Helping Parents and Family Work Together – A Personal View

September 28, 2011

The experience of working with my many siblings as we attempted to make the “right” care decisions with and for my mother left me humbled and gave me a new appreciation for the challenges we face. It’s a lot easier to “talk the talk” than “walk the walk”.

Our mother’s physical and mental health was steadily declining. She was taken to “experts” who advised a care setting that represented increased safety to some in our family and more restrictiveness to others.

How did we resolve our sibling differences amicably? Here’s what I learned that I think is worth passing on.

Don’t underestimate the emotional undertones in family discussions and decisions. I was surprised by the intensity of my own emotional reactions, which seemed out of proportion to events. It became clear that sometimes I was reacting as a vulnerable girl rather than an adult.

Many adults have unmet desires to be approved or to be considered “good enough” by parents and siblings. By taking the time to recognize the source of my feelings, I was able to slide into a more mature mode of interacting with my family and to acknowledge my feelings without holding others responsible. Having done so helped me to understand that some of my siblings were influenced as well by feelings that arose from long ago. The moral: Give yourself some slack and cut plenty for others.

Don’t underestimate personal communication. While email, voicemail and text messages can be wonderful tools in keeping everyone on the same page regarding facts, these tools are less effective, and maybe even harmful, in resolving emotional issues. The crucial nuances that make communication effective, such as the tone of voice or the ability to get an immediate reaction, are not available on email.

In the case of my family, I was angered by some of the email I received from siblings and felt my mother’s condition was misrepresented by some and misunderstood by others. I simmered quietly for a few days and nights, fearful that valued sibling relationships were disintegrating. The conflicts were not cleared up until phone conversations took place to “sort things out”. The moral: Make a personal connection by telephone, or if possible by meeting in person to clear the air and sweep out misperceptions.

Don’t underestimate the importance of tolerating differences. With most decisions, there are no absolute rights or wrongs. Caring people come to very different decisions. They also often come to make those decisions in different ways and from different perspectives.

Some individuals feel the new to review information in great detail and become intimately involved in making decisions. Others are glad to simply receive general updates and will delegate decisions to one or another person. Some family members make time and have energy to devote to care decisions. Others simply can’t.
The moral: Suspend judgment as you take time to listen to each other. While listening takes time, most decisions do not need to be made immediately and the investment of time can offer life-long dividends for healthy sibling relationships.

Don’t underestimate personal pride. I finally had to admit to myself and others that I was hurt my family didn’t call on me to help guide decisions. After all, I assist families with such matters every day. In my family’s case, my mother had designated a sibling other than myself with the Power of Attorney for her health care decisions. In the end, whether I agreed or disagreed, I had to remind myself that my mother trusted my sibling to make decisions for her. Perhaps the most important role I could play was to support the individual who had the burden of making the decisions. The moral: Respect each other for the important roles each of you has in the family.

Each of us can play a constructive role in helping our elders age safely and with grace. None of us can dictate how others will respond, but we can learn to be honest with ourselves and each other. When we do, be become more comfortable with each other and more productive as a family.


Learn to Set Limits

August 25, 2011

All of us want our elderly parents and relatives to be well cared for. Yet, despite the very best of intentions, we may be unable to do everything that is needed for our elders.

Meeting an elder’s needs can be exhausting and lead to a sense of failure. One critical element of effective caregiving is to learn to set limits for yourself.

Determine what you can and cannot do for an elderly relative. Doing so will help you establish and maintain a healthy relationship with your elder.

Caring for an elderly parent or relative is done best when it is a positive choice –
not when it feels like an obligation or imposition. Look at your motivation and ask yourself “why do I want to help?”

The motivation for caregiving, unfortunately, too often arises from a sense of guilt or desire to repay a parent for what they’ve given you. A parent’s gift of life and rearing are not debts to be paid back – there is no way to do that. Caregiving can be motivated also by a desire for parental recognition, approval or closeness. Acting from a sense of guilt or need for approval may endanger your caregiving of a parent or lead to disappointment for you and your parent.

To determine what is best, begin by identifying your elder’s needs: the physical, social and emotional caregiving that may be required. What does your elder need to remain well cared for in his or her current environment? How much is the elder capable of doing independently?

The input of a professional may help you to understand your elder’s needs and to determine the best approach to take. Is dad’s refusal to walk alone based on a bona fide physical limitation? Is it rooted in fear? Is it the result of desiring attention? You can learn how much help is needed and what private and public resources are available to assist.

Once you determine the types of assistance an elder requires, decide what you are able to provide. Consider how your time at caregiving will affect other areas of your life, such as your relationship with a spouse or children or your career.

As you consider how to help an elder, do not underrate your own needs. As an airline attendant advises when starting on a journey, “the able person puts on their oxygen mask first.” During a crisis, elder care concerns may lead to temporary disruption in your life. But don’t allow long-term disruption. The health risks to you, the elder and to the relationship between you outweighs the benefits of putting your life “on hold.”

Don’t over promise what you will do. Be conservative in deciding how much assistance you can provide and how available you will be. It is better to promise less and do more, than to promise more and not fulfill your commitment.

If your elder wants you to do more than you can, be firm in your resolve. Focus on what you are doing and don’t let the focus shift to what you are not doing. Acknowledge the elder’s feelings with a simple, “I’m sorry you feel that way,” rather than giving a lengthy explanation that will merely exhaust you without satisfying the elder.

When you think about what you can and want to do for an elder relative, consider these questions:

1. Am I acting to relieve my own anxiety?

2. Does this situation truly demand my involvement or can somebody else meet this need for my elder?

3. How will my involvement impact other parts of my life?

4. Am I trying to meet someone’s standards other than my own?

Learning your limits and to say “no” are signs of strength. Make your caregiving a positive choice, rather than a response to guilt or a sense of duty. Doing so will give you more patience and energy for the care you do provide.


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