92-year-old Elizabeth Tyner stands at home with granddaughter, Melinda Cook, (left) and great-granddaughter, Shawnee Cook, age 18. Photo/Angela Denning

92-year-old Elizabeth Tyner stands at home with granddaughter, Melinda Cook, (left) and great-granddaughter, Shawnee Cook, age 18. Photo/Angela Denning

Some Southeast Alaska families have stayed with the tradition of helping their loved ones age in place. They live at home, with children and grandchildren, instead of moving into assisted living or a nursing home. It’s a friendlier and lower-cost option for older residents of the region, whose numbers are growing faster than the state as a whole.
As part of CoastAlaska’s Aging Southeast series, KFSK’s Angela Denning tells us about one Petersburg family with four generations living under the same roof.

92-year-old Elizabeth Tyner sits at the kitchen table in a red striped shirt, blue jeans and blue Crocs sandals. Her short white hair curled, her hands clasp a tissue because she has a cold. She readily talks about her life. Over the decades, she’s sold auto parts and worked at a thermometer factory.

“What it was doing was putting the ink in there,” Tyner said. “It really wasn’t ink it was…”

“Mercury,” offered her grand daughter, Melinda Cook.

“Yeah, Mercury,” Tyner agreed. “You shook the stuff down where it went up and down in there so you could tell the temperature. It was real interesting, it really was.”

Cook is ready to fill in the details. She knows her grandmother well. She has lived with her for nearly two years and spent a lot of time with her growing up.

“She migrated here because we migrated here because none of us stayed where we were from,” Cook said. “She’s originally from New York and ended up in Florida and we’re all from Florida and ended up in Alaska. And as she got older it just seemed like the natural progression for her come be with us.”

Cook uses the word “natural” a lot. She sees aging as a natural process and family helping as part of that. For Tyner, she likes the busy house of four generations.

“I got all these kids around me here it’s wonderful, it’s wonderful,” Tyner said, laughing. “I don’t get to take care of them very much because I can’t pick them up and you know, your shoulders kind of give away and you don’t have all the things you used to have and you can’t pick them up because you might drop them. But they play on the floor and I get down on the floor and play with them and do whatever is necessary. We have a good time.”

When Tyner first moved to Petersburg in 2011 she lived in independent housing for seniors. She shared a two-bedroom apartment with a friend for $1,400 a month. Cook said that worked well for several years until one day her grandmother fell.

“She didn’t pull the alarm,” Cook said. “She laid on the floor for four hours.”

Tyner eventually called the family, which contacted 911. There were other signs that decision making was becoming difficult.

But switching to assisted living, including daily food service and as-needed care, would have cost about $6,000 a month. Petersburg’s facility takes Medicaid waivers but residents can have no more than $2,000 in the bank and no assets. That’s not Tyner’s case. She has worked hard to build up a nest egg but even that savings would only last a few years. So Tyner moved in with her family and now pays $500 a month for three caregivers five days a week.

“Just making sure she’s drinking water, getting meals, because we started finding that that was necessary,” Cook said.

For Cook, having Tyner at home is the right thing to do. Her family has taken care of their elderly for generations.

“I mean, we all kind of have our assignments in this generation,” Cook said. “My cousins have their parents. I mean literally, every one of us in my generation has an elder living with them at this time.”

Like most of Southeast, Petersburg’s population is aging faster than Alaska as a whole. A recent borough study shows that in about 15 years, seniors will double to 28 percent of the town’s population.

In the village of Kake, on the next island over, there are 80 to 90 elders out of a population of about 600, most are Alaska Natives. The village has no assisted living or nursing homes. Families take care of their elders at home until they need medical help and have to go off island. Many families rely on in-home caregivers.

Juanita James is the site manager and cook at Kake’s senior center, which provides lunch and rides around town.

“I think living at home is what they want the most. They don’t want to leave their homes and go to assisted-living places,” James said. “They’d rather have their loved ones close by that don’t have much more time to live and their relatives are used to making their cultural food for them and taking them to [events like] Indian dance at the community doings.”

Keith Smith also agrees that elders, “thrive better at home.”

He works for Southeast Alaska Independent Living’s Ketchikan office.

“I think that people live longer, their minds stay healthier when they are able to stay in the midst of their life like that,” Smith said.

SAIL is a non-profit resource center that helps seniors and people with disabilities live at home and maintain independence. It has offices in Southeast’s larger communities and also serves more remote towns. SAIL helps clients problem solve. Smith says often times that means giving advice on structural or architectural changes to the home, getting the right homecare provider or even just knowing about the right tools.

“One of the gentlemen I’m working with is just like overwhelmingly happy when he discovered the device–since he can’t bend over anymore–so there’s a special device that from three feet away you can clip your own toenails. That is huge for him,” Smith said.

For Cook’s family, it meant moving to a house with an open floor plan and remodeling a bathroom. Although Tyner is mobile right now, there is plenty of room for a walker or wheelchair if it’s ever needed.

Cook’s 18-year-old daughter Shawnee arrives home from an evening workshop at school on financial aid for college. The teen’s one-year-old is already asleep. Shawnee says it’s great her son can live with his great-great grandmother.

“He knows that she’s the person to go to when he wants something to eat,” Shawnee said.

“He’ll crawl up to you for food if he wants it,” Cook repeats louder for Tyner.

“Yeah, yeah, he will,” Tyner said. “I’m trying to teach him a little bit about dancing. I’ve got him shaking his shoulders you know and moving his butt, you know, and going up and down.”

Also sharing space is Cook’s partner and her two sons—ages 14 and 20. That’s four generations in the same home.

“We’ve had a good time with it,” Tyner said.

“We do,” Cook agreed.

“I wouldn’t trade it, would you Melinda?” Tyner asked.

“No,” said Cook.

“No, we’ve had so much fun with all of that really,” Tyner said, “and it’s been beneficial for all of us.”

It’s not always easy. Tyner’s dementia crops up every now and again like the time she accused one of her great-grandson’s of taking a box of hers. But at least for now, the family agrees it’s better for everyone to be sharing life under the same roof.

Read and hear other reports in our Aging Southeast series through links posted on our website. We also connect you to relevant studies and statistics. And you can see a slideshow of some of Southeast’s older residents.