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Putting Together the Pieces for "Aging in Place"

October 1, 2001
by Bonnie Solomon
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No one model of assisted living service delivery is "best" or "perfect." Sometimes combinations of models are necessary to meet specific needs, which places a premium on flexible thinking. Whatever the service or approach, the program allows the resident to "age in place" amidst familiar surroundings.

Admittedly, from a regulatory standpoint in some cities and states, there might be no choice but to transfer a resident to a higher level of care when his needs can no longer be appropriately accommodated in a particular setting. If so, the transfer process needs to involve a clearly defined resident assessment program and careful documentation, and the resident and his family need to be included in this process so that all have a clearer understanding of the situation.
  "Changing Cloaks"   As residents of seniors housing communities age in place, it is incumbent upon us to go "beyond the basics" to help brighten those otherwise tarnished golden years. We need to design models that offer creative adaptations of services and environments to enhance residents' function and compensate for their increasing frailty and disability. It is helpful to view this from the resident's perspective, as this journal entry written recently by a male resident in our area enables us to do:

Mimi and I have about completed a change of cloaks. For many years we have lived quite well and happily under cloaks of independence. Within minimum overview from governmental bodies and some timely observations from relatives and friends, we have survived with reasonable independence. Our home was our castle and we could come and go as we wished.

As our years on earth crept up to the high eighties, we noted a corresponding decline in our energy, our activity, our vigor, our ambition, our awareness, and we could feel the cloaks of independence slipping off. We have acquired new cloaks of dependence which we are slowly getting used to. They signify the adoption of a different lifestyle. We are gradually beginning to appreciate these new cloaks. We are truly grateful for the protection they provide. NH


Bonnie Solomon is vice-president of Retirement Living Services, Delmar Gardens Enterprises, St. Louis, Missouri. For further information, call (314) 434-2520, fax (314) 434-4223 or e-mail gvillas@ swbell.net.

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In all your nice online posts, Delmar Gardens talks the talk alright. I actually do think you're a great nursing home environment but the facts are horribly clear to me, that Gabe shouldn't refuse communication with Jimbo. If I'm seeing something wrong he needs to meet with my hubsand and myself to see if there is a resolution. A total public apology and huge photographs of my husband in Chef Attire in every nursing home would do for starters! Geesh what's it take to get the rich to see that we poor people have rights too? Did you know he used to play poker in the basement of Jimmies home years ago, he and the guys. They were all best friends, or at least he assumed to be. Please Bonnie, just tell Gabe to do the right thing. No matter what he feels about me, I am not going to go away until he talks to my husband, and then even after that I would wonder if he would trick me, trying to accuse me of some kind of blackmail, I don't want this man flicken money, I want my husbands self respect returned to him NOW!!!!!!!!!!!!!!!!!!!!!!!! Ask Gage what he think about Jimbo sitting around at age 86 in near tears because he didn't get a full retirement? Ask him Bonnie please?

Sorry for the typos I'm just so darn upset. Gabe makes me feel like I did something wrong to ruin my husbands chances of retirement when he clearly refused him in his office the last time we were in, years ago. If my husband passes from this earth without a retirement I will continue to spend my lifes on-going mission to get Gabe (sorry for the type earlier) to get GABE to do something in my husbands honor, this is disgusting to me, a downright sin, if not illegal, it's a sin to treat another human being with such diregard. Of course these are only my opinions. Just read the blog at http://www.thestlousiattorneys.com and reply. That's all I care about.

Please have Gabe Grossberg read my blogs about Delmar Gardens on http://www.thestlouisattorneys.com site. I'm sure he'll want to respond to the already high ranking consumer complaint blog that I have designed. It's a nice blog, but it does feature him center stage of a question beign posed, "Why is he earning a massive living off the retirements of St. Louis's wealthiest and yet refuses to pay Jimbo Sias a retirment?" I hope he answers quickly cause my fingers are getting tired of writing about it, trying to figure out how he could ignore my questions.

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