In my experience of fifty years of active practice, and now ten years of active observation, I have been unable to come to a better directive than the direction given by my aging father many hears ago when he said, “There is only one way to the age, that is day by day - but damn it do something, accomplish some task each day and enjoy work.”

And why are we moving? The move is precipitated by aging and health events, the probability of needing family help from caregivers living in another area, and the increasing fear of disability and dependance. We are changing, we have become near dependent on others for maintenance, for activity, for needs, for most everything; and if not truly dependent associated diseases of aging pose a daily threat of dependence.