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Home Care

Be Smart About the Costs of Moving Mom In With You

Be Smart About the Costs of Moving Mom In With You

September 3, 2019 By Sande George Leave a Comment

As our parents age and become frail, we start looking at different care options. If you or your sibling is thinking of moving mom in with you, carefully consider the costs. Know what you’re getting yourself into.  

Most adult children are usually motivated by a deep love for their parent. They’re committed to providing the best. They feel no one can do a better job of caring than family.

While you may agree with that sentiment, be sure to examine your motives. Before making any commitment, start by answering your ‘why’.

Is it a philosophical belief that ‘family takes care of their own’? Or do you hate seeing all mom’s assets spent on a facility? Or do you feel obligated because of promises made long ago? Or do you feel guilty and want to live up to your parent’s expectations?

Whatever your reasons, clearly define them. They’ll help you create healthy boundaries and expectations of your own.

After you’re clear about your ‘why’, consider the impact of multi-generational living on your finances, relationships, and personal space.

Financial Costs

People often under-estimate the financial costs of caring for a parent. And expenses go up as they age. These costs include possible income loss, remodeling, and hired care.

Potential income loss

People often under-estimate the financial costs of caring for a parent. And expenses go up as they age. These costs include possible income loss, remodeling, and hired care.

Studies show that:

  • 33% of working women decreased work hours
  • 29% passed up a job promotion, training or assignment
  • 22% took a leave of absence
  • 20% switched from full-time to part-time employment
  • 16% quit their jobs
  • 13% retired early

Considering that, think about whether someone will have to quit work when mom or dad moves in. Can your family afford the reduced income plus the increased costs of food and utilities? Will you parent contribute to the household expenses?

Potential remodeling costs

First assess your home for safety, accessibility, and logistics. You may decide to expand your home, remodel a bathroom, build ramps, or build a separate “granny pod”.

Do your research on estimated costs. Can you afford it? Will it increase the value of the property?

Will your parent contribute financially to the remodel? If so, what reimbursement will they get if you sell the home? And if something unexpectedly happens to your parent, will you reimburse their estate?

Potential care costs

Your mom might move in with you while she’s still cognizant, ambulatory, and continent. But as she ages, her abilities will likely change. If you’ve never been a caregiver, you’ll be surprised by how hard it is.

Family caregivers often don’t realize how stressful care giving is. It’s a 24 x 7 job. You’re constantly taking on new care tasks – ones you’re not trained for. They often report feeling exhausted and depressed. Caregivers report finding it difficult to maintain a healthy balance in their lives.

Family caregivers underestimate how much support they’ll need. And for many, it’s hard to ask for help. They often put unrealistic expectations on themselves. They try meeting every need and be the ‘perfect’ child.

Respite breaks are essential for a caregiver’s well-being. So ask yourself, ‘Who else can help with increasing care demands’? Family, siblings, relatives?

Can you or your parent afford hired in-home caregivers? If not, are there other family members who can chip in?

Get a realistic picture of what it means to be a caregiver.

  • Read personal stories from caregivers.
  • Watch how-to videos on YouTube. Things like how to safely transfer someone, give showers, and help with incontinence.

Relationship Costs

Moving a parent in with you is a family decision. Even if you’ll do most of the work, everyone must be on-board. Many marriages have split over the change in duties, roles, and relationship dynamics.

Siblings and extended family

This includes having a conversation with siblings and other extended family. It’s an emotional time. You’re acknowledging your parent is aging and needs help. And you won’t be able to do it alone. Find out who’s willing to help and how.

Additionally, prepare for sibling disagreement. Past roles and relationships can come into conflict. Your motives will be questioned. Make sure everyone’s viewpoint is heard.

Try to keep the discussion focused on the well-being of your parent. And expect everyone to have different ideas about how to best meet those needs.

A word of advice: consider hiring an elder mediator, social worker, or elder advisor to act as a guide.

Your relationship with your parent

Similarly, consider the relationship you’ve historically had with your parent. Has it been easy going or fraught with tension? Has your dad been controlling? Or your mom been a complainer? Have you felt they’re impossible to please?

If that’s the case, it probably won’t change. In fact, living with your parent as an adult will likely bring up a lot of emotional baggage from the past.

When 3 generations or more live under one roof

What’s more, if children still live at home, they may need extra attention. Especially if they’re asked to give up their room for grandma. And what about if you have a blended family? Will your stepchildren cope?

Living under one roof won’t be like in the TV series, The Waltons. Consider your parent’s attitude about kids. There’s a big generation gap between acceptable lifestyles. Your dad or mom might voice strong opinions; which likely won’t go over well. Are you ready to act as peacekeeper?

Factor in illness or dementia

And your kids will need help understanding what’s happening if your parent has an illness or dementia. Irregular behavior by a grandparent may scare or embarrass your children.

Let your kids know that they are not the cause of their grandparent’s possible anger, weeping, or fear.

Seek out books and videos from the library. Read them together and discuss the questions that come up. Talk about ways they can deal with the situation.

Your parent's social needs with peers

While we’re discussing relationships, think about how living with you will affect your parent’s friendships. Will their friends feel comfortable visiting? Will you take your parent to the senior center or church groups for socialization?

Finally, think about if your parent will get lonely and isolated if you’re still working outside the home. Plan ways they can keep up the activities they enjoy.

Costs on Your Space, Time, & Routine

For most of us, our home is our refuge. It’s where we relax and turn off the world. When your parent moves in, you may feel your space invaded. Your home is no longer your home.

Most likely you’ll find your schedule and time now revolves around someone else’s needs. You’ll cook differently. You’ll find a corner of your mind is always listening in case mom needs something.

Interruptions

For instance, if you work from home, anticipate interruptions. A knock on the door. The intercom beeping. Dad has a question or needs help in the bathroom.

Similarly, if you and your spouse are watching a movie how will you feel about your parent joining you or interrupting you?

Privacy and personal space

Your parent doesn’t need to know everything that’s going on in your personal life. Set boundaries and expectations. This is a role reversal and you may feel uneasy doing it. But this is the time to work it out or readjust your thinking.

While you are your mother’s daughter (or son) you’ve both evolved over time. You may not share the same opinions, standards, politics, values, or belief systems now. Agree to disagree. Steer clear of criticism and judgement.

In Summary

Without a doubt, moving your parent in with you (or your moving in with them) can bring about a closeness you never had before. It’s an opportunity to put love into action.

On the other hand, it’s not for everyone.

Carefully think about why you want to be their primary caregiver. There’s no guilt if you don’t choose this path in order to love and care for them.

Then factor the financial, relationship, and personal space costs.

Leave a comment below to let us know how this article helped you.


We have a library full of great information to help you navigate the aging process. Be sure to check out these other articles too.

daughter giving mom a hug

Be Smart About the Costs of Moving Mom In With You

As our parents age and become frail, we start looking at differentcare

Read More

Home Health or Home Care?

Understand the Differences And Plan With Confidence!   Ed’s mom, Ethel, is

Read More

Need a Senior Advisor to help guide your decisions?








Filed Under: Home Care Tagged With: aging, planning ahead

Home Health or Home Care?

Home Health or Home Care?

December 5, 2017 By Sande George 9 Comments

Understand the Differences And Plan With Confidence!

 

Ed’s mom, Ethel, is having major surgery. The family’s wondering about how to help when she gets back home. It’s confusing. Ed’s brother Stan thinks mom’s health insurance will pay for Home Health and they’ll do all the care. Ed’s pretty sure that’s not right.

Ed is correct. Home Health will not provide the full care Ethel will need. But Stan’s almost right too because home health is covered by medical health insurance. But home health does not provide day to day care.

Let’s clear up the confusion.

Home Health

Home health care services are prescribed by a doctor after a hospital admission or inpatient rehabilitation stay. Medicare covers home health services for a limited amount of time or visits. Services are brought to the patient at home; wherever home is. It’s intended for short-term recovery.

Licensed health professionals follow up with a patient at home and provide services like nurse oversight, social work visits, speech therapy, physical or occupational therapy, wound care, and medication or injection monitoring. Sometimes home health services will include a bath assistant.

Home health care helps patients make a full recovery and it’s assumed they’ll return to normal activities.

When Ethel comes home after her surgery and skilled rehabilitation, she’ll have home health follow up. But her stamina will be poor; she’ll tire easily. Ethel will need someone to help with the activities of daily living such as shopping, cooking, housekeeping, laundry and, transportation. She might also need a little support with dressing, bathing and, medication reminders.

Ethel’s family plan to help out. But they work full time so they’ll hire an in-home care caregiver.

In-Home Care

Seniors and their families can hire professional in-home caregivers in a variety of ways.

Caregivers are available through:

  • Home Care Agencies
  • Caregiver Registries and Referral Services
  • Independent caregivers

Click here for a comprehensive overview about getting in-home care.

Carefully review the pros and cons of each.

In-home care services range from light supportive care and companionship to full nursing services. In-home care agencies are licensed by levels of care they can provide.

In-home care services are usually paid out-of-pocket. Some long-term care insurance policies have an in-home care benefit. Medicaid may also cover some in-home care for low-income seniors.

If you’re paying out-of-pocket, no doctor’s orders are needed. If you’re accessing in-home care through a long-term care insurance policy, there may be required physician forms.

Costs for in-home care range, on average, from $15/hour to $37/hour. If complex medical care is needed, prices will be higher.

Most in-home care agencies have minimum service contracts. Most will require a 2-5 hour, per day, minimum for 3 days per week.

A Safe Plan

After a lot of discussions, Ethel’s family put together a safe and appropriate plan for her return home. They decided to share time and tasks. They’re each taking turns spending the night and staying over on weekends. Stan, who runs his own company, can’t commit to staying with mom. Instead, he’s contributing financially towards the cost of hiring a caregiver from an in-home care agency.

The agency has a trained and experienced caregiver who’ll come for eight hours on Mondays, Wednesdays and, Fridays to help Ethel.

Everyone hopes Ethel will regain her strength and get back to normal. If that doesn’t happen, Ethel and her family will consider other living options. It might be more cost effective financially, emotionally and socially for Ethel to move to a senior living community.

When it’s time, Ed will call a Senior Referral Agency. He knows he can trust the recommendations of an Oregon Senior Referral Agency Association member.

For more information, referrals and help making senior living decisions,

call

OSRAA (503) 305-3878

 

 

Filed Under: Home Care, Long Term Care

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