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Navigating changes: what to know when aging brings new realities

Caregiving, Guest Writer, Jill Poser, Solo Agers, Uncategorized

 

By Jill Poser, CGCM, CMC, CDCP

When a parent begins to experience the inevitable changes that come with aging, families often feel a mix of urgency, uncertainty, and emotional conflict. Even in close, supportive families, shifting roles and increasing care needs can create feelings no one expected. It can be difficult to know how to respond or how to plan for what comes next.

“When families work with a professional Aging Life Care Manager, they no longer feel like they must navigate these decisions alone or get everything exactly right. Our role is to ease fear, help prevent crisis, and support families in making thoughtful, informed choices they can stand behind.”— Jill Poser, CGCM, CMC, CDCP

 

Navigating change is never only about logistics. It affects identity, relationships, and the emotional well-being of the entire family. Without experienced guidance, families may find themselves overwhelmed by decisions, emotions, and responsibilities that can escalate quickly.

 

Here are key insights families should understand as care needs evolve, along with why partnering with an expert Aging Life Care Management team can provide clarity, stability, and peace of mind.

 

1. Embracing Loss: Recognizing What Is Changing and What Remains

 

Aging often introduces forms of loss that are not immediately visible. Seniors and their families may grieve the gradual decline of abilities, independence, or personality traits that once felt permanent. These emotions deserve acknowledgment and support.

 

Expert Aging Life Care Managers recognize that loss affects both the individual receiving care and every family member who loves them. Through clinical assessment and steady communication, we help families understand what changes are expected, which symptoms may need medical attention, and how to differentiate grief from fear or guilt. This clarity allows decisions to be made with confidence instead of uncertainty.

 

2. Shifting Roles: When Adult Children Step into New Responsibilities

 

One of the most challenging transitions occurs when adult children must take on responsibilities their parents held for decades. This shift can create resistance, worry, or a feeling of imbalance in the parent-child relationship.

 

Without professional guidance, families may struggle to determine how much help to offer, how to maintain respect while ensuring safety, or how to create boundaries without feeling disloyal. Aging Life Care Managers support families by providing structure and realistic expectations. They bring clinical insight into what level of assistance is appropriate, and they offer communication strategies that preserve dignity and strengthen the relationship rather than strain it.

 

3. Conflicting Emotions Are Normal and Meaningful

 

It is natural for families to experience conflicting emotions during moments of change. Love may be accompanied by frustration, hope may be mixed with fear, and relief may bring unexpected guilt. These reactions are meaningful and deserve attention.

 

Aging Life Care Managers understand how emotional complexity influences decision making and family communication. Through ongoing support, they help families identify emotional triggers, navigate disagreements, and keep the focus on their parent’s safety and well-being. This allows families to respond with intention rather than react under stress.

 

4. Facing the Reality of Mortality with Compassion and Preparedness

 

Few conversations are more difficult than those that address the later stages of life. Avoiding these conversations, however, often leaves families emotionally and practically unprepared when health changes occur.

 

Professional Aging Life Care Managers with strong medical backgrounds help families recognize early indicators of health decline, understand what changes may suggest a higher level of care, and begin thoughtful discussions about wishes and values. When appropriate, they coordinate hospice, palliative care, and medical support to ensure comfort and dignity. Facing mortality with preparedness is an act of love and a form of protection for everyone involved.

 

5. Planning for What Comes Next

 

Change is rarely a single moment. It is a progression that benefits from careful planning. Families often underestimate how quickly needs can shift, especially when chronic illnesses or cognitive changes are involved.

Aging Life Care Managers guide families through proactive planning so they can anticipate needs instead of scrambling to respond to emergencies. This planning may include:

  • identifying future care needs based on clinical assessment
  • preparing for transitions such as hospitalizations or rehabilitation
  • review of home safety and medical equipment needs
  • creating communication plans among siblings
  • understanding/referring to financial and legal considerations related to care

 

Effective planning protects families from crisis-driven decisions and provides a sense of control during unpredictable times.

 

 

6. The Unspoken Stressors: Decision Fatigue and the Fear of Getting It Wrong

 

Beyond the emotional layers, families often carry the weight of constant decision making. They may wonder whether symptoms are being monitored closely enough, whether medical needs are understood correctly, or whether care decisions are happening too quickly or too slowly.

 

Working with a professional Aging Life Care Manager can remove the burden of guessing. With medically trained professionals overseeing care, monitoring health changes, and coordinating with providers, families gain reassurance that every step is supported by clinical expertise. This reduces stress while protecting the senior from risks related to missed symptoms or delayed interventions.

 

7. How Expert Aging Life Care Management Helps Families Navigate Change More Smoothly

 

Change may be unavoidable, but feeling lost in the process is not. Partnering with an Aging Life Care Manager provides:

  • comprehensive clinical assessments that clarify what is happening
  • oversight that keeps care aligned with both medical and emotional needs
  • collaboration with physicians and other service providers
  • ongoing evaluation as conditions evolve
  • help managing emotions, communication, and family expectations
  • crisis prevention through proactive planning
  • a coordinated team ensuring safety and continuity

 

This level of support helps families move from uncertainty to stability and from overwhelm to confidence.

Conclusion: Change Will Come, but You Do Not Have to Navigate It Alone

 

Aging brings transitions that affect every part of a family’s life. These changes can be meaningful and deeply challenging. With expert guidance, families can move through them with clarity and compassion rather than fear or uncertainty.

When families face the layered challenges of aging, physical or mental illness, or cognitive decline, they need more than just referrals or resources. They need a professional partner who brings both clinical insight and emotional understanding, someone who sees the whole picture and knows how to navigate it.

Aging Life Care Managers help families feel supported, prepared, and confident in the decisions they make for their loved ones. With expert care management, families do more than navigate change. They grow through it.

To find an Aging Life Care Manager near you or your loved one visit aginglifecare.org.

 

The blog was originally published by Life Care Concierge of South Florida and was reposted with permission

 

About the Author:

Jill Poser, CGCM, CMC, CDCP is a nationally recognized leader in Aging Life Care Management, Private Duty Home Care, and Life Care Planning. With more than 15 years of experience in aging services, she brings a compassionate, patient-centered, and evidence-based approach to helping individuals and families navigate complex care needs and successfully age in place.

Inspired by her own caregiving journey, Jill is the founder of Life Care Concierge of South Florida a comprehensive Aging Life Care Management and Private Duty Home Care Concierge practice. Jill is an Advanced Professional member of the Aging Life Care Association® and holds multiple nationally and internationally recognized certifications, reflecting her deep commitment to excellence, integrity, and person-centered care.

 

The Hidden Truth About Senior Care Planning

Uncategorized

Survey Reveals Families Wait for a Crisis Before Seeking Senior Care Help

When it comes to planning for senior care, most families are waiting until it’s too late. A new survey conducted by the Aging Life Care Association® – New England Chapter reveals that the majority of families don’t reach out for professional guidance until a crisis strikes — leaving older adults and caregivers vulnerable during emergencies.

Key Findings: Families Wait Until Crisis Hits

According to the survey, 59% of Aging Life Care Professionals® report that families typically engage their services only after a serious event such as a fall, hospitalization, or medical emergency.

Even more concerning, 55% of professionals said families lack advance care directives, leaving critical medical and financial decisions unaddressed. These two findings underscore a troubling reality: too many families are reacting to crises instead of planning ahead for aging care needs.

“We often hear from seniors and families that they only seek help and advice once they are in a health crisis,” said Jennifer Pilz, MS, PT, CMC, President of ALCA NE Chapter. “Proactive planning, research, and guidance are not a priority, which can often lead to a more difficult — and much more costly — journey.”

About the Survey

The ALCA NE survey was distributed to over 200 Aging Life Care Managers® across the six New England states — Massachusetts, Rhode Island, Connecticut, Vermont, New Hampshire, and Maine. Respondents provided valuable, real-world insights into the trends, challenges, and innovations in supporting older adults, their families, and the professionals who serve them.

Care Planning

“Our goal was to elevate our members’ voices and share their collective expertise with aging adults, families, and the professionals who serve them,” said Pilz. “By gathering and sharing this data, we’re not only supporting our members but also informing the public about critical issues such as mental health support, caregiver resources, and home-based services.”

Why This Matters

The findings reflect what many aging life care managers see every day: families struggle to navigate the complex world of aging care. Without early planning and professional guidance, families face increased stress, higher costs, and reduced quality of care.

By highlighting these gaps, ALCA NE hopes to encourage families to act early — engaging professionals before an emergency occurs. The Chapter also plans to use the data to shape future programs, strengthen advocacy, and guide best practices within the field.

“We believe this survey strengthens regional collaboration and amplifies the voices of our members,” added Pilz. “Ultimately, it’s about helping aging adults across New England — and the U.S. — live with the dignity, independence, and quality of life they deserve.”

How to Find an Aging Life Care Manager Near You

If you’re ready to take a proactive approach to aging care—or you’re already facing a crisis—connecting with a qualified Aging Life Care Manager® is one of the most effective steps you can take. Aging Life Care Professionals® are trained experts in navigating medical, emotional, financial, and long-term care challenges. To find a professional in your area, visit the Aging Life Care Association’s searchable directory at AgingLifeCare.org.

Being There: Advocating for Comfort and Dignity at the End of Life

Aging Life Care Professionals, Barbara Levison, Guest Writer, hospice care

Written by Barbara Levison, MA, MSW, CMC, Aging Life Care Manager

Being There: Advocating for Comfort and Dignity at the End of Life

When it’s time to choose hospice care for a loved one, families are often focused on one thing: reducing suffering and pain. For long distance caregivers, this can be especially difficult, worrying that the person they love might be in distress without anyone nearby to help.

As an Aging Life Care Professional, I often serve as an advocate for my clients when they transition into hospice care. One common misconception is that hospice provides 24/7 in home care. While hospice agencies do offer access to 24/7 support, someone must be present to recognize when help is needed and call for it. Hospice care can be provided at home, in assisted living, or in long term care settings, but families often need guidance to understand how it works in practice.

End of life care looks different for every person. Some individuals prefer not to talk about what their final days might look like, and that choice is valid. Others meticulously plan and communicate their wishes. Most people fall somewhere in between.

When I work with clients, I follow their lead, supporting them as they navigate conversations with family, caregivers, and doctors. My goal is always to honor their wishes.

Hospice adds a specialized layer of care to the existing team. A hospice nurse evaluates the client and collaborates with the hospice doctor to create a plan of care. Caregivers visit briefly to assist with personal care. Social workers offer emotional support, and chaplains provide spiritual care. Some agencies even offer music therapy, which can be deeply meaningful.

My role as an Aging Life Care Professional often includes serving as a liaison, connecting the hospice team with the client, their family, and private or facility, based caregivers. By the time a client enters hospice, I often have a long-standing relationship with them. I know their values, preferences, and routines, and I can share this information to help the team care for them in the most personalized way. I’m also able to recognize subtle signs of discomfort and work with the hospice team to address them.

It’s a privilege to walk alongside people during their final days. I’d like to share two personal stories that reflect the depth of this work.

The first is about a client I had grown very close to. She didn’t have children, and her husband had passed away suddenly less than a year earlier. Though she had family who lived far away, she had a small circle of trusted caregivers, and she knew her husband had trusted me.

In her final months, she lived in a memory care facility. When she entered hospice, I worked closely with the hospice nurse and facility staff to ensure she was comfortable. I visited every day, brought in her favorite music, arranged for a priest to administer last rites, and made sure friends and family had a chance to say goodbye. I held the phone to her ear so her distant relatives could speak to her.

One morning, I arrived as usual. My client was resting peacefully. A new caregiver was with her, and I spent a few minutes telling her about the incredible woman she was, a smart, compassionate doctor who had been one of just four women in her medical school class of 100. As I leaned towards the bed to say goodbye, I realized she had quietly passed while I was speaking. Her family found comfort knowing she died peacefully, with someone who truly cared for her nearby.

The second story is closer to home. My mother-in-law was admitted into hospice care at a local memory care facility. The last time I saw her open her eyes, the day before her admission, she smiled and winked at me.

I visited daily and worked closely with the staff and hospice nurse. One afternoon, my daughters and niece joined me to visit her. My daughter, a music therapist, brought her guitar, and together they sang Hebrew songs, songs that held deep meaning for their grandmother. Although her eyes remained closed, she hummed softly and tapped her fingers. Hospice sent their Rabbi, who gathered our family and led a deeply moving reflection on her life. We knew she was listening. She passed away peacefully, surrounded by love.

Many people have never witnessed the end-of-life process. Even though I have supported many clients and family members through this time, each experience is unique. Every person deserves to be seen as a whole person, honored for who they are, what they value, and the life they’ve lived.

At the end of life, my goal is simple: to bring peace, dignity, and personalized care. It is an honor I never take for granted.

About the Author:

Barbara Levison, MA, MSW, CMC is an Aging Life Care Manager® with nearly 30 years of experience supporting older adults and their families. A Certified Care Manager since 2007, she has provided care management services with Proeger & Associates since 1997. Barbara serves on the Board of Directors for the Aging Life Care Association® and holds the Fellow of the Leadership Academy designation, recognizing her as an advanced practitioner and leader in the field.

 

Advocating the Right Way at Doctor Appointments

Aging Parents, Guest Writer, Jenny Reynolds, Support

By Jenny Reynolds, MSW, LCSW, CMC

Joining a loved one at a doctor’s appointment can feel tricky. You want to help without taking over. Here are five things not to do so your loved one stays at the center of the conversation.
   

Top 5 Things NOT to do when Advocating for a Loved One at a Doctor’s Appointment

 
1. DO NOT be the first person to ask the doctor all the questions. 

Taking over the appointment immediately with your questions may devalue your loved one and help them to feel “like an invalid”, as one of my clients might say. INSTEAD, let your loved one ask their questions and discuss the most recent health topics with the medical provider first, and then add in your questions carefully or at the end.

2. DO NOT sit in the first seat closest to the doctor. 

Since you are not the patient, allow your loved one to sit closest to the doctor. You may be an (important) bystander, but you need to literally “take a back seat” in the exam room.

3. DO NOT keep your loved one in the dark before the appointment. 

Make sure to take some time before the appointment to discuss with your loved one what they want to cover at this appointment, any questions that they might have, and any health matters causing them to worry. This helps you work together as a team to make sure that everything is covered, and you are on the same page when it comes to matters to address during the medical appointment.

4. DO NOT forget to bring a list of medications and a list of questions that you have about the appointment. 

This is part of your job as the advocate for the appointment (unless, of course, your loved one wants to do this, and then you can bring a backup copy).

5. DO NOT close off communication with the doctor after the visit. 

Make sure to have your loved one sign a “Release of Information form” while at the doctor’s office. Help them to fill it out (these documents can look complicated and need to be carefully read) to make sure that you list yourself as a person that the doctor can communicate with about your loved one’s healthcare. This generally needs to be updated  one time per year unless it is noted to last until the end of the patient’s life.
   
Another way to advocate for your loved one at a doctors appointment is to work with an Aging Life Care Manager, who can help guide these conversations and ensure your loved one’s needs are prioritized. Aging Life Care Managers are professionals who specialize in coordinating care, communicating with healthcare providers, and advocating for older adults and their families. They can attend doctor appointments, help prepare questions, interpret medical information, and follow up on next steps, so every step of care is coordinated and followed through. With their expertise, you can feel confident that your loved one is receiving the best possible care while maintaining their dignity and independence.
 
Visit the Aging Life Care Association’s find an Aging Life Care Expert search feature to find a professional near you.

“At the end of the day, it’s about helping your loved one feel respected, heard, and supported in their care.”

 

 
Reprinted with permission by Graceful Guidance Care Management
 
About the Author:

Jenny Reynolds, MSW, LCSW, CMC is an Aging Life Care Manager. Her passion and goal in her social work career is to honor older adults as they age and support & guide them on the challenging walk through later life. Her specialty area is working with busy professionals who are caring for their aging loved ones who have dementia or other significant medical or mental health issues. She is owner of her own Aging Life Care management business called Graceful Guidance Care Management. She has 15-years of experience working with older adults, physicians, provider agencies, and families in the care management field. Jenny brings a positive and upbeat approach to her work and the clients that she serves.

Embracing Wellness at Every Age: A Guide for Living Vibrantly in Later Life 

Aging Well, Amy Pierce, Guest Writer

Wellness is not just about avoiding illness—it is all about thriving. No matter your age, it is truly possible to feel strong, sharp, and connected to the your world and the people you love. The key? A simple proactive approach to your physical, mental, and emotional well-being.
 

What Wellness Really Means in Later Life

As we age, our needs will change bit by bit, year by year.  But the good news I offer to you now is that our ability to live well does not have to change.  In fact, small daily habits can have a tremendous impact on how we feel, how we move, and how we enjoy life.

Staying active improves mobility, balance, and strength. Engaging the mind helps preserve memory and maintain clarity. Connecting with others brings joy and purpose. Together, these elements form a powerful foundation for lifelong wellness.
 

5 Simple Ways to Support Your Health and Happiness as You Age

 

1. Stay Physically Active

Movement is just like a good medicine. Whether it’s walking, stretching, swimming, gardening, etc., any regular activity where you consistently move your body keeps your muscles strong and your heart healthy. Yoga and tai chi are wonderful activities to do in a group or alone to facilitate healthy movement.  Regular movement can also improve sleep, boost your mood, and help prevent falls. Move!
 

2. Eat Well to Feel Well

A nutritious diet will fuel your body and tremendously support your healing. We should all focus on whole foods—fruits, vegetables, whole grains, lean proteins, and healthy fats.  Of course, most of us know the importance of eating well; what we must do is remember to make daily smart choices of nutrient-rich foods and beverages.  For example, even small changes such as switching out the chips for a piece of fruit with your lunch sandwich helps!

Staying hydrated (lots of water!) and eating more slowly and mindfully can also make a noticeable difference in energy and digestion. Eat to Live Well!
 

3. Challenge Your Mind

Learning something new (really anything new) or engaging in the multitude of brain-stimulating activities can help maintain mental sharpness and confidence. Try puzzles, reading, learning a new skill, or even playing a musical instrument. The brain loves a challenge, and the more demanding, the better.  Think Hard to Be Healthy!
 

4. Foster Social Connections

Spending time with family, friends, neighbors, or community/church groups can help reduce unwanted stress and ward off those frustrating feelings of loneliness. A simple conversation, a hearty laugh, and shared uplifting experiences are absolute essential components of a joyful, healthy life.  Get Together to Live Better!
 

5. Prioritize Quality Sleep

Finally, a good night’s sleep can wake us up to improved mood, advanced memory, a more robust immune system, stress reduction and better overall physical health. Try setting a consistent bedtime, limiting screen time in the evening, and creating a peaceful environment (a quick spray of lavender essential oil!) to promote rest.  Snooze to Health!
 

 

Wellness is Indeed a Lifelong Journey

Wellness at Every Age

While healthy habits are essential, having a plan in place for future care needs is equally important. Life can bring unexpected challenges—health changes, caregiving responsibilities, or navigating complex medical systems, and being proactive can make all the difference.

That’s where an Aging Life Care Manager® can help. These professionals are experts in aging well, offering guidance and support for both individuals and families. Whether it’s coordinating medical care, identifying resources, managing a crisis, or planning for long-term needs, an aging life care manager becomes a trusted partner in your wellness journey.

 Of course, there is no “right” age to start prioritizing your well-being. Whether you’re in your 60s, 70s, 80s, or beyond, taking any of these small steps to care for yourself can lead to big changes in how you feel and function every day.

Please Remember: Our health is not just about adding years to our lives—it is so much about adding LIFE to our years.  Be well!

 

 About the Author

Amy Pierce, RN, BSN, CMC, is co-owner of Coastal Care Partners and has been a practicing nurse since 2000. She is a Certified Care Manager by NACCM and an Advanced Professional Member of the Aging Life Care Association.

 

How Aging Life Care Managers® Support Families: Insights from New Research

Aging Life Care Professionals, Aging Well

New research from Virginia Tech confirms what many families already know: Aging Life Care Managers deliver exceptional value, expert guidance, and peace of mind for older adults and their families.

Aging Life Care Research Study
 

Who are Aging Life Care Managers®?

Aging Life Care Managers are professionals trained in aging and disability care. They help families manage changing health conditions, coordinate complex services, and navigate difficult transitions. But their impact goes far beyond logistics, they offer trusted advocacy, emotional reassurance, and compassionate support during life’s most uncertain times.
 

The Research Study: Real Voices, Real Results

To assess their impact, researchers conducted in-depth interviews and followed up with a national survey of current and former clients and families. The results offer a compelling portrait of the Aging Life Care Manager’s role: a knowledgeable partner who reduces stress, builds trust, and enhances care quality, from initial crisis to end-of-life planning.

At the core of their work is a strong ethical foundation. Aging Life Care Managers advocate with integrity, uphold confidentiality, and place the values and wishes of the client at the center of every decision. That professionalism is what builds the trust needed for deep connection and meaningful, person-centered care.
 

There Every Step of the Way


 

Clients Overwhelmingly Recommend Aging Life Care Managers®

Families describe Aging Life Care Managers as ethical, respectful, and deeply trustworthy professionals who provide high-quality, personalized care. Their ability to bring clarity in chaos and calm in crisis has earned them not just gratitude but lasting loyalty.

Survey findings:

  • 99% would recommend an Aging Life Care Manager
  • 97% felt grateful for the support
  • 93% said the value outweighed the cost

Client voices on Aging Life Care™ services:

“It allows me to sleep at night.”
“It’s worth every cent.”
“If we’re lucky enough, we’ll all get old – people should have access to this.”

Clients didn’t just appreciate Aging Life Care Managers; they relied on them. Whether stepping in during emergencies, managing transitions, or ensuring the client’s voice was honored, Aging Life Care Managers made a lasting impact.

Expertise That Families Trust

For most families, especially long-distance caregivers, Aging Life Care Managers served as lifelines. Their reliability, responsiveness, and deep knowledge of local resources gave families peace of mind, no matter the distance.

Survey findings:

  • 97% said Aging Life Care Managers helped mediate family dynamics
  • 97% noted they developed effective care plans
  • 96% reported knowledge of local providers
  • 95% confirmed privacy was protected
  • 94% agreed Aging Life Care Managers promoted objective, balanced decision-making

Client reflections on their Aging Life Care Manager:

“Anything we needed to know, she could intervene.”
“She’s an extension of me.”
“I felt confident in her skills and in her commitment.”

With a unique blend of clinical expertise and heartfelt dedication, Aging Life Care Managers helped families make informed decisions and feel supported through every step.

 

Holistic, Personalized Support

What sets Aging Life Care Managers apart is their commitment to understanding each client as a whole person, not just their needs, but their values, relationships, and preferences. Aging Life Care Managers were also instrumental in supporting families emotionally, helping them navigate grief, guilt, and difficult decisions with compassion and clarity.

Survey findings:

  • 95% said their Aging Life Care Manager understood emotional challenges
  • 91% found them responsive in crises
  • 87% received help managing care transitions

Clients shared about their Aging Life Care Managers:

“She hears us and applies it to the situation.”
“We could call her at the drop of a hat.”
“I felt tired and hopeless – care managers bring hope.”
 

Improved Quality of Life

Families consistently reported better outcomes, reduced stress, and less isolation thanks to Aging Life Care Manager support. Their role often extended beyond the client’s passing, offering continuity, helping families honor their loved one, and bringing closure with care.

Survey findings:

  • 97% said their Aging Life Care Manager brought peace of mind
  • 92% felt future needs were anticipated
  • 87% said the Aging Life Care Manager helped the client live well
  • 82% noted a reduction in isolation

Client stories:

“The Aging Life Care Manager helped her live well at the end of her life.”
“[My family member] was wrapped in a cocoon of services and loved.”
“Even after her passing, the Aging Life Care Manager arranged a celebration.”

The research shows, from start to finish, Aging Life Care Managers provided more than care; they offered presence, compassion, and unwavering support.
 

Conclusion: More Than Services, True Partnership in Care

The Virginia Tech study offers powerful evidence: Aging Life Care Managers are not just service providers, they are partners in care. They bring clarity to complexity, advocate with integrity, and support families through life’s most vulnerable moments. For families facing the challenges of aging, an Aging Life Care Manager is not just helpful, they are essential.

If you’re navigating the challenges of aging or caregiving, consider reaching out to an Aging Life Care Manager. Your family’s peace of mind could start with a single conversation.

Want to find an Aging Life Care Manager near you? Visit www.aginglifecare.org to learn more and connect with a professional in your area.

SOURCE: Shealy, E. C., Teaster, P. B., Sands, L., & Gray, J. (2025, April 23). An examination of the Aging Life Care Association. Part two: Qualitative client interviews and client survey. Aging Life Care Association 41st Annual Conference, Boston, MA.

 

What Does It Mean to Be Age-Friendly?

Aging in Place, Aging Well, Caregiving, Guest Writer, Health, Jeremy C. Holloway

By Jeremy C. Holloway, PhD

We hear the term “age-friendly” a lot these days—but what does it really mean? Is it just about having grab bars in bathrooms and good lighting in hallways? Or is there more to it?

The truth is, being age-friendly goes much deeper. It’s about creating environments—homes, communities, healthcare systems—where older adults can thrive, not just survive. It’s about honoring dignity, supporting independence, and building a culture where aging is celebrated rather than feared.

Let’s break it down simply, using the 4Ms Framework—a proven, person-centered approach from the Institute for Healthcare Improvement that’s being adopted nationwide:
 
1. What Matters Most

Too often, older adults are told what they need rather than asked what they want. Age-friendly care begins by asking questions like:

  • “What are your goals for your health?”
  • “What brings you joy?”
  • “What do you want your day to look like?”

 
Tip for caregivers: Don’t assume—ask. Whether you’re helping a loved one or supporting a client, take the time to understand their wishes and values.
 
2. Medication

Older adults are more sensitive to medications, and sometimes prescriptions can cause confusion, dizziness, or even falls.

Tip for older adults: Ask your provider, “Is this medication still right for me?”
Tip for professionals: Use tools like the Beers Criteria to guide safe prescribing, and watch out for interactions that can affect mentation and mobility.
 
3. Mentation (Mind, Memory & Mood)

We’re not just bodies—we’re minds, too. Age-friendly care focuses on preventing, identifying, and treating issues like depression, dementia, and delirium.
 
Tip for everyone: Watch for changes in mood or confusion, especially during transitions like hospital stays. Gentle, consistent routines and engagement go a long way.
 
4. Mobility

Staying mobile keeps older adults independent, confident, and safe. But mobility isn’t just about walking—it’s about moving safely and meaningfully every day.
 
Tip for caregivers: Create fall-proof environments and encourage movement—even just a stroll to the mailbox.
Tip for professionals: Consider assessments like the Timed Up and Go (TUG) or 30-Second Sit-to-Stand tests to monitor physical function.

Being Age-Friendly Is a Mindset

It’s not about perfection—it’s about intentionality.
It’s about listening more, assuming less, and designing environments that uplift and support older adults at every level.

Whether you’re a family caregiver, a healthcare worker, or part of a local community, we all play a role in making the world more age-friendly.
 

So let’s ask:

> Are we honoring what matters to those we serve?
> Are we simplifying and de-risking medications?
> Are we supporting memory, mood, and mental health?
> Are we encouraging safe movement each day?

Because age-friendly isn’t just a healthcare model.
It’s a reflection of who we are—and who we want to be.

 

About the Author: Jeremy C. Holloway, PhD, is a professor at New Mexico Highlands University and Director of the Tellegacy program, a national intergenerational initiative advancing social connection, age-friendly education, and health equity.

Disclaimer: This blog is for informational purposes only and does not constitute, nor is it intended to be a substitute for, professional advice, diagnosis, or treatment. Information on this blog does not necessarily reflect official positions of the Aging Life Care Association® and is provided “as is” without warranty. Always consult with a qualified professional with any particular questions you may have regarding your or a family member’s needs.

Aging Life Care Professionals provide age-friendly care

Dementia Diagnosis? Here’s How to Plan Ahead and Get Support

Aging Life Care Professionals, Aging Parents, Alzheimer's, Caregiving, Dementia, Health, Uncategorized

Dementia Diagnosis Are Rising — Here’s How Aging Life Care Managers Are Helping Families Cope

 

As more families across the country face the reality of a dementia diagnosis, support from an Aging Life Care Manager® is becoming increasingly essential. According to a recent survey conducted by the Aging Life Care Association® (ALCA), more than 70% of Aging Life Care Professionals® serve clients with dementia in over half of their caseloads. Even more telling, 65% of those professionals are called in during the mid-stage of the disease — a time when care needs can quickly become urgent and complex.

“By the time families reach out, it’s often a crisis,” says Elyse Weber-Sacks, a practicing Aging Life Care Manager. “But it doesn’t have to be that way.”

Why Early Planning Matters

The message from Aging Life Care Managers is loud and clear: planning early can drastically improve quality of life. From legal and financial decisions to healthcare coordination, early action puts individuals and families in control.

Survey respondents shared their top advice for families and individuals facing a new dementia diagnosis:

  • Plan ahead – Organize legal, medical, and financial documents.

  • Build a care team – Include a physician, an Aging Life Care Manager, and an elder law attorney.

  • Stay engaged – Prioritize physical, mental, and social activity.

As one Aging Life Care Manager put it: “The earlier you act, the more control you have over your care and quality of life.”

Dementia diagnosis. Stages & Professional Support

Supporting the Supporters: Caregiver Wellbeing

Caring for someone with dementia can be emotionally, physically, and mentally draining. The professionals surveyed emphasized that caregiver burnout is common.

“Self-care isn’t selfish, it’s survival,” one Aging Life Care Manager shared.

Support for caregivers includes:

  • Help navigating complex healthcare decisions

  • Access to local resources and services

  • Crisis intervention

  • Referrals to resources and support groups

  • Long-term care planning

Aging Life Care Managers step in to help by coordinating care, offering support navigating complex healthcare systems, and helping families prepare for what’s ahead.

A Holistic Approach to Dementia Care

Dementia doesn’t just affect memory, it impacts nearly every aspect of a person’s life. That’s why Aging Life Care Managers take a holistic approach that includes:

  • Referrals to local resources (55%)

  • Crisis intervention (53%)

  • Health and disability support (52%)

  • Navigating family dynamics (34%)

Whether it’s choosing the right living arrangement, creating a safety plan, or navigating family conflict, these professionals bring clarity during what can feel like a chaotic and emotional time.

Recognizing the Signs of Dementia

Early detection of dementia is key to proactive planning. The Alzheimer’s Association outlines ten warning signs:

1. Memory loss that disrupts daily life

2. Difficulty planning or solving problems

3. Trouble completing familiar tasks

4. Confusion with time or place

5. Challenges with visual images and spatial relationships

6. New problems with speaking or writing

7. Misplacing items and inability to retrace steps

8. Poor judgment or decision-making

9. Withdrawal from work or social activities

10. Changes in mood or personality

If you notice one or more of these symptoms in yourself or a loved one, it may be time to reach out for help. An Aging Life Care Manager can assess the situation and guide you through next steps.

Find Help Today

The Aging Life Care Association® has nearly 2,000 members nationwide, Aging Life Care Professionals provide expert support for older adults and their families. With backgrounds in nursing, social work, gerontology, and more, these professionals are uniquely equipped to help during life’s most challenging transitions.

To find an Aging Life Care Manager near you, visit www.aginglifecare.org.

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Free ‘Ask an Aging Life Care Manager®’ Virtual Sessions in May

Aging Life Care Professionals, Aging Parents, Care Managers, Events, Family Members, Solo Agers, Support, , , , , , , ,

Free “Ask an Aging Life Care Manager” virtual sessions to be held most Fridays in May to celebrate National Aging Life Care™ Month and Older Americans Month. Participants can ask professional Aging Life Care Managers® their questions about aging and care planning. Registration is necessary and is on a first come, first served basis at aginglifecare.org.

Ask an Aging Life Care ManagerIn response to the increasing complexities of the aging journey and the rising trend of “solo agers,” the Aging Life Care Association® (ALCA) is offering a new initiative to provide vital support for family caregivers and individuals navigating the challenges of aging. To celebrate May as National Aging Life Care™ Month, ALCA will host free, virtual small group sessions, allowing participants to engage with experts, ask questions, and gain insights into aging and care planning.

“It’s often an emergency or health diagnosis that pushes families to talk about care planning. Without a clear understanding of their loved ones’ needs or effective advocacy strategies, they can quickly become overwhelmed.”

Event Details:

  • What: “Ask an Aging Life Care Manager” Series
  • When: Fridays — May 2, May 9, May 16, and May 30 (no session May 23)
  • Time: 4pm ET
  • Where: Virtual Session (Registration Required)
  • Registration: Visit aginglifecare.org to register

Steven Barlam, MSW, LCSW, CMC, President of ALCA’s Board of Directors, states, “Whether you’re caring for an aging parent, preparing for your own future as a solo-ager, or simply curious about the resources available, these sessions are designed to provide clarity, comfort, and connection to available resources.”

With the “Ask an Aging Life Care Manager” series, ALCA emphasizes the importance of open discussions and proactive planning to alleviate financial burdens and reduce stress for all parties involved.

Ask an Aging Life Care Manager:

“Ask an Aging Life Care Manager” series is a complimentary virtual platform to introduce people to the resources and services offered by Aging Life Care Professionals®. These experts offer a holistic, client-centered approach to care, specializing in crisis intervention, housing, health and disability, advocacy, family legal needs, and financial and local resources.

ALCA CEO Julie Wagner hopes these conversations will raise awareness about the Aging Life Care field, emphasizing, “With a growing number of individuals choosing to ‘solo age’ or live apart from immediate family, ALCA wants people to know that help is available.”

Registration for the “Ask an Aging Life Care Manager” series is open now and will be filled on a first-come, first-serve basis.

Click here for more information and to register.

About the Aging Life Care Association® (ALCA)
The Aging Life Care Association® (ALCA) was formed in 1985 to advance dignified, coordinated care for older adults in the United States. With nearly 2,000 members nationwide, Aging Life Care Professionals® have cared for about two million older adults over its history. ALCA Members are distinguished from others practicing care management as they must meet stringent education, experience, and certification requirements. Members may be trained in several fields including, but not limited to counseling, gerontology, mental health, nursing, occupational therapy, physical therapy, psychology, or social work; with a specialized focus on issues related to aging and elder care.

Words Matter

Aging Life Care Professionals, Guest Writer, Inclusion, Mary Ann Buckley, Social Work, Uncategorized

Words Matter: Elevating Our Language, Elevating Our Profession

By Mary Ann Buckley, LCSW-C

Words can do so much.

As a Social Worker with over 30 years of experience—primarily in the field of Aging Life Care management—I’ve accumulated countless thoughts and observations over the years. I’ve witnessed profound changes in our field and also identified areas where I believe meaningful change is still needed. Words Matter.

One such moment of inspiration came during the Aging Life Care Association® (ALCA) Town Hall Meeting, when ALCA President Steve Barlam unveiled his theme for the year: Elevating the Profession. His message, centered around the idea of “raising people up,” invigorated me and sparked a renewed sense of purpose.

As Aging Life Care Professionals®, we strive every day to raise up our clients through advocacy, education, engagement, crisis intervention, and more. We work hand-in-hand with families, collaborate with community partners, and coordinate with referral sources—all in the service of improving the lives of older adults.

And yet, one simple but impactful way we can elevate our profession is by examining the words we use.

Words are powerful. They can uplift and affirm, or they can harm and diminish. The language we use reflects our values, our professionalism, and our respect for the individuals we serve. I invite you to join me in rethinking some of the words that are, in my view, outdated, inaccurate, or unintentionally demeaning—and consider alternatives that convey dignity and compassion.

Let’s Start with “Placement”

Top of my list: placement. Ugh! We don’t “place” people. We place a plant on a shelf, but we do not place older adults. This word strips away individuality and dignity, reducing someone to an object being relocated. We don’t say we “place” children in school, or “place” young adults in college or on sports teams—so why use that term when referring to seniors?

Instead, let’s describe what we actually do: we assist older adults and their families in researching, touring, selecting, and transitioning into a senior living community that fits their needs. A move is often a time of uncertainty and emotional upheaval. Our role is to offer guidance, support, and advocacy to ensure a smooth, respectful transition—not to “place” someone as if they had no say.

“Facility” Is Next

Would you want to move to a “facility”? The word conjures up images of sterile hallways, locked doors, or even prisons and institutions. It’s cold, clinical, and devoid of the warmth and life that we hope to bring to every aging experience.

Let’s replace “facility” with “community.” That word suggests belonging, connection, and home. It’s a simple shift, but one that speaks volumes about how we view the environments where older adults live.

Let’s Talk About “Diapers” and “Pull-Ups”

Another important change: let’s rethink how we refer to incontinence products. Calling them “diapers” or “pull-ups” infantilizes older adults and can contribute to feelings of embarrassment or shame. These terms belong to a different stage of life—infancy—not adulthood.

Instead, use the term incontinence products. It’s respectful, accurate, and free from unnecessary stigma. Older adults facing incontinence deserve our sensitivity and support, not language that makes them feel small or powerless.

These word choices may seem small, but their impact is significant. As professionals dedicated to elevating the care and lives of older adults, we must also be mindful of how we elevate our language. Families look to us for guidance. Our words can either reinforce dignity or unintentionally chip away at it.

Words Matter. Elevate Aging Life Care

There are many other terms that deserve a closer look. But for now, I hope these examples resonate with you—and inspire you to think about the words you use every day.

Together, let’s elevate our profession by choosing language that reflects our respect, compassion, and commitment to the older adults we serve.

About the Author: Mary Ann Buckley, MSW, LCSW-C, is the director of Community Outreach and Education at Corewood Care. She is a Licensed Clinical Social Worker and Aging Life Care Manager who has over 30 years of experience in Social Work, 28 years with older adults and families and 20 of those years in Care Management. Mary Ann is a member of the Aging Life Care Association.