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Housing Tips

The Tiny House Trend

by Guest Blogger
written by Guest Blogger

Is It Ideal For Seniors?

Over the last seven years, we have shared our expertise on the downsizing process with boomers and seniors through conferences, blogs and other online resources. We have offered ideas and insight on making a successful transition into a healthier and more manageable living environment, and our eight-step checklist to downsizing successfully and profitably.

When talking about downsizing, we have explored a variety of options. From condominiums and senior retirement communities, to recreational vehicles (RVs) and even boats, we have discussed the pros and cons of each.

Another downsizing option that has been trending in the United States since 1997 is known as the tiny house movement. It was made popular by Sarah Susanka with the publication of her book, The Not So Big House. As early as the 1970s, tiny house pioneers were touting the benefits of downsizing. And now, seniors and boomers are discovering the joys of tiny-house living.

Pros and Cons of Tiny House Living

Tiny houses come in all shapes and styles. From super mod and industrial chic, to rustic, luxe and everything in between. Tiny home owners really are limited only by their own imagination. If this is a downsizing option that may be right for you, don’t make the move without first weighing the pros and cons of this kind of downsizing.

First, let’s talk about the disadvantages that can come with tiny house living. The obvious downside to it is space limitations. The average home today includes 2,687 square feet of living space and are nearly 1,000 square feet larger than the average home of the 1970s. If you have been accustomed to living in the “average” size home for years, making the move to 500 square feet or less might be a shock to the system. Space is precious in a tiny house, and limits the ability to have things like a home office, or the ability to have more than the bare essentials.

Limited space can also lead to another con where tiny houses are concerned: relationship issues. If you are sharing your new tiny space with a significant other, there is the potential for trouble. No matter how well you think you get along, being forced to be in each other’s space all the time can test even the strongest of relationships. And if you do have a disagreement, or are just craving a little alone time, being crammed into a tiny house can make getting away from one another impossible.

There also are pros to living in a tiny house. The biggest is the cost savings that comes with reducing belongings and living space so drastically. Tiny homes can cost as little as a few hundred dollars or as much as you want to spend. The average tiny home in the U.S. costs $23,000. Because the size is compact, savings also are possible on the cost of utilities. Tiny homes, especially those mounted on wheels, are easy to relocate, which is another huge benefit to living small. Homes that are mounted on wheels so that they may easily be towed by trucks or other vehicles may have size restrictions, so keep this in mind if you opt for a tiny home with wheels.

Choosing a Design, Location

As mentioned earlier, there really is no limitation on the kind of design tiny house owners can incorporate. Some tiny homes are very simple, like this one, while others are quite elaborate. Some states have building codes pertaining to tiny houses, so be sure to check with yours before you purchase a premade model or build your own.

Some areas do not allow tiny homes at all, which can make it challenging for those who want to downsize to this option, but are not allowed to do so in their preferred city or state. This is the reason many tiny home builders put their homes on wheels. By putting their tiny home on wheels, owners can easily skirt building codes that require permanent dwellings to be of a minimum size. There currently is a movement to establish a national uniform building codethat will allow tiny home builders better access.

Once you choose a design, the next step is to find a location for your tiny house. If you decide to purchase one on wheels for easier transport, options for locations will be more plentiful and can include camp sites with water/sewer hookups to private plots of land. You also can build your tiny home on a foundation or a runner. A foundation can be a simple concrete slab, or a full “basement.” If you choose to build on a foundation, you will need to make sure the building codes in the area you plan to build allow for tiny houses.

If you want to have a foundation of sorts, but not one that’s so permanent that pulling up roots and relocating is harder, then consider a runner. This semi-permanent foundation style makes it easier to move in the future; however, you will need to build your tiny house so that it fits on wheels when the time comes for transport.

There are other aspects to consider when building a tiny home. If you have pets, you will want to make sure they have easy access and space for things like food bowls. There are many designs for tiny homes – like this one – that consider pets and their unique needs.

Pets aren’t the only ones who may need special accommodations. Some seniors don’t consider tiny homes because they may have ambulatory issues. But there are tiny home models, such as these, that are wheelchair and handicapped accessible. There truly is a tiny home design for every need!

Tiny homes are just one of many options when it comes time to downsize. To learn more about the downsizing process – including which option may be right for you – consider attending our upcoming Upside of Downsizing conference, scheduled for September 30 in Portland. More information about the conference, including guest speakers and how to register, is available here.

Mary Spann

Mary Spann is the founder and president of Upside of Downsizing®. In addition to her 26 years in construction, interior design, and home staging, Mary also holds college degrees in Social Work and Psychology, making her uniquely qualified to assist with the downsizing process, and helping 50 plus-year-olds achieve a happy and healthy life balance. Mary learned the key components of construction and interior design at an early age. Her father was a prominent custom home builder in Minnesota and Texas, and her mother was a successful interior designer and a principal broker.

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Caregiving

The Care Needs of Older Adults

by Carol Marak
written by Carol Marak

The older segment living without the support of grown children, a spouse or partner continues to rise. Having few to depend on, other than a handful of friends, in many cases, the population has little to no personal support if and when illness strikes.

Local medical and healthcare organizations are more aware of the segment’s needs and address the older adult’s functional declines to better facilitate maintenance of the aging process. And we need more ways to assess the patient’s lifestyle.

For instance, the medical paperwork asks for marital status, age, illnesses, diseases, and symptoms. What it does not ask, “what is the living arrangement, emotional and financial support system, and if the patient has legal documents in order?”

If they did, I believe more individuals would plan before an emergency. Other insights to capture from older patients:

  • Who would you call if an emergency or crisis would occur?
  • Have you fallen in the past six months?
  • Do you have 3 or more chronic illnesses?
  • Do you take 5 or more medications?
  • Have you been hospitalized in the past three months?
  • Identify Cognitive and Functional Abilities
  • Do you need help with bathing, dressing, shopping, and paying bills?
  • Do you feel sad?
  • Are you lonely?
  • Do you drive?
  • Have you had a car accident in the last year?

 

Post hospital care is another problem. In a Facebook group for those aging alone, many members deal with surgeries and planning for post acute care. It’s a surprise to see the intelligent conversations around such difficult issues. You’d think we were patient advocates, not the actual patients!

Too often this segment goes unnoticed especially by providers and live silently in danger of a medical crisis. I hope to build more awareness for the group who is in need of protection, security, connection and support.

And even if you do have loved ones, who’s to say that they’ll be around when if you need them? Our society has changed so much. Today, family members move around the country taking new jobs or even new lives and experiences abroad, leaving an older parent to fend for herself. The U.S. Census (2010) estimates 27 percent of people 65 and over live alone /directory/#key-senior-statistics. Today, that number reaches closer to 30 percent.

Another significant risk is isolation. If a person lives in the suburbs, they have a higher danger and exposed to risks like poor health, restricted mobility, admission to institutional care, low morale, inadequate rehabilitation, and mental illness.

Moving forward, organizations form like the Transition Network and many more who focus on the dire needs of the aging and alone market.

Are you on Facebook? Like my Page @Carebuzz and join the conversation every Tuesday at 3:00 PM CST.

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Aging

Social Connections Enhance Mid-life

by Carol Marak
written by Carol Marak

The vast majority of women in the United States have children. However, in 2017, the fertility rate measuring the number of births was 60.2 for every 1,000 women of childbearing age. The total fertility rate – which estimates how many children women will have based on current patterns – is down to 1.8, below the replacement level in developed countries of 2.1.

As women decide to have less or no children at all is not a bad thing but can have a negative effect in their older years. The Wall Street Journal recently noted that family caregivers, “long the backbone of the nation’s long-term care system, provide an estimated $500 billion worth of free care annually-three times Medicaid’s professional long-term care spending, and help keep people out of costly institutions … But the supply of caregivers is shrinking just as the nation needs them most.”

Not only do Baby Boomers and GenXers face declining birth rates but also far-flung families, high divorce rates, and an increase in Alzheimer’s disease and dementia. The responsibility of caring for a growing population of older adults will be carried by fewer family members.

The idea of getting older without a spouse or children to rely on is a growing problem for many. The U.S. Census, 2010 estimated 27 percent of the 65+ age group live alone. And that percentage will increase as baby boomers live longer.

The Greatest Generation had an easier time getting help since they birthed the baby boomers. My parents were lucky to have each other and three very caring daughters when they became elderly. But for me and thousands like me, we have no one to depend on for personal help at home.

What are the issues of adults living alone?

  • Help with bills, financial decisions
  • Help with medical decision
  • Help identifying a would-be caregiver
  • Help in a crisis
  • Selecting a healthcare proxy

 

Some living at home alone reported feelings of loneliness and isolation which plays havoc on cognitive and physical health. And when sadness affects the mood, it’s harder to get motivated for exercise, cooking healthy foods, socializing, and participating in activities. Here’s what to do:

  • Start a local group of like-minded individuals
  • Look for people who have similar interests and enjoy doing the same hobbies and activities

 

The point, put yourself in an environment where there are people you feel drawn to.

Whether it’s a church, synagogue, Mosque, mastermind group, sport league, walking group, Yoga class, a night or lifelong learning class at a community college, a cooking class, a MeetUp or a Facebook group… put yourself in situations and in the middle of audiences where you’ll meet multiple new people.

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Aging without Family for Support
Aging

Aging without Family for Support

by Carol Marak
written by Carol Marak

In the aging process, an older person can adapt and handle the physical and mental challenges of decline if they have some form of nearby support. But not every older American has access to a family member or a friend to give occasional help. Aging without Family for Support
There’s an unseen group of seniors that the health care industry has recently noticed. It’s the community-dwelling aged who are socially and/or physically isolated, without an available known family member or designated caregiver.
They’ve been in plain sight for years but since boomers are entering the 60 plus population, the demographic will intensify, due to the group’s known status of having the highest divorce rates and childless marriages. And in a matter of a few decades, the chronic diseases will put a heavy burden on the medical care providers.
What’s needed from the medical care teams and the local community-based support services is a better process and a way to track and assess the risks. The individuals need education, support, and guidance to prepare for becoming frail and dependent. But more importantly, they need to receive a thorough screening for the high risks of aging alone.
Some requirements would include:

  • To learn what’s needed in designing the advanced directives
  • To select a trustworthy healthcare proxy
  • To learn how to set up a care plan far in advance of needing acute care.
  • To learn how to prevent avoidable hospital admissions
  • To find services that help with medical, functional, social, and safety needs
  • To locate social services, adult protective services, and senior agencies
  • To learn the health strategies that help them avoid negative events
  • To build a support group

To better help all seniors, not just the people who live without support in the household, the aging industry and service professionals should become aware of the risks that endanger older adults lives.

  • Social support – Low social support links to both poor physical and psychological health and an increased risk of mortality for the elderly population. Moreover, decreased social interaction that can stem from this lack of support which correlates with low effect and arousal, poor cognitive and social skills, and altered mental functioning.
  • Isolation and loneliness – Isolation is the state of having minimal contact with others, whereas loneliness is the feeling of being socially alone and isolated. Both of these states are identified as risk factors for physical, and cognitive decline.
  • Childlessness – Living without the support of family caregivers is an important risk factor for social isolation. Many studies have shown that childless adults often do have support networks, usually consisting of relatives, friends, and neighbors. However, these networks are less likely to provide the long-term commitment and comparable high level of support that children offer.
    Here is another great article about choosing a location to live if you are a “Solo Ager.”
    Aging without Family for Support Aging without Family for Support Aging without Family for Support Aging without Family for Support

    Aging without Family for Support

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6 Ways for Seniors to Beat Depression
Conditions & Treatments

6 Ways for Seniors to Beat Depression

by Kimberly Johnson
written by Kimberly Johnson

According to the latest estimates from the World Health Organization (WHO), more than 300 million people worldwide live with depression. These estimates make depression the leading cause of ill health and disability at a global scale. The number of people with depression increased by more than 18% between 2005 and 2015. 6 Ways for Seniors to Beat Depression

Below world statistics on depression, as reported by the WHO. Depression In Older Adults
6 Ways for Seniors to Beat Depression
Depression around the world according to regions, as specified in the infographic:

Region Percentage
African region 9%
Eastern Mediterranean region 16%
European region 12%
South-East Asia region 27%
Region of the Americas 15%
Western Pacific region 21%

 
Nearly 50% of these people live in the South-East Asia region and Western Pacific region, reflecting the relatively larger populations of those two regions (which include India and China, for example).
In order to raise awareness, the 2017 World Health Day (April 7th) will focus on depression. To this aim, the WHO has organized a year-long campaign, Depression: let’s talk.
In terms of support available for people with mental health disorders, the need of increased investments is clear. Even in high-income countries, nearly 50% of people with depression do not get treatment. On average, just 3% of government health budgets is invested in mental health, varying from less than 1% in low-income countries to 5% in high-income countries.

How is depression affecting the elderly?

Depressive disorders involve sadness, loss of interest or pleasure, feelings of tiredness, disturbed sleep or appetite, feelings of guilt or low self- worth, and poor concentration. Depression impairs the ability of an individual to function at work or school and cope with daily life.

In 2015, 4.4% of the global population is estimated to live with depression. Depression is more common among females (5.1%) than men (3.6%).
In terms of age groups, prevalence peaks in older adulthood (above 7.5% among females aged 55-74 years, and above 5.5% among males).
This striking number has encouraged us to focus on depression in the elderly, as it is often overlooked and untreated.
There are various factors that can lead to depression as a consequence of life changes that come with aging.
“One thing that is vital to understand when dealing with depression in older adults is that they are often having to deal with loss,” says Louise Morse, cognitive behavioral therapist at Pilgrims’ Friend Society. “Loss of physical and mental agility, perhaps, but always loss of family members, both older ones (who passed away) and younger ones (who moved away for work). The combination of losses can be overwhelming. They lose people who help reflect back to them their identity: people they can bounce things off and trust, people with whom they have shared memories”.
There are signs, behaviors, and actions that should not be taken for granted or belittled as normal aspects of aging. Signs to look out for include:

  • loss of interest in activities that they would normally enjoy and inability to carry out daily activities, for at least two weeks
  • loss of energy, change in appetite; different sleeping patterns; anxiety; reduced concentration; restlessness; feelings of worthlessness, guilt, or hopelessness; and thoughts of self-harm or suicide.
  • depression among older people is often associated with physical conditions, such as heart disease, high blood pressure, or diabetes. Life events, such as losing a partner; and a reduced ability to do things that were possible when younger, may also contribute to depression.

Depression is treatable, with talking therapies or antidepressant medication or a combination of these.

How can you help?

6 Ways for Seniors to Beat Depression

1. Listen without judgment

Offer unconditional support and listen closely to what the person says: little or subtle changes in their life can be warning signs.

2. Look for subtle signs

Read up on and get a clear understanding of depression. Signs of distress may involve wringing hands excessively, getting agitated or irritable, or having difficulty sitting still. Older adults often do not say they feel sad or lonely because they don’t want to be a burden on the family. Other possible signs include loss of appetite or interest in activities that they used to enjoy for more than two weeks.

3. Get active in their care

Go to appointments together and if any medication is prescribed, help your elderly relative to take them. Help them have a regular eating and sleeping pattern and encourage them to undertake everyday activities and practice exercise.

4. Talk about how they feel and offer support

It’s really important to hear them out and honor their emotions. The elderly are often less likely to cope with loss or difficult life events. “One thing that could really help is to go over some of their memories and walk through their landscape. They can feel very isolated at times”, says Louise Morse.

5. Realize that treatment is key

Depression can be treated. Family members should be aware of the disability that depression can cause and should offer their support in receiving the right treatment.

6. Stay in contact

Let the person feel you are available for them. At the same time, don’t take care over their life and do things that they can do for themselves. It would only reinforce their perception that they are worthless and incapable. Instead, help them break tasks into steps and praise them for any efforts.
Another great article: “When you feel lonely”
By JunoMedical
www.junomedical.com

For more information about depression:

World Health Organization (WHO): http://www.who.int/topics/depression/en/
Anxiety and Depression Association of America: https://www.adaa.org/
American Psychological Association: http://www.apa.org/topics/depression/
European Depression Association: http://eddas.eu/

6 Ways for Seniors to Beat Depression

6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression 6 Ways for Seniors to Beat Depression
Depression In Older Adults Depression In Older Adults Depression In Older Adults Depression In Older Adults

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Aging

Making Social Connections to Age Well

by Carol Marak
written by Carol Marak

It’s no secret that I run a Facebook group for people growing older at home. It’s geared to the individuals having little to rare support from a family member. Some feel lonely while others do not. Making Social Connections to Age Well
In this group, there are stories of loneliness, physical pain, emotional hardships, and the flip side of adversity, like traveling the world, retiring to another country, finding a more challenging job, while others go back to school for a second or third degree. It’s fun to read the stories and observe how some move out of tough circumstances.
There are big differences between those who thrive and those who struggle. The people who thrive are active, resourceful, and curious. Growing older isn’t a road block, but instead a new phase of advancement and here’s what they do differently:

  • Play games or solve crossword puzzles, and tackle brain exercises
  • Volunteer to make a difference
  • Learn a new hobby or skill
  • Travel and meet people of different cultures
  • Grow a vegetable or flower garden
  • Work part-time to get out of the house
  • Make friends to build a support team
  • Attend classes at the library, senior center or community college
  • Help a neighbor next door
  • Take cooking classes

The one gold standard that sets thriving and struggling apart is actively making local connections. Quite simply, one must get up and get going — and that means get out of the house and start real-life conversations. Here are a few tips to get started:

  • Attend meetings and activities at senior centers, you may not create close connections immediately but don’t give up. Go back regularly and as you form new friendships, ask them to lunch and to bring a friend next. Over a few months you’ll enjoy meeting more new friends and seeing the lunch group grow.
  • Do hobbies and other activities together in addition to lunches. Find local Meetup groups that offer other interests like writing, dancing, hobbies, cooking, walking, and classes to learn technology skills.
  • Libraries are another wonderful resource to build friendships. The Dallas public library offers free painting classes, exercise and yoga, and book clubs and lots more, so check out your local library.
  • Volunteer – Check with your local Area Agency on Aging Department to find ways to help the frail and elderly. Other organizations like AARP, the Senior Corp, and Points of Light will steer you to people or pets who have needs.

If you’re open to meeting new people and I hope you are, then pick up the phone or go to the web to locate the organizations online. If you stay at it and make a reasonable effort, I bet you’ll wind up having a lot of fun and adventure with new friends.
Opt-in to my Newsletter called Age with Purpose. Send an email to Carol@seniorcare.com and in the subject line put Newsletter.
The Quest to Be Happy
How to Celebrate a Birthday When Aging Alone

Making Social Connections to Age Well

Making Social Connections to Age Well Making Social Connections to Age Well Making Social Connections to Age Well Making Social Connections to Age Well Making Social Connections to Age Well Making Social Connections to Age Well Making Social Connections to Age Well Making Social Connections to Age Well Making Social Connections to Age Well Making Social Connections to Age Well Making Social Connections to Age Well

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Kitchen Safety Tips for Seniors Receiving In-Home Care
Aging

New Aging Dilemma: Living Alone at Home

by Carol Marak
written by Carol Marak
The healthcare industry has recently spotted a new segement in the older adult population. It’s the aging singles who are 55 and over. They are the aged, community-dwelling individuals who are socially and physically isolated, without an available known family member or designated surrogate. Some also refer to this group the elder orphans. New Aging Dilemma: Living Alone at Home
They’ve been in plain sight for decades, but since boomers enter the 60 years, the aging single demographic will intensify, due to their status of having the highest divorce rates and childless marriages. And in a matter of a few years, the prevalence of the generation’s chronic diseases will put a heavy burden on the medical care providers, causing an overload on health care and other services.
According to the U.S. Census, 2010, 27 percent of seniors across America age alone. The same survey discovered nearly 19 percent of women aged 40 to 44 years have no children, as compared to about 10 percent in 1980. Furthermore, in 2009, almost one-third of Americans aged 45–63 years are single, a 50 percent increase from 22% in 1980. The trend shows no signs of reversing to the former condition.
However, being a parent or a partner does not guarantee care in old age, but since the bulk of America’s elderly are cared for by spouses and children, who will advocate for the solo agers?

I belong to the group; I am 66, childless, and spouseless. I was one of the three siblings who helped my parents with elder care responsibilities, and it was tough for my sisters and me. Mother lived with congestive heart failure, and my Father had Alzheimer’s disease. From the caregiving experiences, I know firsthand the highly concentrated attention elder care requires.

After my parents had passed, a startling thought occurred — “who will care for me?”
For people in my situation, alone and growing older, we face extraordinary challenges, especially when the medical decisions are made without the feedback of loved ones.
Last year, I started a Facebook group for elder orphans (a medical term for people aging alone) and the count tallies past 4500. The group discusses the challenges, and members offer support and connection in hopes to relieve the stress and worry that many feels.
Through active participation, I’ve learned that we need education, support, and guidance from health care providers to assist us with preparation for the tough road ahead. But more importantly, we need the medical professionals and teams to acknowledge the status, circumstances, and the issues, and then screen for the aging alone dynamics which carries a basket of risks. New Aging Dilemma: Living Alone at Home

Worries of Those Alone

Some of the worrisome concerns discussed in the group and handled by members:
  • Ageism — just because we’re growing older, doesn’t mean we should give up on aging well. We desire recognition for our strengths and given a chance to offer our skills and to give back and be a productive member of society.
  • How to remain healthy without resorting to medication or surgery — we would enjoy learning alternatives to going under the knife or consuming various meds.
  • Find out how others cope with issues and create one’s solutions — we want to hear how others deal with challenges; what worked for them and then decide if it’s a good fit for us. And if the solution is not a fit, what other options might work?
  • Discover useful local and national resources — we’d like to learn about community services, especially the ones that help us age in place. We don’t have advocates or family members who can research for us, so, we depend on others for direction.
  • Navigate health, care issues, and chronic illnesses – we want to thrive and be well even when living with diabetes, dementia, heart diseases, cancer and other diseases.
  • Gain social interaction — our toughest challenge. Most of us want connection and to make new friends but have difficulty leaving our house due to immobility concerns.
  • Select a health care proxy and surrogate – we need help and direction when choosing someone to speak on our behalf if we should become too ill or incapacitated.
These topics are a few of what the group addresses, plus a few more. Most of us are not health care professionals, so the practical tips and advice come through other’s experiences.
However, at the local community-based services and medical teams, the professionals can do so much more. Just recognizing the fact that we’re living alone, and then assess the risks, would help the older person understand what’s needed to remain safe, healthy, and independent even when no one is around to check on us.
In recent medical research about elder orphans, geriatricians found several risks that affect the elderly:

Social support

Low social support affects the physical and psychological health and in some instances, will increase mortality. A decreased social interaction stems from little support which correlates with depressed affect and arousal, reduced cognitive and social skills, and altered mental functioning.
And for some members of the Facebook group, it’s their only source of social interaction and connection. While for others, they make great strides to maintain face to face interconnections and build friendships. But overall, social detachment is a huge concern.

Isolation and loneliness

Isolation is the state of having minimal contact with others. Even though being isolated can cause loneliness, both are not equal, and both are the risk factor for a physical and cognitive decline.
The online activity that some members find on Facebook is their only source of communications and reaching out to other people. It’s not one’s preference to be alone all the time, but the physical immobility is their greatest burden that keeps them in the house.

Childlessness

It is an important risk factor for social isolation. Like the study mentioned earlier, childless adults often do have support networks, usually consisting of relatives, friends, and neighbors. However, these systems are less likely to provide the long-term commitment and comparable high level of support that children give to parents.
Most members of the group do not have children, but for those who do, they’ve lost communication with the family, they live a long distance away, or they’re forgotten.

Services needed

Community-based aging resource centers and senior organizations must have goals that assist with our medical, functional, social, and safety needs.
  • Help prevent hospital admissions and help us understand how to avoid them
  • How to create advanced directives and choose a reliable, and trusted health care surrogate
  • Teach elder abuse education and where to find support and help
  • Show how to create a care plan far in advance of needing acute care
  • Instruct how to build a personal care team of friends we can count on
  • Give us options and ways to build social connections and help us avoid isolation
  • Help us find transportation when needed
It is challenging for clinicians and social services and even the patients who live alone. But when recognized and assessed properly, the aging singles have potential to struggle less with managing health conditions and the complexities involved in care.
More information on aging issues faced by seniors living alone click here. New Aging Dilemma: Living Alone at Home

New Aging Dilemma: Living Alone at Home

New Aging Dilemma: Living Alone at Home New Aging Dilemma: Living Alone at Home New Aging Dilemma: Living Alone at Home New Aging Dilemma: Living Alone at Home

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