Globe Syndicate

The Sandwich Generation . . . Helping Your Aging Parents

by Carol Abaya, M.A.

for release October 22, 1999

Are you juggling doing errands for your aging parents, your children, yourself and working at the
same time? Are you tired, stressed out and upset that your once vibrant parent is now frail and
needy?

Do you feel alone? Rest assured you are not alone! The Sandwich Generation is dedicated to the
50 million Americans who may have elder/parent care concerns and/or responsibilities.

DON'T RUSH TO MAKE KEY DECISIONS

Question: My mother, 83, lives in a senior apartment and suddenly became extremely confused.
She got onto the balcony at 3:00 A.M. and couldn't get back into the apartment. She started
screaming and woke everyone up. She takes several medicines for high blood pressure and
arthritis, but never had a problem before this. The apartment manager says she has to move, and
we don't know what to do. Advice please.

Answer: Don't be in a hurry to move her out of the apartment. Her confusion may be from the
interaction of the medicine, especially if she's taking steroids for her arthritis. Or she may have had
a mini-stroke, and this combined with the medicine may cause the confusion.

She should have a complete geriatric evaluation, and her medication might be changed. If she is
taking steroids, it may take a couple of months before her body is cleared of the residue. In the
meantime, getting care help for her in her apartment will give you time to evaluate the situation
and make a calmer decision.

* * *

Question: My father, 76, always had a very strong personality and always gave everyone else
orders. Now he's very quiet and says little. My mother is very upset as now she (and myself) have
to make all the decisions, including everyday ones. What's going on?

Answer: Without a medical evaluation, it's impossible to say. But those with Alzheimer's often
exhibit a basic personality and behavior changes.

With vascular dementia (often caused by mini-strokes or medication), a person's personality
remains basically the same, but may become exaggerated. Aggressive people become more
aggressive; quiet people become quieter.

If it is Alzheimer's, great patience will be required from your mother and yourself. Help your
mother make the important decisions, and make sure your mother, and you as an alternate, has
Durable Power of Attorney for your father. Also, a Living Will is important.

* * *

Question: My parents, 83 and 80, suddenly have become very "old", frail and their health is
deteriorating. I now have to do their grocery shopping, cleaning and some cooking. Having to see
their decline almost every day is getting me down. I used to be a happy person, but now.....Need
help.

Answer: While aging is part of life's cycle, many people have difficulty emotionally in seeing a
loved one become frailer and needy.

The commonality of stages includes first perhaps denial, before acknowledging the changes. Then
we go through the pain - of recognizing that our parent is no longer the leader. Then we need to
adjust our mental thinking and move beyond.

How (or if) a person moves beyond depends on "resilience" - the ability to recover from adverse
change.

How can a person be more resilient? It's not always easy. Some guidelines.
*  Accept the changes in your parents' health and needs (emotional as well as physical).
*  Don't look at yourself as being a victim, given their increased needs.
*  Respond appropriately to your parents' needs.
*  Accept and confront these new challenges.
*  Be creative - and sensitive - in how you handle today's scenario.
*  Have faith in yourself and your ability to juggle more chores.
*  Get help! Don't do everything yourself.
*  Maintain the conviction that life is worth living and bring happy events into everyone's life.

* * *

Do you have a question? Send it in. Although letters cannot be answered individually, appropriate
letters will be answered in this column whenever possible. Letters may be edited. Send letters to
Ms. Carol Abaya, c/o Name\Address of YOUR newspaper or e-mail her at
SandwchGen@aol.com.

Carol Abaya is an international-award-winning journalist and creator of the unique magazine The
Sandwich Generation: You & Your Aging Parents.

NOTES TO EDITORS: text = 560 words; other material = 160 words

We would appreciate it if you would include the "Globe Syndicate" bug at the end of the column.

©1999 by Globe Syndicate, all rights reserved.

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