For older adults who live alone, managing a major health diagnosis like Parkinson’s disease (PD) presents unique challenges. PD is a progressive neurological disorder that primarily affects movement, but it can also impair cognition.
A solo ager recently informed of a PD diagnosis might expect to be told that they should move to an assisted living community right away. That may be necessary in the longer term, but depending on the extent of their impairment, they may be able to continue living alone longer than they might expect.
Your journey with PD begins with recognising the specific ways it affects movement, such as tremors, stiffness, and slowing of movement (bradykinesia). PD also affects cognition, including changes in memory and processing speed. As with any diagnosis, acknowledging that these changes will happen is an important first step. Acceptance might not come easily, but it is critical to planning for the future.
Adjustments in living environments and routines, particularly focusing on exercise and diet, can significantly impact quality of life. Tailored exercises, such as yoga, tai chi, or even boxing, can enhance flexibility and balance, while a diet rich in fiber can combat PD-related digestive issues.
Older adults may already have made home modifications to accommodate their changing needs or mobility. These adaptations are especially important for someone who’s living with PD.
Adapting the home should include:
Technology can help with safety in a lot of ways. For example, a personal emergency response system (PERS) can be a lifesaver, providing the means to call for help at the press of a button. Pill organisers and electronic reminders can help manage the strict medication schedules that Parkinson’s often necessitates. Wearables that track health data and smart home devices may also help.
Building a support network is equally important. This may include finding a support group, seeing a therapist, or relying on friends, loved ones, or the senior’s faith community for help and encouragement. Home health aides or in-home care services can assist with personal care and household tasks, reducing the strain and risk associated with daily activities.
As independence becomes more challenging, having legal and medical directives in place becomes essential.
Anyone living with PD should put these plans and documents on their priority list:
An elder law attorney can help prepare these documents and others, such as estate plans and wills. Organising and securely storing all important documents, plus insurance policies, personal IDs, etc., is a great help for both the person living with PD and their designated proxies. The power of attorney documents should be shared with the proxies and, in the case of health care powers of attorney, with the primary health care providers.
With preparation, living alone with Parkinson’s can remain a viable option for many, helping to preserve independence and dignity even as the disease progresses.
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