So your kids volunteered to be your caregivers? Are you sure that’s what you want?

Every day I talk to people about their long term care plans. A common theme I hear is the idea that “I’ll just let my kids take care of me!” On the surface, that sounds reasonable. It’s true that after raising our kids we are perfectly right in hoping they will return the favor when we need them, but those who have experienced this scenario tell a different story.Let’s face it; caring for an invalid parent is relentless and thankless work. Surveys show that children of adult parents dread having to take on the challenges of care giving but will accept it should the responsibility fall on them. This dread is well founded. Most caregivers end up needing care themselves by the time their duties are finished. Why? Because the infirm do not go to a nursing home when they need to but when their caregivers can no longer assist.

Sibling Rivalries

For most of us, the challenges of sibling rivalry fades as our kids reach adulthood. However, as parents grow older and those same kids begin to step into the role of caregiver, those rivalries can flare up again. The reason is that care giving can rarely be fairly distributed between your children. One will inevitably be required to take the lead. Or two will share responsibilities while a third does very little. This is not a matter of who loves you more; it’s all about who is available and when. Even the most responsible of us is subject to feelings of jealousy when a brother or sister does not share the load, even when we know full well that they have no choice.

Financial Burdens

Many seniors do not have the financial resources to live into their eighties, nineties and beyond. They remember when their parents were seniors and few of them lived beyond their late sixties and early seventies. New medical procedures and healthier lifestyles have added decades to many of our lives. However, these added years often come at a cost a parent does not have adequately resources to cover. Add to that the cost of home health care and you have a recipe for financial meltdown.

At the same time adult children have demonstrated that they are willing to quit their jobs, pass up a promotion and even dip into their own retirement funds to make up in the difference their parents need. Is this really what we want? After so many years of telling our children to take responsibility for themselves, are we suddenly going to impose ourselves on their good graces for our own care? Most of the seniors I talk to tell me that want to avoid this at all costs.

Personal Matters

Let’s be frank here: our sons are not likely to be providing the care. (This is a trend that is changing, but slowly.) That means it will be our daughters and daughters-in-law doing the bathing and toileting. That’s mighty personal. I love my wife dearly, but I honestly don’t ever want my diapers changed by her, my children or my neighbors. I would much rather see that done by a professional who is getting paid for their efforts.

Truth is I want to keep my kids out of the equation as much as possible. If they are going to play any role at all, it will be to manage my care, not to provide it. I don’t mind letting my kids fuss at the nurse for not doing something just-so. I don’t mind if they volunteer to drive me to my doctor’s appointment; but there is no way I am going to allow them to do the work themselves; at least not as long as I can help it.

 

Preparing for Long Term Care

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My wife is a nurse and she teaches nursing at a major university. We frequently have discussions about some of the challenges that will be facing our nation in the near future. One of the biggest is going to be long term care. Eighty million baby boomers have already started hitting the Social Security and Medicare roles. Add to that the fact that new advances in medicine have allowed people to live longer than ever and you have the makings of a real crises.

With that in mind I highly reccomend you visit an article written by guest columnist Marilee Driscoll as she writes about Long Term Care in today’s Carver Reporter.  She points to a new tool made available by Genworth that helps you see what you long term care is likely to cost in the future. (http://xurl.jp/zdr) She points out that most of us don’t really care what the national average for cost of care is; we just want to know what it is going to cost us for care in our neck of the woods. The Genworth site allows you to search state-by-by state for the cost nursing home and long term care. This will give us all a better opportunity to plan for our future needs.

In case you are wondering, a home health aide costs $18.50 per hour, up 5% over last year. What is scary is to see how this trend is likely to continue. Using the tools on this website I learned that the cost of a nursing home bed for a year in my state (Florida) is $71,175 a year. However, I am not likely to need nursing home care for a number of years. Twenty years from now, when I do need it, its likely to cost me $188,848! Ouch! Time to call my local insurance agent!

A New Book Addresses a Daunting Problem: Eldercare

My wife is a long time nurse and educator and as such she is constantly keeping me aprised of the trends in the healthcare field. One of the most pressing issues we have been discussing has been the increasing need for long term care in our generation. Consider the following; 80 million baby boomers have just begun to hit the Social Security rolls. Add to that our current financial woes and we are presented with the makings of a real problem. At the same time, science is making remarkable progress in helping us live longer. (When Social Security started the average man didn’t live to age 65, now there is a good chance they will make it to 85.) And, of course, all this new science comes with a very high procetag.

So, what are people like you and me to do in light of such a daunting problem? Author w. Neil Gallagher has twenty years exxperience in the field and he has a number of suggestions for us in his new book “The Money Doctor’s Guide to Taking Care of Yourself When No One Else Will.” In spite of its wordy title, the book offers very practicle advice on subjects such as:

  • How to choose the right nursing home, should you decide to go that route
  • How to ensure that you and your loved ones are protected financially—long-term care (LTC) insurance, living trusts, income annuities, offshore corporations, and more
  • The physical, emotional, intellectual, and spiritual dynamics of aging
  • The pros and cons of alternate care options—self-care, private pay, Medicare, and Medicaid
  • How to be a good caregiver—valuable information you need to know, whether you’re stepping into or continuing your care giving role
  • I know I am adding this important book to my reading list and I would suggest that any of you with elderly parents make the same decision. All too soon, we are all going to be facing these decisions.eldercare