Therapy in LA
Therapy in L.A.

 

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April 2000
PLANNING CARE FOR THE ELDERLY INFIRM
By Joyce Parker, Ph.D.

When my mother died suddenly in 1998, I was faced with the responsibility of caring for my 82-year-old father who had had a series of strokes, which left him with difficulty swallowing and talking, physically very weak, and mentally impaired. I had denied the seriousness of his condition for more than a year and had not thought at all about the possibility of my mother being the first to die. She was, until the time of her death, his primary caregiver. The difficulties I encountered in finding and funding adequate care for my father were not out of the ordinary. As an article in the Los Angeles Times, Sunday April 2, 2000 revealed, "coping with an older parent can alter the financial and emotional health of the entire family. "

A Times poll found that 81% of respondents not currently providing care had made no plans for dealing with their parents' potential infirmity. 3 out of 5 respondents had never discussed the possibility of infirmity with their parents. The newspaper polled 1,589 adults, including 807 respondents 60 years of age or older, by random digit dialing of phone numbers.

Here are some interesting and important statistics taken from the article:

  1. 25% of Americans 65 and over are disabled or in need of long-term care.
  2. If you reach age 65, there is a 40% to 50% chance that you will need long-term care.
  3. Women are more likely to look after aging parents, making up 72.5% of all caregivers.
  4. The Times poll revealed that 51% of those under the age of 60 said they would not put their parents in a nursing home if the parent did not want to go.
  5. But 57% of the respondents over 60 said they could put their parents in a nursing home if it were the only option.
  6. Only 25% of retirees are planning to purchase long-term care insurance to pay for future care in their home or in a nursing home.
Medicare coverage only pays for nursing home and in-home services during recovery from an illness or accident. It will not pay for assistance with bathing, eating, dressing and using the toilet that is not related to an illness or accident. Yet assistance in daily living is most commonly what the elderly need. Medi-Cal will pay for nursing home care for those whose assets are below a specified level. So families must spend down their parents' assets in order to qualify. However, the selection of nursing homes and board and care facilities that will take Medi-Cal is limited. For the three shifts of caregivers each day in my father's home, the cost was over $3,000.00 per month. When I had to put my father in a board and care facility, the monthly fee was over $2,000 per month and didn't include diapers, medications and the liquid food supplement his doctor had recommended. From this experience I learned that planning for elder care is a very important part of any family's long term goals. The Los Angeles Caregiver Resource Center at USC can provide information and funding for caregivers in the home. Donna Benton, a gerontologist at USC's Andrus Gerontology Center co-teaches a class, "Your Aging Parent and You" that helps adult children prepare.


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