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QUOTES

“Everyone is an oldster. We deal with aspects of physical and emotional aging all the time. It’s not just an old person thing.” (Sari)

“We live in an ageist, youth-obsessed culture driven by capitalism. There’s money to be made by making aging a problem that needs to be solved.” (Sari)

“There’s no going back. You’re going to leave some things behind. That anxiety has morphed into curiosity about what other people’s experience is of getting older.” (Sari)

“When we’re not looking at ourselves in a mirror, we have these ideas of who we are that are based on past versions of ourselves.” (Sari)

“The intergenerational conversation happening on Oldster is helping people feel less trepidatious about aging. It certainly has for me.” (Sari)

“People kept telling me, ‘My life took off at 60… 65… 70… 75.’ They found new partners, new careers, stopped caring what other people thought and started taking risks. That really comforted me.” (Sari)

“Whenever we can really exhibit humanity in its truest form, it’s good. It reminds people they’re not alone in their humanity or their messiness.” (Sari)

“I like myself better than I ever have because I’ve become more myself. I’ve stopped trying to be who I think other people want me to be.” (Sari)

“I’m really just shooting my shot, and it’s paying off. As I get older, more confident and more skilled, I’ll shoot even bigger shots.” (Sari)

“I would say to anyone who feels behind in life: You do you. It’s okay not to be on track with everyone else.” (Sari)

“There is so much possibility in getting older. That’s one of the best things I’ve discovered.” (Sari)

“There isn’t just one right path. If you really listen to yourself and be your true self, you’ll find your right path. It might not match other people’s, but it will take you where you belong.” (Sari)

NOTES

Sari Botton is a writer, editor and founder of Oldster, a Substack publication exploring the emotional, cultural and personal realities of aging at every stage of life. A longtime journalist and essayist, she has become a leading voice challenging traditional narratives around growing older through deeply personal storytelling and intergenerational conversation.

Oldster is a reader-supported publication on Substack dedicated to reframing aging as a lifelong experience rather than something that begins in old age. Through essays, interviews and community discussions, it brings together readers of all ages to examine identity, relationships, purpose, grief, reinvention and the many realities of getting older.

Before launching Oldster, Botton served as an editor at Longreads, where she created the “Fine Lines” series that inspired the publication. She also edited the bestselling anthologies Goodbye to All That: Writers on Loving and Leaving New York and Never Can Say Goodbye: Writers on Their Unshakable Love for New York. She is currently working on an Oldster anthology expected in 2027, with plans for a podcast and television series that will continue expanding the conversation around aging.

Botton believes aging doesn’t begin at a specific age. She argues that everyone experiences aging throughout life as they move from one stage to the next, continually leaving behind previous versions of themselves.

She says our culture’s obsession with youth has turned aging into a problem to be solved, often fueled by marketing that profits from people’s fears about getting older.

One of the greatest benefits of the Oldster community has been creating conversations between generations. Hearing older adults share stories about finding new careers, relationships and purpose later in life helped ease her own anxiety about turning 60.

Botton believes one of the most overlooked realities of aging is grief—not only over physical changes, but also over saying goodbye to earlier versions of ourselves, changing relationships and unrealized dreams.

She encourages anyone who feels behind in life to stop comparing themselves to others and recognize there is no universal timeline. Every person’s path unfolds differently, and authenticity matters more than keeping pace with peers.

Rather than presenting an idealized version of aging, Botton believes sharing the messy, imperfect parts of life helps people realize they aren’t alone and creates deeper human connection.

Looking back on her own journey, Botton says growing older has made her more comfortable with herself, more willing to take risks and more interested in pursuing new creative passions. She believes aging brings far more possibility than most people realize.

QUOTES

“We cannot educate our way out of what is a $200 billion-a-year fraud crisis.” (Kathy)

“These businesses are businesses. They are criminal businesses, but they run like a business. They have targets for their employees. They have bonuses for their employees. They have playbooks and very sophisticated scripts. They very much know what they are doing.” (Matt)

“The bigger problem with AI isn’t deepfakes. They’re using AI to harvest the immense amounts of data that have been put out there on the dark web about each of us through data breaches.” (Matt)

“The criminals have had the same playbook for thousands of years. They know what to do to get a person to bypass logic and react emotionally. Before, they didn’t have the technology to scale and perfect it.” (Kathy)

“We’ve been allowing ourselves to believe that it only happens to older people because there must be some cognitive decline or they’re not tech savvy. We were looking for reasons to blame it on older people. That’s not the reality. They’re targeting everybody.” (Kathy)

“They’ve basically taken the practices that banks taught consumers and turned them on their head. They’re saying, ‘We’re calling to be your friend and verify this transaction.'” (Matt)

“If the number calling you is not a number you know, that’s a red flag. Don’t interact with it. Even five seconds of engagement tells criminals you’re a valuable number, and it gets sold again and again.” (Kathy)

“Don’t be afraid to hang up and call back. Anytime something seems suspicious, weird or like you have to decide right now, slow down and verify it yourself.” (Matt)

“We all need to understand this happens to everybody. The smartest, most educated people get scammed because it’s not about intellect or education. It’s because the criminals have a playbook, and it works.” (Kathy)

“Whether it’s Nomorobo or another solution, absolutely you should have something on your phone to protect against those calls. Full stop.” (Matt)

“If you did four or five simple things today, you’d be ten times more protected than you were this morning. But it shouldn’t be our job to protect ourselves when this is the number one crime in the country.” (Kathy)

“You don’t know everything. When you don’t know everything, don’t be afraid to admit it and look for somebody who does.” (Matt)

NOTES

Kathy Stokes is director of fraud prevention programs at AARP, where she leads the organization’s Fraud Watch Network and national efforts to educate consumers, advocate for systemic change and support victims of financial fraud. She is a nationally recognized expert on fraud prevention, financial exploitation and consumer protection.

Matt Mizenko is general manager of Nomorobo, where he oversees technology that protects consumers and businesses from robocalls, spam calls and fraudulent text messages. With a background in software development and mobile technology, he has spent his career building products that solve complex technology challenges.

AARP is the nation’s largest nonprofit, nonpartisan organization dedicated to empowering people as they age. Through its Fraud Watch Network, AARP provides education, fraud alerts, advocacy, victim support, a national helpline and volunteer-led outreach to help consumers recognize, avoid and recover from scams.

AARP’s Fraud Watch Network includes fraud fighter volunteers in every state, a dedicated helpline available to anyone regardless of age or membership, support groups for fraud victims and families, a scam tracking map, biweekly watchdog alerts and the award-winning The Perfect Scam podcast. The organization has also expanded its advocacy efforts at the state and federal levels to pursue systemic solutions to the growing fraud epidemic.

Nomorobo is a call-blocking technology company founded after winning the FTC’s Robocall Challenge in 2013. Its platform uses advanced analytics, audio fingerprinting and call screening to identify and block robocalls, spam calls and suspicious text messages before they reach consumers and businesses.

Nomorobo maintains a network of approximately 300,000 “honeypot” phone numbers that help identify fraudulent callers in real time. The company also partners with AARP to provide discounted protection for members while sharing intelligence about emerging scam tactics to improve consumer education and awareness.

Kathy says fraud has evolved into a global, organized criminal enterprise worth hundreds of billions of dollars annually and believes education alone cannot solve the problem.

Matt explains that modern scam operations function like sophisticated businesses, complete with employee targets, scripts, incentives and advanced technology.

Kathy notes that scammers rely on emotional manipulation rather than intelligence, using fear, urgency and surprise to push victims into acting before they have time to think logically.

Matt explains that AI is allowing criminals to gather and organize massive amounts of stolen personal data, enabling highly personalized scams that immediately establish credibility.

Kathy challenges the misconception that scams primarily affect older adults, arguing that criminals target anyone but often focus on older adults because they have accumulated more assets.

Matt encourages consumers to hang up, independently verify suspicious claims and never feel pressured to make immediate decisions during unexpected calls.

Kathy urges fraud victims to report incidents to law enforcement, emphasizing that fraud is a crime and that greater reporting helps illustrate the true scale of the problem while reducing the stigma victims often feel.

Both guests stress that consumers should use available call-blocking technology, remain skeptical of unsolicited communications and view fraud prevention as a shared responsibility among individuals, technology companies and policymakers.

QUOTES

“I do think that there is a greater ability perhaps to just sit back and enjoy a journey.” (Stuart)

“We’re living in a world of peaks. You go to see a Marvel movie and every five minutes there’s going to be some kind of crazy thing that stirs you and pumps you with adrenaline. Listening to great music is not that.” (Stuart)

“What we’re doing is creating a landscape of sound and intensity. Yes, you’re going to have your peaks, but then you’re going to have long periods of lulls that allow for the next peak to be something special.” (Stuart)

“I do think that as you get older, there’s a greater willingness to reflect on what it means to be alive, what it means to exist in this world.” (Stuart)

“There’s so much anger, so much infighting among groups and fighting with other groups that people are looking for ways to make sense of all of that. And at its core, that’s what art is attempting to do.” (Stuart)

“When you come to a concert, you’re being thrust together to experience something as a community — a kind of ad hoc community that will not exist again after this day.” (Stuart)

“Your presence, your energy, your focus is palpable. I can’t describe what it feels like, but I feel it.” (Stuart)

“When you’re at a concert, you’re actively engaged in the artistic endeavor. It’s not like we’re performing and you’re listening.” (Stuart)

“Don’t judge yourself based on other people’s perspectives. Know what you want, know what’s important to you, and pursue that.” (Stuart)

NOTES

Stuart Malina has served as Music Director and Conductor of the Harrisburg Symphony Orchestra for more than 25 years. A Tony Award-winning orchestrator and accomplished pianist, he is known for blending classical tradition with contemporary perspectives while championing the emotional and communal power of live music.

The Harrisburg Symphony Orchestra is one of the oldest continuously operating orchestras in the United States, performing at the historic Forum Auditorium in downtown Harrisburg. The organization presents classical masterworks, pops concerts and educational programming while working to expand accessibility and deepen community engagement through live music experiences.

Malina won a Tony Award for his orchestration work on Twyla Tharp and Billy Joel’s Broadway production Moving Out. Throughout his career, he has collaborated with artists across multiple disciplines including dancers, actors and rock musicians. He also discussed the challenges of contemporary classical composition, the importance of exposing audiences to new music and the role arts organizations play in combating loneliness and fostering human connection.

Malina reflected on how audiences often develop a deeper appreciation for music and art as they age, citing patience, perspective and emotional openness as contributing factors.

He discussed how classical music differs from modern entertainment because it embraces emotional peaks and valleys rather than constant stimulation and adrenaline.

Malina described live performance as a shared community experience that cannot be replicated through recordings, emphasizing the energy exchange between performers and audiences.

He shared stories illustrating music’s profound effect on cognition and emotion, including experiences involving individuals with Alzheimer’s disease and developmental disabilities.

Malina explained how working on Broadway’s Moving Out expanded his understanding of artistry and deepened his respect for musicians, dancers and choreographers from outside the classical world.

He spoke about the importance of contemporary composers and challenged the notion that great music only exists in the past, arguing that today’s composers are creating work that will endure for generations.

Malina discussed how concerts and other live arts experiences can help combat loneliness by creating safe, communal environments where people feel connected through shared experiences.

QUOTES

“I eat, breathe, and sleep senior living. And so having a chance to have a conversation about where the industry is at, where we’re going, what’s working and what’s not is one of my favorite things to do.” (Steve)

“We’ve had the best occupancy that we have ever had in my lifetime.” (Steve)

“It’s all about the operator and how they run their business because it can be super successful or really, really tough.” (Steve)

“The word I would put to it is the word tentative — that we’ve kind of got something that works pretty well, the returns are pretty good, and there’s a lot of hesitancy to change anything because it’s sort of working.” (Steve)

“We don’t have a staffing crisis, we’ve got a culture crisis. As long as there are people who are willing to work at McDonald’s and Taco Bell and Starbucks, we don’t have a staffing crisis.” (Steve)

“When we create a great work environment, a place where people feel valued, where they love coming to work every day, where they’re feeling like they’re making a huge difference, they’ll tell their friends about it.” (Steve)

“I think to not post pricing is a huge, huge mistake.” (Steve)

“We need big, bold stories that should be told.” (Steve)

“We should be our worst critics. We should be saying, what is it that we’re doing wrong? How do we get this right? How do we do it better?” (Steve)

NOTES

Steve Moran is the founder and publisher of Senior Living Foresight, one of the most widely read media platforms in the senior housing industry. A longtime commentator and thought leader, Moran is known for his candid perspectives on occupancy, workforce culture, innovation, leadership and the future of aging services. At 71, he also brings the perspective of someone personally navigating aging and senior care decisions for his own family.

Senior Living Foresight is a media and thought leadership platform focused on the senior living industry. Through articles, interviews, podcasts and commentary, the organization explores challenges and opportunities facing operators, caregivers and residents. Recently acquired by Procare HR, the platform continues expanding its editorial reach while maintaining Moran’s independent voice and focus on improving the industry.

Moran discussed how the senior living industry is experiencing record occupancy levels, yet many operators still seem apprehensive, almost expecting another crisis around the corner after the lingering effects of COVID. He emphasized that success in senior living often comes down to operational leadership and culture, pointing out that some communities are thriving while others continue to struggle.

He expressed concern about increasing ownership by large investment groups focused primarily on short-term returns, arguing that this can limit innovation and resident-centered experiences. Moran believes many communities still operate as a “last resort” rather than a desirable lifestyle choice.

Drawing from his own experiences, Moran shared that today’s boomers may not be as different as many assume. While older adults want autonomy and meaningful experiences, they still share many of the same emotional and practical needs previous generations faced as they aged.

Moran argued that senior living communities often fail to give residents enough control over their own lives, using examples like residents battling management over choosing television programming in common areas. He believes future communities must empower residents rather than dictate daily experiences.

On staffing, Moran challenged the common narrative of a workforce shortage, saying the industry actually faces a culture problem more than a staffing crisis. He explained that organizations with strong leadership, meaningful work environments and supportive cultures consistently attract applicants and retain employees.

He stressed the importance of storytelling in both recruitment and marketing. According to Moran, operators need to tell compelling stories about how senior living changes lives for residents, families and staff members rather than relying solely on amenities and clinical messaging.

Moran also highlighted the emotional complexity families face when choosing senior living communities, drawing from his own experiences helping his stepfather transition through multiple communities. He believes operators need greater transparency around pricing, care expectations and the realities families may encounter after move-in.

Looking ahead, Moran sees technology, AI and robotics playing increasingly important roles in senior living, though he believes the industry still struggles with fragmented systems and implementation challenges. He also predicts that future successful operators will prioritize employees, listen more carefully to residents and families and create experiences that inspire genuine brand evangelism rather than simple customer satisfaction.

QUOTES

“One day I was young and I went to bed. I woke up. I was old. That’s how it happens. Suddenly, without warning, you’re there.” (J.J.)

“It was really a search for bold. I didn’t start it even as a book. I certainly didn’t start it with a whole pile of bold ideas. I had absolutely nothing.” (J.J.)

“Everybody’s got a story. Everybody’s got stuff. You can’t base a relationship on sharing your victim story, or at least not very long or successfully.” (J.J.)

“I think a thumbnail definition of bold is facing reality and stepping up and doing what you need to do.” (J.J.)

“Getting older is a very big deal. Anyone who says it happened in a different way or that getting old is no big deal is a liar, liar, pants on fire.” (J.J.)

“Humor is a powerful tool for talking about anything sensitive or difficult.” (J.J.)

“As long as you’re fighting the word old, you’re never going to move forward.” (J.J.)

“Every time someone dies, it’s like a small library burning down.” (J.J.)

“Fear of the future and longing for the past can keep you stuck in place.” (J.J.)

“The good news is your world can get bigger much faster than it took for it to shrink.” (J.J.)

“Nobody was going to rescue me. I had to make this happen.” (J.J.)

“Be careful who you invest time in. How many viable years do I really have left? I don’t have a lot of time to make big mistakes with.” (J.J.)

NOTES

J.J. Hubal is a bestselling author, cartoonist and former special education teacher whose work explores aging through humor, honesty and visual storytelling. Her book Goodbye Old, Hello Bold encourages readers to rethink aging, embrace change and approach later life with more curiosity, courage and self-awareness.

J.J. Hubal is the author of Goodbye Old, Hello Bold, a visually driven book that blends cartoons, essays and reflections on aging. Through humor and deeply personal observations, the book addresses topics like loneliness, grief, reinvention, friendship and resilience while encouraging readers to embrace the realities of growing older.

Hubal spent decades working as a special education teacher before fully embracing writing and cartooning later in life. She has published cartoons and essays for years, with many of her cartoons focused on aging, memory, relationships and the realities of later life. She currently lives in Savannah, Georgia, where she continues writing, drawing and speaking about aging, creativity and personal growth.

J.J. said aging often creates anxiety because people become overwhelmed by loss, change and unrealistic expectations about what later life is supposed to look like.

She described “bold” as facing reality honestly and stepping up to do what needs to be done, even when the actions are small or unnoticed by others.

J.J. explained that humor helps people approach difficult conversations about aging because cartoons and comedy create emotional distance while still communicating truth.

She shared that many of the cultural narratives around aging are shifting, including the growing acceptance of using the word “old” openly and honestly.

J.J. talked about how loneliness became a turning point in her own life and inspired her to actively seek new friendships, experiences and communities.

She discussed the importance of staying open to reinvention later in life and said even small steps, like attending an art class or joining a group, can dramatically expand someone’s world.

J.J. emphasized that many fears around aging stem from clinging too tightly to the past instead of creating space for new experiences, relationships and possibilities.

She encouraged people to think proactively about aging by preparing emotionally, socially and practically for future changes rather than waiting until challenges become crises.

QUOTES

“Our vision was very simple, and that was to help change the way we age. Sounds easy—lot harder, because virtually everything we do impacts the way we age.” (Colin)

“It will take you about 30 years to have an impact… and now, 25 years in, wellness is everywhere. Things take time to change.” (Colin)

“It’s about being engaged in life, in all areas of life… if you’re engaged, the ripple effect begins to happen.” (Colin)

“We are driving change as opposed to responding to it—and we’re speaking with our pocketbook.” (Colin)

“When you see aging as growth, everything changes. The world opens up to you as opposed to closing off.” (Colin)

“No one is guaranteed longevity. We need to earn it by living a better quality of life.” (Colin)

“If we don’t shrink the health span gap, all we’re doing is extending our life—and extending years of ill health.” (Colin)

“Put on your shoes and go for a walk… get out of the house and be curious about life, and a lot of other things begin to fall into place.” (Colin)

“Curiosity is the spice of life… everyone I’ve spoken with, that has been a key element in their success.” (Colin)

“Senior living communities should be centers for discovery.” (Colin)

“Two older adults have 70 to 75% of the disposable income—and yet marketers still overlook them.” (Colin)

“No two people age the same way or at the same rate… personalization enables people to embrace their potential.” (Colin) 

NOTES

Colin Milner is the founder and CEO of the International Council on Active Aging (ICAA) and a leading voice in the global longevity movement. For more than two decades, he has challenged outdated perceptions of aging and advocated for active, engaged lifestyles at every stage of life.

The International Council on Active Aging is a mission-driven organization focused on helping older adults live better, longer lives. Through research, education and tools, ICAA supports senior living communities and organizations worldwide in advancing wellness, engagement and quality of life.

Founded nearly 25 years ago, ICAA operates in more than 50 countries and works with thousands of senior living communities. The organization provides research, benchmarking tools and guidance to help operators improve outcomes, including demonstrating the ROI of wellness programs through increased resident retention and engagement.

Milner emphasized that aging is not defined by decline but by engagement, and that staying active across physical, social and mental dimensions creates a ripple effect that improves overall well-being.

He noted that shifting perceptions around aging takes time, but meaningful progress has been made as wellness has become more widely accepted and integrated into everyday life.

Milner highlighted the critical gap between lifespan and health span, stressing that without improving quality of life, longer lifespans simply extend years of poor health.

He encouraged simple behavior changes like staying active and maintaining curiosity, pointing to curiosity as a key driver of long-term fulfillment and success.

He described baby boomers as a generation driving change, with higher expectations and greater willingness to spend on experiences and products that support quality of life.

Milner pointed out that older adults control a significant share of disposable income, yet are often overlooked by marketers due to persistent ageism and outdated assumptions.

He advocated for rethinking senior living communities as centers for discovery, where residents can continue exploring interests, building connections and redefining their capabilities.

He also stressed the importance of personalization in aging, noting that no two individuals age the same way and that tailored approaches are essential to helping people reach their full potential.

QUOTES

“Theater has the great ability to bring people together in a dark space without anything to distract them. So everyone’s there to hear the same story at the same time. And when they leave the theater, they walk away with that story.” (Jerry)

“Live theater is a very, very special and unique experience that can only happen with that particular group of people you happen to show up with for the same performance.” (Jerry)

“I looked into her eyes and I saw a 19-year-old. She was so eager to be the best that she could be, even at that age. Here’s this young choreographer, and she was willing to listen and take the notes because I was out front watching.” (Jerry)

“Making musicals is like fishing with a net. You throw it into the sea. If it comes back with a lot of fish, you’re going to have success. But if it comes back half empty, you’re not going to run very long.” (Jerry)

“There are more letters in the word business than there are in show. My mom always used to say, it’s our job to get them to come back tomorrow.” (Jerry)

“By giving to my community and creating a safe space and raising money with the help of millions of other dancers and creative artists, that philanthropic event gave me a career.” (Jerry)

“Michael Bennett used to say to me, don’t wait for the muses. Just show up and do the work. And really, that’s what it is. It’s about showing up.” (Jerry)

“The food that you eat, how you fuel your body, is as important as how you use your body to exercise and express itself. The fuel will actually help you in the longevity, without question.” (Jerry)

“When people are in physical spaces together, they are actually doing a dance not to bump into each other. And patterns start to emerge.” (Jerry)

“Finding space for those stories is important, because along with them comes a lot of young, new artists that have new voices. And we need those voices.” (Jerry)

“My relationships with my younger creative artists fuel me as much as I’m giving them advice and fueling them. It’s a give and take, there’s no question.” (Jerry)

“Patience. Patience is the one thing that so many young artists have to learn.” (Jerry)

NOTES

Jerry Mitchell is a two-time Tony Award-winning director and choreographer known for shaping iconic Broadway productions like Hairspray, Kinky Boots, and Legally Blonde. With a career spanning decades, he has built a reputation for blending storytelling, movement and emotion to create memorable theatrical experiences.

Beyond his creative work, Jerry is deeply involved in the Broadway community, contributing as a mentor, collaborator and philanthropist. His leadership and influence extend across generations of performers and creators, helping shape both the art and business of theater.

Jerry is also the creator of Broadway Bares, a long-running fundraising initiative that has generated over $30 million for Broadway Cares/Equity Fights AIDS. His philanthropic impact earned him the Isabelle Stevenson Tony Award, recognizing his commitment to community and giving back.

Live theater creates a shared experience that connects audiences in a way no other medium can.

Great performances evolve over time, with shows becoming stronger and more refined as actors fully inhabit their roles.

Different generations engage with stories in unique ways, often reflecting their own personal experiences and perspectives.

Success in creative work comes from consistently showing up and putting in the effort.

Strong collaboration is essential, requiring alignment, trust and a shared vision to bring ideas to life.

Mentorship is a two-way exchange, where experienced artists and younger talent learn from each other.

Staying relevant requires adapting to changing audiences and understanding what resonates across generations.

Patience is a critical ingredient for long-term growth, especially for those early in their careers.

QUOTES

“I can’t use what you can’t do. What I can do is engage with you and see what you have. That’s where we can come into a relationship and work together.” (Teepa)

“When you’ve lost something, your brain doesn’t give up. Your brain picks something else to use.” (Teepa)

“Dementia robs us of our knowingness. It forces us back into paying attention and being observant because it’s always changing.” (Teepa)

“I need to tune in to the reality of who you are now, not just who you were and what you used to be capable of.” (Teepa)

“People think dementia is all about memory, but memory is this much. There’s all this other stuff going on.” (Teepa)

“The relationship is going to change dramatically. Living with brain change is hard whether you’re on the inside of it or the outside observing it.” (Teepa)

“My job is not to decide that someone is suffering. My job is to figure out how to support you through what you’re going through.” (Teepa)

“I believe there is no care about me without me. It’s their life and their care, and I have to figure out how to partner with them in it.” (Teepa)

“The reality is they’re not less, they’re different. Their brain works differently, but they’re still living life.” (Teepa)

“Eighty percent or more of this work is done by unpaid people like family and friends, and we don’t train them. We just drop them into it and they keep going until they drop.” (Teepa)

“We need at least three people, maybe five or more. We need to build community around this condition.” (Teepa)

NOTES

Teepa Snow is an occupational therapist, educator and one of the most recognized voices in dementia care. She is known for helping families, care partners and senior living professionals better understand brain change and build more meaningful connections with people living with dementia.

Snow is the founder of Positive Approach to Care, an organization focused on improving dementia care through training, education and practical support strategies. The organization works with families, senior living providers and healthcare professionals around the world to build skills and confidence in supporting people experiencing brain change.

Through Positive Approach to Care and the Snow Approach Foundation, Teepa and her team provide training programs, professional education and community-based demonstrations designed to improve dementia care practices. Her work emphasizes practical communication techniques, recognizing remaining abilities and building supportive communities around people living with dementia. Her programs now reach professionals and families across the United States, Canada and more than two dozen countries.

A positive approach to dementia care focuses on what abilities remain rather than what has been lost, meeting people where they are and building connection through observation, tone, body language and supportive communication.

Fear often dominates public perceptions of dementia because the condition disrupts routines and predictability, forcing family members and care partners to stay attentive and adapt constantly as abilities change.

Dementia is often misunderstood as primarily a memory problem affecting older adults, but brain change can involve many other cognitive functions and can also appear earlier in life depending on the type of dementia.

Communication challenges arise because people living with dementia may struggle to retain new information, making it important for care partners to simplify questions, provide visual cues and offer structured choices rather than open-ended requests.

Care partners often experience burnout because most dementia support is provided by unpaid family members who receive little training or preparation for the emotional and practical demands of caregiving.

Snow encourages replacing the term “caregiver” with “care partner,” emphasizing that the person living with dementia remains the central decision-maker in their own life and that support should be collaborative rather than controlling.

Effective dementia care requires broader community support systems, with multiple people sharing responsibility rather than placing the entire burden on a single family member.

Senior living organizations can improve dementia support by training staff to recognize individual histories, preferences and abilities, allowing residents to continue experiencing purpose, independence and meaningful engagement even as cognitive abilities change.

QUOTES

“Man, it is never about the stuff. It’s always about the people and the memories attached to the stuff.” (Matt)

“It’s not about the dining room table. It’s about the people that sat at the dining room table. Or more importantly, the people that don’t sit at the table anymore.” (Matt)

“It’s proof that we existed. It’s proof that we mattered. It’s proof that they mattered.” (Matt)

“My advice is always don’t talk about the mess if you can see the mess.” (Matt)

“You first start off with, hey, we love you. You have to really, really stress the love.” (Matt)

“It’s all caused by trauma and loss of people that matter. And we’re trying to fill that hole with stuff.” (Matt)

“Dude, it’s an archeological deal. That’s why I love my job every day. It is an archaeological dig. I get to find out when grandma was the coolest person in the world.” (Matt)

“This is the most fascinating week of your life. It could be the most interesting week, and the most productive, and generationally changing week of your life.” (Matt)

“I can’t tell you how many families I’ve seen just breaking up, totally break up over stuff. Because of a sofa? Really? Because of a guitar?” (Matt)

“Let me summarize 300,000 hours for you. It’s never about the stuff and you can’t take it with you. And it’s all about time.” (Matt)

“You’re 80, dude. You’re borrowed time. Do we really want to spend the next three years going through pictures of you going to Acapulco in 1980 with your wife? Or do we just want to go to Acapulco one more time with your wife? Let’s go make some new memories.” (Matt)

“Just have the oldest person in the room point out one item and say, tell me a story about that item. One item, one story, it’ll change your life forever.” (Matt)

NOTES

Matt Paxton is a nationally recognized expert on downsizing, decluttering and guiding families through major life transitions. Known for his 15 years on A&E’s Hoarders and appearances on Filthy Fortunes and Legacy List, he blends compassion, storytelling and practical strategy to help families navigate change.

Paxton is founder of Clutter Cleaner, a national company specializing in estate cleanouts, downsizing and hoarding situations. The organization supports families through emotional and logistical challenges, with a growing franchise model designed to serve communities across the country.

Originally trained as an economist for the Federal Reserve, Paxton built his career after personally cleaning out family homes following multiple losses in his twenties. He has spent more than 300,000 hours in hoarded houses and plans to retire after helping one million families. His work emphasizes donation, reuse and reducing family conflict over possessions.

Clutter is never about the stuff; it represents people, memories and unresolved grief.

Letting go becomes harder with age because possessions feel like proof that we existed and proof that the people we loved mattered.

Families should approach difficult conversations with compassion, leading with love rather than criticism and aligning around a clear “finish line” such as a move to senior living.

Cleaning out a home should be treated like an archaeological dig, uncovering stories that can reshape how younger generations see their parents and grandparents.

Too many families fracture over possessions, even though “you can’t take it with you” and time is the true currency.

Instead of spending years sorting old memories, Paxton urges older adults to create new ones while they still can.

Younger generations are shifting toward experiences, reuse and secondhand goods, signaling long-term cultural change around consumption.

Senior living communities should position themselves as true hubs for storytelling and intergenerational connection, inviting younger generations in to experience the community long before a move is necessary.

QUOTES

“We take seriously our role of keeping providers informed and helping them make a difference in their work.” (Kimberly)

“The industry needs to find a way to address the discrepancy between supply and demand. There’s just not enough supply right now.” (Kimberly)

“Providers need to be careful that the tech they adopt will solve the issues they’re facing. Don’t be tempted by the latest shiny object and be sure to do due diligence.” (Kimberly)

“What I find surprising is how quickly people will believe whatever they read online if it fits into their belief system.” (Kimberly)

“A healthy dose of skepticism is critical these days.” (Kimberly)

“Our writers have to write three stories a day, five days a week. I don’t have time to read a long, drawn-out pitch before I get to what you’re actually pitching. Get to the point right away.” (Kimberly)

“If you’re going to send me something under embargo, have someone available to talk about it immediately. If you’re not ready, don’t send it.” (Kimberly)

“It’s okay to say that you can’t comment, especially on pending litigation. Even better, you can talk about initiating an internal investigation regarding an event.” (Kimberly)

“Assisted living is moving to more of a healthcare model, whether the sector wants to admit it or not.” (Kimberly)

“I told my husband I was going to quit my job of 20 years and go to work for this publication. He just about lost his mind. I knew this is what I wanted to do, and I went for it. It’s worked out great.” (Kimberly)

NOTES

Kimberly is a content editor at McKnight’s Senior Living, where she covers the business, workforce, policy and innovation shaping senior housing. With a background in journalism and public relations, she brings deep industry context and a sharp editorial lens to aging services.

McKnight’s Senior Living is one of the industry’s most trusted B2B publications, delivering news, insight and analysis for senior housing leaders nationwide. The publication recently earned a Neal Award, considered the Pulitzer Prize of business-to-business journalism.

Kimberly previously spent more than 20 years in public relations and daily journalism before joining McKnight’s in 2019, just as the pandemic reshaped senior living. Her experience on both sides of the media relationship informs her practical guidance for providers and PR teams.

The “silver wave” has arrived, with demand for senior living far outpacing new development and supply.

Assisted living is steadily shifting toward a healthcare model, including value-based care and deeper clinical integration.

Staffing challenges are evolving from pay and bonuses to culture, recognition and meaningful engagement.

AI and technology can help, but providers must avoid chasing shiny tools that don’t solve real problems.

Solo agers and the middle market represent growing populations the industry still underestimates.

Trust in media is declining, making skepticism, accuracy and transparency more critical than ever.

Successful media pitches are concise, timely and supported by immediate access to knowledgeable sources.

High-performing operators rely on data, active industry engagement and leadership that listens and communicates openly.