Author Archives: Barbara Kate Repa

About Barbara Kate Repa

Barbara Kate Repa is a lawyer, writer, and consumer advocate specializing in aging, long-term care, estate planning, and end of life issues. A former nursing home ombudsman, she currently serves as a counselor on a crisis line for the elderly as well as a legal advisor on Resident Councils in San Francisco care facilities.

Steps Toward Age-Friendly Health Services

Health Care

As the population of older people burgeons, many communities around the world are being forced to make the honest assessment of the ways they need to change to meet the unique needs of this growing population. One of the first and largest studies to address this challenge was launched just over a decade ago — […]

Nothing About Us Without Us?

Two trees shaped like people

If you haven’t experienced it yourself yet, then surely you’ve heard the rumblings of discontent from those who have. It turns out Bette Davis was right: old age is no place for sissies. In fact, it’s mean-spirited. And sneaky, too. It seems you go to sleep one night unfazed, but when you wake up your […]

The New Quest for ‘Purpose Beyond the Self’

Life Plan

No one wants to identify as being a person without a purpose — useless, worthless, aimless, an accidental traveler through life. But searching for purpose sounds like a lot of work. Or something that only happens on the west coast. Or perhaps something only a younger person would do. In fact, past studies of the […]

Advanced Planning for People With Dementia

Last Will and Testament

Like most other states in the U.S., the diminutive state of Delaware is facing a groundswell in its older population, which carries with it a growth in the demand for specialized senior services. There are currently around 22,000  Delawareans 65 and older living with Alzheimer’s disease or related dementia. They are assisted by 31,000 family […]

Dressing for Dementia

For people with Alzheimer’s disease or other forms of dementia, one of the biggest challenges is keeping up with the private and essential activities of daily living — including bathing, eating, and dressing. Of these, perhaps surprisingly, dressing can be the most difficult. The act is fraught with possible complications that become more difficult as […]

Truths and Myths About Your Aging Brain

Brain MRI

“Right now, you’ve got neurons in your brain that have ‘Vacancy’ signs on them,” the Institute on Aging’s Patrick Arbore recently told a capacity crowd gathered to hear his pronouncements about brain health. The group of mostly older attendees was lured to the talk, fittingly held in San Francisco, by its title: “The Summer of […]

Home, Sweet Age-Friendly Home

Home Sweet Home

One of the first and largest studies to address the growing challenge of making and keeping communities age-friendly was launched just over a decade ago—an ambitious worldwide effort spurred by the World Health Organization (WHO). The initiative helped identify eight key areas communities must address: outdoor spaces and buildings transportation housing social participation respect and […]