Aging by Design/Caregiving

Is Your Home Designed for the Person You May Become?

By Duanni Hurd4 min read

We spend years thinking about where we want to live. We consider neighborhoods, schools, commute times, architecture, views and proximity to the people and places we enjoy. A home is both a practical decision and an emotional one; over time, it becomes part of our identity. But there is another question most of us rarely ask when choosing or remaining in a home: Will this home still work for the person I may become?

For many Americans, the answer to where they want to grow older is simple: at home. The desire is understandable. Home represents familiarity, independence, memories and control. Yet “aging in place” is often treated as a preference when, in reality, making it possible requires considerable planning. A house that works beautifully at 55 may become challenging at 75 or 85. Stairs that once seemed inconsequential can become barriers. A large yard can shift from pleasure to burden. Bathrooms can become unsafe. If driving becomes difficult, even a beautiful and peaceful neighborhood can become isolating. The home has not necessarily changed, but the needs of the person living within it have.

This is why I think of housing as part of the infrastructure of aging. In my work with older adults and their families, housing decisions frequently arise after an incident has already happened: a fall, hospitalization, new diagnosis or noticeable cognitive change. Suddenly, families are considering grab bars, stair lifts, downstairs bedrooms, caregivers or an entirely different living arrangement, often while simultaneously managing a medical crisis. A better question to ask much earlier is not simply, “Can I stay in my home?” but “What would need to be true for me to continue living here well?”

The answer extends well beyond the physical house. Home modifications such as better lighting, accessible bathrooms, safer entrances and fewer stairs can make an enormous difference, but independence also depends on what exists outside the front door. Can groceries and everyday necessities be reached easily? What happens if driving is no longer possible? Are medical services accessible? Are family or trusted friends nearby? Can professional care be brought into the home if needed? Are there opportunities for exercise, social interaction and community participation? Aging in place is not really about remaining inside a particular house. It depends on whether the larger environment continues to support the life of the person who lives there.

For some people, the best-designed later life will mean remaining in the same home for decades. For others, it may mean downsizing, moving closer to adult children, choosing a more walkable community, or eventually transitioning to independent living, assisted living, memory care or another supportive setting. None of these choices inherently represents success or failure. What matters is whether the decision can be made intentionally, according to one's own priorities, while meaningful choices still remain.

“We’re not there yet” is something I hear frequently when families consider these possibilities. But exploring alternatives does not mean committing to them. Learning what different living arrangements offer, understanding their costs and trade-offs, and discussing personal preferences before they become urgent can actually preserve independence rather than diminish it. The earlier we understand our options, the more likely we are to retain agency when circumstances change. Waiting until after a crisis may mean that health, safety, finances or time make the decision for us.

This is an important principle behind Aging by Design. Planning for later life is not about predicting exactly what will happen, nor should it be viewed simply as preparing for decline. It is about intentionally strengthening the systems around us so they can adapt as our lives change. The decisions we make about our homes are connected to health, care, finances, family relationships and the communities around us. A weakness in one area can quickly affect all the others.

Perhaps, then, we should think less about whether we can “age in place” and more about whether we can age in the right place. Aging well does not require us to know today exactly where we will live at 85 or 95. It asks something more realistic--that we think about these questions early enough to preserve our ability to choose. We cannot design away the uncertainties of aging, but we can design homes, communities and options that give us greater capacity to meet them.

The most important question about our homes is therefore not simply whether we love where we live today. It is whether where we live can continue to support the life we hope to live tomorrow.