No one likes to think about changing their level of independence. But sometimes the reality of physical problems can cause changes.

There are practical steps that you can take to stay physically independent as long as possible. Some of these are:

• Having items moved out of cabinets that are too high or too low to reach comfortably.
• Living in housing designed for older adults.
• Taking advantage of new technology like easy-grip hairbrushes, electric razors, pre-cut dental floss, closed-captioned television programs, and medical alert systems.
• Using services like Meals on Wheels and housekeeping.
• Using special buses or other transportation services available for older adults.
• Having ramps installed instead of steps, or adding a chair lift to inside stairs.
• Exercising or getting physical therapy to help in problem areas, such as flexibility.
• Taking advantage of walkers, motorized carts in grocery stores, and equipment that will help you avoid a fall.

If you feel that you are losing some of your physical independence, your mental attitude is very important. Draw healthy boundaries with people. For instance, you can let people know that there are some things you prefer to do yourself, whether it is answering the phone or making breakfast.

Recognize that there is a difference between being independent and being hardheaded. Don't insist that you can drive if you know your vision is poor or your responses aren't good. Decide to make appropriate changes instead of letting things get to the point where other people make changes for you. Ask your health care provider about what physical tasks you should and shouldn't do.

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