When Is It Time for Assisted Living?

"Making the decision to move into an assisted or independent living facility can be difficult. Older adults often want to maintain their independence, so they may be reluctant to go," says Albert Bui MD, a PIH Health internist specializing in geriatric medicine. Some may decide for themselves, while others are often encouraged to move by loved ones. But how do you know when the time is right to transition a person from a place they have called home for many years to an assisted or independent living residence? Here are some questions to ask that may help decide if it’s time to make that move:

Is the person having trouble managing daily activities?

According to Dr. Bui: “Assisted living may be considered when a person is experiencing difficulty managing activities of daily living on their own, including tasks like bathing and showering, dressing, toileting, preparing or eating meals, and managing medications."

Is the person having difficulty caring for a spouse?

One person needs extra help or care, but the person’s spouse can be independent. However, the independent person may no longer be able to care for their spouse. A decision may be made for both adults to move so they can continue to live together.

Is the person experiencing physical or cognitive decline?

As we age, we are not always able to do the things we are used to doing. Mobility, eyesight, and hearing may be impaired. A person may experience chronic health issues that put them at risk of falls or serious illnesses. Or the person may be experiencing mild cognitive decline or early stages of dementia, which causes them to forget important things, like taking their medications or turning off the stove.

Is the person experiencing loneliness?

If a person is living alone and it is not easy to get out to socialize with others, they may lead a very lonely life. Social isolation and loneliness put seniors at serious risk of chronic illness and early death because depression and other chronic health issues are sometimes related to social isolation.

If you have decided it’s time for a loved one to leave their home, the next decision is determining whether it would be best for them to move to an assisted or independent living residence. Typically, an assisted living facility helps residents with activities of daily living while allowing them to live as independently as possible. Independent living primarily serves the social needs of residents who can live independently and don’t need much support. It may provide some added services, but not everyone needs them. PIH Health is here to support you and your family. If you are trying to decide if it's time for assisted living, talk to your or your loved one's doctor.