Live well, age well – in the comfort of your home

As we grow older, many of us hope to do so in the comfort of our own homes.

This desire, known as “aging in place,” reflects a deep yearning for independence and dignity. But staying at home as we age requires thoughtful planning, support and a network of care.

According to the National Institute on Aging, aging in place means staying in your own home as you grow older, with the goal of maintaining independence for as long as possible. That can present challenges — like mobility issues, safety concerns and the need for medical and emotional support. But older adults in our area can rely on the compassion and expertise of LIFE Geisinger, a PACE (Program of All- Inclusive Care for the Elderly) program.

A holistic approach to aging

Cybele Pacheco, MD, director of senior-focused primary care for LIFE Geisinger, emphasizes the importance of the personalized, team-based approach the program offers. “We say ‘participants’ instead of ‘patients,’ because they’re part of a team,” she says. “The epitome of primary care for seniors is the PACE program. It’s a well-rounded, holistic approach — not focused solely on disease, but on the whole person.”

LIFE Geisinger participant William Bryan visits with his daughter.

This model includes everything from home health assessments and physical therapy to social events and caregiver support. LIFE Geisinger offers services such as skilled nursing, home-delivered meals, transportation and even pet therapy. Such resources help seniors like Tamaqua resident Joan Marie Roth, 75, continue living independently.

“It’s the best thing that ever happened to me,” Ms. Roth says. “LIFE Geisinger comes to my home and helps me with the things that I can’t do. Your cleaning… there’s nothing that they don’t take care of.”

The power of familiar surroundings

Familiar surroundings offer comfort and emotional stability — in fact, living at home can reduce cognitive decline and improve mental health. Kiran Rayalam, MD, assistant program director of the Geisinger Lewistown Rural Family Medicine Residency, says, “Cognitive decline is less prevalent when among familiar surroundings, memories and familiar faces as caretakers.”

Dr. Rayalam, who’s certified in geriatric medicine, encourages early conversations about aging, ideally in one’s 60s. “When we start to see physical, mental and emotional changes, the older adult may not be prepared. It’s the responsibility of the physician to guide and educate them.”

Planning ahead

Aging in place isn’t just about staying home — it’s about staying safe, connected and prepared. The Centers for Disease Control and Prevention highlights key aspects such as injury prevention, regular healthcare and maintaining mental and social well-being. Simple home modifications, like removing throw rugs or installing grab bars, can prevent falls and injuries.

Other small interventions, like ambulatory aids or weight-bearing exercise, could even prevent hospitalization. “Instead of deterioration or consistent decline, we can see flatlining or improvement” of people’s health conditions, says Dr. Pacheco.

Planning for your financial health is just as crucial. Programs like PACE are designed for low-income seniors, but understanding eligibility and preparing legal documents, such as power of attorney and advanced directives, can ease future transitions. “Having your wishes known ahead of time is important,” says Dr. Rayalam. “It should be an open conversation and updated as changes happen.”

Support for caregivers

Aging in place also affects your caregiver, who's often juggling their own emotional and physical responsibilities. LIFE Geisinger offers respite care at local facilities and regularly surveys caregivers to identify burnout. “If there are any signs of burnout, we give proactive support,” says Dr. Pacheco.

Involving caregivers in care planning is key, says Dr. Rayalam. “Ask the patient if they’re comfortable with their care and person. Get the caregiver’s perspective — how is the patient doing and what changes do they notice?”

Community resources and connection

Social engagement is vital as you age. Programs like LIFE Geisinger offer activities ranging from gardening and music appreciation to intergenerational programs and spiritual reflection. Staying connected helps prevent loneliness, which can lead to depression and other health issues.

Local resources, such as the Area Agency on Aging, can connect seniors to care managers, volunteers and support services. Religious communities and neighborhood groups may also offer companionship and help with errands.

Aging with grace and intention

Aging in place is more than a lifestyle choice — it’s a commitment to living with dignity, autonomy and joy. When you have the right support, planning and mindset, it’s possible to thrive at home, surrounded by the people and memories that matter most.