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Aging Parents Have the Right


               to Make Bad Decisions



                      Here’s How to Navigate


                            By Amy Cameron O’Rourke
                            Author of The Fragile Years




            want to control my aging parents, but   dangers, is a normal response. But when   than what your aging parents are ready for.
        “I I think I’m going to lose this battle.”  is—or isn’t— it the right thing to do?  Ratchet down, go slow. Seek solutions that
           This quote in a recent Wall Street   From my 40 years of experience as a   are small in size and build from there.
        Journal article refers specifically to one   care manager to older adults, I have come   Lighten your emotional baggage.
        woman’s wish that she could rein in her   to believe that it’s best for adult children to   Lingering feelings of anger or frustra-
        older parents from resuming their usual   give up any thought of “controlling” their   tion toward your parent will block deci-
        pre-COVID social life now that they’re   aging parents, even if this means allowing   sion-making and trust. Seek outside help
        vaccinated. She’s worried that despite the   them to make bad decisions. Trying to   from friends or professionals to work
        vaccine, their many gatherings at church   control them will ultimately prove as futile   through these unresolved issues.
        and with friends could still pose a risk to   as telling kids what to do over and over   Build a support team. Siblings, friends,
        their safety.                       again. Instead, my advice is to work with   nieces, rabbis, nurses, colleagues, attor-
           But the same statement could be made   them to help them feel more comfortable   neys, financial advisors... Who can listen
        by countless other adults who long to   with assistance, whether from loved ones   and bring ideas to the table? Who will
        protect their aging parents from countless   or a professional caregiver.   your parents trust? Ask your community
        other potential dangers: driving when their   Navigating this process takes patience   for referrals. One good referral can lead to
        eyesight and reflexes are not what they   and skill. Here are a few steps you can take   another.
        used to be, climbing ladders to clean out   to make it go more smoothly:    If you feel you need an additional layer
        the gutter of their home, keeping—and   Get involved early in the game. While   of support in navigating this and other
        eating—expired food in the fridge. These   I was assessing an older woman on her   challenges of the Fragile Years, you might
        things happen. All the time.        daughter’s request, the woman said to me   consider hiring a professional care manag-
           So do lifestyle changes affecting older   “my daughter thinks I am dying, doesn’t   er. Care managers help families transition
        loved ones’ health and fitness that younger   she?” The daughter hadn’t visited in three   through the Fragile Years together. Yes, it
        generations wish they could fix. Refrains   years. Her sudden involvement was a red   can be expensive. But there’s always the
        like “stand up straight, mom,” “let’s go to   flag. To some, this can feel like a death   option to pay for a few sessions and create
        the gym together,” “try walking three times   knell. If you are involved on a regular basis   a game plan together. A care manager can
        a day,” and “what if you got meals deliv-  over the years, your presence and support   also help save money over time by helping
        ered?” are all too common.          will not be alarming, and your parent will   you make better choices from the outset,
           Most often, these efforts to control   be more inclined to cooperate with your   avoiding costly errors.
        parents’ behavior are met by resistance.   initiatives rather than resist.  As with the other approaches above,
        Adults in their Fragile Years resist attempts   Spend some extended periods of time   this will bring greater peace of mind.
        by their children to help them stay healthy   with your parent. The 72-hour visit con-
        and safe because they fear help is a sign   cept laid out by Dr. Dennis McCullough in   Amy Cameron O’Rourke is a
        that the end of life is approaching and   his book My Mother, Your Mother is very   nationally-known pioneer and
        that they’re no longer in control. This is   effective. The goal is to spend time with the   advocate for senior care in the U.S.
        especially pronounced when it comes to   parent over an extended period of time.   She has been a professional care
        the big and touchy decision about getting   No judgment, no convincing them to do   manager for more than 40 years, with
        help. An older client once told me that she   anything; just be there. You can observe,   20 of those years at the helm of The
        saw accepting a caregiver as “the beginning  get a better sense of your parent’s capaci-  Cameron Group (now Arosa), which
        of the end.”                        ties, and build trust.                  she founded, as well as O’Rourke &
           Watching a parent who was once       Avoid using the tone of voice you   Associates in Orlando, Florida. Amy
        strong, upright, and clear-thinking dimin-  would with a child. It’s a surefire way to fail!  is also the author of The Fragile Years.
        ish is painful and sad. And trying to get the   Proceed slowly. Chances are your
        parent to not decline, and to stay clear of   ideas are bigger and more complicated

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