A service or a disservice?
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The day will come when my children will need to drag me, kicking and screaming, into an “assisted living facility” aka - nursing home. While I am hoping this is still a decade or two in the future, there is an air of inevitability surrounding the prediction. But maybe that is not a bad thing. As my regular readers know, I spend quite a lot of my retirement time volunteering for a non-profit organization that has as its mission “helping older and disabled people live independently as long as possible”. Each week I give rides to several folks to doctors, hair stylists, and grocery stores. Often they are accompanied by a walker or wheelchair. On Friday mornings I shop for groceries and deliver them. While the majority of my clients meet me at the door to their house or apartment building, now and then I get a glimpse into their homes if they request that I come in, usually to put away groceries, help with a mobility aid, take out garbage, or do a small task like move an object that is too heavy for them to lift. Too often I feel like I need to take a bath in disinfectant when I leave. The dwelling is filthy and cluttered. Cat litter boxes are overflowing. Cigarette smoke clings to the furniture. Newspapers and magazines are strewn about. Cupboards are overflowing with opened but uneaten foods. Dirty dishes fill sinks and counters. Being something of a neatnik, I don’t know how these folks survive, let alone live a pleasant, comfortable, healthy life. But perhaps worse than the abysmal living conditions are the social conditions experienced by many of those I serve. Or should I say the social conditions not experienced. In visiting with folks as I drive them to and from their appointments, I learn about their relationships with their families. The happiest and most cognitively alert men and women almost always have family nearby who support them in some way - visits, phone calls, tasks done. But my heart just breaks when I hear of how my rider is alienated from their children. Recently widowed. Long divorced. Never married. No children or no surviving children in their twilight years. Nor does it seem that they engage in non-family gatherings. I don’t hear about churches or clubs or service organizations that fill the need for social interaction. It feels that my short times with them in the car and waiting room may just be the only time they talk to anybody. One fellow I often take to appointments became a widower a couple years ago. He continued to live in the nice condominium he shared with his wife. Other than a mobility issue, “Phil” seems to be in good health. One of the topics of conversation we engaged in was his frustration in finding a new romantic partner using online dating sites. “All these women are after is a free meal,” he once complained. After hearing this tale of woe a number of times, I related a story to Phil about when I was looking for a place to live a few years ago and toured a “62+ housing cooperative.” On entering the large lobby, I was instantly surrounded by very friendly ladies who quickly gave me a long list of reasons why I should purchase a unit in the building, including potlucks, bingo, yoga classes, card games, educational programs, etc. They all seemed very friendly, if you know what I mean. And trust me, I am no George Clooney. I relayed this story to Phil hoping he might take the hint that a change in housing might be more likely to lead to a new mate than Match.com. The odds are pretty good given that women do outnumber men in ever higher percentages as they get older. I haven’t seen Phil’s name on the list of those needing rides lately - maybe he heard my story. Why are older adults so stubborn about staying “independent”? In many ways I sympathize. We like knowing where things are. We don’t like rules that may limit how we live. We may have pets we need to give up. A move may mean downsizing and having to part with cherished items (or the things we like to hoard). We may lose access to our local stores and parks and services. We may not want to feel like we must socialize. We want to be able to still cook our favorite foods in a full sized kitchen. But perhaps the biggest reason we don’t want to move is that we will leave behind not just furniture and knickknacks and pots and pans, but memories. We may be leaving a house we shared with our spouse, our children, our grandchildren, our friends. It may have been the place of happy Christmases and birthdays and graduation parties. When we look at that chair in the corner of the living room, we might still see that now long-dead, much beloved dog curled up in it. I understand the determination of those who wish to stay “independent.” There is no one right answer to helping older adults lead both safe and happy lives. But we should be encouraging those who are at psychological and physical risk to move to places that can provide needed care. For most of those I drive, I provide a service. But I worry that for some, it is indeed a disservice. And I am not sure what, if anything, I can or should do about that.