How to Talk to Aging Parents This Holiday Season
Discussing age-related decline, assisted living, health and money with an aging senior parent can be intimidating to everyone involved.
Our experts will guide you through these important topics with tips on age-related decline, dealing with resistant seniors, evaluating your elderly parents’ health, how to start a conversation with your senior parents, having ‘the talk’ and more.
How to Talk to Elderly Parents About Their Future
Going home for the holidays is a family tradition that allows you to reconnect with your loved ones whom you may not have seen in months, or even years. But sometimes these festive occasions are eye-opening to age-related decline, cognitive, health or safety issues facing our older loved ones.
Dad and Mom may have aged more than expected, or suddenly seem to need more assistance with daily tasks. Or maybe your senior loved ones are doing fine, but you recognize that they are getting older and the reality is that you need to discuss important topics and decisions for their advanced years and end-of-life wishes.
Whatever the reason, A Place for Mom works with experts in many different fields who can help provide insight into preparing for the future — from your retirement years to beyond. Our experts help families like yours learn how to recognize problems and provide advice on having a tough conversation with them this holiday season.
According to our experts, there are five must-have conversations you need to have this holiday season with your elderly parents around the topics of:
- Assessing age-related decline and cognitive ability
- Financial planning
- Health and safety
- Legal planning
1. How to Discuss Health and Safety with Your Aging Parents
Dr. Leslie Kernisan, Geriatrician
As we grow older we all pass milestones with our parents. Some of us grow taller, at a certain point most of us grow stronger (we finally beat them in one-on-one basketball!). These milestones are a natural part of life and often cherished memories.
Physical health decline is just as natural, but both your aging parents and you and your family may find age-related decline difficult to confront. Despite the difficult topic, starting a conversation about health and safety with your elderly parents is vitally important.
Geriatrician, Dr. Leslie Kernisan, gives us a checklist of ‘life tasks’ which could be red flags that may indicate that your parent needs additional care.
Dr. Kernisan suggests that, first and foremost, you observe their Activities of Daily Living (ADL), which includes things like:
- Dressing themselves
- Using the washroom
- Walking around and general mobility
Difficulty in performing these basic necessities of life is a major issue in and of itself, but they can also be indicative of greater health issues.
Even if your parent’s ADL seems to be okay there may still be less obvious issues at hand which can be just as potentially detrimental to a senior’s health and safety. These crucial components of life are known as the Instrumental Activities of Daily Living (IADLS) and include:
- Housekeeping and basic home maintenance
- Preparing meals
- Shopping for groceries and other essentials
- Transportation outside of the home
It’s important to keep an eye on your loved ones and be sure to ask yourself things like:
- Are they able to move around comfortably and effectively?
- Are they eating normally?
- Have they lost weight?
- Is their home stocked with groceries?
- Is their personal hygiene and appearance up to their normal standards?
These activities and instruments of daily life are just the beginning. There are further warning signs relating to elder abuse, mental, physical health and safety. For more information on these subjects, read Dr. Kernisan’s full interview.
2. How to Discus Well-being with Your Elderly Parents
Dr. Melissa Henston, Geriatric Psychologist
Mental wellbeing is just as important as physical health and safety. According to Geriatric Psychologist Dr. Melissa Henston, you can often tell something is wrong as soon as you pull into the driveway. If the lawn is overgrown or the driveway hasn’t been cleared, those may all be warning signs that your parent is struggling.
Once inside the house, you can often tell that something is ‘off’ immediately. Does it smell? Is it messy? Keep an eye out for warning signs like:
- An unkempt appearance
- Broken appliances
- Expired food
- Low energy or depressed demeanor
- Poor hygiene
- Poor sleep habits
- Decreased interest in hobbies
- Disengagement with family and friends
If any of these basic warning signs are triggered then you will need to look deeper into the matter and may want to begin considering assisted living options. For more warning signs and what to do next, read Dr. Henston’s full interview.
3. How to Discuss Money and Financial Planning with Your Aging Parents
Andy Smith, Senior VP of Financial Planning at Financial Engines
Talking about money with your parents (or anyone for that matter) can often be a sensitive subject, but as your senior parents get older it becomes increasingly important.
Many seniors have radically underestimated the cost of retirement. As Smith points out, an “average 65-year-old couple thinks they’ll spend around $50K on healthcare costs throughout retirement. In reality, [the] number’s closer to $241K.”
Smith also warns that Social Security is not enough, and while there is no secret formula to retire with enough money to meet all your needs, the best option is to simply save as much as you can for as long as you can before retiring.
Thanks to modern medical advancements, many elderly seniors are living longer than they thought they would. While this is a huge blessing to you and your family, it can also mean unanticipated financial burdens are placed on yourself and other family members.
Preparing for these potential additional costs means having a conversation about your parents’ financial position, expenses, lifestyle medical needs and other sensitive topics.
Approach the conversation with care! Smith advises that you:
- Ask your parents about their goals
- Practice what you want to say
- Talk in a comfortable setting
It can also help to speak to a professional, but be careful, stay involved and be wary of unscrupulous advisors looking to take advantage of their senior clients.
Learn what you need to get started, and how to stay safe by reading Smith’s full interview.
4. How to Discuss Legal Planning Issues with Your Elderly Parents
Stuart Furman, Esq., Elder Law Attorney
Unfortunately, many seniors are more vulnerable than they were when they were younger. To ensure that their wishes are carried out while also protecting you and your family, you need to discuss legal matters with them candidly.
Everyone (regardless of age) should have both a will and a living will, but this is especially true for aging parents. They should also have (and you should be aware of):
- A life insurance policy
- An end of life wishes letter (for things not covered by the will)
- Authorization to release healthcare information
- Health insurance
- Healthcare proxy (durable health power-of-attorney)
- Insurance cards
- Lists of current medication and health conditions
- Organ donor information
- Other vital documents
For more information on how to have a conversation about your elderly parents’ legal matters, what they need to do to protect themselves and their family, and what you can do to help them, read Stuart Furman, Esq.’s full interview.
5. How to Assess and Discuss Age-Related Cognitive Decline with Your Aging Parents
Dr. Wes Ashford, Neuroscientist, Psychiatrist and expert in Alzheimer’s disease
Mental decline is one of the scariest and most devastating realities of aging for many seniors and their children. Dr. Ashford recommends that you keep an eye out for the warning signs this holiday season, including:
- Asking questions repeatedly
- Behavioral changes
- Difficulty holding a conversation
- Difficulty remembering recent events (Alzheimer’s and dementia both impact short-term memory first, so this is a major red flag)
- Difficulty with the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADLS) as described above by Dr. Henston
- Forgetting names
Some seniors may try to cover up their memory loss or develop coping mechanisms to mask their difficulty. You may have to be extra vigilant and pay special attention to your aging parents to catch all of the warning signs.
For more information about age-related cognitive decline, how to spot it, what to do about it, and how to talk about it, read Dr. Ashford’s full interview here.
If Your Aging Parent is Resistive
For many families this holiday, starting the conversation will be the most difficult part of addressing these issues with an aging parent. “Typically you need to look for the opening and opportunity, rather than just jumping in,” Dr. Henston recommends. “Don’t try to take control. Try to get a natural conversation going.”
Your parents will always view you first and foremost as their child, this is natural. However, sometimes this attitude, combined with other issues, means that they will be reluctant to listen.
It is important to remember that your parents need you to be an advocate for their health, especially when mental or physical decline starts to impact their ability to advocate for themselves. Although they may be resistant to your help, and while their wishes are important, you need to know how and when to keep pushing. Often times resistance and stubborness to communication in an aging senior can itself be a warning sign.
To break through remember that you need to separate your needs from the needs of your parents. Get the rest of the family on board, discuss everything, and remember to be compassionate but firm in explaining what you believe is best.
Advice from a team of experts is one thing, but there’s no better advice than from someone who has experienced these challenges first-hand. Joan Lunden has been in your shoes and knows how difficult it can be to broach these difficult but vitally important subjects. Watch Joan’s video on Facebook, or read the full transcript below for her first-hand advice:
Today, I’m going to discuss a question that came in: “how do you deal with an aging parent who refuses to try or even talk about assisted living?”
This is a common issue for families. It’s emotionally charged, but when that day comes, when it kinda becomes apparent to you, that living in a home alone is going to present a danger to an aging parent, it’s kinda the day that you have to accept you’re going to become “the parent” and I’m not gonna lie, there’s nothing easy about that life transition.
I remember going down this road with my mom. She was very resistant to moving out of the condo where I had her living, but she had dementia that was increasing and it was just not possible to leave her there alone. I think that the first thing I want to recommend is getting help. Expert help. I didn’t even know when I started on this path that there is such a thing as a Senior Advisor. So I did It all by myself and drove around and just went and looked at places that I’d seen in my life and I made all the mistakes that you can make.
It wasn’t until I got a Senior Advisor that helped me first assess my mom’s needs, and really come to terms with those. Find out what all my options were, understand the landscape of senior living, and then to even understand the questions that I should be asking, that’s when I finally turned things around. And I made a promise to myself at that point that I was going to do everything I could to help others before they went down this path.
You know, all too often, like me, this all starts when you get “that call” you know, maybe the spouse died, or your parent took a fall, or had a stroke, or just got a diagnosis of dementia or Alzheimer’s, and all of the sudden you have to make all these decisions and find out all the answers in a moment of urgency. It’s way easier if you start ahead of time and have a family conversation. I know that’s not always so easy to do, but it’s so important because you can start to kinda plant the seed not just with your parents but even with siblings. Start to understand what their desires are, what their worries are, help them start understanding what their changing needs are.
And this is not gonna be one conversation, by the way, it will be a series of conversations, but it’s really important to start that process early on. And then I think it’s just really important to educate yourself. Start learning about senior care, go out and visit a couple facilities, then you can bring your parent into this conversation. Maybe go have lunch at a facility so that they see what life is like there. The big thing is to make them understand that the landscape of senior living has completely changed. It used to be that you know, take the parent out of the home, they go right into a nursing home, then they die. That is not what senior living is about today.
Today there are active communities with hiking trails and swimming pools and gyms and movie theaters and pet grooming. I mean the list goes on and then it goes all the way through to assisted living and memory care and then nursing care and I just think that a lot the resistance and distaste for the idea of a “senior living community” comes from that old idea of what senior living is all about.
So I think first of all you really have to to make them understand the that it’s not the “old” senior living community. And I think too that they’re afraid of losing their independence. Ironically, if you find the right community, they will be able to have more friends and new activities and kind of a peace of mind that all the chores of life are being taken care of, so that they can get on with enjoying life. It’s kind of funny that it’s really the absolute other way around. But, you know, every study tells us today that the biggest predictor of how well a personal will age successfully is how engaged they are in life and how many social connections they have. And gerontologists say that isolation, being alone, can be as dangerous to a senior as smoking 8 packs of cigarettes a day.
So it’s important… I think, if I had anything to do over, I would have gotten my mom into an active senior community earlier on. And the final thing is that parents don’t want to be a burden to us. So it’s really important the tone you take. If you convey an idea that, you know, “I’m gonna have to take care of all this responsibility so, let’s have this talk already,” you’re going nowhere. It’s really important that you can inspire in your loved one that you want to be an active participant in making sure that their later years are the best life that they can be. Where they can be not just safe but happy. And I think that that is your starting off point.
And, as soon as you’re ready to get this started, I highly recommend that you contact A Place for Mom. I have such respect for A Place for Mom. They will put you together with a Senior Advisor and they will walk you down that path and tell you what your options are, and they can help you then even have that discussion with your siblings and with your parents. So I wish you good luck on your journey!
Getting started with these conversations is easier than you may think, and taking the time to have the conversation will help lead to better outcomes.
For more information, including our caregiver toolkit, financial guides and more on how to have the tough conversation with aging loved ones, visit: www.aplaceformom.com/conversations.
Do you have any questions about having the “tough conversation” with aging parents? We’d like to hear them in the comments below.
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