Parkinson’s Day Q&A with Dr Reema Nadig: Designing Senior Living Spaces for Better Care

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1.How can living environments and housing design better support seniors living with Parkinson’s?

For seniors living with Parkinson’s, the environment needs to be simple, safe, and easy to navigate, but the space alone is only one part of effective support. At KITES, we believe the presence of trained caregivers and support staff nearby is just as important as the physical design. As mobility and balance get affected, features like anti-skid flooring, good lighting, and avoiding steps or level differences make movement safer. A clear and uncluttered layout reduces stress and helps seniors move with more confidence, while additions such as grab rails and wheelchair-accessible bathrooms support independence.

What truly strengthens this environment is having well trained caregiver teams consistently around the senior helping with movement, guiding safe transfers, supporting routines, and stepping in early when balance or mobility issues arise. This combination of thoughtful infrastructure and people-led care creates a space where seniors feel secure, supported, and confident in their everyday lives.

2.Could you walk us through how KITES combines physiotherapy, mobility support, medication supervision, and daily care routines to improve outcomes for seniors living with Parkinson’s?

At KITES, we take an integrated approach to Parkinson’s care, where clinical expertise, structured routines, and continuous support work together. Physiotherapy helps improve mobility, balance, and movement, while caregivers stay closely involved to support walking, transfers, exercises, and daily activities, helping prevent falls and build confidence.

Medication is supervised carefully to ensure it is taken on time and correctly, alongside structured routines for nutrition, sleep, therapy, and engagement. What truly makes the difference is the constant presence of trained KITES professionals nearby, offering support, encouragement, and timely assistance whenever needed. This combination of clinical care and compassionate support helps improve outcomes while preserving dignity, comfort, and quality of life.

3.What are the most critical design elements a home or senior living community should include to make daily life safer and easier for seniors living with Parkinson’s?

As mentioned before, the design should be safe, simple, and easy to move around. Anti-skid flooring, good lighting, and avoiding steps help reduce the risk of falls. A clear, clutter-free layout makes movement easier and less stressful, and furniture should ideally be stable and sturdy so it does not shift easily and can provide better support. Features like grab rails and wheelchair-friendly bathrooms also support independence. Overall, the space should help seniors feel confident, safe, and comfortable in their daily routine.

4.How do assisted living communities offer an advantage for seniors with Parkinson’s compared to conventional home setups, especially as the condition progresses?

For seniors living with Parkinson’s, the need often goes beyond assisted living to constant care, supervision, and attention, especially as the condition progresses. With 24/7 access to trained caregivers and medical support, along with a safe, senior-friendly environment, their day-to-day needs can be managed much more effectively. Residents also benefit from structured routines, therapy access, and social interaction. For families, it provides peace of mind, and for seniors, it ensures better care, safety, dignity, and overall quality of life.

5.Do you see Indian families becoming more open to assisted living and senior care communities for neurodegenerative conditions like Parkinson’s? What is driving this shift?

Yes, we are clearly seeing a shift. As India becomes more mobile and families are increasingly exposed to global cultures where senior living is a well-accepted norm, there is a growing understanding that this can often be the best way to provide care for loved ones with Parkinson’s, a condition that requires specialised care and support. Thus, families are more aware now that such conditions require structured environment and consistent routines. As a result, assisted living is increasingly being seen not as a compromise, but as a more practical and better care option for seniors.

6.For families choosing to age at home, what are the most important modifications and care interventions needed to make residences Parkinson’s-friendly and future-ready?

If seniors are ageing at home, the focus should remain on safety and support. The home may need simple modifications such as anti-skid flooring, grab rails, improved lighting, and the removal of clutter. Bathrooms should be made safer with walk-in access and seating. At the same time, it is important to maintain structured routines for medication, physiotherapy, and daily care. Having a trained caregiver along with periodic medical supervision can make a significant difference.

7.Beyond infrastructure, what should families consider when choosing between home care, assisted living, and specialised senior care communities for a loved one with Parkinson’s?

Beyond the physical setup, families should look at the quality of care available. This includes trained caregivers, access to doctors, and the ability to manage condition-specific needs like Parkinson’s. Consistency in care, emergency support, and structured routines are important. At the same time, the emotional well-being of the senior matters, whether they feel comfortable, engaged, and respected. The decision should balance care needs, safety, and overall well-being.

8.Looking ahead, how do you see India’s senior living and real estate sectors evolving to better support seniors with chronic neurological conditions like Parkinson’s?

India is at a stage where the need for structured senior care is becoming increasingly evident. Going forward, we are likely to see more integrated models where housing, healthcare, and technology come together seamlessly. Communities will be designed with specific conditions in mind, and services such as therapy and monitoring will become a natural part of daily living. Most importantly, senior care is steadily becoming normalised and is increasingly being recognised as one of the best ways to ensure comfort, safety, and the right support for our loved ones.

About the Author

Dr. Reema Nadig
Co-Founder & Chief Operating Officer, Lifebridge Group

Dr. Reema Nadig is the Co-Founder and Group Chief Operating Officer at Lifebridge Group, where she leads the organisation’s senior care and senior living businesses, including KITES Senior Care, Serene Communities, and seniorshield. With over 25 years of multidisciplinary healthcare experience, she brings together strong clinical expertise, strategic leadership, and operational excellence to build compassionate, future-ready solutions for India’s ageing population.

Her career spans clinical medicine, hospital operations, health insurance, medical devices, and healthcare management, giving her a well-rounded perspective on care delivery systems. A qualified physician with an MBBS and an MBA in Hospital Management, she has also completed the Advanced Management Program in Healthcare from the Indian School of Business (ISB).

Dr. Nadig is widely regarded as a thought leader in the senior care sector and is playing a key role in redefining ageing in India through integrated models that prioritise wellbeing, dignity, independence, and community living.

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