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Our payment security system encrypts your information during transmission. We don’t share your credit card details with third-party sellers, and we don’t sell your information to others. Please try again.Please try again.Please try again. Please try your request again later. From in-home care to assisted living facilities, there are myriad options available - and each person's needs are unique. Family members need a resource that will answer all of their questions and ease them through this often complicated transition. This helpful handbook guides concerned children as they: decide which level of care is best for their parent; maintain communication and discuss difficult topics; handle home safety issues; manage transportation; find and work with a primary-care physician; navigate insurance paperwork; handle legal issues and questions; and other sensitive issues. From setting up a support network to avoiding scams, this informative guide will help a family decide on - and implement - the best care options for their loved ones. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. She graduated from California State University - Los Angeles with her B.S.N. and Public Health Nurse Certificate.Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. Please try again later. L. Davis 4.0 out of 5 stars Dad was in the emergency room because of a fall. The book offers good, timely and thorough advice in an easy to read format. I later ordered another copy when I got home so my husband and I could use it during his mothers unexpected swift decline.

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As we baby boomers age, so do our parents, quickly. There are tons of things we just don't know about. The section on death and dying scenarios, is something that we all needed to deal with, and the information is very straightforward. Anything we can do to help us to be better prepared, and can give quick answers is truly invaluable. The book is a great resource for long term and short term care information.I'm reading all suggestions in book and article for are appreciated.But what I did read was some what helpful. I already knew most of it. But it was helpful to know I was doing some things right. There is no bible on how to take care of you aging parents. And it really hard know that you want to please them and have to tell them no sometimes.It was nice to have everything that needed to be covered in book form.Appreciate if customers were informed on the delivery status in the future. Please choose a different delivery location or purchase from another seller.Please choose a different delivery location or purchase from another seller.Please try again. Please try your request again later. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. Please try again later. L. Davis 4.0 out of 5 stars Dad was in the emergency room because of a fall. The book offers good, timely and thorough advice in an easy to read format. I later ordered another copy when I got home so my husband and I could use it during his mothers unexpected swift decline. As we baby boomers age, so do our parents, quickly.

There are tons of things we just don't know about. The section on death and dying scenarios, is something that we all needed to deal with, and the information is very straightforward. Anything we can do to help us to be better prepared, and can give quick answers is truly invaluable. The book is a great resource for long term and short term care information.I'm reading all suggestions in book and article for are appreciated.But what I did read was some what helpful. I already knew most of it. But it was helpful to know I was doing some things right. There is no bible on how to take care of you aging parents. And it really hard know that you want to please them and have to tell them no sometimes.It was nice to have everything that needed to be covered in book form.Appreciate if customers were informed on the delivery status in the future. Groups Discussions Quotes Ask the Author From in-home care to assisted living facilities, there are myriad options available - and each person's needs are unique. Family members need a resource that will answer all of their questions and ease them through this often complicated transition. This helpful handbook guides concerned children as they: de From in-home care to assisted living facilities, there are myriad options available - and each person's needs are unique. Family members need a resource that will answer all of their questions and ease them through this often complicated transition. This helpful handbook guides concerned children as they: decide which level of care is best for their parent; maintain communication and discuss difficult topics; handle home safety issues; manage transportation; find and work with a primary-care physician; navigate insurance paperwork; handle legal issues and questions; and other sensitive issues. From setting up a support network to avoiding scams, this informative guide will help a family decide on - and implement - the best care options for their loved ones.

To see what your friends thought of this book,This book is not yet featured on Listopia.There are no discussion topics on this book yet. From in-home care to assisted living facilities, there are myriad options available - and each person's needs are unique. Family members need a resource that will answer all of their questions and ease them through this often complicated transition. This helpful handbook guides concerned children as they: decide which level of care is best for their parent; maintain communication and discuss difficult topics; handle home safety issues; manage transportation; find and work with a primary-care physician; navigate insurance paperwork; handle legal issues and questions; and other sensitive issues. From setting up a support network to avoiding scams, this informative guide will help a family decide on - and implement - the best care options for their loved ones. Free eBook offer available to NEW US subscribers only. Must redeem within 90 days. See full terms and conditions and this month's choices.Free eBook offer available to NEW US subscribers only. Must redeem within 90 days. See full terms and conditions and this month's choices. Upload Language (EN) Scribd Perks Read for free FAQ and support Sign in Skip carousel Carousel Previous Carousel Next What is Scribd. From in-home care to assisted living facilities, there are myriad options available - and each person's needs are unique. Family members need a resource that will answer all of their questions and ease them through this often complicated transition. This helpful handbook guides concerned children as they: decide which level of care is best for their parent; maintain communication and discuss difficult topics; handle home safety issues; manage transportation; find and work with a primary-care physician; navigate insurance paperwork; handle legal issues and questions; and other sensitive issues.

From setting up a support network to avoiding scams, this informative guide will help a family decide on - and implement - the best care options for their loved ones. If Getting you’ve picked very real possibility we will have your life or anticipating the old, life. We all hope, by the time we get old is a fact of accomplished our goals, realized at least one of our dreams, and still have a little money left to live on. We hope we will have good health, not too much pain, and be able to remain independent. Hopefully, we will still have family and friends who like us and are willing to come around to visit and help us out occasionally. We certainly don’t want to be a burden to anyone. We hope we can manage our own care and that if we need a little help, we hope we still have a little something to offer in exchange or maybe along the way we have paid it forward enough that we aren’t asking for too much now. We hope we’ll have our wits about us and not be plagued with Alzheimer’s or at least be blessed enough to not know. For now though, we have the new responsibility to learn to help and care for our aging parents. We’ll be changing roles and making decisions for them as well as our children. For thirty years, I have worked in home health care and helped families navigate this path, and now I, too, must take this journey with my mother. I hope you’ll join us and learn to help your own family. These handy, accessible books give you all you need to tackle a difficult project, gain a new hobby, comprehend a fascinating topic, prepare for an exam, or even brush up on something you learned back in school but have since forgotten. We give you everything you need to know on the subject, but throw in a lot of fun stuff along the way, too. To the loves of my life: my husband Tim, and my children Amy, Rob, and Becky. And to all of my former patients and coworkers who taught me everything I know about home care.

This book, or parts thereof, may not be reproduced in any form without permission from the publisher; exceptions are made for brief excerpts used in published reviews. J I H G F E D C B A Library of Congress Cataloging-in-Publication Data is available from the publisher This publication is designed to provide accurate and authoritative information with regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional advice. If legal advice or other expert assistance is required, the services of a competent professional person should be sought. —From a Declaration of Principles jointly adopted by a Committee of the American Bar Association and a Committee of Publishers and Associations This book is available at quantity discounts for bulk purchases. For information, please call 1-800-289-0963. Contents Top Ten Things to Know about Caring for Your Aging Parents Introduction 1 Defining the Situation Aging: A Few Statistics The Sandwich Generation Reversing Roles Cultural Diversity Issues Dealing with Guilt 2 Seeing Their Side Communication Is Key Learn Their Wishes Learn Their Present Habits Discuss What Losing Independence Means to Them Get Your Siblings Involved 3 Lifestyle Changes and Loss of Independence Home Safety Issues Transportation and Giving Up Driving Home Delivery for Groceries, Medications, and Meals Cell Phones and Life-Alert Systems Energy Conservation Bill Paying 4 Taking Charge When Should You Intervene.

Help Them Get Organized Making a Smooth Transition Dealing with Resistance Make Sure They Still Have Some Control 5 Medical Care Finding Quality Medical Care HIPAA and Privacy Issues Attend Medical-Care Visits Questions to Ask PCP to Coordinate All Medical Care All Communication Must Go Through You 6 Activities of Daily Living and Other Issues Hygiene Cooking for One or Two Exercise and Mobility Sleeping Habits and Changes Socialization Dealing with Depression Constipation and the Obsession with the Bowels 7 Aging and Medical Issues Common Diseases, Medications, and Treatments Mobility Issues Nutrition Falls, Wounds, and Fractures Dementia, Alzheimer’s, and Other Cognitive Behavior Issues Support Groups 8 Legal Issues Wills, Living Trusts, and Lawyers Advance Directives Determining Competency Delegating Responsibilities Legally and Financially 9 Family Communication and Delegation of Duties Primary Contact Person Who Does What Using a Notebook for Forms and Communication E-mail and Etiquette A Family Website or Blog 10 Levels of Care How to Know When It’s Time for More Help Part-Time Versus Live-In Care Board-and-Care Homes Retirement Homes Assisted-Living Options and Added Services Skilled Nursing Facility 11 Setting Up Home Care Skilled Intermittent Home Care Adult Day Care Private-Duty Care Hiring Help Using an Agency or Not Home-Care Equipment and Furniture Who Pays for This?
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12 How to Avoid Scams You’ve Won a Million Dollars Phone Scams and Door-to-Door Scams E-mail Scams Rumors, Urban Legends, and Hoaxes Financial Precautions Keeping Up to Date on the Newest Scams 13 Medications and Treatments How to Set Up and Monitor a Med Box Daily Reminders Use One Pharmacy Transportation Issues for Appointments and Treatments Caregiver Training 14 In Case of Emergency Making and Maintaining an Emergency Kit Access to Medical Information Power Outages and Oxygen or Other Care Issues Disaster Planning and Communication Issues Evacuation Issues for the Disabled 15 Are You Too Far Away. Can This Work from a Distance. When and How to Move Your Parents Closer Enlisting Neighbors and Friends How and When to Contact the Physician Finding Community Resources from a Distance 16 End-of-Life Issues How to Prepare for the End What Is Hospice. How to Set Up Hospice Care A Clear Understanding of Wishes Myths of Pain Dealing with Death 17 Death, Dying, and Grief Dying Trajectories Stages of Dying When Death Comes Stages of Grief Dealing with Your Grief and Helping the Surviving Spouse 18 Caregiver Issues How to Handle Caring for Your Parents and Your Children Burnout Elder Abuse Resolving Family Disputes and Conflicts Caregiver Support Groups How to Care for Yourself 19 Using Resources What Are Community Resources.

How to Find and Use Community Resources Hiring Extra Help Understanding Medicare Understanding Medicaid Long-Term-Care Insurance 20 Finding and Conveying Information Staying Connected How to Search the Internet How to Set Up a Blog How to Use E-mail and Distribution Lists How to Set Up a Family Website What Information Is Available to You Online 21 Plan Now for Your Own Future Organize Your Information and Your Files Appoint a Health-Care Proxy and Write Your Advance Directives Talk with Your Children Long-Term-Care Policies and Financial Planning Maintain Your Own Health Status Feeling Normal Again Appendix A: Glossary Appendix B Additional Resources Appendix C Forms and Tips to Help Organize Care Acknowledgments First and foremost, I want to thank my family, my husband Tim, and my children Amy, Rob, and Becky for their unconditional love, devotion, and help throughout the writing of this book. To my mother, who has always been my biggest fan and most honest critic. My parents and my in-laws have taught me a lot about how to deal with aging parents. I hope that I have and will continue to make a difference for all of them. To the girls, who know who they are. The best friends ever. You have always encouraged me to follow my dreams. You have been there for me and continue to offer support and love. You know this has meant reaching well beyond my comfort zone. Thank you so much. Thanks, too, to the rest of my family and friends who have encouraged me and supported me in this effort in many ways. You all inspire me always. I must acknowledge all of the many home health-care patients and coworkers I have enjoyed knowing over the past thirty years. You have all taught me how to help others learn to cope and survive this process. To Barbara Doyen, my agent, who has always helped me all along the way even through emergencies and craziness. Thanks to my editors for all of your patience and help with this book. Thanks so very much to all of you.

Top Ten Things You Need to Know about Caring for Your Aging Parents 1. You are not alone; the Sandwich Generation is growing. 2. You need to learn where to find resources and help and how to navigate the system. 3. You need to organize and delegate responsibilities. You can’t do it all yourself. 4. You need to get things in writing. 5. You need to learn how to agree to disagree with parents and siblings. 6. You need to learn to recognize when to change levels of care and act quickly. 7. Your parents may be old and seem childish, but they deserve your respect. You are NOT becoming their parents. 8. Effective communication is essential. Designate one spokesperson. 9. You must take care of YOU. 10. You need to start planning now for your own future care needs. Introduction 5 HOW DO YOU know when it’s time to start thinking about who’s going to care for your parents or other loved ones. If you’re thinking about that question, it’s time. Your parents or in-laws will be the main or central characters in your planning process. You need to first discover what their wishes and ideas are for how they want to live out their last years. All decisions have to involve them and, as much as possible, revolve around and incorporate these wishes and desires. The safety and well-being of your parents should be the most important factor. Helping them live out their lives within the scope of their wishes for as long as it is safe will be paramount in your plan. Financial factors will dictate the reality and success. Planning ahead of time will help to broaden the possibilities. Waiting for a crisis to happen may eliminate choices and make life more difficult. Take the time to sit down with your whole family and begin this discussion. If it is geographically impossible to have everyone in one place, technology offers many realms of solutions including conference calls, instant messaging, and video conferences.

Begin by encouraging each family member to give this some serious thought, and then bring their ideas together in a brainstorming session. Let your parents speak first, and then give each person the respect of listening to their ideas as well. Talking about wishes and understanding how each family member feels about them, and what types of responsibilities each person can handle, will help avoid problems in the long run. You must take into account that science and technology will continue to make advances and offer alternatives. These should be incorporated into a plan as life evolves. Included in the discussion should be whether or not your parents will agree to or are totally opposed to institutions such as a nursing home, board and care, or assisted-living facility should they no longer be able to remain in their own home. Explore whether there are funds to cover these expenses. Can they remain at home, and who will care for them. Additionally, end-of-life issues need to be discussed openly. Understanding that as adults it is okay to agree to disagree and still be friends is an essential factor in dealing with these decisions. For example, your mother wants to be cremated and her ashes scattered at sea. She wants no funeral and no ceremonies. Your sister thinks it’s a perfect idea, but your brother is shocked because this goes against all of your family’s spiritual beliefs and upbringing. He thinks she has to be buried, and there must be a viewing and a funeral, with a procession to the gravesite, and so on. You’re able to accept the idea of cremation and scattering of her ashes, but you know that you will need to have some sort of closure ceremony. Where do you go from here. Coming to a meeting of the minds may be easier said than done. Accepting your mother’s wishes and agreeing to disagree with her and your siblings may not be an easy task.

But understanding you may never all agree to all aspects of these issues, and accepting the fact that you can disagree and move on, is important. Make informed decisions. Learn where to find information. Learn about the alternatives you have in caring for your aging parents and in-laws, how to get your family involved, how to manage being sandwiched between caring for your children and your parents, and how to avoid burnout. You will also need to learn to take care of yourself so you can continue to take care of those who need you. Know you will have given this your best effort and you will have made a difference in your loved ones lives. CHAPTER 1 Defining the Situation As the population continues to grow and age, more and more people will be in need of some sort of assistance. Shortages of health-care workers such as physicians, nurses, therapists, social workers, and dentists are expected to continue as older workers retire and lower numbers of new health-care workers enter the fields. At the present time, the impact of these shortages places the burden on individuals and their families to meet the needs for care and assistance. This impact is only going to increase as the population grows and ages. Aging: A Few Statistics Baby boomers—those born after World War II, between 1946 and 1964— have helped bring about tremendous advances in medicine, science, and technology. One of the results of these advances is that people are now living longer, are healthier, and have access to better diagnostics and health care. By 1998, that number had increased to 19 percent, and by 2025 it is expected to reach 28 percent. In absolute numbers, the range is from 100 million people over age sixty in 1950 to over 500 million by 2025. As each year passes, the number of people over sixty is not the only significant factor; the oldest members of the aging population are also growing older.

In fact, the fastest-growing segment of the population over sixty is the segment that is over eighty. This fact alone has a major impact on the health-care industry because, in general, the older the person, the more likely he or she is to need more health-care services. This raises the problem of shortages of health-care workers, especially nurses, to crisis levels. For a large portion of the older population, the primary caregivers are not children but spouses. However, statistically, women outnumber men. Women are in the majority when it comes to the oldest segment of those over eighty; this means that as they age, most women will need to turn to other family members or to institutions such as assisted living and skilled nursing facilities. As life expectancies continue to increase, so does the likelihood that middle-aged adults will find themselves caring not only for their growing children but for their aging parents as well. Concomitantly, as their parents age, their needs will become more pressing and more time consuming. Women are the predominant caregivers. Wives, daughters, daughters-in-law, granddaughters, sisters, and sisters-in-law provide the care to aging family members. Women provide more than twice as many hours of care to their elder parents or in-laws as men do. Often this is due to the type of care provided. Men typically provide assistance with transportation or household maintenance and repairs, whereas women provide more of the activities of daily living and personal care such as bathing, grooming, dressing, and toileting. Shopping, running errands, food preparation, and cleaning chores can be shared, but again, more women than men usually do these chores. According to several studies from the Bureau of Labor Statistics, 70 percent of these women are forty-five to fifty-six years old and work full time outside the home. At the present, more productivity is affected due to elder-care issues than those of child care.

Creative solutions are going to be necessary in order to preserve the valuable work force as it faces the challenges of caring for aging parents. In the U.S., more than 14 million workers have elder-care responsibilities. These experienced workers are dedicated employees with irreplaceable knowledge and expertise whose loss can cost companies even more in the long run in terms of corporate operations, competitive edge, and overall financial success and survival. The Sandwich Generation The term sandwich generation has been around for decades, but it began to appear quite often in the mid- to late 1990s and it has become quite a buzzword in the first decade of the twenty-first century. It now refers to the middle-aged generation known as the baby boomers, those with dependent (or college-aged) children and parents over the age of seventy. On January 1, 2006, the oldest of this group turned sixty. By 2014, they will range in age from fifty to sixty-eight years old and either be retired or in the planning stages of retirement. As baby boomers face elder care for their parents, they should pay close attention and plan for themselves as well. As they age, they will be presented with the fact that the generation following theirs (the baby-bust generation) produced only 37.4 million births from 1965 to 1976. This significant drop in numbers represents a huge shortage in prime-age work force numbers. This shortage dramatically affects the health-care industry at a time when it will be most challenged by a growing and aging population in need of, and demanding excellence in, health care. This is something to take heed of as baby boomers learn to care for their aging parents and plan for their own elder-care scenarios. Sandwiched Women Baby boomers are redefining yet another social aspect as they forge ahead through middle age into the sandwich.

Forty-four percent of Americans between the ages of forty-five and fifty-six have aging parents as well as children under the age of twenty-one. In actuality, women are sandwiched more often than men. Surprisingly, they provide coresidence to aging parents as well as their children in only about 1 percent of the cases. This number increases only slightly to 1.2 percent when the children are away at college. As all of the generations age, the sandwich can grow to include a fourth generation, that of grandchildren to the middle-aged caregivers who may also find themselves devoting time as well as financial aide to care for and support the grandchildren. Keeping the negative effects and stress level to a minimum will take a lot of planning and organization. Learning to ask for help when needed and knowing where to find it is imperative. Knowing and respecting one’s own limitations is essential. Reversing Roles Many people have the misconception that they will have to become the parents to their aging parents or in-laws. In fact, this attitude can be dangerous. Your parents are your parents and they always will be. They deserve respect, and it is most important for you to help them maintain as much independence and dignity as possible. Your parents are adults, and unless they have lost their mental abilities and capacities, they are still capable of making decisions about their care and life. They may need significant assistance from you, as well as supervision, monitoring, and advice, but it is not your role to make all decisions for them. Depending upon your cultural heritage and the specifics of your upbringing, this may or may not be an easy situation for you to manage. Take it in small steps and enlist the help of family and friends as needed. Even though this may become one of the most draining and stressful times of your life, it might just be one of the most rewarding as well.