首页
登录
职称英语
Caring for elderly parents catches many unpreparedA)Last July, Juli
Caring for elderly parents catches many unpreparedA)Last July, Juli
游客
2023-07-07
23
管理
问题
Caring for elderly parents catches many unprepared
A)Last July, Julie Baldocchi’s mother had a massive stroke and was paralyzed. Baldocchi suddenly had to become a family caregiver, something that she wasn’t prepared for. "I was flying by the seat of my pants," says Baldocchi, an employment specialist in San Francisco. Both of her parents are 83, and she knew her father couldn’t handle her mother’s care. The hospital recommended putting her mother in a nursing home. Baldocchi wasn’t willing to do that. But moving her back into her parents’ home created other problems. Baldocchi, 48, is married and lives about a mile away from her parents. She has a full-time job and has back problems that make it difficult for her to lift her mother. "I couldn’t do it all," she says. "But I didn’t even know how to find help."
B)With help from the Family Caregiver Alliance, she eventually hired a live-in caregiver. "But even if you plan intellectually and legally, you’re never ready for the emotional impact," Baldocchi says. In the first two months after her mother’s stroke, she lost about 30 pounds as stress mounted. More than 42 million Americans provide family caregiving for an adult who needs help with daily activities, according to a 2009 survey by the AARP. An additional 61.6 million provided at least some care during the year. And many are unprepared.
C)While many parents lack an advance care directive, it’s the most basic and important step they can take. The directive includes several parts, including: a durable power of attorney, which gives someone legal authority to make financial decisions on another’s behalf; a health care proxy, which is similar to the power of attorney, except it allows someone to make decisions regarding medical treatment; and a living will that outlines instructions for end-of-life care.(For example, parents can say if they want to be kept alive by artificial measures.)"It’s invaluable for the kids, because it’s hard to make those decisions for a parent," says Jennifer Cona, an elder-law attorney at Genser Dubow Genser & Cona in Melville, N.Y. An advance care directive is the first line of defense if a situation arises, says Kathleen Kelly, executive director of the Family Caregiver Alliance, which supports and educates caregivers. Without an advance directive, the family will have to petition the court to be appointed the parent’s legal guardian, says AgingCare.com.
D)It’s important for families to talk about long-term care so the adult children know their parents’ preferences, wishes and goals, says Lynn Feinberg, a caregiving expert at AARP. But it’s not an easy conversation. Elderly parents are sometimes suspicious of their children’s financial motives, says Susan John, a financial planner at Financial Focus in Wolfeboro, N.H. One client asked John to hold a family meeting because they needed an intermediary to talk about financial issues, she says. And when there are many siblings, the family decisions can become a three-ring circus with much acrimony, says Ann-Margaret Carrozza, an elder-law attorney in Glen Cove, N.Y. Families who need information and help sorting out disagreements can call on elder-law attorneys, financial planners, geriatric care managers and caregiver support groups. In February, AARP said it will offer its members a new caregiving support service through financial services firm Genworth.
E)Many families are unprepared for quick decisions, especially when they find out that Medicare doesn’t pay for long-term care, Feinberg says. The median cost of a year in a private room at a nursing home in 2011 was $77,745, according to Genworth. And only those who have spent most of their assets can qualify for Medicaid to pay for the nursing home.
F)Assisted living is another option. Residents can have their own apartment to maintain some independence. But the facilities generally provide personal care services, such as meals, housekeeping and assistance with activities. Still, it’s not cheap: The national median cost in 2011 was $39,135, according to Genworth. Assisted living isn’t covered by Medicaid.
G)If they have a choice, at least 90% of elderly parents prefer to stay at home as long as they can, according to AARP research. But if the parents can no longer safely live at home, it can be hard for children to move them into an adult care facility. There may be another option. Sometimes the home can be modified so a parent can stay there. For example, Baldocchi put in a chair lift for her mother. She also arranged for a home caregiver.
H)Family caregivers take over many responsibilities. One might manage a parent’s finances, while another sibling will take the parent to doctors’ appointments and shopping. Those who move in with a parent take on a significant and sustained burden of care. Jan Walker moved into her mother’s home in Leesburg, Fla. After her mother, who is 83, had fallen, she wasn’t able to get around as well. Walker, 55, has three brothers. But she is the only daughter, is divorced and has no children. "I always knew that this was the role that I would have, and I guess my mind was prepared for it," says Walker, who now is a full-time caregiver and works from home as a tutorial instructor for a digital scrapbooking website. "When you get into the trenches, it’s literally baptism by fire," she says. "New things come up. It’s not just about advance planning for finances or medical care. It’s everything," she says.
I)Caregivers need to also watch their own health. "There is such a thing as caregiver burnout," Cona says. Among female caregivers 50 and older, 20% reported symptoms of depression, according to a 2010 study on working caregivers by MetLife. "It’s a hard job," Walker says. "But most worthwhile things are hard. She was always there for me when I needed a helping hand. It’s only natural that I be here for her now." [br] To talk about long-term care is not easy because sometimes aged parents are suspicious of their children’s financial motives.
选项
答案
D
解析
题干意为,谈论长期护理问题并不容易,因为有时老年人会怀疑自己孩子有金钱方面的动机。注意抓住题干中的关键词talk about long-term care、suspicious of和financial motives。文章段落中,D段提到了谈论长期护理和老年人会怀疑自己孩子的内容,该段前三句指出,家庭成员谈论长期护理问题是很重要的,这样才能了解父母的喜好和意愿等,但是这并不容易,有时候父母会怀疑子女有金钱方面的动机。由此可知,题干是对原文的同义转述,故答案为D。
转载请注明原文地址:https://tihaiku.com/zcyy/2817541.html
相关试题推荐
Ihearmanyparentscomplainingthattheirteenagechildrenarerebelling.I
【B1】[br]【B8】A、eyesB、parentsC、peersD、behaviorsB逻辑关系及词义辨析题。从下文childrenwhoo
Childrenmodelthemselveslargelyontheirparents.Theydosomainlythroug
Inthepast,Americanfamiliestendedtohequitelarge.Parentsraisingfiveor
Inthepast,Americanfamiliestendedtohequitelarge.Parentsraisingfiveor
Inthepast,Americanfamiliestendedtohequitelarge.Parentsraisingfiveor
Inthepast,Americanfamiliestendedtohequitelarge.Parentsraisingfiveor
Inthepast,Americanfamiliestendedtohequitelarge.Parentsraisingfiveor
CaringforFamily,CaringforYourselfWhetheryouchoos
CaringforFamily,CaringforYourselfWhetheryouchoos
随机试题
Theworldhasheardmuchabouthowtheburningoffossilfuelscausesthegr
Wewillhavetopaythemalarge______ofmoneyfortheirservice.A、sizeB、set
糖酵解持续进行生成乳酸的原因是A.此反应可阻断有氧氧化 B.通过NADH+再氧
合格境外投资者业务资格应经中国证监会审批,应当具备以下条件( ) ①申请人的
患者,女性,25岁,公司职员。平时工作紧张,常有疲乏、失眠。今晨工作时因面色苍白
2011年9月23日,《银行家》杂志正式发布了“2011中国商业银行竞争力评价报
患者女,54岁。发现左下牙龈菜花样溃疡2个月,无下唇麻木症状,活检诊为"鳞癌Ⅰ级
关于免疫细胞和膜分子,错误的组合是A.辅助性T细胞-CD4抗原阳性 B.单核吞
(2018年真题)个体工商户凭营业执照以字号或经营者姓名开立的银行结算账户纳入单
在履行合同过程中,发包人有违约情形的,承包人可向发包人发出通知,要求发包人采取有
最新回复
(
0
)