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'''Aging in place''' (aka 'age in place') is the ability to live in one's own home - wherever that might be - for as long as confidently and comfortably possible. Livability can be extended through the incorporation of universal design principles, telecare and other assistive technologies. Assistive technologies include communications, health and wellness monitoring, home safety and security.<ref>[http://www.aipathome.com/ '''AIPatHome''']</ref>
'''Aging In Place''' The Center for Disease Control defines aging in place as "the ability to live in one's own home and community safely, independently, and comfortably, regardless of age, income, or ability level." In December of 2011, AARP Policy Institute and the National Conference of State Legislatures released a report entitled, ''"Aging in Place: A State Survey of Livability Policies and Practices"''''Italic text'' to foster aging in place by giving state legislators examples of how laws, policies and programs can support this goal. In addition to such governmental initiatives, livability can be optimized through the incorporation of universal design principles, telecare and other assistive technologies. Assistive technologies include communications, health and wellness monitoring, home safety and security.<ref>[http://www.aipathome.com/ The ''Journal of Housing for the Elderly'' states that aging in place is not having to move from one's present residence in order to secure necessary support services in response to changing needs.<ref>[http://www.seniorresource.com/ageinpl.htm Senior Resource for Aging in Place<!-- Bot generated title -->]</ref> [http://www.aipathome.com/ Purposeful aging in place has grown in popularity and celebrated by the National Aging in Place Week and the National Aging in Place Council that promotes the positive outcomes of seniors having a choice in their care and living arrangements.<ref>[http://www.naipc.org/ National Aging in Place Council<!-- Bot generated title -->]</ref>


⚫
In addition to [http://www.aipathome.com/directory/Category/certified-aging-in-place-specialists/ Certified Aging-In-Place Specialist (CAPS)] specialists there are many more professionals trained to fill the growing need in this service model for seniors.<ref>[http://www.aipathome.com/directory/Category/certified-aging-in-place-specialists/ Certified Aging-In-Place Specialist (CAPS)<!-- Bot generated title -->]</ref> Industries that have special programs or certifications include Real Estate, Occupational Therapy, Physical Therapy and Relocation specialists. <ref>[http://www.aipathome.com/aip-professionals/ AIP Professionals]</ref> For example, Toronto company [http://www.ageinplaceremodeling.ca Age In Place Remodeling] focuses its efforts on remodeling homes to allow seniors to remain in their homes as they age, and maintain their independence and mobility. Communities are now fully engaged and committed to exploring ways to better serve seniors by developing action plans that address the future needs and ensure that the services are in place for seniors.<ref>Aging in Place Initiative, http://aipi.n4a.org/</ref>
==Overview==
The ''Journal of Housing for the Elderly'' states that aging in place is not having to move from one's present residence in order to secure necessary support services in response to changing needs.<ref>[http://www.seniorresource.com/ageinpl.htm Senior Resource for Aging in Place<!-- Bot generated title -->]</ref> [http://www.aipathome.com/ Aging in Place] has grown in popularity and celebrated by the National Aging in Place Week and the National Aging in Place Council that promotes the positive outcomes of seniors having a choice in their care and living arrangements.<ref>[http://www.naipc.org/ National Aging in Place Council<!-- Bot generated title -->]</ref>

⚫
In addition to [http://www.aipathome.com/directory/Category/certified-aging-in-place-specialists/ Certified Aging-In-Place Specialist (CAPS)] specialists there are many more professionals trained to fill the growing need in this service model for seniors.<ref>[http://www.aipathome.com/directory/Category/certified-aging-in-place-specialists/ Certified Aging-In-Place Specialist (CAPS)<!-- Bot generated title -->]</ref> Industries that have special programs or certifications include Real Estate, Occupational Therapy, Physical Therapy and Relocation specialists. <ref>[http://www.aipathome.com/aip-professionals/ AIP Professionals]</ref> For example, Toronto company [http://www.ageinplaceremodeling.ca Age In Place Remodeling] focus' its efforts on remodeling homes to allow seniors to remain in their homes as they age, and maintain their independence and mobility. Communities are now fully engaged and committed to exploring ways to better serve seniors by developing action plans that address the future needs and ensure that the services are in place for seniors.<ref>Aging in Place Initiative, http://aipi.n4a.org/</ref>


Within gerontology, sociology and anthropology, [http://aginginplace.com/ aging-in-place] is a construct described as "a complex set of processes that is part of the universal and ongoing emergence of the person–place whole, and the creative social effort to reintegrate the whole in a meaningful way when problems arise, compounded by an older adult’s evolving situation." (Cutchin 2003)
Within gerontology, sociology and anthropology, [http://aginginplace.com/ aging-in-place] is a construct described as "a complex set of processes that is part of the universal and ongoing emergence of the person–place whole, and the creative social effort to reintegrate the whole in a meaningful way when problems arise, compounded by an older adult’s evolving situation." (Cutchin 2003)


The Beacon Hill Village (beaconhillvillage.org) in Boston began as a community of older adults joining forces to create "programs and services that will enable them to live at home, remaining independent as long as possible." Hundreds of similar community organizations using this model have cropped up all over the United States since the early 2000s. Naturally Occurring Retirement Communities, also known as NORCS, are another source of support for older adults wishing to age in place. A NORC, though not always built specifically for a certain age demographic, occurs where a congregation of residents 60 and older live cooperatively. Some offer recreational activities, preventative health and social services for the community. Both of these models can be supported by local, state, and federal dollars as well as community businesses, neighborhood associations and private foundations.(www.philanthropicgroup.com/giaaip050409v2.pdf)
Historically, Aging in Place Initiative referred to multiple level of services within one campus/senior community.

*[[Independent Living]]
⚫
Aging in Place Initiatives can also refer to multiple level of services within one campus/senior community including,[Independent Living]], *[[Assisted living]]*[[Alzheimer's]] care<ref>[http://www.alzheimer.ca/english/care/ltcare-intro.htm Alzheimer Care: Long-term Care<!-- Bot generated title -->]</ref>
*[[Assisted living]]
⚫
*Skilled Nursing Facility (SNF) /[[Nursing home]]<ref>Medicare coverage of Skilled Nursing Facility Care,http://www.ohca.com/docs/medicare_coverage.pdf</ref> The main focus implied not having to move from place to place, and being familiar with the community, allowing the individual to "age in place." All the housing levels are fitted with all the [[Americans with Disabilities Act of 1990|ADA]] requirements, call buttons and high speed cable.<ref>[http://www.bizjournals.com/stlouis/stories/2000/07/17/focus14.html `Aging in place' concept takes hold with retirees - St. Louis Business Journal:<!-- Bot generated title -->]</ref><ref>[http://www.seniorresource.com/ageinpl.htm#place Senior Resource for Aging in Place<!-- Bot generated title -->]</ref>
⚫
*[[Alzheimer's]] care<ref>[http://www.alzheimer.ca/english/care/ltcare-intro.htm Alzheimer Care: Long-term Care<!-- Bot generated title -->]</ref>
*Skilled Nursing Facility (SNF) /[[Nursing home]]<ref>Medicare coverage of Skilled Nursing Facility Care,http://www.ohca.com/docs/medicare_coverage.pdf</ref>


⚫
The main focus implied not having to move from place to place, and being familiar with the community, allowing the individual to "age in place." All the housing levels are fitted with all the [[Americans with Disabilities Act of 1990|ADA]] requirements, call buttons and high speed cable.<ref>[http://www.bizjournals.com/stlouis/stories/2000/07/17/focus14.html `Aging in place' concept takes hold with retirees - St. Louis Business Journal:<!-- Bot generated title -->]</ref><ref>[http://www.seniorresource.com/ageinpl.htm#place Senior Resource for Aging in Place<!-- Bot generated title -->]</ref>


[http://www.aipathome.com/ Aging in Place] should reduce forced relocation to a different living arrangement (and sometimes, transfer trauma also known as relocation stress syndrome<ref>[http://flash.lakeheadu.ca/~mstones/transfertrauma.htm Transfer Trauma<!-- Bot generated title -->]</ref>) and produce more favorable outcomes.<ref>[http://www.hhs.gov/newfreedom/final/hhspart3.html New Freedom Initiative: HHS Self Evaluation - Chapter III<!-- Bot generated title -->]</ref>
[http://www.aipathome.com/ Aging in Place] should reduce forced relocation to a different living arrangement (and sometimes, transfer trauma also known as relocation stress syndrome<ref>[http://flash.lakeheadu.ca/~mstones/transfertrauma.htm Transfer Trauma<!-- Bot generated title -->]</ref>) and produce more favorable outcomes.<ref>[http://www.hhs.gov/newfreedom/final/hhspart3.html New Freedom Initiative: HHS Self Evaluation - Chapter III<!-- Bot generated title -->]</ref>
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=== <big>3 '''Scenarios of Aging in Place'''</big> ===
=== <big>'''Examples of Aging in Place'''</big> ===


[http://aginginplace.com/ Aging in place] can be further defined by [http://aginginplace.com/mini-2/aging-in-place-3-scenarios/ 3 scenarios:]
[http://aginginplace.com/ Aging in place] can be further defined by [http://aginginplace.com/mini-2/aging-in-place-3-scenarios/scenarios:]
1. Aging in place '''without urgent needs''': This group includes individuals who want to stay in their current home, are not experiencing immediate health/mobility issues, and prefer aging in place and [http://aginginplace.com/home-modification/universal-design/ universal design conveniences.]
1. Aging in place '''without urgent needs''': This group includes individuals who want to stay in their current home, are not experiencing immediate health/mobility issues, and prefer aging in place and [http://aginginplace.com/home-modification/universal-design/ universal design conveniences.]

Revision as of 22:42, 25 February 2012

Aging In Place The Center for Disease Control defines aging in place as "the ability to live in one's own home and community safely, independently, and comfortably, regardless of age, income, or ability level." In December of 2011, AARP Policy Institute and the National Conference of State Legislatures released a report entitled, "Aging in Place: A State Survey of Livability Policies and Practices"'Italic text to foster aging in place by giving state legislators examples of how laws, policies and programs can support this goal. In addition to such governmental initiatives, livability can be optimized through the incorporation of universal design principles, telecare and other assistive technologies. Assistive technologies include communications, health and wellness monitoring, home safety and security.Cite error: A <ref> tag is missing the closing </ref> (see the help page). [http://www.aipathome.com/ Purposeful aging in place has grown in popularity and celebrated by the National Aging in Place Week and the National Aging in Place Council that promotes the positive outcomes of seniors having a choice in their care and living arrangements.[1]

In addition to Certified Aging-In-Place Specialist (CAPS) specialists there are many more professionals trained to fill the growing need in this service model for seniors.[2] Industries that have special programs or certifications include Real Estate, Occupational Therapy, Physical Therapy and Relocation specialists. [3] For example, Toronto company Age In Place Remodeling focuses its efforts on remodeling homes to allow seniors to remain in their homes as they age, and maintain their independence and mobility. Communities are now fully engaged and committed to exploring ways to better serve seniors by developing action plans that address the future needs and ensure that the services are in place for seniors.[4]

Within gerontology, sociology and anthropology, aging-in-place is a construct described as "a complex set of processes that is part of the universal and ongoing emergence of the person–place whole, and the creative social effort to reintegrate the whole in a meaningful way when problems arise, compounded by an older adult’s evolving situation." (Cutchin 2003)

The Beacon Hill Village (beaconhillvillage.org) in Boston began as a community of older adults joining forces to create "programs and services that will enable them to live at home, remaining independent as long as possible." Hundreds of similar community organizations using this model have cropped up all over the United States since the early 2000s. Naturally Occurring Retirement Communities, also known as NORCS, are another source of support for older adults wishing to age in place. A NORC, though not always built specifically for a certain age demographic, occurs where a congregation of residents 60 and older live cooperatively. Some offer recreational activities, preventative health and social services for the community. Both of these models can be supported by local, state, and federal dollars as well as community businesses, neighborhood associations and private foundations.(www.philanthropicgroup.com/giaaip050409v2.pdf)

Aging in Place Initiatives can also refer to multiple level of services within one campus/senior community including,[Independent Living]], *Assisted living*Alzheimer's care[5]

  • Skilled Nursing Facility (SNF) /Nursing home[6] The main focus implied not having to move from place to place, and being familiar with the community, allowing the individual to "age in place." All the housing levels are fitted with all the ADA requirements, call buttons and high speed cable.[7][8]


Aging in Place should reduce forced relocation to a different living arrangement (and sometimes, transfer trauma also known as relocation stress syndrome[9]) and produce more favorable outcomes.[10]


Examples of Aging in Place

Aging in place can be further defined by [1]

1. Aging in place without urgent needs: This group includes individuals who want to stay in their current home, are not experiencing immediate health/mobility issues, and prefer aging in place and universal design conveniences.

2. Aging in place with progressive Condition-based needs: This group is made up of those with chronic or progressive conditions that will require special modifications for aging in place. These individuals are usually aware of their needs but meeting them is not necessarily urgent. Many have chronic conditions such as diabetes and lung/heart disease that challenge them.

3. Aging in place with traumatic change needs: This group includes those who experienced an abrupt or immediate change that demands adjustments in the living environment for aging in place modifications and universal design.


Aging in Place Initiatives Worldwide

In Canada

In Ontario, Canada, Aging in Place is known as Aging at Home, and has received considerable financial support from the Ministry of Health and Long Term Care.

In United States

According to the United States Census, there will be a spike in the age 60+ population from 43,043,000 in 2005 to 73,769,000 in 2020, an increase of 71 percent. For more details, see the following Website

Websites and organizations have sprung up all across the nation, in individual communities, states and nationwide to help people to remain in their own homes for as long as possible. One organization, At Guardian Angel, has set up five websites to help baby boomers assist their parents in aging in place. IssueswithAging[11], IssueswithAlzheimer's[12], IssueswithCaregiving[13] and IssueswithDementia[14] are the primary sites, with IssuesWith[15] a site that posts timely information specific to aging in place.

Georgia Institute of Technology has developed a smart house. This house would help to address issues older adults face when living alone, such as physical and mental decline as well as awareness for family members. The house includes technology such as pendants which understand commands in the form of hand gestures. It could open and lock doors, close blinds, turn on lights, and more. There is also an in-home monitoring system that can inform family members about an older relative’s daily activities, health status, and potential problems. This would allow older adults to remain in their own home while still maintaining their independence without their families having to worry about their well being. This is not the only smart house that has popped up. The University of Florida has created one as well. The features of this home are very impressive. It has smart refrigerators and pantries which can detect food consumption and expired products. Their smart laundry machines can coordinate with the smart closet to notify the resident when it is time to do laundry as well as aid in sorting the laundry. Every room is specially designed with these and many more smart features to aid their living situation. [16]

In Middle Eastern & Asian Countries

For many other countries in the middle and far east, it is just a cultural norm for older adults to age in place. It is not uncommon for children to grow up and have their own families but continue to live in the same apartment building as their parents so they can be close by and take care of them as they grow older. And if not, many will move in with their parents when they realize their assistance is needed. In many middle eastern countries, nursing homes are just coming into existence due to cultural and generational shifts.[17]

References

  1. ^ National Aging in Place Council
  2. ^ Certified Aging-In-Place Specialist (CAPS)
  3. ^ AIP Professionals
  4. ^ Aging in Place Initiative, http://aipi.n4a.org/
  5. ^ Alzheimer Care: Long-term Care
  6. ^ Medicare coverage of Skilled Nursing Facility Care,http://www.ohca.com/docs/medicare_coverage.pdf
  7. ^ `Aging in place' concept takes hold with retirees - St. Louis Business Journal:
  8. ^ Senior Resource for Aging in Place
  9. ^ Transfer Trauma
  10. ^ New Freedom Initiative: HHS Self Evaluation - Chapter III
  11. ^ http://www.issueswithaging.com/
  12. ^ http://www.issueswithalzheimers.com/
  13. ^ http://www.issueswithcaregiving.com/
  14. ^ http://www.issueswithdementia.com/
  15. ^ http://www.issueswith.com/
  16. ^ Mynatt ED, Melenhorst AS, Fisk AD, and Roger WA. "Aware Technologies for Aging in Place: Understanding User Needs and Attitudes" (PDF). Georgia Institute of Technology. PERVASIVE computing. Retrieved 2-21-12. {{cite web}}: Check date values in: |accessdate= (help)CS1 maint: multiple names: authors list (link)
  17. ^ Hegland, Mary Elaine (2009). The Cultural Context of Aging: Worldwide Perspectives. Westport CT: Praeger Publishers. pp. 303–318. ISBN 9780275992880.

Books

  • Robin Means[2], Sally Richards[3] and Randall Smith[4] (2008) Community Care: Policy and Practice [5], Palgrave MacMillan. ISBN 0-230-00674-4
  • Dr. Marion Somers Elder Care Made Easier: 10 Steps to Help You Care for an Aging Loved One, Addicus Books, 2006. ISBN 1-886039-80-1

Research

  • [6] The Development of Welfare Services for Elderly People 1971-1993. University of the West of England
  • To age successfully in one's own home, a growing desire among baby boomers and seniors, technology (communication and engagement, health and wellness, contribution and legacy, and home safety and security) are all essential to well-being. The Aging In Place Technology market will grow to become a $20 billion market by 2020. See the updated Technology Market Overview and other reports at http://www.ageinplacetech.com.

See also

Retrieved from "https://en.wikipedia.org/w/index.php?title=Aging_in_place&oldid=478848541"