The decision is final – your elderly mother is going to be the 'new' addition to your home. Preparing your family and surroundings is not going to be easy, but there are guidelines and checklists you can follow in order for the transition to run smoothly.
By Jaime Haley


When Julie Antal's father decided to invite his mother to live with them, it was quite an experience. "But my dad has that old-fashioned way of thinking about elders," the 24-year-old social worker explains. "You should go out of your way for them because they've been through so much, and since my grandmother did such a good job of raising my father, he felt that he should return the favor if the opportunity ever arose, which it did."


More and more families are going to have to adopt this attitude as baby boomers continue to get older. The next 10 to 20 years will see a rapid rise in the older population. In Canada, by 2011, the two largest age groups will be those between 65 and 69 and those over 80. By 2025, the United States will be home to 65 million baby boomers, ranging in age from 61 to 69 – comprising about a quarter of the population.

"What this means is that there will be a dramatic increase in demand on long term care facilities, which will tax existing resources," claims Richmond Lutz, MSW, a professor of social service work at Niagara College in Welland, Ontario. "The responsibility will be placed on the family to provide needed care."

It's not going to be easy for families to adapt. North American families are generally more transient than those of Asia or even Europe. Offspring often move far from the nest. An extended family living under one roof just isn't the norm in our society. But that may change. The onus for senior care is going to be shifting from long term care facilities to caregiving in the home. And when that happens, preparing environmentally and psychosocially will ease the stress of the transition.

prepping your home for your parent
Home modification is one of the easier ways to make an elder feel secure and comfortable in your home. To you, your house is a safe haven, but to a senior, it can be a dangerous and confusing place.

Cords stretched across walkways, rugs that tend to slide easily, no handrails by stairs and dimly lit hallways are all hazards that should be addressed. Falls are the senior population's most common cause of fatal injuries.

"We had to transform our den/computer room into my grandmother's bedroom so that she could be on the main floor - stairs were out of the question," remembers Julie. "We also had to buy food specific to her diet for diabetes and put a shower chair in the bathroom."

you, your family and an older adult
The psychosocial aspects of providing care for the elderly are immense. Important factors to the senior having a satisfying life include: having respect and dignity, a valued position, social networks, emotional support and a sense of control. Your loved one's adaptation will be enhanced if they have good communication and social skills, as well as mobility. It's up to the family as caregivers to facilitate these needs and skills.

Respect and dignity are two very important considerations. There should be a mutual respect for privacy and a right to make choices. Involving your parent in all conversations and speaking to him or her as an adult will help maintain their dignity.

"Making the adjustment is about solving the problems inherent in the transition," says Lutz. "It's not about the problems. It's the solutions that are critical. Problem solving requires communication as a primary approach. However, humor, patience and a ridding of the attitude that you know everything, are all significant. Remember that seniors can be a library of knowledge and experience. They may be able to offer some of their own solutions."

Communication is the key to a successful and happy transition. "Good communication within the family is critical in providing support," Lutz says. "Caregiving couples need to be on the same wavelength in order to cope with the new stressors and demands. As well, communication between caregivers and their children will help the grandchildren understand the situation and contribute in a positive way."

Lutz recommends scheduled family meetings to review how things are going, and to make necessary changes/arrangements as needs arise. These can be planned once a week, once a month, or whenever necessary to maintain balanced family functioning. "In order to provide a healthy social environment, the caregivers need to include the senior in daily debriefings. The family should make the senior feel valued."

"Inevitably, your elderly loved one will go through a period of grieving with the loss of their independence, but there doesn't have to be misery," says Lutz.

Part of the process is about educating yourself and your family in order to adjust to the new situation. Speaking with local support groups, or with a gerontologist, is often the best way to find out more about the role of a caregiver, and what to expect from your new housemate.

Prepare properly for the experience and you might discover that spending the remaining years with your older loved one may just be a blessing in disguise. "In retrospect, it was nice to have my grandmother around," recalls Julie. "We didn't know she'd go downhill so quickly, so really, it was good to get to spend so much time with her before she had to go to the hospital toward the end."

HOW TO MAKE YOUR HOME SAFE FOR A SENIOR

HOW TO HANDLE A DIFFICULT SENIOR

(Link to actual article: http://gainsville.fitdv.com/new/articles/article.html?artid=149)

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