Help Parents Age Well: “The Worst Advice for Family Caregivers–Parent Your Aging Parent” Forbes blog 9/4/l3

The belief that we become parents to our parents has always seemed so disrespectful. We are always our parents’ children. They are always our parents. Even if not a biological relationship (eg. adoption), there’s the emotional component of being a parent or a being child, that endures.

Howard Gleckman, currently a resident fellow at the Urban Institute, and a Forbes blog contributor posted the following on the Forbes blog:

The Worst Advice For Family Caregivers: Parent Your Aging Parents

In the always-complex, often-painful world of family caregiving, there is no worse advice than this: When your parents need help, you must reverse roles and become their parents.

Here is the reality: If you are the adult child of an aging parent, you will always be their child and they will always be your parent. They may need your help with the most intimate personal care. But you will never become their parent.

I saw this all the time when I was researching my book Caring for Our Parents. I had the opportunity to spend as long as two years with people who needed assistance and their family caregivers. I saw heartwarming successes and sad failures. Often the difference was the ability of adult children to understand their role.

I was thinking about this after seeing Courtland Milloy’s column in this morning’s Washington Post describing his experience as a long-distance caregiver visiting his parents in Louisiana.

He wrote, “Some elder-care experts say that when aging parents stop acting in their best interest, the grown children must “reverse roles” and simply make them do the right thing.”

As he learned, this advice is so wrong on so many levels.

To start, what is the “right thing?” Who are you to decide what is right? As a matter of law and, I believe, ethics and morality, each of us gets to decide the “right thing” for our own life, as long as we are cognitively able and our choice does not harm others.

A wise man once said it like this: “When I was 22, I did some things my parents thought were remarkably stupid. But I was an adult and they were my choices. Now, my parents may be doing some things that I think are remarkably stupid. But they have the same right to make mistakes as I did.”

Put yourself in the position of an aging parent. As you become physically frail and cognitively limited, you lose control of your life. All those day-to-day decisions that healthy people take for granted—when to go to the movies, when to eat, when to walk across the room and even when to go to the bathroom—are increasingly shared with others. It can be embarrassing and demeaning.

And it is why a big part of frail old age is about maintaining independence and respect.

Now comes your child. He may be 50 years old, but he is still your child. And he is saying, “Mom, you’ve got to go to the doctor. You’ve got to stop driving.  You’ve got to move to assisted living.” He may have just parachuted into town for a few days. He seems rushed and impatient. And you, who on some level still view your son as the 18-year-old who left home to go to college, are resentful, embarrassed, and maybe even angry.

Needless to say, this is not a great environment in which to make decisions.

What’s the alternative? As much as possible, share decision-making. As the adult child, never start any sentence with the words: “Mom, you’ve got to.…” Instead, try, “What do you think we should do….” Help them choose.  But work together as much as you can.

Of course, if a parent or other relative is emotionally or cognitively incapable of making decisions, you may have to step in. But that is much less common than many suppose.

To his credit, Milloy finally got it, despite starting out with that awful “reverse roles” advice.

Like the proverbial bad penny, this parenting your parents business keeps coming back. Years ago, when I was writing for Business Week, an editor suggested a consumer caregiving column. It would be called, you guessed it…Parenting Your Parents. I told her I’d love to write the column but the name had to go. That was the last I heard about the idea.

And let’s hope this is the last any of us hear about the worst advice a family caregiver can get.
*                        *                        *

Help! Aging Parents’ philosophy has remained constant on role reversal. Unless aging parents’ actions threaten life and limb (our parents’ or anyone else’s), and assuming parents still have a good mind, we remind ourselves we are their children and act with due respect.

There’s a delicate balance here, especially when certain life-changing issues, like driving, are involved. Granted people (old and young) can be stubborn and irrational. Yet there are ways to accomplish our goals and remain respectful, given that our parents still think clearly.

When frustrated, sharing our concerns and getting help from geriatric social workers or our parents’ doctors makes sense. They’ve no doubt heard the frustrations many times before and should be well-equipped to help us deal respectfully and effectively with aging parents.

Related: ARPS’s http://www.aarp.org/home-garden/transportation/we_need_to_talk/ Driving Discussion Seminar

New: “Of Current Interest”(right sidebar). Links to timely information and research from top universities about cancer, dementia, Parkinson’s, plus some fun stuff–to help parents age well.

2 thoughts on “Help Parents Age Well: “The Worst Advice for Family Caregivers–Parent Your Aging Parent” Forbes blog 9/4/l3

  1. Good post. My elderly mom sometimes asks for advice; I’ll give it, but am always tentative about what I say. For me, it is important to remember that her perspective is different from mine, and I won’t be able to see things entirely through her eyes for a couple more decades (if ever).

    • Glad this post resonated. Thanks. That said, you sound like a sensitive person and as long as you give advice in a respectful way when asked, it’s no doubt helpful to your mother to have another viewpoint. Would she ask for it sometimes, if she didn’t value it

      I add with a smile (or laughingly add) sometimes, when my m-i-l asks for advice and I’m hesitant to respond: “you know, it’s worth what you paid for it.” I’m not sure we can ever see things entirely through another’s eyes.

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