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There is growing awareness that as elderly Americans are living well into their 80’s and 90’s an increasing number of adult children caring for elderly parents. The combination of longer life expectancies, severe budget problems in both state and federal governments, and the growing strain on government-sponsored social programs such as Medicaid means there is less public funding for elder care.
There is growing evidence that state governments will be placing a greater burden on children to care for their parents. This change is not only foreseeable, but already gaining momentum. A study by the National Alliance for Caregiving looked at the percentage of men and women providing care for an aging parent between 1994 and 2008:
Percentage of men and women providing care for an aging parent:
Citing the same report, a June 14, 2011, Wall Street Journal article by Kelly Greene (“Toll of Caring for Elderly Increases”) notes that “the steep rise in people caring for elderly parents is taking a toll on the health and finances of many baby boomers.
One of the prominent sources of stress is the financial cost to adult children when they become caregivers. A June, 2011 report, Study of Caregiving Costs to Working Caregivers, by MetLife’s Mature Market Institute, put this cost at more than $300,000 per person over age 50 if they are taking care of elder family members. This number reflects lost wages, pensions, and Social Security benefits over their lifetime, due primarily to a reduction in working hours, or leaving the work force entirely early to care for a parent.
These studies reflect the costs of care paid voluntarily by family members. Few people realize that in at least 29 states, the law allows state agencies to force family members to assume the costs of a family member’s care when their funds run out. Until recently, these laws have rarely been enforced.
Related topics: Health & Wellness, Caregivers
How you manage the stress in your life can play a big part in your overall health.
No one can avoid stress completely–living is stressful! But as we grow older, stressful changes may hit harder and more often. For example, the death of a close friend or family member can change our life overnight. Taking care of an ill relative or problems with our own health are sources of stress that also become more common as we grow older.
However, it is possible both to reduce stress and to do a better job of living with the stress we can’t avoid.
Reducing Stress
Start with an honest self-evaluation, perhaps with the help of a friend, mental health professional, or counselor. Take a step back and look objectively at your life. This should be a positive undertaking, not a time to feel guilty! The purpose of this review is simple–to decide what is really important, and what is not so important.
If you are feeling stressed, it's time to shift some priorities–move some things around on the "to do" list, and maybe eliminate some things altogether.
This process of giving up some of the unnecessary causes of stress and shifting some things around will give you a sense of greater control over your life and increased well-being.
For example, take a look at these aspects of your life and see what impacts they are having:
Tips For Coping With Stress
Help in managing stress can include individual or group counseling, medication, or taking classes to improve our skills for coping. Seeking support from others who are dealing with the same types of issues can be a big help.
Source: Informed Eldercare Decisions in association with IlluminAge, copyright 2012, IlluminAge.
Adult Children and Other Family Members Facing Increasing Pressure
to Pay for Costs of Parents’ Care
When a Medicaid application did not get approved in enough time to satisfy a Pennsylvania nursing home, it sued the patient’s son for the $93,000 bill. Pennsylvania, like more than half the states in the U.S., has something called a “filial responsibility law.” These laws require that spouses and other family members support the indigent. The nursing home decided to enforce it rather than have Medicaid do what it was designed to do.
The trial court found for the nursing home. Mr. Pittas appealed. The appeals court not only agreed that the nursing home didn’t have to wait until the Medicaid claim was resolved, it also found that the nursing home could choose any family member it wanted to when seeking payment for the bill.”
Related topics: Caregivers, Family
Family conversations about aging and eldercare concerns are important. For a family with older loved ones – grandparents, or event great grandparents, these days – their wellbeing and support needs are worthy of loving, thoughtful discussion. Aging issues are a family matter—an important, appropriate part of the family's agenda. So, conversations about these aging issues should be honest, open, and productive.
Assessing Your Family Strengths and Weaknesses
When your spouse, parents, or grandparents need help, and other family members consult about it, unresolved family issues may get in the way of effective helping. Revisiting and reopening long-standing family issues of sibling rivalry, parental favoritism, and other family problems during the last months or years of a parent's life is an easy trap to fall into.
The best way to minimize these problems is to be aware of their possibility and avoid them consciously. Work with involved family members to focus attention on the older person's needs and best interests, not other family business. If necessary, have a friend or professional counselor meet and talk with you to move the discussion along.
Family Communication Skills
When it comes to family communication, it's never too late to improve. Even families with long histories of not communicating very well—or at all—can learn to share their views and ideas for meeting the eldercare needs of parents, grandparents, or other older relatives. If your family is "communication-challenged," try these simple tips:
For More Information...
The Family Caregiver Alliance offers resources and decision-making information about elder care, including the fact sheets "Helping Families Make Everyday Care Choices" and "Holding a Family Meeting."
Source: Informed Eldercare Decisions in association with IlluminAge, copyright 2012, IlluminAge.
For more than 20 years, Informed Eldercare Decisions has provided services to family caregivers who have sought our assistance while they were faced with difficult decisions concerning an aging family member. Due to the pressures of work, geographic distance, or other demands, it’s not always possible for concerned family members to manage the many tasks involved in care giving.
Those not well acquainted with the fragmented service delivery system, often find it confusing and difficult to negotiate. It can be especially difficult when a family member has suffered a serious stroke, has a complex diagnosis such as Parkinson’s disease, Alzheimer’s or other dementia, or is being treated for a prolonged mental illness that may be further complicated by difficult to manage behavioral issues.
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