CAREGIVER'S GUIDE
Many of us, seniors included, will be called upon as
caregivers of our loved ones. The first "baby
boomers', the group born after World War II ended, are
just turning fifty. It is likely that this group of
Americans may spend more years caring for elderly
parents than they spend raising children. They truly
exemplify the sandwich generation.
Care-giving can be complicated. Finding resources and
making decisions is not an easy task. The entire family
should be addressing care-giving issues. If elderly
parents are capable, by all means, involve them in an
open discussion of issues directly related to their
future. If they seem reluctant at first, persist. It's
far better to "air" their fears and yours now,
while they are still capable. Be sure to involve all
siblings in the discussion even the "long
distance" children. If they can't be there, keep
them well informed, preferably in writing. Informal
letters serve well.
The following questions can serve as guides for
families trying to make rational, educated decisions:
General Issues
- Who will be the principal caregiver?
- What involvement will siblings have?
- Which responsibilities can be shared? By whom?
Supervising medications, shopping, doctors, day
care, etc.
- Is communication open and honest between caregiver
and elderly person?
- Do family members share feelings and information?
- Financial and Legal
- What is the person's financial situation?
- Is there a list of assets, their value, their
locations?
- Is there a private pension? Is it mailed directly
to a bank? Which one?
- What is the social security amount? Is it directly
deposited? Where?
- Are there other sources of income? Annuities,
stocks, interest, IRA's, CD's, safe deposit box?
- What are the debts? Mortgages, car payment?
- Is there a need to apply for Supplementary
Security, (SSI) Income?
- Is medical coverage adequate?
- Is there a prescription plan? Long term care
insurance? Medicare? Medicaid?
- Has anyone consulted an eldercare attorney?
- Has the elderly person transferred any assets?
- What is the "time frame" in your state
for transferring assets before being qualified for
Medicaid?
- Is there a will, a living will, a power of
attorney, a durable power of attorney that lasts
beyond incapacitation? Where are they kept?
- Is there an insurance policy? Where is it kept?
Housing
- What housing options are possible? Can the
elderly person live alone?
- What about an assisted living facility?
- Is a nursing facility or a personal care
facility needed?
- Is senior housing or shared housing an option?
- Is a life care community feasible?
- Has the person or family any "up-front
money" available for some period of
personal pay in a nursing home?
Physical Condition
- Has the person had a recent physical? Is there
a family doctor? Has a geriatric assessment been
ordered?
- What medications are being taken? By
prescription? Over the counter?
- Ask the pharmacist or doctor if any
medications interactions should be avoided. Ask
if any meds should not be taken together. Any
foods avoided?
After Death
- Are there any pre-paid funeral expenses? Any
specific funeral wishes?
- What funeral home? A viewing? A family plot?
- Cremation? Any specific desires?
- Can you discuss death with the person for whom
you are caring? Why not? Most of the elderly do
not fear discussion of death.
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