By Felicia Juntunen, Director of Care Managment, at Elder Care Management in Sacramento, CA.
Throughout this year’s series, we’ve explored many challenging conversations that aging families face. One of the most emotionally charged topics is the idea of moving an older adult from their long-time home to a new setting.
Home represents more than a physical space- it’s a symbol of autonomy, familiarity, and comfort. For older adults, especially those who have lived in their homes for decades, the prospect of leaving can feel deeply unsettling. Recognizing and honoring these emotions is crucial to maintaining constructive and respectful conversations. Proactive discussions about the possibility of a move- before a crisis occurs- can help families prepare thoughtfully and collaboratively.
When Is It Time to Consider a Move?
Aging Life Care professionals often support families through transitions between home and care settings. While there’s no universally “right” time to move, several factors may signal that it’s worth exploring:
- Health needs exceed what can be managed at home
- Safety concerns arise due to mobility or cognitive decline
- Isolation begins to affect the quality of life
- Home maintenance becomes burdensome
- Financial strain makes in-home care unsustainable
Care managers encourage families to plan ahead by educating themselves about various care levels, associated costs, and available services. Consulting with local placement professionals can also help tailor decisions to the individual’s needs and preferences. Early education and open dialogue foster realistic expectations and informed choices- especially around finances and care requirements.
A Real-Life Example: Elizabeth’s Story
Elizabeth*, a longtime Elder Care Management client, lived in her home for over 30 years. She and her husband had chosen it with the intention of aging in place. After his passing, Elizabeth continued to enjoy her independence- gardening, driving to church, and staying active in her community.
In her mid-80s, however, her health began to decline, and maintaining the home became difficult. Her family, noticing the signs, gently initiated a conversation about assisted living. Elizabeth wasn’t ready to commit but agreed to consider it. When she stopped driving, her isolation increased, prompting deeper discussions. With the help of a care manager, Elizabeth and her family found a community that matched her lifestyle and needs. Because the conversation had started early, Elizabeth was able to participate fully in the decision-making process- preserving her autonomy and dignity.
Planning Ahead for Constructive Outcomes
Most older adults wish to remain at home as long as possible, and families often want to honor that desire. The key to successful planning lies in:
- Early conversations about preferences and care needs
- Acknowledging the difference between expectations and reality
- Educating oneself about housing options and resources
By leaning on the expertise of Aging Life Care professionals, families can turn a difficult topic into a constructive, empowering dialogue- one that respects the older adult’s values while preparing for future needs.
*names have been changed to protect client identities
