What to do when seniors say the only way they’ll leave home is ‘in a box’
When individuals express the idea that they want to stay in their own home until they die, family members must navigate the complexities of simultaneously respecting the person’s autonomy, ensuring safety, and managing ethical issues.
The desire to age at home typically stems from wanting to stay where things are familiar and comfortable. It can be very hard for older people to admit they can no longer manage to live independently and many seniors do not acknowledge the risks of caregiver burnout when caring for a spouse until they are completely overwhelmed.
“I hear this wish about aging in place expressed a lot, but people haven’t always thought it through, says Gaye Moffett, founder, president and CEO of GEM Health Care Services. “It is possible to stay in your own home until the end,” she adds, “but people need to understand the impacts—financially, emotionally and physically.”
GEM Health Care Services has some practical advice to offer when navigating this situation:
Communication is key
- Communicate collaboratively: Consider questions like, “What home care supports can we organize together to make sure you’re safe here?”
- Research options together: Modern senior living options may be unfamiliar. Taking a tour with aging parents can help them better weigh the benefits of making a move versus staying at home.
- Consider the financial aspects: Gaye notes that a conversation she has often with families includes helping to identify the costs of home health care services versus retirement homes.
Important logistical steps
- Conduct a safety audit and implement needed modifications: GEM can recommend home safety audit providers; they can identify and address physical risks, including necessary home modifications as well as monitoring services.
- Consider a gradual introduction of in-home care services: Seniors are often more willing to accept help if they understand it’s part of what is necessary to stay in their own home. A good way to begin is with house cleaning or social companionship, just some of the services GEM provides, or other non-medical services like grocery or meal delivery.
- Contact Ontario Health atHome: this organization coordinates local home and community care, long-term care placement and accessing community supports; they can also help families with equipment related to home health care.
- Create a back-up plan: It’s crucial to understand what needs to happen should the primary caregiver become incapacitated due to illness or injury. GEM can help organize care in an emergency, but it’s always better to have a plan in place.
“We have encountered this aging at home situation hundreds of times over the past 30+ years GEM has been in business,” notes Gaye. “We have loads of experience working collaboratively with families plus medical and other professionals to implement a geriatric care management plan and ensure regular re-evaluations of the plan as needs evolve.”
“Aging in place can work for most families, with proper planning and execution,” Gaye confirms. “We have a wealth of knowledge to share, such as important questions to ask your accountant about tax benefits related to home health care. We can even facilitate some of the difficult conversations families in this situation typically need to have.”


