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…
Ask HN: Advice about aging parents
51–60 of 243 posts
Re: Ask HN: Advice about aging parents
#52This 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…
Re: Ask HN: Advice about aging parents
#53Also 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
#54No 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/
Re: Ask HN: Advice about aging parents
#55Re: Ask HN: Advice about aging parents
#56Get 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
#57Show them all interesting places in your Country/World, if possible
Re: Ask HN: Advice about aging parents
#58With 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 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
#59Aside from that, I'm sorry and wish you the absolute best.
Re: Ask HN: Advice about aging parents
#60Your 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…
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.