Caring for Aging Parents – How
Siblings Cope with Caregiving
It hasn’t happened to me yet,
but I have witnessed friends who have faced the challenge. Mom or
Dad get old and need caring for…whose responsibility is it? If you
are an only child, then there is really no decision, no discussion, you
are solely responsible for managing your Mom or Dad’s care.
However, in families with
several children, caring for aging parents can either bring siblings closer
together, or it can drive them apart. In a time when we are facing
an ‘aging crisis’, where people are living longer, yet our social security
systems are going into deficit, caregiving is likely to become more and
more a need for family to contribute to.
With an American turning
65 every 8 seconds from January 2011, we are entering an era when the current
care systems we have cannot cope. Although there is a robust structure
of skilled nursing facilities and assisted living facilities across the
United States, caring for our aged parents in their home is likely to become
the primary care mode for the future.
| Our parents would rather
stay in their home anyway, and it is actually cheaper to provide ancillary
care services at home rather than transfer someone to a full-time nursing
facility.
However, even with a number
of siblings to share the care-giving charge, it largely falls to one adult
child to take the bulk of the responsibility, according to a recent survey
conducted by the Home Instead Senior Care health care company.
The main issue about disparity
in sibling care-giving is rooted in geography. If one adult child
lives close-by to elderly parents, it is likely he or she will become |
|
the main caregiver. Friction
can arise if adult children living further away question or criticize the
care arrangements being handled by the sibling living close by.
Nearly half of those who
participated in the survey claimed that their relationships with their
siblings deteriorated because their brother or sister was unwilling to
help with sharing the caregiving.
In the cases where one sibling
had willingly taken the main responsibility for caregiving, their relationship
with their brothers and sisters had improved where they were regarded highly
for their role as caregiver.
Interestingly, the conclusions
of the survey were that the roles and patterns of existing sibling personalities
and relationships, carried over into the care-giving arena. If one
sibling had always been the responsible one, it is likely this persona
will transgress into the roles of siblings as care-givers.
Another finding from the
survey was that if the relationships between siblings was strained, the
primary caregiver is prone to feeling depressed, and this can have dire
consequences for the parent under their care.
Communication is key to resolving
effective care. It can be helpful to call family meetings, ensuring
all siblings have the opportunity to contribute in whatever way, even from
afar. It is vital to give constructive guidance to siblings to engage
them in contributing to care-giving. The main issues were found to
be that primary caregivers felt that they ‘griped’ to siblings, who would
say “just tell me what you need me to do”. It was therefore deemed
more constructive to specifically engage other siblings in caregiving,
by requesting help with certain tasks, like some grocery shopping for Mom
or Dad, or accompanying on a visit to the hospital for medical check-ups,
etc.
There are a range of mediation
services available from social workers, psychologists and pastors, that
ultimately all focus and enabling siblings to work together for the benefit
of supporting their aging parents.
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