THE NEW PARADIGM FOR AGING
By Suzanne Roberts

When we were children in the 1930's and 40's, families naturally absorbed the few relatives who outlived the actuary tables. Homes were large and designed to comfortably accommodate three or four generations.

After World War II, our society changed drastically. Small towns and farming communities gave way to sprawling suburbs and urban centers. Families were defined as mom, dad and 2.3 children. In the late fifties our society began to notice that in our haste to provide affordable housing for the returning veterans, we had forgotten to make room for Grandma and Grandpa. As is typical of Americans, we threw money at the problem.

The earliest concept in senior housing consisted of huge walled developments, which had the unfortunate label of "aging ghettos." That model didn't work because minimal attention was placed upon building a sense of community. Today we have much smaller senior communities where the building size, design, programming and location provide lifestyle choices for the elderly. This paradigm of aging offers friends and activities right outside their front door.

Adult children tour assisted living and retirement communities and think, "Wow, what a great deal. I want to move in!" And they will. In a few years, downsizing to a retirement apartment will be part of the natural course of aging. Why then do so many of today's elderly drag their feet until it is too late for them to enjoy the benefits of this kind of living? The answer is simple. No matter how attractive and well managed the community is, in their eyes it is THE OLD FOLKS HOME.

As adult children we must step past our parent's resistance when the issues are health and safety. Things to be considered are: Do our parents take their medications properly? Are they eating enough to sustain health? Are they handing the tasks of daily living? Are they depressed and isolated? Do they refuse to have safety devices installed in their home? Is the only exit from their home down 17 concrete steps with no handrail?

How do we step in? Start with small suggestions. Present the idea of a few hours of in-home care each week. A small amount of help may improve their safety and quality of life. When they have adjusted to accepting help, gently begin encouraging them to think about what they would like to do when they need a higher level of care. Take them to lunch at a senior community you have carefully selected. Get them involved at a local senior center or day care program. Nudge them toward senior focused activities. Slowly change their idea of the way it is "supposed to be." Those of us in our 50's and 60's feel little resistance to the new paradigm of aging. Let's be sure we remember this twenty years from now when our children express concerns about us.