How To Help Your Aging Parents
Stay Happy And Healthy

Remember the days when Mom shuttled you to the doctor whenever you were sick? Now you’re driving her to her medical appointments. Perhaps you've become even more involved in managing her healthcare needs – serving as her healthcare proxy, tracking her medications and seeking out specialized care.

Many of us feel challenged and intimidated in the caretaking roles we take on in our parents lives. But if you stay positive and proactive, you'll be in a great position to advocate for your parents' optimal care. And what better way is there to say "Thank You" for all they've done for you over the years?

The following six recommendations will help you understand what may be happening to your parents as they age – and what you can do to help.

1. Stay vigilant to sudden changes.
Typically, sudden changes arise from sudden problems. Your elderly father who becomes confused one week but was alert and oriented the week before, or becomes unsteady walking and starts falling, is likely experiencing an acute problem – an infection, medication side effect, or perhaps, a heart attack or stroke.

If you pay attention to your parent's baseline health and behavior, you'll be alert to sudden, and subtle, fluctuations. Being attuned to what's “normal” for your parent is critical in advocating for his care. By informing his physician of these changes, you help ensure that he receives a proper diagnosis and timely treatment – especially important in acute conditions.

2. Investigate the source of gradual decline.
I recently heard about an elderly woman whose family assumed she had dementia, and had moved her there after she had gradually stopped speaking. After a few months, a physician did a careful physical and removed bullet-sized pieces of wax from her ears. She'd stopped speaking because her ears were too plugged to hear.

A host of conditions can cause gradual decline in elderly patients. Before jumping to the conclusion – as many people do – that Alzheimer's disease is the culprit, recognize that your parent may be experiencing an altogether different problem: a vitamin B12 deficiency, an underactive thyroid, Parkinson's disease or depression, to name a few.

When discussing your parent's decline with her physician, make sure the two of you consider all the possibilities. To prepare for the appointment, make notes detailing how her decline has manifested itself – loss of appetite, a failing short-term memory and so forth – and how long you've noticed these changes. That way, you won't leave anything out.

3. Know thy parent's medicine cabinet.
Familiarize yourself with the medications your elderly parent takes, what each drug is for and how often they are being taken. Make sure you notify each doctor your parent visits of all the medicines your parent takes, including over-the-counter products and vitamins. Ask what side effects you might observe from each medication and whether it's potentially dangerous if your parent takes them together.

You also want to tell the doctor whether your parent drinks alcohol or caffeinated drinks and whether he smokes, as these substances can affect some medications' efficacy and safety. It'll help you recognize which medications might cause the symptoms your parent experiences.

4. Discourage ageist attitudes.
Simply put, ageism is prejudice against the elderly. It exists in many forms but can be particularly damaging to an older person's self-esteem when it assumes that all of her woes are age-related. Here are a couple of ways of expressing ageism to an elderly parent:

“What do you expect at your age?”
“You're not getting any younger.”

If you're ever tempted to utter something similar, remind yourself that by chalking up every ailment to age, you sell your parent short. If your parent is depressed, it may have nothing to do with the fact that she's 80 and everything to do with a biological predisposition to depression. And remember that right-knee pain in a 90 year-old can't be just from age if there's no problem with her left knee.

5. Address not just symptoms—but emotions, too.
There is disease and then there is “dis-ease” – that is, a lack of ease, security or well-being. “Dis-ease” can manifest itself as myriad emotions in an elderly person: fear, grief, boredom, embarrassment and sadness among them. The fact is, these emotions can be every bit as debilitating as disease.

Take the case of a parent who's incontinent. Too embarrassed to socialize, she cuts herself off from friends. Without companionship, she becomes lonely. Instead of allowing her to become a hermit, discuss with her doctor how to address the incontinence. Together, you can consider different solutions that will ease her embarrassment and reinvigorate her social life.

6. Strive to maximize your parent's quality of life.
No matter our age, we all want to enjoy life to the fullest and have the capability to do the things we want to. Being there to solve a problem or provide company are tremendously worthwhile services you can provide – no expertise required. Remember, as your parent gets older, his quality of life becomes more important to him than how much longer he lives. And he doesn't necessarily need medications or surgery to ensure that he's living the latter part of his life to the fullest.

If he enjoys books but has difficulty reading regular-sized type, check out sight-saving titles at the library. If he's grieving the loss of his best buddy, introduce him to new acquaintances at the senior center. If your parent is spending a lot of time alone and is getting overwhelmed by daily tasks, think about selecting an in-home care agency to provide companionship and assistance with meals, errands, walks, grooming and other daily tasks. Sometimes, it's the small gestures that have the most profound impact.

As the child of an elderly parent, you are uniquely positioned to deliver these life-changing gifts.

These are just a few of the suggestions we share with the families of the seniors we serve. To learn more about in-home senior care options, dementia care, caregiver stress, non-medical in home care, and all aspects of elder care, please call us at 323-932-8700.