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Caring for Aging Parents: An Essential Guide

Caring for elderly parents is a profound journey many families undertake, often bringing a complex mix of emotions like anger, sadness, and stress as roles shift. Adult children frequently find themselves in the unfamiliar position of becoming a “parental figure” to their own aging parents, especially when cognitive decline begins. This demanding responsibility can take a significant toll on caregivers’ mental and physical health, often leading to chronic stress and burnout. Many caregivers also experience guilt when trying to prioritize their own health and well-being.

At Belmont Village, we recognize these challenges and emphasize the importance of prioritizing your mental wellness. We believe that with the right support, proactive planning, and self-care—including exploring options like respite care or considering a senior living community—you can maintain your well-being and provide more sustainable and meaningful care for your loved one.

Determine Your Aging Parents’ Needs

As parents age, understanding their changing needs is crucial for providing appropriate care. This often involves evaluating their ability to perform daily tasks, which are categorized into activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Assessing these activities helps determine the level of care needed whether it’s temporary assistance or long-term care.

ADLs & IADLs

ADLs are fundamental self-care tasks most healthy individuals perform independently. These include ambulating (moving about), feeding, dressing, and toileting. A decline in ADLs is a key measure of an older adult’s functional status.

IADLs are more complex activities essential for independent living, often requiring sophisticated thinking and organizational skills. Examples include managing finances, transportation, shopping, meal preparation, housecleaning, and medication management.

Evaluating both ADLs and IADLs is vital for defining appropriate care. At Belmont Village, our assisted living and memory care programs provide professional support for daily activities and medication management, with licensed nurses on-site 24/7. We create personalized care plans to meet evolving needs, fostering independence and social connection for our residents.

How to Care for Aging Parents

Supporting Aging in Place

As family members age, adult children often seek ways to encourage independence for their loved ones at home, a concept known as aging in place. Understanding their evolving needs (assessed with the help of a licensed professional) is crucial for defining appropriate support.

One valuable strategy involves hiring home health aides, who can assist with essential ADLs and IADLs. These professionals provide crucial personal care and health support, especially for those recovering from illness or managing chronic conditions.

Using Respite Care Services

Other vital options include short-term respite care services, which offer temporary relief from family caregiving responsibilities, lasting from hours to several weeks. This setup allows caregivers to recharge, address personal needs, and alleviate physical and emotional strain, benefiting everyone involved. Respite care can also serve as a way to “try out” more long-term care options.

Belmont Village’s respite services are ideal for recovery and transitional care between hospital and home. Our communities provide licensed nurses on-site 24/7 to oversee care and coordinate with physicians, offering medication management and assistance with underlying conditions like diabetes. Residents also benefit from on-site physical, occupational, and speech therapies in professionally supervised fitness centers for seamless rehabilitation. These services, provided in fully furnished private apartments with chef-prepared dining and engaging social programs, help address common reasons for hospital readmissions, such as poor medication management and social isolation, ensuring comprehensive support and a positive solution for transitioning care.

Moving to Long-term Care

When aging in place is no longer the safest or most supportive option, transitioning to a long-term care community can be a loving decision. Belmont Village offers a continuum of senior living choices, including assisted living and memory care; importantly, couples with different care requirements often can continue to live together.

Assisted living at Belmont Village starts with a personalized care plan. Residents engage in enriching programs tailored to their interests, fostering fulfilling days.

For individuals with cognitive changes, Belmont Village provides specialized memory care services that include award-winning, research-based programs like Circle of Friends® for Mild Cognitive Impairment and early-stage memory loss, and Person-Centered Living® for Alzheimer’s disease and other dementias. These programs are guided by specially trained staff and dementia care experts to create positive, purposeful days.

Choosing a senior living community like those in the Belmont Village network ensures professional support for daily activities and vibrant enrichment activities, promoting independence and social connection for residents.

Finding Caregiver Support

Caring for aging parents can lead to chronic stress, exhaustion, and caregiver burnout for adult children. Many caregivers struggle with guilt when prioritizing their own physical and mental health, but taking breaks and seeking support ultimately benefits both the caregiver and the care recipient.

Utilizing available support services is crucial. Caregiver support groups, for example, help connect you with peers who can offer advice on shared caregiving experiences.

Notable organizations that provide valuable resources include:

  • Area Agency on Aging (AAA), accessible through the Eldercare Locator, can help families find local resources like in-home assistance, transportation, and geriatric care managers.
  • Family Caregiver Alliance (FCA) offers an online dashboard, CareNav, for personalized information and resources, including support groups and services by state.
  • AARP provides extensive resources for caregivers, covering basics, care at home, medical, financial, legal, and life balance topics, along with state guides and a family caregiving community.

These resources help caregivers recharge, find external assistance, and maintain their mental and physical health, ensuring more sustainable and meaningful care for their loved ones.

Filing Legal Documents

As adult children navigate the complexities of caring for aging parents, establishing power of attorney (POA) documents is a proactive step that provides essential legal and medical framework and guidance. These crucial documents empower a trusted individual (agent or attorney-in-fact) to make decisions on a parent’s behalf (the principal) when they can no longer do so themselves.

A financial power of attorney lets the agent handle financial matters like paying bills. For medical matters, a health care power of attorney (health care surrogate or medical power of attorney) lets agents make medical decisions on behalf of the principal.

These documents must be durable, meaning they remain effective even if the parent becomes incapacitated due to illness or cognitive decline. Without a durable POA, families might face expensive and time-consuming court procedures like guardianship or conservatorship, where the aging parent could lose their say in who makes decisions for them.

Setting up these documents early when parents can still easily understand and agree, is critical, as a dementia diagnosis can impair their ability to sign legal papers. Having these POAs in place provides peace of mind, ensuring that an adult child can effectively manage their parents’ needs and wishes, easing the caregiving journey for everyone involved.

Learning New Communication Strategies

Communication patterns inevitably change when a parent displays symptoms of early-stage Alzheimer’s or other forms of cognitive impairment. Dementia affects brain function, making familiar interactions potentially frustrating for both the individual and others. Learning new communication strategies is essential to maintain connection, respect, and provide effective care.

Belmont Village emphasizes adapting your approach, noting that our memory care staff have developed tried-and-true methods. Key “golden rules” for communicating with someone with dementia include:

  • Making them the expert: Always treat them with dignity and respect, valuing their perspective.
  • Changing your behavior/environment: Instead of trying to alter their actions, adjust your responses or surroundings.
  • Being reassuring: Maintain a calm, cheerful demeanor with welcoming body language to provide comfort.
  • Distracting when in doubt: If a loved one fixates on an unsafe or impossible idea, redirect their attention through questions or a new activity rather than directly contradicting them.

For early-stage dementia, continue to involve them in conversations, offer ample time for them to respond, and don’t hesitate to ask if certain environments or activities cause stress. Maintaining your role as a trusted loved one is key.

Caring for Elderly Parents FAQs

What is the 40-70 rule for aging parents?

The 40-70 rule is not a hard-and-fast rule so much as it is a suggestion for when to start having difficult conversations with aging parents about senior care. The “rule” suggests starting these conversations roughly when the adult child is 40 and the parent is 70.

How can you tell an elderly parent that they can’t live alone?

Approaching the conversation about an elderly parent no longer living alone requires sensitivity. Focus on the older adult’s safety and well-being, explaining how increased support will be beneficial. Involve them in discussions about their evolving needs and potential care options, respecting their voice in the decision-making process.

If cognitive impairment is a factor, gently reframe the conversation around practical assistance, such as managing the home or daily tasks, rather than directly addressing their declining abilities. Emphasize that this loving decision ensures they receive appropriate care and support.

What are the responsibilities of caring for elderly parents?

Caring for elderly parents involves a wide range of responsibilities, from assisting with daily tasks like bathing, dressing, and eating (ADLs) to more complex activities such as managing medications and finances (IADLs). Adult children are often responsible for coordinating health care, recognizing signs of cognitive decline, and making legal decisions through power of attorney. It also includes providing emotional support, maintaining proper communication, and planning for their long-term well-being to ensure their safety and quality of life.

What are the signs that my elderly parents need more help at home?

Signs your elderly parents need more help at home often involve difficulties with daily tasks, including tasks like bathing, dressing, managing finances, preparing meals, taking medications correctly, or maintaining the household.

Other indicators point to cognitive changes, including short-term memory loss, repetitive questions, social withdrawal, or significant changes in personality and behavior. Watch for disorientation, extreme forgetfulness (e.g., misplacing keys in odd places), or neglect of personal care and home maintenance. These signs suggest your loved one needs additional support to maintain safety and quality of life.

What are the best ways to manage stress while caring for elderly parents?

Caring for loved ones can be rewarding. It can also be stressful. Prioritizing your own mental wellness is crucial; allow yourself breaks, seek social support, and engage in activities you enjoy. Respite care can provide temporary relief, whether at home, an adult day care center, or a senior living community. Connecting with caregiver support groups helps reduce isolation and offers shared experiences. Resources like AARP, Area Agency on Aging (Eldercare Locator), and the Family Caregiver Alliance provide valuable tools and guidance to support your family.

What resources are available to help with caring for elderly parents?

Many resources are available to support adult children caring for elderly parents, including:

  • Area Agency on Aging (AAA), accessible via the Eldercare Locator
  • Family Caregiver Alliance (FCA)
  • AARP

Final Thoughts

Caring for aging parents can be full of both challenges and rewards. As adult children, proactively addressing these evolving needs through legal planning (especially power of attorney documents) ensures their wishes are honored and their affairs managed. Equally vital is adapting communication strategies, particularly for those with memory loss, to maintain dignity and connection.

Remember to prioritize your own health by utilizing caregiver support groups and other resources to prevent burnout. Recognizing the signs that more help is needed at home, understanding your responsibilities, and knowing when to move to senior living are all part of providing comprehensive, compassionate care. By taking these steps, families help promote their loved ones’ quality of life and sense of worth while also safeguarding their own health.