in your early sixties, life expectancy suggests you’ll be alive for another 25 years. This is a great time to rethink your home and make sure that your environment supports you. Some parents may also want to pass on their home to a family member eventually – and in 25 years, their children will be a generation older as well. Aging in place is a huge need these days, especially with rising property values and the cost of health care.

    Pathway Design + Construction is a residential remodeling company that serves the Greater Seattle Puget Sound region in the state of Washington. With a specialty towards aging in place, Pathway tries to help you continue to evolve and live in your home long into the future.

    Visit PathwayDC.com at https://pathwaydc.com/ or call 206-937-4809 for more information. If you’re in the Seattle area, mention Answers for Elders to get a free consultation. Paul will come out, check out your home, make sure that it is safe, and talk about different potential projects, whether for now or in the future.

    National Homebuilders Association website.

    Watch on YouTube

    Listen on Apple Podcasts

  • Questions to Ask Experts to Help Parents Age in Place

    If you want to age in place, or if you have parents that want to age in place, what are the best questions you should ask an aging-in-place specialist? Aging in Place specialist Paul Kocharhook, the CEO of Pathway Design & Construction, joins Suzanne Newman on the Answers for Elders Radio Show to share his advice for adult children that are helping their parents to plan to stay in their homes?

    Paul says, “The word planning, I think, is the most important piece. Because when I get a phone call from a homeowner, or a child — saying, ‘My parent is in the hospital. They won’t let them come home until the home is safe for them to to live in.’ — those are the hardest things for a contractor, to have to turn around and jump on and be able to make the space safe. So the more that you can plan ahead, the easier that potential transition might be in the future. Once a fall happens, and their hip is broken, you have less options.”

    Suzanne says, “Just because you see somebody that’s got a certified aging in place designation on their card, doesn’t necessarily mean they’re the right person for you. Ask things like, how long have you been there? How many jobs have you done? What types of work? Who are your references? Do you have a portfolio of the types of things you’ve done? Those are all things that are absolutely valid, are they not?”

    Paul answers, “Oh, 100%, yeah. For me, we’ve been really lucky to be able to win some amazing awards for aging in place and universal design. It’s awesome to be able to have that recognition as a contractor, but also it’s a recognition for the homeowner, and all of our trade partners that work on these jobs for us, because really it’s a team. It’s not just me. It’s all of these people who come together to create this space for these homeowners.”

    How to find the right aging in place expert? Paul says, “I’ve asked this question a lot to my homeowners. When they contact us for aging in place, usually they have Googled ‘aging in place.’ Another term that gets used a lot is ‘universal design.’ And so I would start there. Also, I believe the NAHB [National Homebuilders Association] has a portal that you can go to, and look for aging in place.

    Visit PathwayDC.com or call 206-937-4809 for more information. If you’re in the Seattle area, mention Answers for Elders to get a free consultation. Paul will come out, check out your home, make sure that it is safe, and talk about different potential projects, whether for now or in the future.

    National Homebuilders Association website

    At Answers for Elders:

  • Why Caregivers Need Care Bloom for Aging in Place

    Lindsay Friedman and Shannon Lyons join Suzanne to talk about peace of mind and other reasons for getting their innovative health monitoring system Care Bloom to help senior loved ones age in place in their homes.

    Listeners, sign up for free to win one year of Care Bloom! Care Bloom is holding drawings in June and September 2024. There’s no obligation or commitment to purchase. Learn more at https://carebloom.com.

    Lindsay explains the need for Care Bloom. “It’s really important because people want to stay in their homes. People are aging much more rapidly than they have been. Caregiving is on the rise. Caregiving is a very hard challenge that we all are going to have to face as our parents are aging. And also our [number of] home health workers are decreasing. If you want it, that cost is increasing. So there’s less of them, and it’s only going to get more and more expensive to have somebody come and help. It’s going to be unaffordable if you could even find somebody. And on top of that, our nursing homes are struggling. The care is not good, the cost is increasing. I see a lot of future closings, and where are you gonna put mom? So we need something that can really help. And Care Bloom is a great care partner to help with care for their family.”

    Care Bloom is a $199 per month subscription, and you get the hardware for free. Shannon says, “This is something that we spent quite a bit of time on, because it is a hardware, right? We provide a smart watch. We provide hardware for the rooms, but we really wanted to make it an easy purchasing decision for a family.”

    Multiple family members can use the app. “If brother and sister want it, and then you want a neighbor to have a little bit less [access], that’s an option as well. So the app allows you to add as many people as you want, because obviously we can’t all be with mom at one time. So we want to make sure that we’re giving you the opportunity to provide all the care you can.”

    Hear more podcasts about aging in place.

    Answers for Elders is part of the Senior Resource Network. Check out our affiliate podcast Alzheimer’s Speaks.

  • Tracking Mobility and Health Data for Senior Loved Ones

    Through the use of a watch, room sensors, and an app, Care Bloom provides 24/7 health monitoring services for caregivers. Lindsay Friedman and Shannon Lyons join Suzanne to talk more about the Care Bloom watch and app, an innovative new tool to assist senior loved ones with aging in place.

    Listeners, sign up for free to win one year of Care Bloom! Care Bloom is holding drawings in June and September 2024. There’s no obligation or commitment to purchase. Learn more at https://carebloom.com.

    Shannon describes the information a caregiver can see on the app. “We really want to pull the most important information forward for a caregiver. You’re gonna be able to see information like vitals, so that would include temperature, blood pressure, heart rate, and oxygen saturation. You’re also going to be able to see accurate location data, where they’re spending most time, if they’re in the living room, kitchen, bathroom, and really how how the mobility looks throughout the home. And then the last one is, you’re going to be able to see important health behavioral data.

    “We know that there’s a lot of smart watches on the market that tell you you’re going to get this health and wellness data. How we’re different is that we take that health data, and we put it in the context of behavioral. And those things look like sleep, mobility, or steps throughout the home, and then self-care, like toileting and bathroom, so that you can really be proactive in your care. You’re not finding out that mom hasn’t left her bedroom for six hours and you’re getting off of work and saying, ‘mom, what’s going on.’ You’re going be able to see that there’s stagnation, and maybe something’s wrong, so that you can communicate earlier, find out what’s going on, and be more proactive with what your next steps are. We also thought it was really important to be able to set alerts in the home. So if there’s a restricted room — a room that is a fall risk, like the basement, garage, or stairwells, we want to be able to tell you, hey, mom’s out in the basement right now, and you can call her and say, ‘hey, I’m coming over after work to do laundry. I see that you’re in the basement. Let’s make sure you get up those stairs,’ so that you’re not finding out about it after that. Or if your loved one has issues with leaving the home at times that they’re not supposed to, or maybe wandering, we want to make sure that elopement is part of the alert package, so that it really is sort of all of those behaviors. And then if your loved one needs assistance, they can actually request it through their watch. And that notification goes directly to your app. It’s a push notification, and you can see mom needs help, she’s currently in the bathroom, and you’re able to make a plan for what’s next.”

    Lindsay gave an example of Care Bloom solving a problem. “We had one individual who was talking about how lightheaded he was, and feeling fatigued, and he was an elderly gentleman, and you start to wonder what’s going on. His vital signs were looking good, but after watching him for a series of days, we were noticing that there were no toilet activities. So, went in and kind of monitored him for a little bit, and he wasn’t drinking. No one was there reminding him it’s time to have a glass of water, it’s time to drink during the day. And dehydration really plays heavily on our seniors with confusion and all of that. It was an easy thing to remedy, that we were able to see within a matter of days. No doctor trip, nothing. And it was a quick fix that, just from looking at the data, was able to be resolved.”

    Hear more podcasts about aging in place.

    Answers for Elders is part of the Senior Resource Network. Check out our affiliate podcast Alzheimer’s Speaks.

  • Introducing Care Bloom Health Monitoring for Senior Loved Ones

    Lindsay Friedman and Shannon Lyons from Care Bloom join Suzanne to talk about an innovative new home-monitoring tool to assist senior loved ones with aging in place, living independently in their later years. Through the use of a watch and app, Care Bloom provides health monitoring services for caregivers. You’ll be able to purchase Care Bloom beginning in June.

    Sign up for free to win one year of Care Bloom! Care Bloom is holding drawings in June and September 2024. There’s no obligation or commitment to purchase. Learn more at https://carebloom.com.

    Lindsay explained how Care Bloom came about. “All through college, I was a state-tested nursing assistant. So, with the experience, when my grandma needed to a family caregiver, I got designated to take that role. While she was in Cleveland, where we are from, I was taking care of her in the home. But she did want to go back to Florida where, once she got to Florida there, we got her aid. So she had a rough time. And my grandma would complain to me, and say they’re not doing what they’re supposed to do. They’re not there when I wake up at night. The caregivers were saying she’s confused, it’s night time, and was already in her nineties, so that was the case. Well, one night she was calling out for them in her room, and asking them to come and help her, and they couldn’t hear because they were asleep in her guest bedroom. So she decided to get up on her own to go use the restroom, and she fell, and she broke her femur. And that ended her time at home. It ended up being what caused the end of her life. And, you know, my story is a common one. It is more common than not. So I decided that there has to be something that we can do, to make sure that grandma and mom can be home. I’ve got to do something, and Care Bloom was born.”

    Shannon describes Care Bloom. “It is a monitoring system. Your loved one wears a watch. It actually looks very similar to a Fitbit. So this is not a medical device. It’s very cool looking. And there’s actually a lot of really lovely data that most people actually get in tune with, such as what their daily activities look like. That’s the watch. Each room has an anchor which is connected to an outlet. So you just plug it into an outlet in each of the rooms that you want monitored. You have a gateway, and that gateway sends all of the information to your app. So as a caregiver, you’ll use the Care Bloom app. And it really gives you a snapshot of what your loved one’s daily activities are, and their health status.

    “So, really quick, you’re able to see on one page page, everything’s green, Mom’s good to go, and you can go about your day. It’s more insight than we’ve ever had, in some ways, on their behaviors. You could also send reminders to your loved one, that goes to their watch. So, ‘mom, hey, it’s time to take those meds.’ And so we’re really looking at care plan compliance. We’re looking at supporting health behaviors, and making sure that there’s some accountability. So if your loved one does have a home health worker, you can actually designate tasks for that worker and confirm that they occur. So if medication should be taken at 10 a.m., they should be checking into the kitchen and taking that med. If mom’s not in the mood for a shower, they’re able to say, hey, you know what, she was not in the mood to take a shower today, it did not occur, so that the next day when the health worker comes, they know what that week look like. So it’s a lot of interesting data.”

    Lindsay says, “Our largest goal, which really is probably impacting all of your listeners right now, is we’re trying to improve the process of caregiving.”

    Hear more podcasts about aging in place.

    Answers for Elders is part of the Senior Resource Network. Check out our affiliate podcast Alzheimer’s Speaks.

  • Building or Modifying for an Aging-in-Place Friendly Home

    If you or your relatives want to build a new structure, or get modifications done on your house, there are resources to make sure that the builders are doing it right. Dr. Jill Bjerke joins Suzanne to talk about aging in place constructions as part of this month’s Specialist Spotlight on Aging in Place.

    A home assessment at silverspaces.com provides guidelines and recommendations to design an aging in place home, like lever handles on doors and faucets, a raised dishwasher so you don’t have to bend down so far, a stove that has controls in the front, a low-maintenance exterior, things you ordinarily wouldn’t think about with new construction.

    Dr. Jill says, “You can’t predict your future. I had knee surgery, I had joint replacement. And boy, did that give me a firsthand view of what it’s like to have to use a walker, and to have to shuffle, and… I have stairs. I shouldn’t have stairs. How am I going to get up and down the stairs? So this assessment really gives you a picture of what you could be facing in the future if you’re not thinking about it.”

    Learn more at silverspaces.com. Hear more podcasts about Silver Spaces with Dr. Jill Bjerke.

    Answers for Elders is part of the Senior Resource Network. Check out our affiliate podcast Alzheimer’s Speaks.

  • Take an Aging-in-Place Safety Assessment: What Happens

    Silver Spaces is an online home safety assessment tool with a lot of research behind it. It works by taking you through each of your rooms, have you answer questions, and get educated along the way. For this month’s Specialist Spotlight on Aging in Place, Dr. Jill Bjerke joins Suzanne to talk about the benefits of Silver Spaces.

    Only 25% of people who suffer from a broken hip are able to return home after they recover. The biggest injury that older adults incur comes from trips and falls, and they are preventable. A $39.95 assessment at Silver Spaces (silverspaces.com) could mean the difference between a good quality of life and living in a senior living community.

    Dr. Jill says, “I’ve been in the senior services realm for 18 years. I own a downsizing company; I had so many people tell me they wish they didn’t have to move that. I spent about nine years researching and creating this electronic product, which is an electronic home safety assessment. I talked to gerontologists, researchers, city planners, interior designers, just about anybody you can think of, to try and come up with a content for their safety assessment. I was trying to cover as many bases as I could. So a lot of research and a lot of work went into creating this. It’s SilverSpaces.com and it explains what it is and how to use it. The whole purpose is to go from whatever room — there’s 18 rooms and places you can assess in the house, you can pick which ones you want to do. You just answer the questions, and you get educated as you go along, because you don’t realize that some of those could have been risk places or safety issues. For example, ‘I have a smoke alarm. I can hear it.’ If you have someone with hearing aids, can they hear it when they don’t have their hearing aids in?

    “When you sign up, it will ask you questions about your community, because a lot of people don’t think about how their community may have changed. It may no longer be safe, and then [it] asks general home questions. Do you have a second bedroom for a caregiver? Do you have a second bathroom? Do you have a lot of stairs? Do you have zero thresholds, meaning flat thresholds, are your doorways wide enough for a wheelchair or walker? And then it goes into every single room you can possibly think of. You can pick the room you want to do, and the questions are right there. You just answer them. Do you have sharp countertop edges in your kitchen? Why is that important if you fall? That’s an immediate possibility for a traumatic brain injury. So all of these different kinds of questions that people usually do not think about. And when you’re done, you submit it. And what comes back is either a PDF or a printable version, so that you can have it in your hand. You can send it to a doctor, or a modification professional, or a relative. You can take it to a modification professional and get bids on whatever you think you need to change. So it’s a very very usable product.”

    Dr. Jill adds, “We do the exterior. Not in detail, but we ask things like, do you have a tree that drops berries on your concrete? That’s a slip and fall hazard. Do you have grass that grows over the edges of your sidewalk? That’s a slip and fall hazard. Do you have landscaping that takes a lot of maintenance? That’s an issue. Do you have an overhang where at the door that you come in and out of, because you need protection from the elements. That’s slippery. Do you have a non-slip surface when you step outside?

    “We ask as many questions as we can. But the problem is, if we ask all the questions — I have 300 of them — it would take you a couple of hours to do. So we had to be very selective, and ask the most important questions, which is why I had so many people work on this with me.”

    Learn more at silverspaces.com. Hear more podcasts about Silver Spaces with Dr. Jill Bjerke.

    Answers for Elders is part of the Senior Resource Network. Check out our affiliate podcast Alzheimer’s Speaks.

  • Answers to 3 Top Aging-in-Place Questions

    During our lighting round segment on the Answers for Elders radio show, expert Dr. Jill Bjerke joins Suzanne to answer three top questions about aging in place as part of this month’s Specialist Spotlight.

    1. When should anyone start thinking about remaining in their home?

    “Probably as soon as possible. At retirement, before retirement. When you feel unsafe in your home. Really, almost any time is a good time to start thinking about it because there’s so many decisions to be made.”

    2. Who should help someone make a decision on this?

    “Basically, you’d probably start with your family. But you’d surprised how much your friends, churchgoer, friends, neighbors — people who know you well — can look at your house with different eyes. You see it every day, they don’t. You’d be amazed to see things that you aren’t even aware of.”

    3 How do people pay for modifications to the home?

    “It sounds like an intimidating question. It’s not. If you go to the government site National Institute on aging.gov (https://www.nia.nih.gov/), they have a whole host of ideas of where you can look. Every county in the United States has an area agency on aging, AAA as they’re called. They have all kinds of information on aging in place, but they also have information on funding. There are states that are offering grants for home modifications. So you might want to check and see if your state has any of those. You can also use a home equity loan, a reverse mortgage, there are ways to do it. It just depends on what your financial needs are and what is best for you.”

    Learn more at silverspaces.com. Hear more podcasts with Dr. Jill Bjerke at https://answersforelders.com/silver-spaces/doctor-jill-bjerke/.

    Answers for Elders is part of the Senior Resource Network at https://www.seniorresource.com/. Check out our affiliate podcast Alzheimer’s Speaks: https://alzheimersspeaks.com/.

  • Identify Dangers in Your Home With an Aging-in-Place Assessment

    This month’s Specialist Spotlight on Aging in Place features Dr. Jill Bjerke, the creator of Silver Spaces, an online assessment tool to help you identity safety risks and dangers in your home that you haven’t noticed. If you want to remain in your home in your later years, Dr. Jill talks talks about many of the risks you can avoid.

    Dr. Jill says, “Every 20 minutes, according to the National Institutes of Health, an adult over 65 dies from a fall. That is so unnecessary. Things like this assessment are out there to identify where trip-and-fall hazards are. And they can be so insidious. You walk over that same darned carpet every day, and you don’t realize the edge is frayed. And now, all of a sudden, a zipper catches on it, and you go down. It shouldn’t be that way.”

    Learn more at silverspaces.com. Hear more podcasts with Dr. Jill Bjerke at https://answersforelders.com/silver-spaces/doctor-jill-bjerke/.

    Answers for Elders is part of the Senior Resource Network at https://www.seniorresource.com/. Check out our affiliate podcast Alzheimer’s Speaks: https://alzheimersspeaks.com/.

  • What Are Your Plans for Aging? Crucial Questions to Ask Yourself for Staying at Home

    Dr. Jill Bjerke, CEO of Silver Spaces, joins Suzanne for this month’s Specialist Spotlight on Aging in Place. People don’t ask these questions enough. We get emotionally attached to a locale, and while our health and lifestyle changes, our home stays the same. Tasks that seem so simple can become complicated when we age.

    Dr. Jill says, “Aging in place is different than people think. It’s not, “I’m gonna live in my home forever.” There are a lot of decisions that have to be made. The biggest ones are things like finance, transportation, health, socialization, all of those things you need to think about either at retirement, before retirement. What am I gonna do about my finances? I’m still gonna have maintenance on my house.  I’m still gonna have to pay someone to shovel my snow. How’s my health? Is it good enough for me to stay home or will it deteriorate in the future? What if I can’t drive? How am I gonna get places? How am I gonna get church, get my hair cut, whatever. What options are there? Are there senior services in your town? And then obviously socialization, that’s the biggest barrier to aging in place is becoming isolated. So how can you avoid that? Is your church close enough where you can walk? Do you play bingo? Do you play cards? Can you get there? Can someone pick you up? Meeting with other people is absolutely vital to longevity.”

    When should you start this planning? “It really should start when you’re thinking ahead about retirement, because that’s the time to think about. When you get to your seventies or eighties, all of a sudden it becomes, ‘Can I stay here?’”

    Learn more at silverspaces.com. Hear more podcasts with Dr. Jill Bjerke at https://answersforelders.com/silver-spaces/doctor-jill-bjerke/.

    Answers for Elders is part of the Senior Resource Network at https://www.seniorresource.com/. Check out our affiliate podcast Alzheimer’s Speaks: https://alzheimersspeaks.com/.

  • Real Estate After a Senior Passes

    Real Estate 55 Plus provides a spectrum of services for seniors. Real Estate 55 Plus CEO Juli Anne Gibson joins Suzanne to talk about what typically happens when a senior loved one passes and leaves a house in probate.

    “When we’re gonna go into the home, I would say 25% of the time the personal representative or the executor doesn’t live in the state or the city where the property is at. They may have never even have seen it depending on the circumstances. So we’re going to come in and do an evaluation on the home, and we’re going to give a comparative market analysis that says what the home value is worth.

    “And we’re gonna provide up to four options for the executor for the estate, with the first one being selling the home off market. People say, well, why would you do that? Well, typically in a seller’s market, sellers aren’t gonna take that option and we would typically recommend not for an executor to do executor to do that. But if we’re in a buyer’s market or the property has a lot of deferred maintenance, it may be the best option for the estate.

    “Option number two would be do a pre-inspection on a home and disclose the issues, but don’t do any work. And option three could be, do a pre-inspection and do some work so you’re gonna increase the net proceeds. And number four would be to do a full remodel. So we give those options to the executor.

    “Typically, the decisions are made based on how much we return on investment and time. Those are the two big, you know, indicators I think for the person that’s going through that process and making decisions. If there are multiple beneficiaries, there’s a lot of family dynamics. So we not only work on the real estate, we not only work on the real estate side, but we’re the, we’re the, we’re the problem solvers. We’re coming in and we’re, we’re working with the executor honoring the deceased person’s wishes. And, you know, we don’t know the family dynamics and they share those with us. So we want to be really sensitive to everybody else that’s part of the process.”

    You can reach Juli Anne Gibson at (800) 964-1553 or https://realestate55plus.com/.

    Learn more:
    * Real Estate 55 Plus: https://realestate55plus.com/
    * Juli Anne Gibson: https://realestate55plus.com/team/
    * Call 800-964-1553 to speak to a live person

    Hear more shows with Juli Anne Gibson: https://answersforelders.com/tag/juli-anne-gibson/

    Answers for Elders is part of the SeniorResource Network: https://www.seniorresource.com/
    Check out our affiliate podcast Alzheimer’s Speaks: https://alzheimersspeaks.com/

  • What Keeps Seniors From Downsizing

    Seniors are waiting longer before they make a change. For many, they wait so long that they end up limiting their options. They have a fall, are injured to an extent that they’re no longer able to live independently, and now have a crisis to move. Real Estate 55 Plus CEO Juli Anne Gibson joins Suzanne to talk about what holds people back, the biggest questions people ask about downsizing, and provides an example of a family that faced a moving crisis.

    Juli Anne says, “It’s amazing what you don’t see when you live in your own home. When you have somebody with fresh eyes coming in, we can see all of the possible hazards in somebody’s home. That includes not just the house itself, but someone’s physical presence. Oftentimes people are dehydrated, or malnourished, or their balance is off. And so they’re not taking care of themselves in the way that they could so they could live independently longer.”

    What holds people back from downsizing? Juli Anne says, “I think it depends. I think a lot of it’s not knowing, it’s the unknown. And I think in the United States, we really pride ourselves on independence. When we’re teaching workshops, one of the questions we ask is, have you made a plan for housing and aging and overwhelming? We hear people say, ‘I want to stay in my home until you take me out feet first.’ And I always say, what’s the plan for you being able to stay in your current home? And what we find is a lot of times a senior is only living in maybe 25 – 35% of their home. And the reason they don’t want to move it because they don’t know how they could possibly do that and. Oftentimes when we come in, and we can show them these are the options available to you, and this is how you could do it, it’s a relief for people. Our, goal is that someone make good decisions and proactive decisions about housing and aging.”

    You can reach Juli Anne Gibson at (800) 964-1553 or https://realestate55plus.com/.

    Learn more:
    * Real Estate 55 Plus: https://realestate55plus.com/
    * Juli Anne Gibson: https://realestate55plus.com/team/
    * Call 800-964-1553 to speak to a live person

    Hear more shows with Juli Anne Gibson: https://answersforelders.com/tag/juli-anne-gibson/

    Answers for Elders is part of the SeniorResource Network: https://www.seniorresource.com/
    Check out our affiliate podcast Alzheimer’s Speaks: https://alzheimersspeaks.com/

  • All About Aging With Choice Workshops

    If you’re thinking about moving, Real Estate 55 Plus conducts valuable Aging With Choice workshops. Founder and CEO Juli Anne Gibson joins Suzanne to talk about working with families, real estate agents, executors, and estate planners. She talks about how the workshops work, then provides a great example of a senior who took the workshop and how it led to her moving choices.

    Juli Anne says, “We really are passionate about seniors and we would love for everybody to have a plan about housing and aging. That’s really what we would love. And we understand that everybody is in a different stage in their lives when they come to us. So Aging With Choice workshops, we offer free, and we host them at retirement communities at fire stations, llibraries, anywhere that we can gather. It is a workshop in the sense that you’re gonna leave with something that you’re gonna be working on. But we’re gonna give you the steps of what you’re gonna be working on to make good decisions about housing and aging.”

    “The first 30 years of your life, you’re deciding what you want, what you like, and then you spend the next 30 years accumulating it. Then the last part of your life, you’re getting rid of it. And for so many people, that process is what stops them from moving forward. We talk about how you can do that successfully, and we even have tools that you can use. And people can actually access that information on our website. They can download a request form and we’ll mail out that packet to them.”

    “We partner with senior housing advisors who really understand the different options that are available, how much they’re gonna cost, what level of service they’re gonna provide. And in 95% of the cases, those services are free to seniors. We’re referring all the time to our senior housing advisors, because they do the leg work for our senior clients and their families. So once we meet with the family, and we have a really clear understanding of their finances, what types of services they’re going to need for both physical or possibly mental, what they love doing, and what are their passions and desires, and then that senior housing advisor will say, based on that criteria, these are the communities or the options that are available to you.”

    You can reach Juli Anne Gibson at (800) 964-1553 or https://realestate55plus.com/.

    Learn more:
    * Real Estate 55 Plus: https://realestate55plus.com/
    * Juli Anne Gibson: https://realestate55plus.com/team/
    * Call 800-964-1553 to speak to a live person

    Hear more shows with Juli Anne Gibson: https://answersforelders.com/tag/juli-anne-gibson/

    Answers for Elders is part of the SeniorResource Network: https://www.seniorresource.com/
    Check out our affiliate podcast Alzheimer’s Speaks: https://alzheimersspeaks.com/

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