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How To Care For Elderly Parents In Their Home

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Caring for elderly parents and loved ones can be an extremely difficult task but here are some bits of advice that may help you through the process. You may also want to take a look at our Checklist for Aging Parents for even more information.

1. Consider How Much Time You’ll Take off Work

When our parents need us, our first inclination will, of course, be to rush to their side. If their need is great, you may contemplate quitting your job to assist your parent with around-the-clock care.

Your thought may be that you’ll save money by doing this (since you won’t have to hire a nurse), but you also will probably rationalize that you’ll be there to offer your parent the care you know they need.

It’s not always financially feasible to quit your job and care for your parent full-time.

Keep in mind that you won’t (likely) be getting paid to do this work.

Leaving your job and letting your partner shoulder the burden of paying the bills on a single income is a huge responsibility – and not a very fair one to place on someone.

That said, if you dip into your savings or take retirement money early (such as from a 401k), you may be resentful years later if you have to work longer than you had originally planned to because you don’t have enough money saved up.

This is one reason why the FMLA (Family and Medical Leave Act) exists.

Before you quit, talk to your employer or Human Resources department to get their recommendations.

For instance, perhaps you don’t need take all twelve weeks off at one time, but could just take one or two weeks per month to step in and help with your parent.

You would still be losing money since you won’t get paid while off work under the FMLA, but it’s not as big of a financial loss as it would be if you just quit your job outright.

2. Keep the Medical Professionals Involved

I know that you know that your parent and you may think you know best, but remember that you’re not a doctor.

Don’t refuse certain medical help for your parent, especially if they have an illness, injury, or condition. Instead, accompany them to all their appointments. Talk to their doctor about things you’ve noticed, such as certain symptoms.

You don’t necessarily need (or maybe can’t afford) a live-in nurse for your parents, and that’s okay. Just don’t avoid all medical assistance.

3. Accept Help From Others

If you have siblings, they may suggest they look after your parents for a few hours, days, or even weeks so you’re not doing everything yourself. Your neighbors, friends, and other family members could offer to step in as well.

It can feel embarrassing to admit you need help, especially with an elderly parent. However, I know from personal experience that it’s very easy to get overwhelmed with such a big role.

There’s no one roadmap to success, as every situation is different. Even if someone just does something simple like taking your dog out for a walk or driving the kids to the park, it can help a lot. Let the people who are kind enough to volunteer their time step in.

If you will be (or are considering) privately hiring a live in caregiver – please consider purchasing (for a low cost) the Live-In Caregiver Contract (Elderly) provided by FindLegalForms, Inc.

Also, don’t forget that you can take advantage of for pay services such as…

  • Online grocery delivery services such as Instacart
  • Meal preparation delivery services such as Purple Carrot and Freshley.
  • Maid services for house cleaning
  • Transportation services by Uber and Lyft

4. Think of Your Long Term Future, Too

If you have an elderly parent who is your primary responsibility, it’s easy to focus on nothing but the here and now. People don’t want to think too far ahead because it stresses them out.

That’s a mistake, though.

You won’t always be taking care of your senior parent.

Perhaps it becomes time to put them in a nursing home or maybe another sibling takes on your care role. Sadly, elderly parents also pass away. What will happen when you stop sinking time and money into their care? Will there be anything left?

As we mentioned earlier in this article, by going through all your money too soon because you quit work and spent your savings, your future may be bleak. You might not be able to retire for many years because you can’t afford to stop working.

Not only do you need savings for your retirement, but you’ll need it for other long-term ventures as well.

  • What if you want to get a different house?
  • How will you pay for your children to go to college?
  • When your elderly parent does pass away, will you be able to shoulder the funeral costs?

These are just a few of the reasons why you must have a nest egg that you don’t touch, as hard as it may be to resist dipping into it.

Since we’re talking about finances here – let me also mention the importance of speaking to your parents about their finances.

A wonderful book that I can recommend is Mom and Dad, We Need to Talk: How to Have Essential Conversations with Your Parents About Their Finances. It’s filled with great information on not only how to talk to your parents about this topic but also gives you a guide through the process.

5. Do Not Neglect Your Own Mental and Physical Health

Too often, caregivers put all their energy and labor into caring for an elderly parent. This of course, never ends well.

By neglecting their own health (mental and physical) they end up not only resenting their role as a caregiver and possibly resenting their parent(s) but they end up suffering from emotional and physical ailments.

This situation of inevitable caregiver burnout does no one any good – especially the person they are caring for.

To avoid caregiver burnout, try the following tips:

  • Let others step in: Whether it’s a trusted neighbor, a sibling, or even your spouse, when someone who’s equipped for the job asks to take over, step back and let them. You need this time to recoup.
  • Take breaks: If you were at work, you wouldn’t be at it all day with no breaks in between. That’s just not healthy. Make sure you take breaks when caring for your senior parent as well.
  • Carve out time for yourself: Whether you wake up a half-hour earlier or stay up a little later, make some time that’s just for you each day.
  • Take advantage of care services: Respite care isn’t only for seniors. We have a great post on respite care for caregivers, which is exactly what it sounds like. A professional will step in and take care of living activities, meal prep, housekeeping, and the senior’s hygiene so you don’t have to for a little while.

Where To Get Help For My Elderly Parents?

Besides getting the time off work so you can take care of your elderly parents, what kind of other help exists to help you with their needs? Here are some options you can explore:

  • Meal services to ensure your parents get fed. Most states have some type of Division of Aging Services (Department of Human Services) that may provide meals at a senior center (which will also help keep an elderly person socially active).
  • Home monitoring systems so you can keep an eye on your parents even when you can’t physically be there.
  • Financial aid to make paying for their care more manageable.
  • Caregiving services like assisted living, live-in nurses, visiting nurse, or nursing homes if you so choose.
  • Medicaid and other government programs, which can also lessen your financial strain (more on these shortly).
  • Support groups to talk to others who understand what you’re going through.

How Can I Help My Elderly Parents from Afar?

What if you can’t take care of your parents because of proximity or another reason?

We still recommend you visit them as often as you can. This might not be weekly, but try to do biweekly or at least monthly trips. But we also acknowledge that this is not always possible.

After all – if you live 3000 miles away – making monthly trips to visit your elderly parent can be cost prohibitive.

But, you can certainly stay in touch with their doctors and other medical professionals so you’re abreast of any health changes your parents may experience.

Also, keep in close contact with whomever is acting as their nearby caretaker to get updates on your parent’s condition.

The technology available today for home monitoring systems can greatly reduce a caregiver’s concerns and anxiety concerning their aging parents.

New research published today (September 10, 2019) by CPR Global Technology reveals as many as three in five (57%) over 40s pick up the phone at least once a day just to check that their parents are okay. But almost a fifth feel intrusive for doing so, with one in six (16%) saying that their parents’ independence is the thing they most worry about.

Gateway978.com

There are a few products we can recommend to help you monitor your elderly loved ones.

Amazon’s Echo Show

Amazon’s Echo Show is an Alexa device with a screen. It does everything that Alexa does and more.

How To Use Echo Show To Make Phone Calls

  • To make a call you simply say “Alexa, call “name of the person you want to call”
  • As long as their name is in your list of contacts – Alexa will make the call

How To Set Up Phone Calls For Echo Show

  • First, make sure your Echo Show is a minimum of 8 inches away from any wall or window
  • You can only make calls to people who are listed in your contact list on your phone so make sure you have everyone in your phone
  • This feature is automatically available on all Alexa / Amazon Echo devices

Video Monitoring

When caring for an elderly loved one who lives a good distance away – the use of a video camera or

I like the COOAU Pet Camera because it has night vision capabilities and it is both a camera and a motion sensor which gives it an extra layer of monitoring that may hopefully detect and alert you if your parent were to suffer a fall.

NOTE: But if your parent does have a history of falling or a very strong potential of falling then I would recommend to add a fall detection device like the Walabot Fall Alert System.

The Blurams Home Pro is also a great option, it has many of the same features that the COOAU Pet Camera has so choosing either one of these would be able to help you to monitor your elderly parent.

Like most all the wireless cameras you can monitor the video from these cameras from your phone, receive alerts and both can be used with your Alexa device.

What to Do When Elderly Parents Refuse Help

There may be times when, whether you want to stay home and look after them or have a professional do it, your elderly parent wants no part of this care.

They are adamant that they can still live independently and any time you mention any type of caregiving arrangement, they refuse to listen to you.

So what can you do when they refuse help? There are a few approaches to try:

  • Understanding: Try seeing things from the perspective of your parents. Why would they turn down perfectly good help? Well, for example, maybe they are worried about a lack of privacy or concerned that a professional caregiver might steal from them. If you can envision things in their shoes, then you can ease the very real fears or doubts they may have. That could make them more willing to accept your help or someone else’s.
  • Taking a step back: Constantly nagging and pestering won’t get the job done, so it might be best to back off a bit. While it’s okay to do for the short term, don’t fail to bring up the subject again out of fear of irritating your parents. It’s important, and thus has to be addressed and discussed in the future.
  • Steamrolling: Some adult children may decide to proceed with their caretaking plan regardless of what their parents think or want. This gets things done, yes, but sometimes at the cost of the parental relationship. It is always best if you can get your parents to cooperate, so this really should be a last ditch tactic that you only use when you have no other choice.

Read more about how to deal with senior parents who refuse help from you or others.

Government Assistance for Caregivers of Elderly Parents

As we mentioned earlier in this guide, you can always look into getting government assistance to make paying for your elderly parent’s care less of a monetary burden. We’ll provide a basic list here:

  • Tax credits or tax deductions may be available for ongoing care
  • Paid Family Leave (or PFL); unlike FMLA, you do still get paid to care for your parent over four to 12 weeks with PFL, but as of this writing, the PFL benefit is only available in Rhode Island, New York, New Jersey, and California. However, a universal Paid Family Leave is also set to begin in the District of Columbia on July 1, 2020, and the state of Washington passed a leave bill that will start in 202o, as well.
  • Long-term care insurance, which could offer benefits to adult children caretakers such as yourself
  • A whole life insurance policy could be cashed in, especially if there is a policy in place that is valued at $50,000 or over
  • Non-Medicaid programs, which have provisions that vary from state to state. Look for your state’s Division of Aging Services (Department of Human Services) to see what they offer in terms of respite care, telephone checks, physical fitness classes, adult day services, or support groups.
  • The Aid and Attendance (A & A) and Housebound benefit may be available for those who were veterans or spouses of veterans. The veteran must qualify for a Veteran’s Administration (VA) pension as these benefits are added to their monthly pensions.
  • Veterans may also be eligible for Adult Day Health Care if they need help with activities of daily living, such as help getting dressed or taking medications. This program provides respite for a family caregiver and may also include services from from nurses, therapists, social workers, and others.
  • Veterans who need skilled home care may qualify for a home health aide, possibly allowing a family caregiver the chance to work part time. This is part of the VA-directed Home and Community Based Services, which offers additional aid services for older veterans.
  • Adult foster care for seniors, which is sometimes offered through Medicaid. Keep in mind, however, that Medicaid does not pay for room and board under their senior foster care program, although SSI/OSS benefits may be available for elderly people who reside in adult foster care.
  • The Child Caregiver Exemption, yet another Medicaid option. This is also called the Caretaker Child Exception and the Adult Child Caregiving Exemption and it lets a senior transfer ownership of their home “to their adult child without violating Medicaid’s Look Back Period on asset transfers”, according to PayingForSeniorCare.com.
  • Medicaid Personal Care Services, a type of personal care for those with Medicaid. The senior must qualify for the Medicaid program’s Home and Community Based Services by needing help with Activities of Daily Living (for instance, with dressing or feeding) or requiring assistance with Instrumental Activities of Daily Living (IADL) like money management or grocery shopping.
  • Medicaid eligible seniors who need long term services may be able to get some of them covered through Medicaid waivers. Medicaid’s 1915(j) Self-Directed Personal Assistance Services may let a beneficiary “choose who will be involved in providing their care.”

Conclusion

Having an elderly parent is something most of us will face at some point. You may choose to care for them yourself or let the professionals step in. Either way, we hope we’ve given you several options for alleviating stress, funding care, and maintaining your own life, finances, and sanity while you do it.

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