2 Overview:Ways to handle the many competing demands of caring for both children and aging parents.Feeling pulled in many directionsBalancing work and familyHandling financesSharing the loadTime for yourselfRespite care
3 Feeling pulled in so many directions Sandwich generationBetween ages of 35 and 60Balance the needs of your own childrenTrying to attend to the care needs of your parentsPlanning your own financial future and helping your parents meet their financial needs
4 Balancing work and family WorkingRaising your own childrenCaring for an older adultCan cause you to feel:ExhaustedOverloadedGuiltyWorking that you have neglected someone
5 Balancing work and family Try to find ways to share care giving tasksSpouse assists with children or the aging parentOther relatives who can assistExplore FMLA as an optionExplore community resources that can be helpful
6 Community Resources: Adult Protective Services (APS) IHSS Senior CentersMeals on WheelsVisiting Nurses AssociationEAP
7 Important Issues for Seniors MedicareCovers medical expenses for individuals over age 65Part A: hospital insurance and skilled nursingPart B: basic medical services-md office visits
8 Medicare Part A covers 90 days IP per episode Life time reserve of 60 daysAnnual co-pay of $840Up to 100 days of skilled nursing care per illness
9 Medicare Part B Basic medical services Monthly premium of $58.70 and this increases by 10% if you do not sign up when initially eligible$100 annual deductible80/20 benefit
10 Medicare Many care needs not covered Prescription drugs Routine physicalsEye glassesHearing aidsMost dental servicesRoutine foot care
11 Medigap To fill the difference left by Medicare Purchase Medigap policiesPrivate insuranceTwo formsOne fills the gaps in Medicare benefitsOne assigns coverage for medical care through an HMO or other managed care plans
12 Medigap Policies Pros and cons Future premium increases Plan needs to be affordable today and in the futurePre-existing conditionsInsurance company screens potential high users of the benefitCheck your parent’s current medications against the plan’s prescription formulary
13 Prescriptions: Explore medigap plans for prescription coverage Use mail order for chronic medicationsTalk with MD about alternative medications or genericsShop around to different pharmaciesExplore low income programs through the pharmaceutical companies
14 Senior living environments Independent LivingContinuing Care Retirement CommunitiesAssisted Living CentersBoard and Care HomesSkilled Nursing HomesDementia/Alzheimer Units
15 Senior living environments Identify the options available in your areaReview these optionsSelect a few facilities for a site visitDo you homeworkMaking a decisionConsult with the EAP for assistance in this process
16 How to help your Aging Parents Importance of having a conversation with your parents about the following topics:Medical careFinancial affairsHousing plansAnd other arrangements
17 How to help Your Aging Parents Important to start planning before a crisis occursNever an easy conversationNeed to overcome your natural fear about “meddling in their affairs”.
18 Helping your Aging Parents Number of issues need to be clarifiedDo your parents want to remain in their home as long as possible?Do they have long-term care insurance?In the event of a crisis, is there a family member available who can provide care for several months?How do you and your parents feel about their moving into your home?
19 Helping your Aging Parents Do your parents live in a remote area or are there services available in the area?Do your parents have an update will?How do they want to have health decisions made?Have they signed a health care directive?
20 How to Talk to Your Parents about the Future Try to be sensitive and show genuine concern and interestBe supportive and not judgmentalAsk open ended questionsBe prepared to accept your parents’ decisions and points of viewDo not overwhelm them with lots of probing questions
21 Health Care Directives Durable power of attorney for healthcareAllows you to appoint someone to see that doctors give you the type of gave you wantAdvanced DirectivesIn event that you are unable to direct your own medical care, this document allows the person you appoint to direct your medical care
22 Long-Term Care Insurance Insurance that provides for long-term care in a skilled nursing facilities, assisted living or home care.Purchase three years of coverageCheaper when purchased at a younger age
23 How to avoid care giver burnout Care most often provided by women in the familyEmotional burden of care givingLack of privacyLack of time for selfFeeling burdened by the need to provide all care needs and guilt about making decisions on placementImportance of taking care of selfRespite