One of the most difficult talks you could have with a loved one, particularly an elderly parent, is one regarding the need for caregiving. You love them and want what’s best for them while keeping them safe and that sometimes means jumping into the caregiving role. You and your loved one may not always see eye to eye but unless they are not able to effectively communicate their wishes, you must work together to ensure that both of you are satisfied.
Sometimes, the caregiving role may be limited to just needing daily assistance with household chores such as cleaning, washing clothes, transportation for errands and cooking. This could be due to some physical infirmities that do not totally keep them isolated, just slowed down a bit. Paying a companion to come in a few times a week would likely be sufficient and the discussion between you and your loved one would likely be low key on this score. However, what happens when cognitive impairment starts to trickle into your loved one’s every day life or their health is not adequate enough for living independently? The discussion regarding caregiving at this point is likely going to be heated.
The best thing you can do is prepare for “the talk” in advance so that you can counter with an answer to every objection they have. Prepare arguments and statistics if necessary to plead your case while still remaining respectful of their need for independence. This can be quite a delicate balance but it is something that must be done. Here are some tips to help you effectively communicate with your loved one regarding caregiving:
1. Prepare an outline of items you wish to discuss with your loved one so that you remember everything you wish to cover, especially if you are sidetracked. In addition to your outline of pertinent topics, be sure to have a list of possible solutions for caregiving so your loved one does not feel as if they are being given an ultimatum.
2. Calendar in a specific time for your caregiving talk with your loved one so that you are sure that no interruptions will occur. Turn off the phone ringers if necessary and find neutral ground such as a walk in the park or grabbing a cup of coffee somewhere. You know your loved one well so their most comfortable place to talk may be their own home where they feel they have the “house” advantage.
3. Express your feelings honestly letting them know how worried you are about them. In turn, give them the time without interruption for them to express what they are feeling. Both of you will have conflicting feelings. During your talk, also try to read the body language of your loved one. Sometimes, they may be saying what they think you want to hear but the truth is telling in their posture and other non-verbal communications.
4. You should be prepared for some hostility or negativity because you are suggesting caregiving and they may view it as a loss of independence. If their mental acuity is intact but their physical health is in question, you need to do what you can conversation-wise as well as plan-wise to ensure they will have as much autonomy as possible so they do not feel like a patient or a burden, something most people with infirmities hate feeling.
5. Don’t expect that everything will be solved in one conversation. Your loved one may need to process everything and analyze their situation. Be prepared to compromise on certain issues or at least be willing to find alternate solutions to certain caregiving problems. When you and your loved one are stuck on some issues, suggest a third party who could possibly act as a facilitator such as a social worker from a care agency, a counselor or even your church priest.
The best thing you can do is be honest with your loved one as well as yourself. Follow through with any promised plans you made with them. Be loving, yet persistent when you meet with opposition until they acknowledge caregiving may be the best solution for them to not only live longer but maintain independence as much as possible.








