By Judith Graham, KFF Well being Information
Donald Hammen, 80, and his longtime next-door neighbor in south Minneapolis, Julie McMahon, have an understanding. Each morning, she checks to see whether or not he’s raised the blinds in his eating room window. If not, she’ll name Hammen or let herself into his home to see what’s happening.
Ought to McMahon discover Hammen in a foul method, she plans to contact his sister-in-law, who lives in a suburb of Des Moines. That’s his closest relative. Hammen by no means married or had kids, and his youthful brother died in 2022.
Though Hammen lives alone, an online of relationships binds him to his metropolis and his neighborhood — neighbors, mates, former co-workers, fellow volunteers with an advocacy group for seniors, and fellow members of a gaggle of solo agers. McMahon is an emergency contact, as is a former co-worker. When Hammen was hit by a automotive in February 2019, one other neighbor did his laundry. A pal came to visit to maintain him firm. Different folks went on walks with Hammen as he obtained again on his ft.
These connections are actually sustaining. But Hammen has no thought who may take care of him ought to he turn out to be unable to take care of himself.
“I’ll cross that bridge after I come to it,” he advised me.
These are elementary questions for older adults who dwell alone: Who can be there for them, for issues massive and small? Who will assist them navigate the ever extra advanced well being care system and advocate on their behalf? Who will take out the rubbish if it turns into too tough to hold? Who will shovel the snow if a winter storm blows by?
American society rests on an assumption that households maintain their very own. However 15 million Individuals 50 and older didn’t have any shut household — spouses, companions, or kids — in 2015, the most recent 12 months for which dependable estimates can be found. Most lived alone. By 2060, that quantity is predicted to swell to 21 million.
Past that, hundreds of thousands of seniors dwelling on their very own aren’t geographically near grownup kids or different members of the family. Or they’ve tough, strained relationships that hold them from asking for assist.
These older adults should search help from different quarters once they want it. Usually they flip to neighbors, mates, church members, or neighborhood teams — or paid assist, if they’ll afford it.
And sometimes, they merely go with out, leaving them weak to isolation, melancholy, and deteriorating well being.
When seniors dwelling alone haven’t any shut household, can nonfamily helpers be an sufficient substitute? This hasn’t been effectively studied.
“We’re simply starting to do a greater job of understanding that folks have a multiplicity of connections outdoors their households which are important to their well-being,” stated Sarah Patterson, a demographer and sociologist on the Institute for Social Analysis on the College of Michigan.
The takeaway from a noteworthy examine revealed by researchers at Emory College, Johns Hopkins College, and the Icahn Faculty of Drugs at Mount Sinai was this: Many seniors adapt to dwelling solo by weaving collectively native social networks of mates, neighbors, nieces and nephews, and siblings (in the event that they’re accessible) to assist their independence.
Nonetheless, discovering dependable native connections isn’t at all times simple. And nonfamily helpers will not be keen or capable of present constant, intense hands-on care if that turns into obligatory.
When AARP surveyed folks it calls “solo agers” in 2022, solely 25% stated they may depend on somebody to assist them cook dinner, clear, get groceries, or carry out different family duties if wanted. Simply 38% stated they knew somebody who may assist handle ongoing care wants. (AARP outlined solo agers as folks 50 and older who aren’t married, don’t have dwelling kids, and dwell alone.)
Linda Camp, 73, a former administrator with the town of St. Paul, Minnesota, who by no means married or had kids, has written a number of stories for the Residents League in St. Paul about rising previous alone. But she was nonetheless stunned by how a lot assist she required this summer season when she had cataract surgical procedure on each eyes.
A former co-worker accompanied Camp to the surgical procedure middle twice and waited there till the procedures had been completed. A comparatively new pal took her to a follow-up appointment. An 81-year-old downstairs neighbor agreed to come back up if Camp wanted one thing. Different mates and neighbors additionally chipped in.
Camp was lucky — she has a large community of former co-workers, neighbors, and mates. “What I inform folks after I discuss solos is all types of connections have worth,” she stated.
Michelle Wallace, 75, a former expertise undertaking supervisor, lives alone in a single-family residence in Broomfield, Colorado. She has labored laborious to assemble an area community of assist. Wallace has been divorced for almost three many years and doesn’t have kids. Although she has two sisters and a brother, they dwell far-off.
Wallace describes herself as fortunately unpartnered. “Coupling isn’t for me,” she advised me once we first talked. “I would like my area and my privateness an excessive amount of.”

As a substitute, she’s cultivated relationships with a number of folks she met by native teams for solo agers. Many have turn out to be her shut mates. Two of them, each of their 70s, are “like sisters,” Wallace stated. One other, who lives just some blocks away, has agreed to turn out to be a “we’ll assist one another out when wanted” accomplice.
“In our 70s, solo agers are searching for assist techniques. And the scariest factor will not be having mates shut by,” Wallace advised me. “It’s the native community that’s actually vital.”
Gardner Stern, 96, who lives alone on the twenty fourth flooring of the Carl Sandburg Village condominium advanced simply north of downtown Chicago, has been far much less deliberate. He by no means deliberate for his care wants in older age. He simply figured issues would work out.
They’ve, however not as Stern predicted.

The one who helps him essentially the most is his third spouse, Jobie Stern, 75. The couple went by an acrimonious divorce in 1985, however now she goes to all his physician appointments, takes him grocery procuring, drives him to bodily remedy twice per week and stops in each afternoon to talk for about an hour.
She’s additionally Gardner’s neighbor — she lives 10 flooring above him in the identical constructing.
Why does she do it? “I suppose as a result of I moved into the constructing and he’s very previous and he’s a extremely good man and we have now a toddler collectively,” she advised me. “I get happiness figuring out he’s doing in addition to potential.”
Over a few years, she stated, she and Gardner have put their variations apart.
“By no means would I’ve anticipated this of Jobie,” Gardner advised me. “I suppose time heals all wounds.”
Gardner’s different primary native connections are Pleasure Loverde, 72, an writer of elder-care books, and her 79-year-old husband, who dwell on the twenty eighth flooring. Gardner calls Loverde his “inform it like it’s” pal — the one who helped him determine it was time to cease driving, the one who persuaded him to have a walk-in bathe with a bench put in in his lavatory, the one who performs Scrabble with him each week and presents sensible recommendation at any time when he has an issue.
“I feel I might be in an assisted dwelling facility with out her,” Gardner stated.

There’s additionally household: 4 kids, all primarily based in Los Angeles, eight grandchildren, principally in L.A., and 9 great-grandchildren. Gardner sees most of this prolonged clan about every year and speaks to them typically, however he can’t depend upon them for his day-to-day wants.
For that, Loverde and Jobie are an elevator experience away. “I’ve obtained these great people who find themselves monitoring my existence, and a big-screen TV, and a freezer full of fine frozen dinners,” Gardner stated. “It’s all that I would like.”
As I discover the lives of older adults dwelling alone within the subsequent a number of months, I’m keen to listen to from people who find themselves on this scenario. In case you’d wish to share your tales, please ship them to khn.navigatingaging@gmail.com.
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