If other family members have decided that they do not wish to participate in the elder’s care, it complicates things further. There is a great deal of pressure on one primary caregiver... Read more →

‘an unknown number of adults languish under guardianship’ when they no longer need it, or never did. The authors wrote that ‘guardianship is generally permanent, leaving no way out—until death do us part... Read more →

Family caregiving is more of an art than a science. Most people who take on the challenge of family caregiving do the best that they can under their unique circumstances, yet, they often receive criticism, sadly even from other caregivers. How can family caregivers who are already doing so much for their loved one(s) weather criticism from outsiders about how they provide care? Read more →

The combination of chronic pain and dementia is difficult to manage. While advancing dementia can render an elder heartbreakingly vulnerable, chronic pain that can't be expressed in words by the person with dementia multiplies the difficulty of compassionate care. Since dementia can leave people unable to verbally express the fact that they are in pain, they may scream, kick or hit. Read more →

New rules for the protection of nursing home residents have been implemented as part of the Affordable Care Act (ACA). Many of these rules provide answers to concerns that have troubled families with loved ones living in skilled nursing facilities (SNFs), generally called nursing homes. I emailed Medicare expert Ginalisa Monterroso for an update on these rules and what they mean for nursing home residents and their families. Read more →

While we like to think that most seniors have family members or at least lifelong friends to help them through their last years, many don’t. The term elder orphan is often used to describe these older Americans. While many have planned for this time in their lives by hiring attorneys to oversee the legal issues surrounding their potential need for care, others may not have been so wise. These seniors could be a prime target for a guardianship company that can swoop in and—legally—take over their lives, including their finances. Read more →

...Now her parents are getting frail. Nancy had been through a lot of therapy so she could learn to cope with her childhood issues. She's come to terms with the fact that her father did what he thought he was supposed to do. She rightly felt, as a child, that he should recognize and stop the abuse her mother was doling out. Through therapy, she has learned to forgive her father for his lack of involvement and the fact that he didn't stop the abuse. Read more →

When a person succumbs to any form of dementia, it is hard on family and friends. It is difficult to see the diminished capacity of a loved one and the unbearable frustration it brings. However, one of the worst things we have to cope with is the fact that this person has a flawed memory, and this flawed memory can cause them to tell others terrible things about us, simply because their brain isn't working correctly. No matter how far-fetched their stories and accusations may be, to them, what they are saying is true. Read more →

When I was born my mother was single and hooked on drugs. She kept me with her, but she abused me physically and emotionally. My grandma gained custody of me when I was five years old and she raised me. Grandma died two years ago and now my mother, who has wrecked her health and is in a nursing home, has decided that I should take her to my home to care for her. I don’t hate her, but I really can’t forgive her, and I can’t take care of her anyway. She is my mother so I do feel guilty. I have followed your work and you have addressed similar situations, but I need to hear this as meant for me. What is my duty in this situation?– AE Read more →

Accused of stealing from a loved one? The first time it happens many caregivers find themselves choking back tears. They try a logical approach although they’ve long realized that logic is not effective when communicating with a person living with dementia. But to be accused of stealing your dad’s hearing aid? Your mom’s sweater? This is the parent for whom you gave up so much in order to provide care. Now they think you are stealing from them. How do you handle this all-too-common problem? Read more →