Advances in healthcare have led to huge changes in the ways healthcare is deliveredThe advent of LBJ’s Medicare Program first Federal recognition of these changing demographicsDelivery system changed with technological advancesHouse calls and country doctors replaced with mega hospitals filled with specialistsChanging systems = changing costs
Easy Living Houses-Frank will discuss this in greater detail.SRES Designation (w/i last 10 years)
Marketing messages must hit the markMature market(boomer market) is a “moving target”Need to be sensitive to the changing special needsSensitive to how the Boomer market views itselfHealthiness and fitness
AARPInsurance ProductsCruisesAARP discountsRestaurants Special menus (large print)Special pricing at earlier hoursGrocery storesSenior discount cardsRetail EmployersPublixHome Depot
Third Age Suits20-30 somethings to experience what aging is likeDesign changesInfrared night vision systemsSliding steering wheelsAdjustable pedalsLarger instrument clusters
It’s all because of those changing demographics we saw earlierOlder patients living longer
Here is where industries in their infancy matured and completely new industries emerged to fill unmet needs due to these changing demographics.
Entire new industries created due to need SMMTechnological advancements made in devices available
Home healthcare industry began to really grow in 1980’s. Families were previously the caregivers. Now looking outside the family. Families busy (sandwich generation) living out of town (country) Explosive growth began in 1980’s B4 that families were the primary care providersWorking Mom’s, “sandwich generation”
Senior Move Management IndustryAvoid RSSStarted by “baby boomers” seeing an unmet need in the mid 1990’s.Our goal is to ease the physical and emotional aspects of a later life move, while delivering of our services with compassion and respect. National Association of Senior Move Managers (NASMM)founded in 2002.Oversee all aspects of the project (move).Help with sorting and organizingDetermine what will fit in the new home.Arrange for disposal of unwanted items.Schedule and coordinate with moving companySupply all packing material and packFully unpack and resettle the new homeBegan in late 90’sNow NASMM has 600+ members
Support available by professionals for daily financial choresAs we age these chores become more and more difficult to manageComplex information is bombarding our older adultsScams aboundSecond set of eyes
Equitable Use -THE DESIGN IS USEFUL AND MARKETABLE TO PEOPLE WITH DIVERSE DISABILITIES.Flexibility in Use - THE DESIGN ACCOMMODATES A WIDE RANGE OF INDIVIDUAL PREFERENCES AND VARYING FUNCTIONAL ABILITIESSimple and Intuitive Use - USE OF THE BUILDING IS EASY TO UNDERSTAND, REGARDLESS OF THE USER’S EXPERIENCE, KNOWEDGE, LANGUAGE SKILLS OR CURRENT CONCENTRATION LEVEL.Perceptible Information - THE DESIGN COMMUNICATES NECESSARY INFORMATION EFFECTIVELY TO THE USER, REGARDLESS OF AMBIENT CONDITIONS OR THE USER’S VARYING INTELLECTUAL OR SENSORY ABILITIES.Tolerance for Error - THE DESIGN MINIMIZES HAZARDS AND ADVERSE CONSEQUENCES OF ACCIDENTAL OR UNINTENDED ACTIONS BY ALL USERSLow Physical Effort - THE DESIGN CAN BE USED EFFICIENTLY AND COMFORTABLY WITH A MINIMUM OF FATIGUE BY EVERYONE. Size and Space for Appropriate Use - SIZE AND SPACE IS PROVIDED FOR APPROACH, REACH, MANIPULATION, AND USE REGARDLESS OF USER’S BODY SIZE, POSTURE, OR FUNCTIONAL ABILITIES/MOBILITY
One floor living is optimal!! Any extra 1st floor space that converted to a laundry room or bedroom would greatly reduce unnecessary risk.Older homes often have narrow doors and hallways. If the resident is wheelchair bound, wider doorways and archways may help in navigating the home. Eliminating excess doors and installing appropriate handrails may reduce risk as well.Increased lighting and adjustment to the lighting fixtures by utilizing dimmable switchesSmaller toggle light switches can be replaced with larger easier to operate paddle switches and located where the user can more easily turn appliances and lights (off & on).If necessary, construct a ramp/deck in the back or front yard. Make sure it’s durable, has railings on both sides at a level that is comfortable and appropriate for the user. The ramp surface should be made with a slip resistant material. (practical for older pets as well).Covered entrance ways at front and back doors will keep walking surfaces safer while exiting or entering the home.
WRAAA Conference 6/3/09
Keeping Older Adults Independent, Productive, and
June 3, 2009
James M Stevens, President
Caring Transitions, Inc.
Frank Kuhar, Jr., Owner
Revived Housing Developers
Independent living is not doing things by
yourself, it’s being in control of how things
are done for you. (Author Unknown)
Traditional Adults Silver
Service Unique Industry
The number of Americans age 65 + is expected to
increase from 34 million in 1995 to 62 million by
More people are over 65 than are in their teens and
people are over 85 than under 5 (Lamm & Lamm
12 million elders will require care by 2020
(Brubaker and Brubaker)
The percentage of Americans 65 and older has risen
to 12.6 percent, or 37.9 million, as of 2007, from 12.4
percent, or 35 million, in 2000. (U.S. Census Bureau.)
Americans aged 85 and older comprise the fastest
growing segment of the U.S. population
The U.S. population aged 65 and older will jump
nearly 80% when the baby boomer generation
Largest impact of all
Medicare of 1960’s
Delivery systems have changed
Sky rocketing costs
Easy Living Homes promote
“Visitability” and Aging In Place
Senior Real Estate Specialists (SRES)
Understand aging clients special needs
Market is shifting
The younger generation has aged
The mature audience has arrived
A more sensitive attitude has developed
Careful of insulting images
“The Market” = Older Adults
Growth of AARP products and services
Many now employ seniors
Third Age Suits
Adaptive design changes
Wider door openings
Knobs and buttons
Senior Market accounts for 40% of all prescription
New Government programs
Medicare Part D
Other prescription drug plans
CVS Free medication reviews for seniors
Drug companies sponsoring exercise and health
The goal is to stay independent, productive, and
connected to family in familiar surroundings.
Modifying the home
Providing in home services
Supportive Services and Devices
Non Medical Services
Senior Move Management Services
Bill paying and financial chores
Reasons for the growth of this industry
Social isolation is a common problem among the elderly
Many older adults only need help with everyday activities
IL, AL, and SNF’s are often not affordable
Most seniors prefer to age in place
Assistance with ADL’s
Helping families cope with life’s third most stressful
Moving = Change = Stress
Emerging industry filling a gap.
Our goal is to ease the physical and emotional aspects
of a later life move, while delivering our services with
compassion and respect.
Help with day-to-day financial chores
Services tailored to the needs of the older adult
Tracking medical claims
Reconciling bank accounts
Help in navigating the “system”
Work in conjunction with other professionals
Certified Aging-in-Place Specialist (CAPS)
•Adding grab bars
•Installing higher toilets
•Upgrading to a curb-less shower
•Constructing ramps or lowering
•Enhance lighting by adding more
lighting with adjustable controls
Certified Aging-In-Place Specialist
The CAPS designation identifies remodelers that have been
trained to help retirees and older adults remain in their
homes safely, independently and comfortably, regardless
of income or ability level, and continue to live in a familiar
environment throughout their maturing years.
The Remodelers Council of the National Assoc. of Home
Builders (NAHB) in collaboration with NAHB Research
Center, NAHB Seniors Council and AARP created the
Universal Design defined…
“An approach to the development of products and
environments that can be used effectively by all
people, to the greatest extent possible, without the
need for adaptation or specialized design”
( North Carolina State University, 1997 )
Principles of Universal Design
Flexibility in Use
Simple and Intuitive Use
Tolerance for Error
Low Physical Effort
Size and Space for Approach and use.
Things to Consider
Consider how the alterations will affect the re-sale
value of your home
Consider the cost of the alterations versus the cost of a
It affects us all…
“It is likely that everyone of us will experience some
type of physical challenge in our lifetime”.
A range of needs & abilities throughout the life span
Young children ----- Older adults
People of short stature----Tall people
Thinner people ----Heavier people
People with temporary----permanent disabilities
Attractive, Accessible Remodeling
The ability for ALL people to visit,
socialize, live in a residential setting,
“age in place”.
Focus on homes, not public
accommodations as covered by the ADA
Making the Home Accessible & Safe
Fire Alarms/Carbon Monoxide Detectors
Automated pill dispensers (connected to monitoring services).
Alarm monitoring services that monitor movement or lack of
movement. They keep an eye on water intrusion, HVACs
equipment, smoke and carbon monoxide.
Intercoms with cameras give residents a way to screen solicitors at the
Technology to allow adult children to monitor the homes
HVACs, medical data and visually check on mom or dad through
cameras and web cams.
Biometric & code operated entry door locks.
Fire suppression hoods that shut off fuel/power to stove and extinguish
Entrances , Exits, Exterior
Residential automated door openers with remote
Attached garages, detached garages with breezeways,
or heated sidewalks
Standing gardens-elevated vegetable gardens or flower
Remote controlled exhaust hood
Pull down shelf units (Rev a shelf) –pull up shelves for
Pot fillers and well placed sinks
Sit-down workspaces for food prep (perfect place for
Induction cook top and front mounted controls
prevent burns and scalding
Elevate dishwasher to elevate back strain
Well placed outlets (front mounted)
Threaded (hose ready) spigots in the shower area
Preset water temp shower faucets
Hands free sink faucets
Tub cut-retrofit option for older bathtubs
Humidity, motion, and timer controlled exhaust fans
Universal designed bathtub.
Walk in bathtubs
Personal toilet seats/bidets
Reduce or eliminate glossy/hard surfaces—this will
help reduce slipping, sun glare and puddles
Low pile carpet with minimal padding
Minimize any elevation differences throughout
Use softer flooring options-such as linoleum and cork
Contrast-used to differentiate edges, danger, and level
As much natural light as possible (Vitamin D).
Adjustable direct and indirect lighting.
Up down/down up miniblinds to minimize sun glare.
Night lights-soft light that guides residence from
bedrooms to bathrooms safely. Stairs are also danger
Motion/infrared activated lighting.
Garage door openers can initiate lights inside the
Elevated half shower washing station – can
be used to bathe pets and water plants
Elevated front load washer & dryer with
laundry carts and folding table
Lever door handles and wired drawer pulls over knobs.
Pilot light switches used to indicate on/off status.
Swing away hinges.
Wider hallways and doorways.
Use easier to open windows that are well placed .
Appropriately placed shelving
(kitchens, baths, adjustable closet rods).
Natural gas generators for backup emergency power.