Six Questions for Older Adults (And Answers Their Kids Need to Know)

Sig and I recently led a communications workshop for 40 families on the topic “Necessary Conversations at Midlife and Beyond.” We divided the group into people with living parents and those whose parents had passed on. Each group was assigned questions to discuss among themselves, in order to prepare for a conversation with their own families. Here are the questions we gave the older adults, and in parenthesis the sometimes surprising answers that emerged:

1. What is your greatest concern about aging?
[The majority said dependency, helplessness, and consequential loss of freedom. This is why it’s so hard to give up driving. The second most common answer was fear of abandonment.]

2. What information do you want your children to know, but you’re afraid to mention?
[Most denied there was any such topic – I now think the word “afraid” was too strong. But some secrets came to light. For instance, one parent added a child to all his financial accounts but has not told the other children. Note: Please talk to your lawyer about the possible legal effects of this before you do it. There are better ways to allow a child to take care of your bills.

Other “secrets”: A parent wants to leave more money to a child with greater needs, but hasn’t mentioned it to the other kids. Or parents worry about leaving money to a child whose spouse they don’t trust. One secret might be a parent’s desire to marry again.]

3. How do you feel about discussing your finances with your children?
[Again, some answered “No problem” or “They already know.” But see above. Some don’t want to reveal how little they have, for fear the children will feel burdened. Wealthier parents don’t want to reveal how much, because they may want to give a large amount to charity and don’t want the kids to feel entitled. If you’re uncomfortable sharing specifics, we recommend you at least put a list of all the information your kids will need – life insurance policies, safe deposit box number and key, bank account numbers, stock broker info, etc., in an easily found place.]

4. How much do you want your children involved in making your health care decisions?
[I suspect this was the toughest question for folks to think about, because it does imply helplessness. All three small groups put it off to last and never got to it. About half did have health care powers of attorneys and/or living wills. See Five Questions. ]

5. Where would you expect to be living later in your life?
[We were surprised that nobody said “With my child.” Most said they want to stay where they are. Some are in their own homes, others had moved to a senior community like Leisure World, still others are in independent living in a continuing care facility, which they like. Perhaps unrealistically, no one expects to be in a nursing home.]

6. What’s your deepest hope for the future?
[Most common answer: “That I keep my mind intact.” One woman touched us when she said, “If I become helpless, I hope I can accept that with grace. I hope I can find meaning in it.”]

Can you think of other questions? Write a comment and let us know.
A coming blog will share the questions and answered of the adults with living parents.

Carolyn Parr

The Good Lord Will Provide

When I mentioned to my friend Phyllis that my partner and I work with families who experience intergenerational issues around end of life, legacy and change of residence, she looked despairingly at me and said: “I don’t think you can help my family.”

She went on to tell me about her grandmother who at 86 lives alone on a small farm in South Carolina. Her grandmother refuses help of any kind from any of her family members. This ruggedly independent matriarch has lived alone for years. Despite a recent illness she won’t grant any of her adult children a health care or a financial power of attorney. Her will, if indeed she has one, remains a deep secret.

When I asked why, she replied that her grandmother believes that ”The Good Lord will provide.”
As admirable as her faith may be, it has become a source of frustration for other family members who fear what could happen if grandmother becomes helpless with no power of attorney, or dies with no will nor any other legal safeguards that can ensure that family members understand in advance her grandmother’s wishes. There’s also a need to reduce the chance of any misunderstandings among the siblings about who inherits what.

Phyllis said that her grandmother’s sister shared this philosophy. When she died, disputes arose among her children because there was no understanding of who was to receive what. Sadly the dispute became a court battle resulting in thousands of dollars in court costs and lawyers fees. Apparently Phyllis’ grandmother has chosen to ignore the painful and expensive outcome of relying only on the Good Lord.

Phyllis concluded her tale of woe by stating that nothing can change her grandmother’s attitude.
Have you experienced this with any of your family members? If you have and were able to encourage that family member to change his or her mind, write us. We can always learn from others’ experience.

Sig Cohen

Five Wishes®

At Tough Conversations we’re constantly looking for resources to inform us about end-of-life decision-making and support. A great resource is Five Wishes®, the “first living will that talks about your personal, emotional, and spiritual needs as well as your medical needs.” Like any document that deals with serious illness and end-of-life concerns, you should ideally discuss with family members before deciding whether to complete it.
Five Wishes® meets the legal requirements in 42 states and the District of Columbia and has helped millions of people plan for and receive the kind of care they want. Five Wishes® is unique among all other advance directives and living wills because it is user-friendly and easy to complete. It is available in 26 languages and in Braille.
Five Wishes® began when Jim Towey, Mother Teresa’s legal advisor, was working and living in her Washington, DC-based hospice. Mother Teresa’s life and work became the inspirational basis for the document, which has been called “the first living will with a heart and soul.”
Copies of Five Wishes® are available for $5 each (only $1 each in quantities of 25 or more) from Aging with Dignity, P.O. Box 1661, Tallahassee FL, visiting the website: www.agingwithdignity.org, or calling 888-5-WISHES. A national non-profit organization, Aging with Dignity’s mission is to affirm and safeguard the dignity of individuals as they age and to promote better care for those near the end of life.
We believe that the 12-page document has value for all of us. It contains a wealth of information regarding end of life treatment and support. Here is an abbreviated version of the document:
Wish 1: The Person I Want to Make Health Care Decisions for Me When I Can’t Make Them for Myself
Wish 2: My Wish for the Kind of Medical Treatment I Want or Don’t Want
Wish 3. My Wish for How Comfortable I Want to Be
Wish 4: My Wish For How I Want People to Treat Me
Wish 5: My Wish for What I Want My Loved Ones to Know
We hope you’ll look into Five Wishes® and consider whether and how it can assist you and your family members decide on how to best plan for end-of-life decision-making.

Sig Cohen

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