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Paula Span

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New Old Age

Since 2009, Paula has written the New Old Age, a column about aging and caregiving that appears twice monthly, online and in the print Science Times. It draws on research findings from major journals, interviews with expert sources and the experiences of elders themselves. The New Old Age has explored an array of topics pertinent to older adults: ageism, senior living options, health issues from alcohol abuse to vaccination, overdiagnosis and overtreatment, employment discrimination, the effects of COVID-19, end of life issues.

These Settings Aren’t Real. But for Dementia Patients, What Is?

July 24, 2025 by Paula Span

Wilma Rosa, a memory care resident in assisted living at RiverSpring Residences in the Bronx, with a baby doll in the nursery. Credit: James Estrin/The New York Times

The nursery at RiverSpring Residences in the Bronx is a sunny, inviting space outfitted with a bassinet, a crib with a musical mobile, a few toys, bottles, picture books for bedtime reading and a rack of clothing in tiny sizes.

The other morning, Wilma Rosa was there trying to soothe one of its cranky, small charges. “What’s the matter, baby?” she crooned, patting the complainer’s back. “You OK? I want you to go to sleep for a little while.”

Read more…

Filed Under: New Old Age

When They Don’t Recognize You Anymore

July 24, 2025 by Paula Span

Jen Hsieh

It happened more than a decade ago, but the moment remains with her.

Sara Stewart was talking at the dining room table with her mother, Barbara Cole, 86, in Bar Harbor, Maine. Ms. Stewart, then 59, a lawyer, was making one of her extended visits from out of state.

Two or three years earlier, Ms. Cole had begun showing troubling signs of dementia, probably from a series of small strokes. “I didn’t want to yank her out of her home,” Ms. Stewart said.

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Filed Under: New Old Age

Honey, Sweetie, Dearie: The Perils of Elderspeak

July 24, 2025 by Paula Span

Illustration of young health aid bending to speak to elderly man.
Medar de la Cruz

A prime example of elderspeak: Cindy Smith was visiting with her father in his assisted living apartment in Roseville, Calif. An aide who was trying to induce him to do something — Ms. Smith no longer remembers exactly what — said, “Let me help you, sweetheart.”

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Filed Under: New Old Age

Dialysis May Prolong Life for Older Patients. But Not by Much.

October 18, 2024 by Paula Span

Credit: Elenia Beretta‬‬‬

Even before Georgia Outlaw met her new nephrologist, she had made her decision: Although her kidneys were failing, she didn’t want to begin dialysis.

Ms. Outlaw, 77, a retired social worker and pastor in Williamston, N.C., knew many relatives and friends with advanced kidney disease. She watched them travel to dialysis centers three times a week, month after month, to spend hours having waste and excess fluids flushed from their blood.

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Filed Under: New Old Age

When Elder Care Is All in the Stepfamily

October 18, 2024 by Paula Span

Caitlin O’Hara for The New York Times

The encounter happened years ago, but Beverly K. Brandt remembers it vividly.

She was leaving her office at Arizona State University, where she taught design history, to run an errand for her ailing stepfather. He had moved into a retirement community nearby after his wife, Dr. Brandt’s mother, died of cancer.

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Filed Under: New Old Age

When the Neighbors Are All Older, Too

January 23, 2024 by Paula Span

Dustin Miller for The New York Times

Kathy Fitts loved her roomy house in suburban Atlanta. But after her children moved out, and the pandemic exacerbated the isolation she often felt as a divorced woman, she left for Latitude Margaritaville, a Jimmy Buffett-themed housing development in Daytona Beach, Fla., for those “55 and better.”

Visiting a friend who had relocated there, “I thought, wow, these people are having a good time,” Ms. Fitts, 68, said. She bought a two-bedroom villa and settled in almost two years ago.

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Filed Under: New Old Age

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Copyright © 2025 · Paula Span

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