Both of my parents are retired and disabled. Daddy is 78 years old. Mama is 81. Daddy has emphysema, COPD, beginning dementia, glaucoma, and beginning alzheimer’s. Mama has severe arthritis, cataracts, high blood pressure, and beginning dementia. I am not complaining. I’m not even venting. I am just stating the realities of part of my life. I love them both and tried to encourage them to practice more responsible behaviors in their younger days. I cried and begged Daddy to stop smoking all my life. I begged Mama to exercise more and even bought her a health club membership. She went only a few times. In what should be their golden years, their days are filled with medications, therapy, major ordeals of bathing and back to bed. I love them both and oversee their day to day care. But much of this could have been prevented.
I don’t fuss at them now, because that would, in my opinion, be cruel and inhumane, since it would not help either of them. But I encourage everyone who reads this to do a few things as your parents, elderly friends, or even you age. It is difficult, so you may have to take it in stages. But for children, write yourself a checklist of the things you need to know about your parent(s) wishes as they continue to age. the discussion should be comfortable and relaxed and it may take several conversations. But you should have the talk and ask some pointed questions. These should include:
1. What medications are they taking? [Periodically review the medications being taken. If you have
questions ask the doctor. Are all of those pills necessary? Review side effects.]
2. Who is their primary doctor?
3. If they have a serious illness, what is their prognosis and is an alternative treatment possible, better, or available and of interest to your parent[s]?
4. Get second opinions. My mother suffered breast cancer because she waited too late and nobody knew about the lumps. Her regular doctor diagnosed her as being a diabetic and prescribed the meter and insulin. He also told her to stop drinking all natural juices (I purchased a juicer and she was doing very well) and start drinking frozen juices because the fruit had too much sugar. I was angry but also suspicious. We got a second opinion and Mama was and is not now a diabetic. I had her change doctors and in that respect she is doing much better. All of her doctors are happy she is on fresh juices not processed and frozen!
5. If they get to the place where they can no longer live alone, do they want to live with a family member if that is possible, do they want to go into assisted living?
6. Where are bank accounts located and who is listed on accounts with them, so that funds can be accessed when these decisions need to be made. You may want to enlist the services of an attorney, or at least be aware of who you can contact, if and when this time comes. Each state has different laws. In some state, Michigan is one, all possessions must be sold before a person can get assistance from the State fund to help with nursing home care expenses. Then all income, pension, retirement, and whatever else is available, must be relinquished to the nursing home every month.
7. Do they want to be placed on life support, should their health push them to that level?
8. Who do they want to be their spokesperson if that time comes? A child, sibling, pastor, family friend, family member? Remember it is ultimately their decision if they are able to make the decision.
9. What type of funeral/memorial service/cremation do they want?
10. Do they have life insurance?
11. How much?
12. Who is beneficiary and where is policy?
13. Where are their bank accounts?
This is not being morbid. It is being practical. Your parents may surprise you and be relieved that you are enough to put things in place so that they are comfortable when they get older. I speak from some experience becuase I was thrust into all of this overnight. I had some help from some family, but ultimately, I ended up by myself, making hard choices for my parents, with no input from them. I encourage you to be wise, be practical, be loving, be attentive, so that when the day comes, you will be prepared.
More than anything else, spend time with them and love them. You won’t get tomorrow by wishing. You won’t get yesterday by regretting. You have today. 15 minutes a few times a week is better than 2 hours once a month. Do what you can and be sure they always know you love them.
I am working on a book (Yes, another one) about this to offer direction and suggestions.