The National Center for Health Statistics reported on June 11, 2008 that life expectancy hit a new record high, surpassing 78 years. One aspect of living longer is an issue that many of us try not to think about - outliving our independence.

The truth is that most of us face this situation for at least one family member at some point in our lives. For the fortunate few with total economic security, the choice can be easy. Many in that enviable position arrange for the construction of accessibility modifications to the home, select certified nursing assistants to provide care, and rest easy in the knowledge that their loved ones are surrounded by all the comforts of home.

For the rest of us, the question becomes "How do we choose an assisted living or nursing home facility?" Before you start, realize that the selection process is time-consuming and stressful. Involve all family members from the very beginning to avoid conflicts later. First, determine the level of care needed. A nursing home provides 24 hours of nursing supervision but less medical attention than a hospital offers.

An intermediate care facility typically provides 8 hours of nursing supervision for ambulatory clients. An assisted living center provides relatively independent seniors with 24-hour oversight, food, shelter, and other services that promote quality of life. Next, research the properties, visit and inspect each facility in person, interview the administrator and other staff members, and locate others who have used the facility for references.

Advanced planning always leads to better understanding and reduced fear. Advanced planning will also lessen the likelihood of conflicts - or litigation. For additional information on elder care, estate planning, health care law and more, visit www.cooperlevenson.com or call 609-572-7362 for our "What Lies Ahead - Nursing Homes" brochure.