As parents become older, there comes a point where you realize that you need to step in and help them with their finances. The red flag may be a bounced check or noticing that some bills are past due, or you could discover much more serious problems like the fact that mom or dad has been taken in by a telemarketing scammer. The steps below are your roadmap to getting your loved one back on track.
1. Know Your Parent’s Finances
The first thing every adult child needs to know is the condition of your parent’s finances. This means that you need to know what debts they have (credit cards, loans, mortgages, etc…), as well as what their living expenses are. Familiarize yourself with utilities, credit cards, and any bills they have and make sure you start paying them right away. You also need to know if there are any safe deposit boxes, and if you parents already have a financial advisor. It may be beneficial to take a look at your parent’s tax returns to get an idea of their financial situation.
2. Learn About Your Parent’s Income and Insurance Situation
Find out what sources of income your parent has. Find out of if your parent is receiving income from social security, what Medicare options they’ve chosen, and whether they receive Medicaid. Also find out if they have purchased long-term care insurance or other forms of insurance to make sure any premiums are kept up to date and policies are still in order.
3. Establish Who Has Legal Authority Over Your Parent’s Finances
When a parent becomes unable to care for their finances, it is especially important for adult children to know who has legal authority to manage the estate. Find out if your parents have already established legal guardianship with a relative, financial advisor, or with an executor. Pre-planning in this area can be especially important as it‘s more difficult to establish power of attorney if your parent develops dementia or Alzheimer’s. If you parents haven’t established a legal guardian before they become incapacitated, you’ll need to seek guardianship through the court system. A judge must agree that your parent is not legally competent to handle their own finances and that you are, which may take time.
4. Contact a Financial Advisor
A financial advisor or accountant can help you not only sort out your parent’s current finances, but also help you plan for the future. Depending on how you parent’s have invested, there may be other ways to maximize their assets to help finance their transition to assisted living. A financial advisor can help you navigate the options and ensure the best possible course for your parent’s financial future.
5. Get Everything in Writing
In order to safeguard both your parent’s and your own financial future, it’s best to make sure you have written documentation of everything related to their finances. Make sure you have legal authorization to act on their behalf. Any access to funds should be documented and any decisions with a financial advisor should be copied into a written document so there is a paper trail to help protect you and your parent legally. Having written records will also help if conflict or concern arises among siblings or other relatives.
Watching a parent age can be a difficult process emotionally for adult children, but it doesn’t have to be difficult financially. By following these steps, adult children can help ease the transition for their parents, ensuring a brighter and more secure financial future.
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Being the caregiver to an aging parent may be one of the toughest family roles imaginable. The task can be as demanding as watching a small child, with the added heartbreak of seeing mom or dad decline…plus the challenge of navigating the changing parent-child dynamic. But there is hope: stress can always be managed. Here are a few tips to use during those times when you feel like it’s all too much.
First, do not attempt to become a lone ranger. One of the greatest areas of stress comes from the feeling of taking on more than we can handle, and that is as true in the caregiving role as it is in other areas of our lives. Other relatives may be both willing and able to help. You may also be surprised to find that those outside the family, such as family friends or neighbors, may also be there to lend a hand. It is important to remember that aside from the task of caring for your aging loved one, there are necessary tasks related to caregiving, and having someone else shoulder those for a while may help you build in some much needed time for yourself.
Second, schedule in your “me” time. One of the greatest challenges family caregivers have is the overwhelming tendency to neglect their own needs in favor of their loved one. It is critical for caregivers to schedule some non-negotiable time to participate in activities that stimulate and interest them, because caregiving can (and often does) demand a significant amount of time and can deplete an individual both physically and emotionally. Schedule such activities as an exercise class, a movie, date night with a significant other, a massage, dinner with friends, taking classes on a subject of interest, etc… By doing so, the caregiver remains in touch with his or her own life.
Third, pay attention to your body. While most caregivers begin their roles in an overall state of good health, statistics show that they are more likely to develop symptoms of depression, anxiety, obesity, and weaker immune response as time goes on. Exercise is a particularly effective method of de-stressing the body, with the added bonus of boosting overall energy levels. Getting outside for fresh air can also be highly invigorating. All the great advice we give our loved ones — about eating balanced meals, drinking plenty of water and getting adequate rest — are just great rules of thumb for everyone to live by… including caregivers.
Fourth, building in a support system can be very beneficial. Providing care for an aging loved one brings forth a flood of emotions. After all, it is during this time that the caregiver witnesses the frailty and physical decline of the person whom they have always looked to for their own care. Seeking the services of a psychotherapist or joining a support group (through a church, synagogue, or local agency on aging), caregivers can often receive sound advice on how to cope during this emotionally taxing period. It is important also for the caregiver to not place unrealistic demands upon themselves but to simply do the very best they can.
Finally, cherish every moment. Glean the wisdom of these years and forgive any past disappointments you may be harboring against your loved one. Resolve any issues that may still linger, and commit to enjoying each precious moment available. Remember to be kind to others, understanding that each person operates the best they can with the knowledge they have. Be gentle even when expectations go unfulfilled. With a slight shift in perspective, you may find — as others have — much greater enjoyment of life’s simplest gifts as an unexpected bonus from caregiving./by Moti Gamburd
Alzheimer’s disease develops gradually over the years, usually going unnoticed at first but eventually becoming impossible to ignore. What signs should families be alert to? The key is to look for major changes that interfere with everyday life.
Some examples of actions that might be taken by a senior with Alzheimer’s include:
/by Moti Gamburd- Forgetting things that are part of a well-established routine, and were once done without fail.
- Repeating questions.
- Arriving somewhere without any idea how they got there.
- Losing their way on a familiar route they take every day.
- Forgetting to turn the stove off.
- Leaving doors open.
- Forgetting to eat meals.
- Unusually poor hygiene that the person is not aware of.
- Placing objects in unusual places.
- The inability to remember even basic words, or speaking in such a way that’s hard to follow.
- Sudden mood swings for no particular reason, or becoming uncharacteristically suspicious or trusting.
- Lack of awareness of strange behavior.
Unfortunately, more adult children live far away from their aging parents than ever before. When it becomes clear that mom or dad needs help, the thought of not being there for them can be very stressful. To make matters worse, they may not tell you the truth when you ask about their well-being. They are after all the parent, and they’ve spent your life worrying about you. They simply may not want to worry their child, especially one living far away.
If you have siblings who live close to your parent, they will probably by default end up as the primary care givers. Most siblings in this situation will appreciate it if you maintain frequent contact with them and make serious efforts to find ways to contribute. If they are raising their own family or their work leaves time at a premium, discussing the decisions to be made and supporting the decisions they make regarding your parent’s care will give them relief. It is a difficult and unfortunately common situation for the primary caregiver to feel abandoned by their siblings in this case. Ask your sibling what kind of support would be helpful. Often in these circumstances, family members who live at a distance contribute a larger share to any financial efforts, or sometimes come to pitch in for a week or two to give the primary caregiver a break.
If you don’t have siblings in the area, ask relatives who do live close by or your parent’s friends or former neighbors to visit them in assisted living. This will probably give mom or dad welcome company, and also give you a chance to hear from a third party how they’re doing. Talking to anyone who your parent knows, trusts, and speaks with regularly will help you sort through what they may actually need. People who can visit often will see potential health issues or other problems that your parent doesn’t want to discuss directly with you. ,
Get involved with, and stay involved with, your parent’s medical care. If your sibling is the primary caregiver, let them know you want to be a part of this. It’s important to understand the conditions your aging parent has, the medications used to treat them, as well as possible side effects.
It goes without saying that you will want to visit your aging parent as often as you can. The guilt often associated with living far away can be alleviated to a degree by maintaining contact. While it is not the same as being there, especially in the case of illness, these steps will give you the basis to be involved in your parent’s care and life.
/by Moti GamburdSeniors sometimes have trouble finding ways to occupy their time, but there are many hobbies that they can still enjoy. Below are some suggestions.
Art
Art, especially painting, is a popular hobby for people of any age. Seniors can take great satisfaction from having created something. Even those with no artistic training or who have trouble holding a brush steady can still have fun expressing themselves with more abstract works.
Needlecraft
Seniors are often able to enjoy different kinds of needlecraft. Knitting is especially popular with older adults, in part because even people with limited dexterity can still complete projects. Many people who have arthritis in their hands also find that it helps them to improve dexterity.
Games
Games of all kinds make great activities for seniors and help to keep the mind active. Games also provide a way to socialize and help keep seniors from feeling lonely. Popular games among assisted living residents include chess, checkers, backgammon, and bridge. Other seniors enjoy putting together puzzles, both alone and with others, or doing word games and crossword puzzles. No matter what their interests and abilities, almost all seniors enjoy games of one form or another.
Collecting
Some people enjoy collecting things as a hobby. Objects related to a favorite animal, stamps, and coins are all popular items to collect. A collection can be a great way for a senior to have something to talk about with visitors, and also keeps them busy by having something to research and think about. Collections can help seniors keep in touch with their past: for example, someone who was a big fan of 1950s sitcoms might collect memorabilia related to their favorite shows.
Writing
For some seniors writing can be the perfect hobby, allowing them to reflect on and reminisce about their experiences. Sometimes they may need assistance and ask for someone to help them with transcribing their thoughts onto paper, which can also provide an opportunity for socialization. Other seniors may choose to write to friends and family. Sending and receiving mail is an enjoyable and comforting ritual for some people. They can tell friends and family about what they are thinking at that moment, rather than waiting until the next time they talk to them.
Photography
These days photography requires little in the way of initial costs and expertise, but there is still plenty to learn as one gains more experience. Seniors can always find something they would like to take pictures of, and this hobby can help them document their lives and then share what they’ve noticed with others. Some people have been shutter bugs their entire lives, and photography is a hobby they can continue to enjoy as they get older.
Scrapbooking
Scrapbooking can be a great hobby because it doesn’t require a large amount of effort or concentration. It’s also an excellent way for seniors to be creative, as well as to reminisce about good times and preserve memories for the future.
These are just a few possible ways to keep busy in assisted living. With a little ingenuity and help, seniors can keep on doing the things that they love. This will not only give them ways to occupy their time, but also boost their spirits and even their health!
/by Moti GamburdHandling the needs of an aging parent is a task that requires teamwork, understanding, communication and cooperation among the senior’s grown children. The stress that comes with the situation can be overwhelming, making it difficult to get things done and work together. Conflict over many different issues—what kind of care is needed, who will do what, etc…—is common. But there are steps siblings can take to make this task easier.
First, conduct a group meeting with all siblings and any other affected parties. The meeting will give the opportunity to lay out the issues at hand, brainstorm solutions, and establish individual roles for each person. Come to an agreement on an agenda in advance and remember to take notes. Keep focused on the aging parent’s needs and wants. Try to find the best possible avenue for obtaining these things and assign tasks to each caregiver.
Be sure to establish roles among family members early in the process. These aren’t set in stone: it’s possible to redistribute roles later. It’s common for one sibling to become the primary caregiver. This can occur for many reasons, including living in an area close to mom or dad and having available time and resources. Unless siblings agree to this arrangement in advance, this can cause resentment, misunderstanding, and frustration.
Not every caregiver is going to have an equal responsibility. Acknowledge individual strengths and weaknesses and assign duties accordingly. Discuss what each person is willing and capable of doing.
Family crises can resurface old grudges and create resentments. Siblings can avoid this by setting up discussion rules. If possible, have regularly scheduled meetings with all caregivers, perhaps once a month or once a year, where everyone can discuss issues and concerns. Remember that working as a team is more productive and less hassle than working against each other. The aging parent and their needs are the primary focus, not settling family debates.
If arguments continue to block progress, seek out information on elder mediators. Mediators are third-person professionals who can handle sensitive family debates on aging parents in a fair, honest way.
It is essential to involve family members who appear to be in denial or unwilling to participate. Their assistance will help keep the amount of work from burdening the other caregivers and keep resentment at bay. The easiest way to get a family member involved is to ask them to do a specific task that is within their means. It is possible that this particular family member does not know how to help and is withdrawing because they aren’t sure what responsibilities they should take on.
If there is no progress on persuading the family member to contribute, continue trying by sending e-mails or letters and making phone calls. Share medical records revealing the reality of the aging parent’s health and the list of tasks that need to be completed. If denial continues to be an issue, involve a third party. This could be a doctor, a family friend, or a mediator. Keep trying, if not for the benefit of an extra helping hand, then to involve this sibling in the limited time left with the aging parent.
Managing the affairs of a dying parent is not an easy feat. To help things go smoothly and to keep family members on friendly terms, be proactive in maintaining the peace.
/by Moti Gamburd- Does the facility cover these plans with the residents and the staff on a frequent schedule? There should be regular reviews and drills that involve both the residents and the staff. What kind of emergency training do staff members have?
- Is someone who is well-versed in the plan and capable of leading staff in carrying it out on site at all times? Is there a plan to increase staff during a disaster? The number of people necessary to support a facility on a day to day basis may be insufficient during an emergency situation.
- Are there disaster kits on site? If so, what is included in these kits and how will they be distributed and used in the event of a disaster? A facility should have disaster kits on hand that provide each person with canned food and water for one week. The kit should also contain candles, matches, flashlights, batteries, and first aid and sanitation supplies.
- Even during an emergency, residents need to continue following their care plans. Ask the facility about their ability to continue without interruption during a disaster. Care plans should be easily accessible.
- How will essential medications be dispensed during and after a disaster? You will want to be sure your loved one can get their medication during disasters.
- Is there a plan for how to notify family members in an emergency?
- How often is the plan updated?
When they decide to make the move to assisted living, for many seniors selling their home makes a lot of sense. They have likely accumulated a great deal of equity during their ownership, and now no longer need this residence since they’ll be living somewhere else. But selling a house in today’s market is often a challenge. Below are some tips on how to make this process easier, so that you can more quickly move on to a new stage of your life.
Keep Tabs on Your Agent’s Work
While you will probably hire a real estate agent to sell and show your home, it doesn’t mean this agent will necessarily do a good job. So after they’ve listed your home, go online and see if potential buyers can find it easily, going back to check again on a weekly basis. See what pictures have been posted and if you agree with the description of the home itself. Tell your agent to change it if you don’t. They work for you.
Post a Love Letter on YouTube
The video sharing site can work to your advantage when selling your home, as you may have lived in it for decades and can talk candidly about why it is such a great place. Have a family member video tape you or do it yourself and show your home from a very intimate perspective. This will be helpful to your real estate agent and to prospective buyers when they are trying to make a decision.
Make Necessary Inside Fixes
All those little maintenance issues will need to be fixed. New paint, appliance repairs, light switches – tackle the things you have been putting off for years because you can live with them. Your home needs to be in the best shape possible for buyers, much like a car needs to be perfectly clean and waxed before you sell it. These improvements can always be folded into the overall sales price – and may even raise the value of your home beyond their cost.
Up the Curb Appeal
First impressions go a long way. So just as repainting and doing small bits of maintenance around the house are helpful for the resale value, so is the exterior landscaping. Have a good yard crew come in and mow the lawn, plant a flower garden, and trim the trees so when that eager new family shows up to buy their first home, your place will charm them as much as any they have seen.
Know the Right Price
Learn what other homes similar to yours are selling for in your area and have a good idea of your property’s worth. Pricing a home too high will just waste time and money and add stress; however, pricing too low will just leave money on the table. Do your research with the help of a real estate agent and make sure you price your home in exactly the right range so that it will sell quickly, but not cheaply.
/by Moti Gamburd
The best assisted living facilities provide nutritious meals that are designed to help older adults take in plenty of nutrients and calories. At Raya’s Paradise, we pride ourselves on our home-cooked food. However, even with delicious things to eat readily available, many people lose their appetite as they age or deal with chronic diseases. It’s a good idea to keep an eye on your parent and look for signs of skipped meals during your visits.
The biggest thing to notice is whether your parent has lost weight, but this can be tricky to spot if your mother or father is already relatively thin. Keep an eye on the wrist and forearm area for signs of looser skin. Ask your parent about the fit of their dentures as well – embarrassment often prevents older adults from wanting to discuss their dentures with assisted living staff. Why is this an important detail? If your parent is dealing with sore gums or a loose fit, they may not eat as much as necessary. Issues with proper swallowing can also make it hard to eat enough every day, even with a healthy appetite. Some seniors suffer from strong coughing fits after each bite due to esophageal issues. Every now and then, share a meal with your parent to get a sense of how easy or difficult it is for them to chew and swallow their food.
Some illnesses interfere with a patient’s desire to feed themselves. Many seniors struggling with dementia, depression, digestive issues or ongoing infections spend more time pushing their food around the plate than eating it.
Each person has different nutritional needs depending on their age, health condition, level of physical activity, and digestion ability. An active senior with diabetes needs a different food plan than one who is bed-ridden resident with severe stomach problems. Ensure that your parent is seeing a dietician and that the facility is providing food that matches their needs. People who have to deal with a lot of pain when swallowing may need high-calorie foods to maximize the energy they get with each bite.
If you notice an issue, bring it up with a staff member. The care team, perhaps with input from your parent’s doctor, can come up with a solution. Depending on the particular reason why your parent isn’t eating, there are many simple tricks and strategies the staff can use to make sure they get the nutrition they need. For example, someone with Alzheimer’s disease may need to be seated facing towards the wall rather than looking out over the rest of the room, where noise and activity may distract them. It may also help these patients if staff makes sure they’re seated next to the same companions at each meal, providing a dependable routine. Staff may also serve nutritional shakes to residents who have trouble eating, to make sure they’re taking in enough calories.
The assisted living staff will also check on the eating habits of the residents, but you know your parent best. You may be able to notice subtle changes that are difficult for others to spot. These kind of observations, not just about eating but also about the state of your parent’s general well-being, can make the difference between good and excellent care. The more people watching out for them, the better off the resident will be./by Moti Gamburd
Deciding to enter hospice care is never easy. Everyone involved in the decision may find themselves experiencing regret, sorrow, and confusion about what to expect. While issues of death and dying are always extremely difficult, knowing what to expect can help make the process a little more bearable.
Most know hospice as a form of care for those who are suffering from terminal illness. It’s more than just medical care, however, as clergy and social workers may be part of the hospice team in addition to physicians and nurses. Hospice helps patients and their families come to terms with this difficult event. The main goal of hospice is to make the final days of a dying person’s life as painless and comfortable as possible, while helping to bring about a sense of resolution.
One of the main qualifications in order to be eligible for hospice is that the individual must be expected to live for no longer than six months. In most cases, if the person requires additional time, their physician can extend their care. Hospice can be discontinued if the person receiving it begins to recover.
One of the first steps in going about retaining hospice services is to consult with the loved one’s primary care physician. You can also contact a hospice group or a facility, such as Raya’s Paradise, that provides hospice care. Once a hospice team is assembled, all aspects of the patient’s care will be considered and a comprehensive plan will be developed. This would include the patient’s comfort level, finances, necessary medical care and medication, as well as religious beliefs.
When determining whether hospice is appropriate, physicians will usually use the Karnofsky Performance scale. This is a set of criteria to help evaluate the patient’s general health in order to determine life expectancy. Common diseases that usually resolve in hospice include cancer and Alzheimer’s disease.
Some may consider opting for hospice to be giving up. This couldn’t be further from the truth! In fact, it takes a very strong person to be willing to accept help and support when it’s needed. This is not a matter of giving up, but more of doing what’s necessary at that point in time. Furthermore, by choosing hospice, your loved one will receive increased comfort and support, leading to more fulfilling and meaningful final months of life.
Discussing hospice is never easy. Nobody wants to be the first person to bring up the topic of death and dying. If you or someone you love is considering hospice, it’s important to realize that not saying anything could in fact delay hospice and cause unnecessary pain. Hospice is all about making the last stage of life as comfortable as possible. There’s no point in prolonging discomfort. Take a moment to begin the conversation now and you may help ease the suffering of a loved one.
/by Moti GamburdCorporate Office / General Information
Raya’s Paradise, Inc.
1156 N Gardner St.
West Hollywood, CA 90046
Tel: (310) 289-8834
Fax: (323) 851-0375
E-mail:Info@RayasParadise.com