In order to address the needs of older adults, it is necessary to understand
the challenges that they face as they age. This chapter of the report begins
with a discussion of the aging continuum. The purpose of this information
is twofold. First, it shows the wide range of conditions older adults may
experience as they age. Second, it provides a backdrop against which to
consider the information that follows - the current conditions of older
adults in six key areas. The areas discussed are food
and nutrition, housing, home
repair and home modification, physical
and mental well-being, transportation, legal
protections, victimization,
and economic self-sufficiency.
Figure 9
Continuum of Aging

Adapted from the United
Way of Allegheny County
The life stage of older adulthood is changing. Today, this stage spans
as many as forty years. Individuals in this phase of life range in age
from 60 to over 100. Older adults live along a continuum of ability, condition,
and age. Where an individual is on the continuum depends on a variety of
things. For example, diet, level of physical activity, level of community
connection, and hereditary factors all play a role in how a person ages.
The majority of older adults are well and active but there are those who
are more frail and need assistance. Figure 9 shows
the continuum of aging and the wide range of conditions an older adult
can experience. However, not all older adults will experience each part
of the continuum.
The level of need of an older adult depends upon where he/she is on the
continuum. Well older adults will need few, if any, services and will likely
be able to purchase what they need. Vulnerable older adults are at risk
of needing a range of services and access to public resources. This is
a critical intervention point to support independent living - intervention
here could delay or even prevent the progression to the next stage. Lastly,
frail older adults need a wide range of support services and are at greatest
risk for institutionalization. The ability to live independently through
older adulthood in great part depends upon whether or not an individual
is able to meet his/her needs in the six areas discussed below. An individual
is impacted differently by each of these issues depending upon where he/she
is on the aging continuum and whether or not he/she is able to access the
services he/she needs.