Frances Fuller, the bestselling author renowned for her book on aging, 'Helping Yourself Grow Old, Things I Said To Myself When I Was Almost Ninety', has raised a significant point about the importance of skilled nursing in assisted living facilities. In her recent article, Fuller elaborates on why having skilled nursing available is not just beneficial but essential for elderly residents. This topic is crucial as it directly impacts the quality of life, health management, and peace of mind for both residents and their families.
Fuller asserts that skilled nursing plays a vital role in day-to-day care, chronic disease management, emergency response situations, rehabilitation plans, and medication management. She emphasizes that the presence of skilled nursing can provide a sense of security for residents, knowing that they can receive the necessary medical attention without the need to relocate to a different facility.
In her article, Fuller states, "Living in a retirement community will not cure your diabetes or your osteoarthritis. It will not even guarantee that you will not fall getting out of the shower." This highlights the stark reality that aging comes with inevitable health challenges, and having skilled nursing readily available can make a significant difference in managing these issues effectively.
One of the key points Fuller raises is the concept of a 'Life Plan,' where residents pay a price based on the size of their apartment in Independent Living, and this cost often covers future transitions to Assisted Living or Skilled Nursing without additional financial burdens. She advises potential residents to verify this aspect when choosing a facility, as it can provide long-term financial security and stability.
Fuller recounts her personal experience of rejecting a facility with a subpar nursing ward, despite liking other aspects of the place. This decision underscores the importance of evaluating the quality and ambiance of the nursing ward, as it can significantly affect one's final years.
The article also touches on the emotional and psychological benefits of having skilled nursing within the same community. Fuller points out that residents who need intensive care or rehabilitation can remain in a familiar environment, close to friends and acquaintances, which can be comforting during challenging times.
Fuller's book, 'Helping Yourself Grow Old,' is unique in its personal approach to the subject of aging. Unlike many academic texts written by sociologists or medical professionals, her book provides a firsthand account of the daily experiences and decisions faced by the elderly. Her open and conversational tone invites readers to reflect on their own lives and consider the practical aspects of aging.
The insights offered by Fuller are not just for those approaching retirement but also for their families, caregivers, and professionals working with the elderly. Her reflections on the importance of skilled nursing in assisted living facilities serve as a valuable guide for making informed decisions about elder care. As the population ages, understanding and addressing these needs will become increasingly important for society as a whole.
For those interested in more detailed insights, the full text of Fuller's article is available on her website, and her book can be found on Amazon and other book retailers.


