Live data from Hacker News

Ask HN: Advice about aging parents

news.ycombinator.com

51–60 of 243 posts

Re: Ask HN: Advice about aging parents

#51

My advice is to keep your parents moving for as long as possible. Motivation and exercise is what keeps people alive and happy. I once knew a 92 year old who benched 140lbs and who’s grip was a vice. He worked out every day for ~2 hrs. Was one of the most impressive things I’ve seen. All that said, perhaps ask them what they want? For instance, their motivation might not be meals or cleaning. Getting a maid or food s…

Keep moving! Yes! Also, emotional health is important. Many elderly people die of loneliness. If one parent dies, be VERY vigilant about getting the other into a situation where he/she has friends.

Re: Ask HN: Advice about aging parents

#52

This likely isn't relevant to you OP, but perhaps for someone else who is a little earlier in the process here. I'm in my late 30's and my parents are in their early 60's (Dad will be retiring next year). Two years ago we decided move into a multi-generational home. We found a place big enough for our family of 5, in addition to an "in-law" apartment big enough for my parents. This was born directly out of my parents…

beautiful, thanks for sharing.

Re: Ask HN: Advice about aging parents

#53
With the benefit of hindsight, my biggest priority would be finding someone you (or they) can hire to help them around the house, at least a few days a week. In my experience, as they slow down they will let more and more housekeeping tasks slip, and when pressed will have plenty of rationalizations that they themselves believe "we'll do that later" "doesn't need to get done right now" "we don't use that enough for it to get dirty" etc. Someone coming in once or twice a week for 2-4 hours at a time will make sure those tasks get done, bring a spark of young person energy, and give them a cadence to their week (much more important for people living alone after their spouse has passed). It will also build a relationship with someone you/they can trust for later. This is perhaps easier said than done based on the stubbornness and that both of them are still alive, but I think this would have added the greatest quality of life to my own parents' end of lives.

Also I'm going to say that you haven't described much of an acute problem. Assisted living is a middleground, but that's a personal lifestyle choice and it appears they're deciding against it. By the time they're old enough to need help, they're past the point of assisted living, from what I understand. Having seen it, I would never want to go to a nursing home for my final days. Nursing homes are ugly end games that mostly exist because euthanasia is frowned upon and we don't want people dying in the street.

Other comments have touched on the legal stuff, but you want them to have Wills, DURABLE Power of Attorney, Health Care Proxy, and Living Will. Estate planning will depend on their/your level of wealth, whether you have siblings, and the state they live in. It's not just about divvying up their stuff when they pass, but is important for their own well being. Some of these documents need to be definitively in place now (Wills), whereas others the right time to have the conversation may be soon, or it may be after something significant happens to one of them. FWIW your Mom probably already has some rough expectations for what her life will look like after your Dad passes, if it ends up happening in that order.

Stepping back, you might just find that helping them at all is mostly impenetrable until one of them passes. And if that is the case, that is perfectly fine as well. It's more work when you finally do have to pick up the pieces and come from behind, but IMO you won't get anywhere by trying to force things ahead of time.

Re: Ask HN: Advice about aging parents

#54

No direct answers, afraid, but wanted to mention a related book on this topic: I recently got Being Mortal [1], by Atul Gawande, that tackles the difficult topic of how to gracefully navigate end of life / palliative care discussions. [1] "Being Mortal — Medicine and What Matters in the End" — http://atulgawande.com/book/being-mortal/

Seconding this recommendation, it is an excellent book about a hard topic. Just wanted to add that it is a hard read if you're in the middle of actual severe health problems with you or loved ones.

Re: Ask HN: Advice about aging parents

#56
I've been through this the last few years before losing my parents. First the easy and cheap things. Get them a Ring to see who's coming and going. Get an Alexa video device for each floor - go with the Alexa ones because they are the only ones that let you to check-in without the recipient accepting the call. Get them Apple watches. Knowing that they just need to yell "Alexa, call johnny" and that you can peek in provides quite a bit of peace of mind.

Get a Power of Attorney for each. Make sure your understand their finances.

Go to Home Depot and get the bars for the bathroom. Check into the stair lifts, they aren't super-expensive and some Medicare plans cover them.

Do they still drive? If feasible, get them comfortable with Uber while they're still driving and the transition will be easier.

Talk to their doctors. See if you can get the doctor the prescribe home nurse visits and PT visits. It's another care vector that's covered by Medicare.

Start cleaning the house out now. I really didn't go through dad's stuff when he died, and then when mom died, I had to sort through everything. Figure out what's important while they're still around.

Re: Ask HN: Advice about aging parents

#58

With birth rates decreasing, there will be less people like the OP to take care of their elderly parents. I wonder how people with no children will fare in a world with no support system in place for them. In 40 or 50 years things will be very dire if nothing changes.

If you want to be taken care when you're really old, your best bet is to save money to pay for that service. Kids are no guarantee.

I think it's more accurate to say, kid's may not be in a position to do it all.

I just went through this with my mom. She needed 24/7 care that I couldn't give her. Thank God we had the resources to get her into a "good" place. It was $5k/mo for 300 sq ft in a very low cost of living metro.

Re: Ask HN: Advice about aging parents

#59
Honestly friend, my Dad struggled with this before my Grandma died and while I'm blessed that both my parents are still in good health, I'll likely be in a similar place. Knowing my Dad and how he struggled, the only advice I can give is that you have to stay healthy through this process. My Dad has running, curling and riding his bike - those hobbies and social outlets really helped him through the kinds of necessary decisions that only have bad options.

Aside from that, I'm sorry and wish you the absolute best.

Re: Ask HN: Advice about aging parents

#60
post #42

Your dad crawling up the stairs is helping to fend off muscle atrophy. There's a risk of course. Falling down the stairs could lead to death after complications. But it's not as out-right bad as you might assume, and crawling reduces the fall risk a bit. Falling is a risk even with normal walking. But if you don't have some movement in their life, they degrade faster and die sooner. There is risk from all choices

My dad suggested there are three events that turn an individual from "able to be home" to assisted care (which is very expensive). 1) Change in ability to walk, which triggers 2) Inability to take care of and feed themselves, which triggers a slew of medications to try to combat 3) Inability to go to bathroom by themselves Keep people moving. Build strength early - strength training is great (people begin losing stre…

Agree with you on everything, except frozen foods. I am in my mid 30s. I like to cook and try to eat healthy. I have read at many places on the internet that frozen vegetables in some occasions are healthier than the ones I can at the supermarket- because they are flash frozen, retaining most nutritional value vegetables stay out in shipping and shelves far too long losing nutritional value. Also that they tend to be picked before their time to accommodate for shipping and shelving while frozen vegetables are picked ripe for freezing.

Frozen processed foods like pizzas, ready to eat foods loaded with preservatives are bad as one can imagine.

It was counterintuitive to me that frozen veggies can be better than fresh looking ones from supermarket. Same goes with tomatoes from supermarket shelves versus tomatoes in a tin - apparently the tin ones have better nutrients because they were more ripe when they went into the tin, while supermarket tomatoes were picked well before they were ripe.

Post reply on HN