Culture is a complex whole that includes knowledge, belief, art, law, morals, customs and any other capabilities and habits acquired by a human being as a member of society (Carter, 2011). When considering culture we must take into consideration how culture affects the elderly’s survival. Social relationships, caring, territoriality and family all influence how the elderly live and survive. These dimensions affect the needs of elderly residing in Appalachia. Elderly adults residing in Appalachia face multiple barriers such as, living in isolation and poverty. The elderly lack transportation, have limited access to family, social supports and have limited income which contribute to the elderly living in poverty and isolation. Elderly adults
