When a family with an elder(s) or an elder him or her self begins to think about and have conversations with their family about moving to a retirement or independent living community with life long services, these conversations may become uncomfortable and anxiety provoking because they consist of making major changes in home, relationships, and even in family dynamics. We already know that everyone seems to have a slightly different opinion, for those involved directly the stakes are very high, and previous attempts to have such conversations may have not turned out very well. People can feel unsure of themselves and elders may experience that their own wishes may appear disregarded by their children who push for changes to insure a more safe and healthy environment.