Thank you for your replies, thoughts, and comments. 

As we know, in Nepal the elderly are cared by their siblings, and it has been so as a part of Nepali traditional value. Many cultures have embedded within them norms about respect for older adults and the responsibility of the young to care for the old when the need arises. Some countries, such as China, have even written such norms into their laws and constitution. However, in many cases even though the children may want to take care of the elderly, it might not be possible. We might all be aware of such issues in our own families.

As the economy grew and literacy levels rose in Nepal in the past few decades, women bear fewer children, and families have become smaller. This presents a problem as the younger generation are staying abroad for study and work, and aging parents are left behind with no one to take care of them. 

Old age also brings fraility and special needs in doing activities of daily living. That's why an old age home with accessible living arrangements with care and support is required. 

My plan is to design an old age home in the foothills of Gokarna for the elderly people in middle-class families of Kathmandu. The design goal is to minimize the costs, but still make it comparable with the assisted living facilities in developed countries in terms of accessibility and care. The developed countries have created social security, pension, and public health systems to support older adults and supplement their personal and family resources. In contrast, in many of the developing countries like Nepal, little or no such government-funded support is available. Thus, the old age home will be targeted for the elderly who want to live in Nepal, but who have no one to take care of them. Their families will have to fund their stay. 

If you live abroad and worry about who will take care of your parents in Nepal, Would you send them to my old age home? If yes, what are your suggestions and requirements for such an old age home. If no, why not?