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What To Do When Elderly Parent Refuses Help

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What To Do When Elderly Parent Refuses Help

Caring for an elderly parent can be difficult but even more so when they are resistive and refuse help.

When an elderly parent refuses help, it’s crucial to communicate openly, respectfully, and empathetically. Understand their fears and concerns, and involve them in decision-making. Seek professional advice from geriatric care managers or social workers. If safety is a concern, consider involving authorities or legal measures. Remember, preserving their dignity is paramount.

My mother accomplished amazing things during her life.

She survived the bombings in Sicily during WWII, she moved to Venezuela and then America and learned to speak both Spanish and English fluently.

She survived an abusive marriage and raised 4 children through poverty and at times, homelessness. She worked 2 jobs for 30+ years, day in and day out.

But that resilience and headstrong personality worked against her when she grew older. She would refuse help from everyone – even if it was in her best interests.

That made it extremely difficult for us (her children) and medical personnel to provide the best care for her.

In this article you’ll learn how we dealt with our aging mother’s refusal to accept help.

How Do You Deal With Stubborn Aging Parents?

Many family caregivers know that they can talk reason with older adults until they are blue in the face but it doesn’t always work.

When you begin any conversation thinking that YOUR point of view is correct and the other person is WRONG – well, the likelihood of having a productive conversation is very minimal.

I guess what I’m trying to say here is that there are some common reasons why your aging parents or senior loved one may appear “stubborn”.

  • they’ve always been that way – it’s one of their personality traits
  • they are angry, resentful and lonely (very common among older people)
  • they are scared of losing more independence, more control over their lives and fearful of facing their own mortality
  • if they are losing their hearing they can feel removed from the family and social groups
  • cognitive impairment issues such as dementia and Alzheimer’s disease

So, when dealing with stubborn aging parents or other senior loved ones who refuse help it’s important to know WHY they are being stubborn and to work from there.

1) If they’ve always been that way – well – there’s no changing your parent’s behavior.

Accept that they are making their own decisions and they will end up facing the consequences of those decisions.

2) If they are angry, resentful and lonely – listen to your aging parents, try to get them to express what they are feeling and why. Don’t judge their negative emotions.

Instead, accept what they are feeling and just keep asking questions. Help them to work through their feelings and to essentially answer their own questions and solve their own issues.

3) If they are scared – again, listen to their fears, help them to express what they are feeling and thinking. If you can get them to accept some counseling from a therapist or their clergy – that might help.

4) If they are losing their hearing – if hearing aids don’t work then set up situations where they are not in a loud restaurant or crowded room.

Make sure that you and others speak to them directly in a quiet environment so they can hear.

Work to include your aging parents in every conversation – don’t assume they heard you.

5) If they are suffering from cognitive decline, dementia or Alzheimer’s – again – there is not much that you can do except to redirect them to other topics and do your best to do what needs to get done.

If your loved one refuses their medication – talk to a medical professional such as your doctor or nurse about ways to hide that medicine in food or drinks, etc.

If they refuse to shower (very common), here are some tips that may help you.

How To Get Elderly Parents To Accept Help

These following strategies are from my (and my sibling’s) own experience with my mother who was a very strong willed (yes, stubborn) and argumentative person.

That was her personality always, so as she grew older it only became “more so”.

Until the very end, my mother would initially refuse help, but we did win many battles with her through patience and reasoning. We knew she was a very pragmatic person and we used that to help us to help her.

Here are 7 expert tips that we used that may help you see some positive results from your senior parent.

1. Lay the Groundwork Early

One of the first things we did that helped us with our mother was to begin the discussion of what options could be available for her care years before it was needed.

I’m talking something like 10 years beforehand.

When she turned 75 and was still very healthy (and working still) we started planting the seeds of the types of future care options that could be utilized.

We also started asking as many questions as we could. Oftentimes she would answer one and then dismiss us, not wanting to talk about it any more.

But, we kept it up and slowly, over the years we were able to get her to start thinking about her housing options.

Don’t get me wrong, it still didn’t make it easy when the actual time came. But we like to think that she wasn’t as resistant as she would have been if we had not been talking to her about this topic.

In fact, in her early 80’s she fell and injured her shoulder. The doctor recommended home care physical therapy (PT) – but when the PT arrived my mother refused to open the door. She pretended to not be home and it took a few weeks before we could get her to let the PT in and begin therapy.

But, knowing my mother, we are sure that if we had not been having these difficult conversations with her for years, she probably would have never opened the door for that PT.

2. Focus on YOU instead of THEM

When presented with doing something for themselves vs. their kids, most parents will make decisions to benefit their children. Most older parents want to avoid being a burden to their family.

Many adult children of aging parents become overwhelmed with constant concerns about their parent’s health and future. Stressing this to your parents can help them to begin accepting help from other family members and resources.

3. Partner With and Include Your Aging Parents in the Decision Making Process

If your aging parents are difficult – you may find yourself wanting to do things for them “behind their back.”

Things like decluttering small spaces thinking they will never notice, taking the car in for maintenance (while they’re taking a nap), sneaking decaf coffee into the coffee can, etc.

Honestly, you might get away with some of these things but eventually, it may just catch up with you and then you’ll be dealing with distrust issues.

The best way here is to take a deep breath and include your parent(s) in the decision making process of everything that affects them. Of course, if your aging parent or senior loved one is suffering from a medical condition like Alzheimer’s or dementia, then this strategy does not apply.

But if they are of sound mind, the important thing is to include them. They need to feel like they have some sense of control of their own life, so listen to them. If they don’t agree with you right away – at least you’ve introduced the concept(s) and now you can give them time to think it over.

Another angle to consider is asking your parent’s doctor, a social worker, close friends, or other relatives they are close to for help in pleading your case.

Sometimes aging parents won’t listen to an adult child because they see the person as the actual child they once were, so hearing another trusted individual say the same thing the child is saying may help.

Sometimes hearing the need for additional help from an outside source can help your parents really hear what is being said and therefore may also make them more open to your help,” says Christina Steinorth, MFT, a psychotherapist and author of Cue Cards for Life: Thoughtful Tips for Better Relationships.

One last thing: remember that decisions like decluttering their environment, downsizing to a new home or assisted living facility or maybe even moving in with you, making modifications to the home for your parents’ safety, etc are all very big (and emotional) decisions for most seniors.

So, give them time to consider them, adjust to them and finally to accept them.

4. Take a Closer Look at Your Parent’s Life

You need to really examine your parent’s living environment, daily activities, and, importantly, their mental health.

Ask yourself, what tasks can your parent still handle on their own?

  • Where is it absolutely necessary for you to step in and lend a hand?
  • How do they view their own mental health and overall well-being?
  • What is their current physical condition?
  • Can they manage their own personal hygiene, home maintenance, etc?
  • How much weight do they put on maintaining their independence and sense of purpose?

Now, doing a thorough evaluation of your aging parent’s circumstances is so important. It helps you to zero in and prioritize your worries when you’re ready to have that heart-to-heart talk.

Plus, it allows you to tailor your words to match their values and what gets them up in the morning.

5. Reduce Their Fear by Being With Them

I tend to think that most people who are angry, argumentative and generally “nasty” are that way because they are living with some kind of fear or pain.

And most seniors (in my opinion) who refuse help are fearful or in some physical and/or emotional pain. I know my mother certainly was.

Common fears include being worried about what the future holds, fearful of their dwindling capabilities and loss of independence, fearful of new technologies, and worries about medical care, just to name a few.

Your aging parents may be dealing with chronic physical pain (i.e. arthritis, etc.) or even emotional pain.

What helps to ease fears is if you can participate in the activity with your aging parents.

The kinds of things I’m talking about are…

  • Using a ride share program like Uber or Lyft.
  • Going to a Rehabilitation clinic for the first time.
  • Going to the hospital / clinic for any kind of testing (cognitive, physical, etc.)
  • Being at home with them when the maid or home aide comes for the first time (or second or third).

These types of activities can all be very scary for someone who feels that they are slowly losing control of their body, mind and life. So, having someone there with them can help to relieve that fear and there is a better chance they will accept the assistance.

If your senior parent(s) are dealing with pain of some kind, we would strongly recommend to seek medical / psychological help and of course to be patient with them.

6. Accept That it’s Their Decision – Their Life

My siblings and I would grow extremely frustrated with our mother. There were some situations where we could not get her to budge, no matter what.

Three-quarters of adult children and two-thirds of older parents reported that the parents acted stubbornly sometimes, while two out of five children and one in five parents said the stubborn behavior occurred often,according to one study.

For at least the last 10 years of her life my mother suffered from anxiety which manifested in intestinal problems and heart palpitations. She refused to believe she had anxiety and instead would run to the hospital’s ER believing she had a blocked bowel or was in the midst of a heart attack.

Each visit resulted in no physical problems and although many physicians recommended anti-anxiety medication – my mother would refuse it.

And this cycle just kept repeating and went on for many years.

We could not convince her to take that anti-anxiety medication and we had to just come to the conclusion that this was her decision, her life. We could not control it or control her.

Note: You may also be interested in our article on What To Do When An Elderly Parent Refuses Medical Treatment

Of course, this meant that we had to live with that as well but we all worked on distancing ourselves emotionally from her “tantrums” so that we would not become enveloped in them.

It worked quite well and we were all able to eventually see her episodic dramatic situations for what they were – anxiety attacks that we knew would resolve in a few hours.

7. Manage Your Own Stress

The following steps can help you maintain your own quality of life and manage your stress when you are caring for an aging parent who refuses your help.

  • When you are helping to care for a stubborn elderly parent, the first thing to do in order to help reduce your own stress is to divide the daily tasks and responsibilities between you and your siblings (if any). If you find that it is difficult to start the conversation, we have some tips in our article, How To Talk To Siblings About Aging Parents – A Step By Step Guide.
  • Of course, if you don’t have siblings – the next step then is extended family, friends, your church, etc. My point is that you MUST reach out for help. This is the time to do it.
  • You can always reach out to a geriatric care manager or a social worker to help you and your elderly parent.
  • I have a little secret for you – when my husband passed away many people would say something like “call me if you need help“. But one friend told me, “Most people want to help, they just don’t know how. So give them an assignment, some way, anyway small or big to help.” I can’t tell you how helpful that little tip was. Asking friends to do things like go grocery shopping, taking my pet to the vet, etc. was so helpful for me and for my friends who did want to help – but as she said – didn’t know how.
  • Next, get your head out of the stress by taking time for yourself. Even if your stubborn parent lives with you, there are ways to “get away” for a little while.
    • set up a corner of your bedroom as a reading nook or place to watch a movie
    • schedule lunch with friends
    • join an exercise class or a walking group
  • Whatever activity you decide on, make sure it is something that you will look forward to – don’t make it another obligation that you will end up resenting.
  • Stay socially connected with friends. Even just looking forward to having lunch on an upcoming Saturday with those you care about can be enough to help you get through a difficult day. Plus, being able to air your concerns and frustrations will lower your stress levels.
  • Protect your own health by keeping up with dental visits and seeing your family doctor for regular check ups. You aren’t going to be able to help your stubborn parent if you neglect your health and end up sick.
  • Eat a healthy diet. It can be tempting to grab fast food because you are on the run or too worn out to cook nutritious food, but that’s not good practice over the long term. If you don’t have time to plan a recipe, run out and shop, etc, there are meal services, such as Purple Carrot, that will send the food to your home. All you have to do is cook it (recipe and food is included)!
  • Think about hiring in home help for your parent (or for you, if you are spending a lot of time caring for your parent).
  • An option that most caregivers don’t take full advantage of is Hospice. I know it’s an emotional decision to consider this option but the truth of the matter is that the services Hospice provides can help both your aging parents AND yourself in so many ways (respite care can go a long way towards helping your own peace of mind).
    The nurse who cared for my mother told us that some of her patients were with her for 3 years – so your parent does NOT need to be on their deathbed for you (and them) to take advantage of the amazing benefits that Hospice can give you. Read more here about how Hospice can help you and your elderly parent.

Books About Difficult Parents That We Recommend

In Conclusion

These 7 strategies helped us to help our mother as best as could possibly be expected. It’s an extremely difficult process to try to help someone who simply refuses any extra help.

But when it’s your parent or a loved one – how can you back away?

We all loved our mother and took care of her until the day she died, at home, just as she wanted.

She fought us, and hospice until the very end but knowing her personality, we have to admit, we didn’t expect any other outcome.

Frequently Asked Questions

What makes an elderly person incompetent?

Serious illnesses such as Alzheimer’s or dementia can leave your aging parents incapable of caring for themselves, unable to make safe decisions and thus making them incompetent.

How do you declare an elderly parent incompetent?

Basically, you must hire an attorney and file for guardianship. Once a psychological evaluation is completed it is submitted to the court for evaluation and then you and your attorney will be called in for a hearing.

Can you be forced to care for an elderly parent?

Legally, some states (29 of them) have Filial Responsibility Laws on the books requiring adult children to financially care for aging parents. Morally, many adult children feel obligated to care for their parents as they age but family dynamics and psychological issues may impede that moral compass.

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