Older adults can have different criteria for living. They turn to us to interpret and facilitate a myriad of needs.

External life changes radically with age if one becomes functionally or cognitively impaired. At some point, many elders’ inner worlds shift and they become disinterested in some daily routines, and more concerned with what’s really important in life. With aging comes loss; loss of function, friends and a fear of a loss of control over one’s life. Often frail elders don’t want to admit to needing help.

This can be stressful on elders and their families. Suddenly, well being involves more medical care, different concerns, even a flood of forms and bureaucracies. Additionally, families often struggle with sharing the new responsibilities