WITH ELDER CARE
By Catherine Tarpley,
Do we ever get over the realization that, contrary to what we believed when we were 3, our moms and dads are mortal? Here's what the experts advise: Recognize that your parents will likely need care some day. Get involved in elder-care planning while they're still able to make their own decisions: What do they need you to know? What do they need from you in a crisis? Do you know how to find the deed to their home or what pressing bills to pay if they are suddenly hospitalized? What follows could help start what is one of the most difficult but important conversations parents and adult children can have. And remember that you will be there someday, too. The following advice can help you plan for your own aging.
Sadly, 85 percent of long-term care decisions are made after an older person has already reached a medical crisis. Discuss elder-care options with your parents now, so that you'll know later that you're doing the right thing by them. Your options include:
CHOOSING A LONG-TERM CARE APPROACH:
The level of care your parents might need.
The money that will be available to pay for such care.
Special considerations, such as whether your parents smoke, use wheelchairs, or can no longer drive a car.
Your own ability to monitor the care your parents are getting.
His or her own money and assets.
A 2001 AARP study found that while 75 percent of adult children worry about their parents' elder-care plans, a third never discuss it with their parents. What kind of care is available for your parents if they can no longer live on their own safely? How will you know when they've reached that point? Numerous agencies in the Seattle area can help you and your parents discuss these issues now.
Senior Information & Assistance, a division of King County Senior Services: 206-448-3110; 800-972-9990; www.seniorservices.org.
King County Long Term Care Ombudsman Program: 206-623-0816; www.ltcop.org.
AARP: 206-517-9348; www.aarp.org.
MAKE SURE YOU TALK TO YOUR PARENTS ABOUT:
Living will (or "Directive to Physician").
Contact information for doctors, dentists, banks, accountants, lawyers, insurance agents, etc.
Medicaid, Medicare and Social Security ID cards.
Deed to house and other properties.
All insurance policies, including health, life, car, disability, mortgage and homeowner insurance.
Living trust documents.
A list of assets, including checking, savings and money-market accounts, securities including stocks and bonds, titles to all vehicles, retirement accounts, etc.
A list of debts, including loans, credits cards, etc.
A list of monthly household bills that should be paid if they are ill.
Copies of tax returns.
One percent of Americans between ages 60 and 64 suffer from some degenerative brain disorder, but the incidence jumps to almost half for Americans over 85. Experts say that many families ignore early signs that a parent needs care. Even if your parent seems to be fine, you may want to seek a professional evaluation if he or she:
Has repeated falls.
Lacks energy to take care of himself or herself.
Constantly forgets words or doesn't understand numbers.
Stumbles but doesn't break the fall.
Loses interest in old passions and hobbies.
Doesn't seem to comprehend what's going on in his or her immediate surroundings.
Seems to be eating or sleeping less, or sleeping more than normal.
Insists he or she is taking care of basic needs, such as housekeeping, when clearly that isn't the case.
Illustration by Paul Schmid, Seattle Times news artist
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