Aging Parents: Conversations to Have

It's emotionally difficult to watch a parent who you always remember being capable and independent deal with declining health and advancing age. It's a contrast to parenting, where you help someone small and dependent become progressively more independent. In loving an aging parent, we witness a formerly independent person cope with losses of friends, their partner, their vitality and energy, perhaps the ability to continue living in their home alone and their challenge to gracefully accept it all.

In Erik Erikson's life tasks for different life stages, the final stage is called "Integrity vs. Despair". At this stage, people review their life, and try to come to terms with what their contributions have been, and what significance their life has had. Seniors are often coping with chronic or progressive illnesses which may slow them down and consume a great deal of their time trying to cope. Many seniors deal with some depression or anxiety as they age and deal with loss. Support from family and friends makes an incredible difference as to how well aging parents can deal with their daily life.

Many people become just more of whatever their personality was like earlier in life (think sweet, complaining, thoughtful, connected, isolated, demanding, etc.) Many older seniors key in on their daily and weekly routines and structure for feelings of security amidst the changes that are occurring.
This can make them seem rigid to younger family members, but it helps to remember that this is a part of coping for many seniors ( such as' I like to eat at this restaurant', 'I always do these chores at this time of day', set television programming, morning and evening routines that self-comfort).

When I worked years ago for the counseling department of a large, local hospital, I helped families talk through planning for aging parents. I still do in my private practice. Here are some things to consider discussing with your aging parent(s):

1. Most aging parents do better in their own home for as long as possible, with services and care being brought into the home as needed.  These might include housekeeping, a home health aide, meal delivery, a bath aide, companion care and more. What are your parents' preferences when their home is no longer the safest place for them, or their needs are more than can be supplemented at home?

2. Do they have a family-friendly family practice doctor who can be the quarterback as other specialists are needed, and is willing to talk with one family member as the point of contact? If not, help them find one. If you live at a distance, a doctor who is willing to interact by email may be very helpful.

3.Create a central storage place for important documents such as medical records, lists of medications being taken, social security numbers, health insurance policy information and contact numbers, advanced directives for healthcare, etc. Keep a hard copy in two different locations that are fire-proof and water-proof.

4. Ask your parents if they have long-term care insurance. Nursing home care is very expensive and could wipe out their savings, or yours. If your parent is healthy enough to qualify, paying that premium, even yourself, may be a smart option.

5. Discuss finances. Who is the point-of contact relative for financial matters? This individual should have financial power of attorney. They need to know the location of key accounts and policies, and the name and contact information for financial advisors.

6. If you begin to suspect your aging parent is confused, get a medical assessment as soon as possible. You can often begin with their family practice doctor who can refer on to specialists who do neurological testing and assess for memory loss and dementia.

7. Discuss what they want to happen when they die. Would they like to be cremated, or buried? Would they like a service to be held? Would they like donations to go to a favorite charity or cause? These might be difficult conversations to have, but it's essential to knowing what their wishes are.

Being sensitive to all the losses your aging parents are going through will help. Consider how you would feel if you were losing your hearing or sight, your mobility, your friends, your partner, and potentially your ability to live independently in your home. There are lots of adjustments that have to be made along the way. Get a support system for yourself. You might be an only child, but even if you have one or more siblings, the care for aging parents often falls disproportionally on one or two.

Caring for aging parents can be meaningful, and it can be hard, both physically and emotionally. Communicating with your parents about these important concerns will help you move forward to make decisions effectively and thoughtfully as changes occur. Hopefully, when we are the oldest generation, our children will be there for us as we inevitably need them more, too.

Hello,Goodbye, and other Connecting Points

Connecting points are rituals of connection with the people you are closest to. They are touch points in your day and your week that make both you and the other person feel valued, important, and special. These actions make you feel like you belong. We need connecting points with all the special people in our lives: our partner, our children, our parents, and dear friends.

Couples need connecting points that include a kiss and a hug when you say goodbye for the day.

When one of you re-enters the home that evening, it is good relationship form to have the returning partner track down the partner at home for a hug and kiss hello. Even if they are cooking dinner, are on their laptop, or with the kids. The message is: everything else can wait for a minute. You are incredibly important to me. I am glad you are home.

Couples also need connection on a physical level on a regular basis, including holding hands and cuddling. Standing appointments with each other for a weekly date night also help re-romanticize the relationship. All week long you can both look forward to it. You wouldn't believe the number of good men I've seen in individual counseling over the years who are sensitive to the fact that their once affectionate partner never reaches out anymore.Be sure to kiss your partner good night, and tell them you love them often. Live without regret!

Rituals of connection are also bonding with your children and as a family. Have dinner around your kitchen or dining room table as often as you can. Share a prayer, and/or the best part of each person's day. Teens may protest, but they actually like it if you are serving food they like. Make Sunday dinner a big deal. I know someone in his 40's who still remembers the warmth of Sunday family dinners at his grandmother's house. Consider a game night, a pizza and a DVD night, or other great ideas the kids may have. Make it fun to be a part of your unique family. Create holiday traditions. Worship together. Read aloud together. I can still remember fondly my Dad reading to my sister and I. Bedtimes and tucking in time are terrific opportunities for end of the day connecting. Tell your children you love them. Hug them liberally and frequently.

Once you're on your own, and as parents age, create rituals of connection with your parents. They will look forward to a standing phone call, lunch, or dinner, and so will you. They won't always be there to enjoy. Get them talking about their life, their childhood, when they met their partner. Sharing happy memories about your aging parents' travel, work, relationships and life is wonderful for both of you. It's your family history, too! Make sure you tell them you love them. Many older seniors who are widowed don't get touched much, so be sure to connect with them with a hug. It might be the only touch they've had for a while, and touch is good for mental wellness.

Being intentional and conscious about staying connected to those you care about most is important. It's also some of the sweetest stuff in life. Make sure you don't miss out! Choose to be connected, rather than disconnected, from those you love. It will make your life much more meaningful.