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Hillier___Barrow_Chapter_10 - Hillier Barrow Chapter 10...

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Hillier & Barrow Chapter 10 Living Environments
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Housing and Quality of Life Housing means comfort, community, memories and connections to family. As physical needs change with age, the ability to control environment decreases. U.S. has been slow to deal with increasing need for appropriate, affordable and convenient housing for seniors. Elders spend more time in their homes than younger adults, so quality matters more.
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Diversity in Living Arrangements 67% noninstitutionalized elders live in a family setting, usually with a spouse. Widowhood increases likelihood of living alone with age, until unable to care for oneself alone. Older adults the least likely age group to change residence, and may view moving as a loss of independence, and personal control.
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Personal Responsibility & Work Opportunity Reconciliation Act It assumes that poverty and homelessness is a personal responsibility and will be solved by getting a job. Large cuts in social programs (1996) and safety nets for the homeless, and numbers are expected to double in next 30 years. Having a home provides shelter, identity, sense of permanence and integrity, and the loss is devastating to older adults.
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Age-related Changes in Housing Moving to more appropriate housing is not usually necessary until age 85+. Acute or chronic health conditions, or decline in strength may necessitate move. Family home may be too expensive, too large, too much maintenance, or have mobility restrictions (stairs, bathtubs, no access to transportation, etc.), subject to urban blight.
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Relocation There are shortages of low-cost housing, especially for those on S.S. or S.S.I. due to governmental budget cuts.
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