A common theme among the very old is an understanding of life as a continuous thread. We recognize that our time here is limited. We also recognize that there are things we can do to contribute, beyond our actual time here on earth.
Many older adults find their attention drawn to a caring for the future. It’s a natural part of the aging process to review one’s life and make amends. Some of us go further and share or invest in projects that will live on after we are gone.
Below are some activities you might consider as you think about your own legacy.
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Conduct a life review
A life review can be done at any age. It simply helps to take a few steps back and put your life into perspective. And if you choose to share it with family members, it can be a legacy of a more personal nature.
Public or private?
Some people wish to share their reviews with family or friends. Others view it as an immensely personal exercise. Making it a private project may allow you to delve deeper without needing to adjust your thoughts based on the expectations of others.
Many formats There’s no “right” medium for a life review:
This can be done privately or for others to read. The advantage is that you can do it at any time you are inspired to dip into your review process.
Audio recording. This medium allows for more spontaneous expression. You won’t get hung up on concerns like spelling or grammar.
This can be very meaningful for sharing your thoughts with family, friends, and perhaps generations not yet old enough to have this type of conversation with you. At the same time, it does include an element of performance that can be limiting or distracting.
There are pros and cons to each medium. It’s your choice which one feels right for you.
A memoir
One option is to create a memoir, starting at the beginning and moving chronologically through your life. You certainly can do this. And there are even online services that will let you upload photos and publish a small book. Be aware that people who write memoirs often get bogged down in detail. Or they hit a rough spot in their life and it’s hard to push past it. Memoirs can be fascinating to share. But they can also become overwhelming to write.
A slice-of-life review This type of review is a much shorter project than a memoir. Consider thinking about the top 5 crossroads or challenges in your life
What were the forces at play in your life at that time?
What did you learn from the decisions you made?
What are you proud of from this period in your life?
What have you thought about the roads not taken?
Any insights to share?
You can certainly Google “life review” or “memoir” to get templates and ideas online.
“Good judgement is the result of experience and experience the result of bad judgement.”
— Mark Twain, author
All families have conflict now and then. Simply put, families are messy. And everyone has things they wish they had done differently, with family and friends. Perhaps in their work life as well. Part of the aging process involves reflection about the past, and sometimes regret for the way things turned out.
Lessons from the end-of-life
A staggering number of families have members who don’t talk to each other and haven’t for years. In the face of a terminal diagnosis, however, those grudges often feel small compared to never seeing each other again. Hospice professionals regularly witness families who forgive each other “at the end” and deeply regret all the time they lost as a family and cannot reclaim.
Asking for forgiveness Why wait for a terminal diagnosis? If in a review of your life, you realize there are things you would like to be forgiven for, consider these insights from the Stanford Forgiveness project:
Be vulnerable and truly acknowledge the action you regret. It is not weakness to admit that you did something you wish you hadn’t. It takes a strong person to admit an error in judgment.
Apologize with empathy. “I’m sorry” may work. But what truly creates connection is to express your understanding of the impact of your actions on the other person.
Ask for forgiveness and listen. An apology is a one-way communication. By specifically asking for forgiveness and asking how you might make amends, you begin to rebuild trust. This does not mean you have to do whatever they request. But if you can, that speaks volumes. Often simply listening without defenses is enough.
Say “Thank you.” Forgiveness conversations often end on a very sweet note. They usually involve tears and sacrifices or giving on both sides. Acknowledge that gift as a way to lay the foundation for a new reconciled relationship.
Extending forgiveness It may be that you realize you’d like to resolve an unfinished relationship. Perhaps you have decided that the burdens of the anger and hurt you feel inside are keeping the injury front and present in your life. Forgiveness is a powerful gift, to yourself as well as to the other person.
You do not have to forget. Forgiveness is not excusing the other person’s behavior and sweeping it away. It’s a simple acknowledgement that the bad thing happened, but you want to stop carrying the hurt. You value peace in your heart over the harboring of the grievance.
Forgiveness is about reclaiming your power. You do not even need to communicate with the person who hurt you to forgive them. Instead, your forgiveness can involve your own focus on the positives that are present in your life despite the setbacks.
Acknowledge the courage it takes to forgive. Part of bringing that painful chapter to a close is to recognize that there is great strength in setting down the hurts from the past and walking forward. Forgiveness is an act of courage. Let that be the ending of the story.
If the person involved is not available Whether you are asking for forgiveness, or extending it, the healing is in your own internal shift. If the person involved is not available—through death or distance—you can still make the changes in your heart. Sometimes it helps to write a letter, or enact a conversation with them. Unilateral forgiveness is extremely effective in the process of creating a legacy.
Who are the people who matter most in your life? Have you told them how important they are? Are there things you would like them to know?
It can be awkward to give praise in person. Many people assume their friends and loved ones know they are cared about. Unfortunately, this is rarely the case. (We all tend to under-estimate our value or likability.) A letter is a fine way to be sure those in your innermost circle know how important they are to you, and why. How much their presence has meant to you.
Writing individual letters of appreciation to the important people in your life is a profound and very personal legacy to leave:
Share favorite memories you have of them
Tell them what you admire about them (their personal qualities)
Relate incidents in their lives, choices they made, that made you feel very proud of them (achievements)
Thank them for the joy and caring they brought to you over the years
If there is a special memento you would like them to have, describe it and why you associate it with them. (Be sure to have it labeled and/or set aside so they will receive it if you should die before they get the letter.)
Some people send these letters soon after writing them. Others put them with their will and other legal papers, to be disbursed after they have died. Whatever way you choose, these communications will be keepsakes they treasure forever.
An ethical will is a way to share your wisdom, giving the bequest of lessons learned and loving insights for those who will follow after you in the family. It can also serve as a way to let future generations know more about you.
An ethical will can be written, but like a life review, it can also be dictated or video recorded.
Some make their ethical will available before they die. Others leave it to be disbursed or communicated after their passing. It’s up to you what feels most appropriate.
Thoughts to consider sharing in an Ethical Will:
Your happiest moment and why
Important crossroads and what you learned
Your biggest regret
Suggestions when they encounter hardships
Your definition of religion, spirituality or faith
Stories about your childhood and family life growing up:
Important lessons from your parents, or grandparents
A favorite memory of your mother, father, cousins or grandparents
How your childhood impacted who you became
Your professional life
Many family members may not know about your successes and challenges in the work world.
What is your proudest work achievement?
What was your biggest work challenge?
Who was your most important mentor?
Why did you choose the profession you were in?
Any other profession you considered exploring? What attracted you to the one you ultimately chose?
Other topics you might choose to reflect upon could be:
Recently our family had to make some tough decisions about my Mom’s care. She has advanced Alzheimer’s and needed to move from the facility she has been living in, but to where? We spoke with Marsha Rains and she helped us a great deal. She has much professional as well as personal experience working with elderly people and their families. She listened not only to “ the facts” that we needed to express, but also to our feelings; in fact she encouraged us to express how we were feeling and what we really wanted for Mom at this point. After she listened and understood the situation AND our feelings she was very informative and she objectively offered us good suggestions in a kind and understanding way. She helped us make - with confidence- what we believe is the best decision for Mom at this time. I am very satisfied and grateful for Marsha’s help and will not hesitate to call again if we need further help in the future.
Marsha was extremely helpful in addressing our questions and concerns. At the end of our discussion, we definitely had a plan of action. She was frank, yet tactful and sensitive at saying what needed to be said. We recommend her to any families dealing with care taking of elderly ones.
Marsha is the calm in the storm. My stepmom fell and broke her back. I was spending 10 hours a day at the hospital, trying to work full time, and take care of my diabetic dad. I was completely lost and overwhelmed with all of the decisions that needed to be made, and didn’t know where to start, or who to trust. The guidance and explanations Marsha gave me were invaluable. I can’t thank her enough for her wealth of information and explaining what the options were and what to realistically expect.
Marsha Raines; Founder & CEO of Aging Well (Rochester, NY) is the woman that you need to consult with, if you have ANY questions regarding the broken, complicated, frustrating (understatement) & absolutely soul bending/breaking experience of having to care for your elder sister/brother/mother/father/aunt/uncle etc......in Rochester, NY (& likely nationally).Marsha's a "no bones, no hassle, get the job done," down-to-earth, honest, straightforward kind of business woman and she saved MY butt when it came to a serious communication breakdown between the ONLY facility that had occupancy availability for my elderly Mother.She works within an integrity level that is rare, by today's standards of what is professional.I cannot rave enough.....about her. If you are in need of someone with 35 years of experience in this radically changed & continually changing environment of healthcare for the elderly, I cannot think of anyone more qualified than Marsha Raines. I am very grateful to have made her acquaintance.
While searching for a reputable organization to perform a PRI for my 95 year old Dad I reached out to Aging Well Rochester.Marsha Raines returned my call immediately (I left messages with others and waited a few days) she put me in touch with her nurse Jodi Limner who scheduled a no non sense quick appointment at a very reasonable cost (others had a higher price plus travel charges).I would highly recommend Aging Well Rochester with your elder care!!
We were overwhelmed with choices and had more questions than answers when faced with moving a family member into assisted living. Marsha helped tremendously to prioritize our actions and narrow our choices. She answered all of our questions and put us at ease. I highly recommend her.
Marsha was so helpful during the time when my elderly father was ill. Every time I reached out via email or voice mail, she returned my messages almost immediately, within the same day, even when it was after working hours. She helped my family cut through the conflicting information that I was getting from various sources regarding elder care in the Rochester, NY area. I feel that we were able to save time and focus on the important things after meeting with her. So grateful.
My conversation with Ms. Raines was extremely useful. My life presented an opportunity to learn very quickly about assisted living options in the Rochester area. After a detailed conversation, she was able to recommend three sites which fit our needs. Without her help, we'd still be looking at sites and not be able to focus our efforts on the details of actually moving.
I continue to be so grateful for the care and expertise that we received from Marsha, Sue, Ester and the rest of the team at Aging Well Rochester for our Mom. It was such a relief to know that we could count on them to provide kind, warm support to all of us. The other thing that was so important was their knowledge and understanding of the different options available to us and the best ways to work with other professionals in the field of elder care. We can’t thank them enough!
Marsha was a HUGE support in helping our family find quality care for my Mom who has Dementia. She took the time to answer our questions and concerns with respect and compassion. I am glad that we got to meet with her. She’s put a lot of my family’s concerns at ease and is always there if we need her. I wish more people acted with kindness such as this in the medical field - the world would be a better place!
Thank the good Lord that my wife researched and was able to find Aging Well Rochester and Marsha Raines when my daughter suffered a serious stroke. We had moved to Florida three years earlier and it was not possible to visit her and help with the needed healthcare management.Marsha and Jodi were there to guide us through the process to insure that she could be placed in a facility that could properly provide the care she needed. Given the healthcare crisis in this country, this was not an easy process.They were there each step in securing the best possible care and provided relief from the guilt we felt being so far away from Rochester. The compassion and professionalism of Marsha and Jodi were second to none. We are so very grateful for the service they provided throughout.
I reached out to Marsha @ Aging Well Rochester at a critical point when my dad was hospitalized and needed advice and assistance with coordinating next steps. Within 48 hours, I had had an in depth initial consult with Marsha, agreed to retain her services, and she made calls and was able for me to put in motion a tour and his eventual placement at a wonderful and caring Hospice facility.After my dad's passing, Jennifer worked with my mom over the next few months as she adjusted to all the changes. She was kind and compassionate and very knowledgeable on the process my mom was going through.I would recommend Aging Well Rochester for straight forward advice and counsel to anyone who is feeling "lost" in the confusion and maze of options with aging loved ones.
Marsha Raines provides much-needed assistance navigating a complex system during high-stress times. She is excellent at what she does. She asks important questions, listens, is efficient and very dependable.
Our family worked with Marsha Raines of Aging Well Rochester at a crucial moment when our mother was experiencing a decline in her physical capacities after living on her own for most of her adult life. Marsha was our guiding light throughout the process: explaining, with compassion, the various options for Mom; guiding us through the application process for both rehab and long-term care; and ultimately, settling Mom in at her wonderful new home where she is safe, comfortable and happy. I wholeheartedly recommend Aging Well Rochester!
Was connect with Marsha from Aging Well Rochester while searching for assistance with understanding the system and what is needed for elder parent. Marsha provided me with information, guidance, and took the time to explain differences between assisted living, independent living, and what questions to ask while interviewing for a new home for my mother. Valuable information. Marsha continues to follow up to assist if needed. Very pleased and so glad found Aging Well at a crazy time.
Coming to grips with a parent's decline and figuring out how to meet their needs can be a terribly stressful ordeal. Marsha and her team made it vastly less so. Marsha's calm demeaner, wisdom and professionalism were invaluable during the 8 months during which my father's needs were rapidly changing. She has a wealth of knowledge about resources available in the community and was able to bring them to bear quickly. I will be eternally grateful for the emotional support she provided during the entire journey.
At a time when you don't know what you don't know, Marcia knows! She asks the right questions, narrows the choices, and provides direction. She definitely helped us feel more confident as we moved forward, and she was thoughtful enough to follow up to be sure we were making progress. Highly recommend.
Marsha's experience and knowledge are invaluable to our family during this difficult time! We can now take the necessary steps for our parents' care with confidence. Extremely helpful!
Marsha and staff were exceptional in their guidance though the difficult and unfamiliar journey of finding quality care for our aging parents. For over three years, they were able to anticipate needs, advocate for our parents, and provide support for them through various crises. We are so thankful for their expertise and compassion through all the changes. We highly recommend Aging Well Rochester to anyone seeking help with aging loved ones.
I just want to thank Aging Well Rochester for their assistance to complete an urgent PRI for my stepmother and also one for my father in case we needed it. The nurse went above & beyond to do that for us as we fortunately found a bed quickly for my stepmother. All went well & she is now receiving wonderful care at St. John's Home. Thank you Marsha and your staff - you made a difficult situation much easier.
Marsha Raines was incredible--responsive, caring and very knowledgeable. She helped me navigate options and provided excellent counsel. I highly recommend Aging Well to you if you are facing a difficult and emotional situation with a loved one who needs ongoing medical/rehabilitation placement and services. Marsha exceeded my expectations. Christine L.
Our initial consultation with Marsha Raines was very informative as it provided our family with a starting point concerning a long term care plan for our aging father. Her knowledge, experience and compassion allowed her to assess where each of us were in dealing with the emotional stress of the situation and provide recommendations to get us moving in the right direct with a long term care plan. Marsha helped us narrow our focus to ask the right questions regarding our next steps in care for our father. Thank you Marsha!
We were exceptionally fortunate to have Marsha Raines of Aging Well Rochester assist us in placing my wife in an appropriate facility. She guided me through all the paperwork, answered every question I had and resolved every impediment that we found in the process!Thanks so much Marsha!
We received great service from Marsha. Highly recommend. Navigating rehab and long-term care can be daunting. Marsha breaks down the ins and outs and helps bring the family to consensus on the best next steps.
Our family reached out to Aging Well Rochester for an understanding of the options and to seek clarity as to next steps for our elderly father regarding his future care. Marsha provided our family with the assistance, guidance and resources necessary to make a decision that was best for our father. Marsha's response to e-mails and phone calls was always in a timely manner and we truly appreciated all of her knowledge and expertise and would not hesitate to recommend Aging Well Rochester!!
Marsha understands the world of aging and the decisions that need to be made. She has both the education and experience to navigate a complex system to secure the best care as well as the expertise to guide throughout the process. My wife and I are grateful for her depth of knowledge, experience, skill, and compassion. We plan to use her as a resource for years to come!
Marsha Raines and her team have been a gift to my family. I'm on the West Coast, and her local knowledge has been extremely valuable in locating care options and knowing what to look for. Her direct style does not shy away from talking about tough issues, and in fact, makes it easier to devise a care plan. Marsha is a gem.
I truly appreciate the advice Marsha has to share. She has a great way of putting things into perspective and knows her stuff! Thank you for the advice, help, and input while trying to figure out the next steps with my parents.
I hired Marsha Raines to help me find the best Nursing Home for my husband. She was professional, quick to answer any questions I had, told me all I needed to do, and quick find him the right place. She was extremely helpful and compassionate with this difficult undertaking . I highly recommend anyone searching for a home for their loved one call Marsha before doing anything else!
Marsha level of expertise in this field has been tremendous. She explained the changes that occurred in the nursing homes industry. She took the time to research nursing homes for me and this afforded me time to focus on my mother's medical needs. I found Marsha to be resourceful and committed to helping me through this difficult time. I would highly recommend her service to you.
We moved our mom to a memory care residence, and in just a few short weeks we realized that it was not the right place for her. Distraught that we had made a horrible mistake, we needed help. I contacted Marsha and she met with our family to help sort things out. She took our concerns seriously, consulted with other industry professionals to assess our mom, and found us a better place for her. Just two weeks later we were able to move mom to a wonderful residence that cares for her properly and gives us all peace of mind. We are so grateful for Marsha and her ability to navigate the challenging world of eldercare on our behalf.
My husband, Bradley, needed to be moved to an adult home due to my inability to continue caring for his needs. I had no idea where to turn until Marsha Raines name was given to me. It is very difficult to navigate this process while you are under stress and her kindness and actions got the process started making it much less painful. I highly recommend her for her insurance knowledge which was extremely helpful to me.Mary Ellen Hindson, Rochester, NY
Marsha Raines assisted our family through the most trying time of our lives with Mom. She was extremely knowledgeable about placement, finances local care available and placement. She was personally involved in contacting the care facility to assist in mom getting placement.Her recommendation of the Presbyterian Home was spot on. All grants recommended came through and we were able to continue her care until she passed away.Thank you Aging Well. I would recommend her services highly.
My parents needed more assistance than I could give working full-time in another state in 2015. They were facing medical issues and needed to move out of their beloved home of 60 years. Since then, Marsha and her team have been instrumental in supporting my parents, and me, through good times and bad. They arranged movers, set up and attended doctor appointments, arranged for aides and companions to assist my parents in living safely and independently, and checked in on them to be sure they were comfortable and happy. Marsha has been an incredible resource to me, providing information and advice when needed in a direct yet sincere manner. I feel relieved to know that Marsha is there to help when I can’t be, keeping me informed, and checking in when needed. She is an incredible resource and advocate for the elderly and their families.
I contacted Marsha two weeks ago. I quickly learned that a PRI, exam to determine the level of care was needed to go into a nursing home. I was given 10 local agencies that could do it. I chose "Aging Well". Marsha was so personable on the phone, getting all the fact. She was able to arrange the exam in 5 days. The nurse showed up on time and my aunt chatted away. Two days later I got an urgent call from my aunt begging me to find her a new place immediately, she had a horrible weekend and wanted out. So, I called Marsha back that same day and asked her to take our case on and help get my aunt placed ASAP. She was pleased to help. She sent me the 3 applications to the facilities my aunt wanted by the end of the day. She kept in close contact with me the next couple of days with words of encouragement while I scrambled to get the information. I submitted the first one. Marsha personally went into the facility and spoke to the intact person giving her more details of my aunt. 5 days later, I moved my aunt into the facility she wanted. Here is a photo of her reaction. Marsha is focused, very knowledgeable, explains the process well, upbeat and is very encouraging. I would work with her again in a heart beat. She is the best.
I have been working with Marsha since 2008 planning for the aging process and various transitions for my parents.She has always been incredibly helpful, knowledgable and available. Over the years she has grown the organization, but still maintains that level of support. Her manner is caring and supportive yet direct, a quality that I have found very comforting and helpful during stressful transitions. I can't recommend highly enough.
Aging well Rochester did an AMAZING job of helping my family deal with my experience and Hospitalization with Covid 19. Marsha worked with my children and family and the hospital staff to make sure that I would receive the care needed upon my return home. I can't thank them enough for making this experience as easy as it could be.
Living more than 500 miles away from Rochester, visiting my mother as often as we would like was a challenge. Luckily I found Marsha Raines and her colleagues at Aging Well Rochester. Their visits to my mom were so frequent and warm that the staff at the nursing home thought they were family! Actually that's how we think of them. In addition to the care and support for my mother, the feedback and advice Marsha and her colleagues provided us was always timely and helpful. I consider the day I found Marsha to be one of my luckiest. I can't imagine the last few years without Aging Well Rochester! Thank you for enriching my mother's life and ours.