What My Dad’s Death Taught Me About Dying

Three years ago, my father and I rode horses together for miles and miles of trails at a Florida state park. Two weeks after that, the world shut down and two years later, he died. His dying was my first very close-up experience with serious illness and death.

If we’re lucky, we learn something from our parents about how to face the end of life. Maybe they talk to us about how they want to spend their last days, what they most fear, how they feel about us, and what they believe about an afterlife. But for my dad and me, it didn’t go down like that.

Read More

3 Mantras Every Caregiver Needs

If you are caring for aging parents, there are many websites and books you can use to get smart about how to manage and provide care for them.

But, it’s a good idea to remember that no matter how much planning you do, there’s no substitute for experience. Research is important but it’s overrated as a predictor of success. So, don’t feel bad if you can’t get a handle on all the stuff you feel like you need to know. So much of this work happens by just living it.

Because the cost of forgetting this truth is so high, I need mantras to help me feel less overwhelmed in the face of so much to do and learn.

Read More

Ending Loneliness in Caregiving

Other than death of a loved one, few things are more disorienting than making the shift from being cared for by your parents to caring for them.

This transition is made even more challenging because it usually comes as such a surprise. And it’s not just the biologically wired blind spot we have against our parents’ vulnerability. It’s the utter shock that, when it happens, there’s no place to turn for help. It’s like trying to climb a rock face without any toeholds or crevices where you can grab on, and then scaling it without a net.

The problem with our aging system is that even though there’s a lot of information out there to help, the situations most caregivers confront are so incredibly complex, unique and specific (e.g., Why won’t rehab providers accept my Dad?) that they can’t find exactly what they need. Or they want the one exact right answer to a very complex question that doesn’t have right answers.

Read More

What Caregivers Really Want Their Friends to Know

Remember when your first friends entered parenthood and you thought they seemed so boring and self-absorbed.

And, then… you had a baby and you got it?

Well, that’s happening again. Only this time, it’s because some of us have started taking care of our aging parents. And others are wondering what happened to their fun friends.

The truth is, caring for aging parents is an experience that’s hard to relate to unless you’re going through it. None of us can easily imagine just what life is like with a parent who needs help doing the simplest things like eating, getting in and out of bed or god forbid, going to the bathroom.

Read More

Caring for Aging Parents – A Sibling’s Survival Guide

There are many heartbreaking moments to navigate when our parents start to depend on us for care. But few are as painful as fighting with our siblings.

This doesn’t always happen. Sibling relationships can be a source of strength and comfort as parents grow older. But, more often than not, friends tell me about severe conflicts they have with their brothers and sisters, and the suffering it causes.

Like so much to do with caregiving, these clashes often come as a surprise. No one imagines that by caring for their aging parents, they’ll be thrust into such emotionally charged interactions with their siblings. It’s such a shock to go from seeing family once a year over the holidays to navigating our parents needs together daily.

Taking care of parents puts incredible stress on interactions between adult children. The fragile scaffolding of sibling relationships, so carefully constructed over a lifetime, often comes crashing down.

Read More

When Your Parents Won’t Listen

We asked daughterhood readers recently about the most stressful part of caregiving. Many responded that their biggest struggle is conflict with their parents. When their mother or father disagrees with or ignores safety or health-related directions. Things like not staying off the ladder to refusing to see a doctor.

It’s so hard to sit by and watch when our parents seem to need help but refuse to get it. We feel the full weight of responsibility for what happens to them but, at the same time, we have no control over their choices.

But we try. Women especially are taught that if they just try harder, get smarter, skinnier, dress better and be nicer, they’ll be okay. So it makes sense that this do-more mentality pervades our caregiving too. But this is a mean trap. We are — maybe not entirely consciously — judging our self-worth by whether we can stay in the ring without getting taken out by the realities of aging: mortality, frailty, disease and an upside down, seriously messed up healthcare system. Realities we shouldn’t even pretend to be able to influence.

Read More

5 Lessons in Setting Boundaries that Every Caregiver Must Learn

It seems like I’ve been exhausted for 20 years. In just the last few months I’ve been waking up to the realization that this fatigue is the direct result of much-too-loose personal and professional boundaries. I’ve spent so much time and energy in my life doing things that I can’t or don’t want to do –that I am just plain tired.

There’s an epidemic of “can’t say no” among the women I know.  But, I think it’s especially difficult for daughters – to say no to a parent who wants to move in, to say no to unreasonable requests from siblings or paid caregivers, or to bow out of community obligations that are just too much on top of caregiving demands.

As a caregiver, it’s essential that you become an expert in setting boundaries. Boundaries are the flip side of asking for help. And if you can do both… if you can learn to say, “No” and “I need your help,” you might just survive this experience.

Read More

4 Tips To Make You Smarter About Your Parents’ Medicare

“My dad doesn’t have Medicare!”  A friend said to me on the phone a few months ago.

“What?” I responded. Thinking: This seems unlikely. Pretty much everyone over age 65 has some form of Medicare and my friend’s dad is at least 90 years old.

Then he explained, “Dad has something called ‘Blue Cross advantage.’”

“Ohhhhh…. Okay.” I got it now.

I explained that his dad does have Medicare but it’s a particular form of Medicare that private health plans (like HMOs) offer. It’s called “Medicare Advantage” and people eligible for Medicare can sign up for it instead of the original or traditional Medicare.

Read More

Don’t be Surprised by Medicare’s Out-of-Pocket Costs

My friend Quentin Fottrell is the Moneyologist columnist over at MarketWatch. He recently shared with his facebook group a reader question about whether a woman should help her 75-year-old sister with medical-related credit card debt.

Two commenters asked, “Why does she have medical costs? Isn’t she on Medicare?” They thought that Medicare covered most healthcare costs for older adults.

Unfortunately, this simply isn’t true. While Medicare is the primary health insurer for most older adults, it only pays a part of the healthcare bill. There are three kinds of out-of-pocket costs that we face!

Read More

5 Common Misconceptions About Medicaid

I have a confession. I’ve been avoiding writing about Medicaid. It’s just so complicated it scares even me the expert. But Medicaid can be really important to daughterhood.  Someday you might have to decide if it’s right for your parent. So, you have to get smart about it.

Why Medicaid is important? It’s important because it’s the safety net when everything falls apart.

When your frail mother has been caring for your Dad at home alone for five years and she can’t do it any longer. When 24 hour a day home care is too expensive, and still not enough to keep your dad safe. And, then when his nursing home care quickly depletes their savings.

Read More