Dr. Platt is a graduate of Northwestern University and specializes in relationship issues, depression, anxiety or fears, loss or grief and disorders impacting the elderly. She has over 20 years of experience in the field of psychology. Dr. Platt is the Senior Affiliate Therapist and Supervisor for The Family Institute at Northwestern University and on the Allied Health Professional Staff of Kindred Hospitals of Chicago.
When do you know it's time for an elderly person to move into an environment where they can receive some assistance with their day-to-day activities?
There are some signs that appear indicating that the person can no longer take care of him or herself, sometimes as a result of the person's health or because of a decline in cognitive function, making it evident that the person may be at risk if he or she remains in his or her current environment.
What are some of the emotional or psychological issues that occur when an elderly person moved into a senior living community?
The first is a feeling of loss. Many people take pride in being self sufficient and making their own decisions throughout their lives. To give that up and come into a place where many decisions will be made for them is perhaps the biggest issue for them. Related to this is the recognition that moving to a senior living community may be their last place of residence. They have to confront their own mortality and any issues they have around aging and death.
The family members are also faced with seeing their loved one decline.
It is sometimes difficult for sons and daughters to see their parents become more frail and dependent. Many families feel overburdened, so there is often anger and frustration about making this decision.
What can family members do to help make the transition easier for their loved one?
The family really needs to partner with the staff at the facility to help problem solve what might be best for their loved one. This might mean being very involved, visiting often, and taking their family member out for dinner, shopping or other activities. For others, all this activity might make the transition even more difficult. It has to be an individual decision based on how the person adjusts to new situations.
How long does it take for someone to begin to feel more comfortable?
It can be anywhere from a few weeks to several years. On average, I would say four to six months. People often underestimate how long it will take for the person to adjust to a new home. The family wants the individual to acclimate more quickly because it makes them feel better about the decision to make the change.
What are some of the common issues that make the transition difficult?
I hear a lot about food because meals are a pleasure that elderly people really enjoy. The way meals are prepared is not the way they remember it and that it is not seasoned the way they like it or it is too bland.
In general, the perception is that they do not have the endless choices they had when they lived in their own home. It's another reminder that they are not entirely "in charge."