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How to care for aging parents when you live far away? An essential guide

5 min read

According to a 2020 AARP study, approximately 11% of family caregivers live an hour or more away from their loved ones, facing unique challenges related to distance. Providing effective care from afar is possible with the right strategies, communication, and resources. Here's a comprehensive guide on how to care for aging parents when you live far away.

Quick Summary

This guide provides practical steps for long-distance caregivers, including establishing a local support network, leveraging technology for remote monitoring and communication, managing important legal and financial affairs, and addressing the emotional toll on all family members. It offers a structured approach to ensure your aging parents receive the best possible care from a distance.

Key Points

  • Build a local network: Enlist trusted neighbors, friends, and local family members to serve as on-the-ground contacts for day-to-day check-ins and emergencies.

  • Leverage technology: Use video calls for communication, remote monitoring systems for safety, and smart pill dispensers for medication adherence.

  • Organize legal documents: Secure Financial and Healthcare Powers of Attorney, a Living Will, and HIPAA forms to make decisions and access information remotely.

  • Plan finances strategically: Get legal and financial matters in order early, track care-related expenses, and explore potential financial assistance with a professional.

  • Coordinate professional support: Hire a geriatric care manager for comprehensive planning and an in-home care agency for daily assistance when needed.

  • Schedule regular visits: Use in-person visits to assess changes in your parents’ health and home environment, and to spend quality, non-caregiving time together.

  • Address emotional strain: Acknowledge feelings of guilt and stress, and seek support from caregiver support groups or family to prevent burnout.

In This Article

Building a Local Support Network

One of the most crucial steps for long-distance caregiving is to build a reliable and trusted network of support on the ground. You cannot be in two places at once, and having local allies is essential for both routine check-ins and emergencies. This network can include family, friends, neighbors, and hired professionals.

Involving Family, Friends, and Neighbors

Begin by having an open family meeting, preferably in person or via video call, to discuss your parents' needs and delegate responsibilities. Be specific about what each person can contribute. A local relative might handle weekly grocery shopping, while a friendly neighbor can be a designated emergency contact who has a spare key. A group chat or shared online calendar can help everyone stay informed about appointments and tasks. It’s vital to respect boundaries and appreciate any help, no matter how small, to prevent resentment and burnout.

Hiring Professional Help

Sometimes, family and friends are not available, or professional expertise is required. This is where professional services come in. Hiring a geriatric care manager, also known as an aging life care manager, can be a game-changer. These professionals are typically licensed nurses or social workers who can assess your parents’ needs, create a care plan, and coordinate necessary services. For day-to-day tasks, a reputable in-home care agency can provide trained caregivers to assist with activities of daily living (ADLs) like bathing, dressing, and meal preparation.

Leveraging Technology for Connection and Monitoring

Technology is a powerful tool for bridging the geographical gap. A wide range of devices and software can keep you connected, informed, and provide peace of mind.

  • Video Calling: Regular video calls via platforms like FaceTime, Zoom, or WhatsApp can help you observe your parents’ physical and mental state and maintain a personal connection.
  • Online Communication: Create a shared family communication system using apps or group chats to coordinate updates, schedules, and important information transparently.
  • Remote Monitoring: Smart home devices and sensors can help you keep a virtual eye on things. This can include motion sensors that alert you to unusual activity, smart locks, or security cameras (with your parents' consent).
  • Medical Alert Systems: A personal emergency response system (PERS) with features like fall detection and GPS tracking can ensure your parent gets immediate help in an emergency.
  • Medication Management: Smart pill dispensers with alarms can ensure your parents take their medications on time, with some models even sending alerts to caregivers for missed doses.

Managing Financial and Legal Affairs from Afar

Ensuring your parents' finances and legal documents are in order is a critical component of long-distance caregiving. Financial burdens are common, with long-distance caregivers incurring the highest annual expenses.

Financial Steps:

  • Gather and organize all financial documents, including bank statements, investment accounts, and insurance policies.
  • Set up online banking and automate bill payments to prevent late fees or missed deadlines. A prepaid debit card can also help monitor spending.
  • Use budget planning tools to track expenses, which may include home modifications, medical bills, or professional care services.
  • Work with a financial planner who specializes in elder care to assess assets and determine how to cover costs.

Legal Steps:

  • Establish a Financial Power of Attorney to manage your parents' finances if they become unable to do so themselves.
  • Obtain a Healthcare Power of Attorney and a separate HIPAA authorization form to allow you access to medical information and the ability to make decisions if necessary.
  • Ensure a Living Will or Advance Directive is in place to detail your parents' wishes for future medical care.

Creating a Proactive Plan and Regular Visits

Don’t wait for a crisis to start planning. Being proactive and organized will save immense stress down the line. A care plan should be a living document that is regularly reviewed and adjusted as your parents' needs change.

Aspect of Care Remote Management Tactic During In-Person Visits
Health Monitoring Join telehealth appointments, use medication reminder apps, set up remote patient monitoring devices. Attend major medical appointments, speak directly with doctors, and observe any changes in health or cognition.
Home Safety Utilize smart home sensors and motion detectors. Schedule professional home assessments for safety checks. Conduct a walk-through to identify fall hazards like loose rugs or poor lighting. Install grab bars or non-slip mats.
Social & Emotional Schedule regular video calls. Coordinate visits from local family and friends. Organize online family photo albums. Dedicate quality time for non-caregiving activities like watching a movie or driving around town. Observe signs of isolation or depression.
Daily Living Order groceries and prescriptions online via delivery services. Hire a cleaning service for regular help. Assist with large organizational tasks, like decluttering or creating a filing system for documents.

The Importance of Regular Visits

During your visits, focus on tasks that are difficult to manage remotely. This is your opportunity to physically check on your parents' well-being and home environment, which can often provide insights that phone calls miss. It's also a chance to spend meaningful, non-caregiving time together, which is crucial for emotional connection. Remember to plan for emergencies by having an emergency fund set aside for travel and care costs.

Addressing Emotional Challenges and Self-Care

Long-distance caregiving is often associated with higher levels of emotional distress, guilt, and inadequacy. It is important to acknowledge these feelings and prioritize self-care to avoid burnout.

  • Recognize Your Efforts: Your efforts, even from a distance, are valuable and important. Be kind to yourself and recognize that you are doing your best in a difficult situation.
  • Communicate Openly: Talk to other family members or friends about your feelings. Sharing the emotional burden can provide relief and support.
  • Seek Support Groups: Consider joining a support group for long-distance caregivers. Online communities and local organizations can offer a safe space to share experiences and advice.
  • Utilize Respite Care: Arrange for respite care during your parents’ regular care schedule to allow the local caregiver to take a break. This can be an in-home aide or an adult day care program.

Conclusion

Caring for aging parents when you live far away requires strategic planning, effective communication, and the right tools. By building a reliable local network, leveraging technology for monitoring and connection, getting legal and financial matters in order, and prioritizing regular check-ins, you can ensure your parents receive the care they need. The key is to be proactive and realistic, acknowledging the emotional challenges and leaning on support systems. You can provide peace of mind for both yourself and your loved ones, no matter the distance.

For additional support and resources, the Family Caregiver Alliance offers comprehensive guides for long-distance caregivers and a wealth of helpful information. Visit their site for more details on managing the complexities of caring from a distance. Family Caregiver Alliance

Frequently Asked Questions

With your parents' consent, obtain a Healthcare Power of Attorney and a HIPAA authorization form. This allows their doctors to speak with you directly and share medical records, which is crucial for managing their care remotely.

Utilize technology such as medical alert systems with fall detection, smart home sensors for motion tracking, and video calling for visual check-ins. Maintain regular communication with trusted local contacts as well.

Essential legal documents include a Financial Power of Attorney, a Healthcare Power of Attorney, a Living Will (or Advance Directive), and a HIPAA release form. It is recommended to work with an elder law attorney to ensure these are correctly set up.

Start by gathering all financial documents and setting up online banking for bill pay. A Financial Power of Attorney can grant you authority to manage their accounts, and using a separate account or prepaid card can help track caregiving expenses.

Identify and communicate with trusted neighbors, friends, and local relatives. Consider hiring professional help like a geriatric care manager or an in-home care agency to fill any gaps in support.

Acknowledge that feelings of guilt and stress are normal for long-distance caregivers. Focus on what you can control, communicate openly with family, and seek support from caregiver support groups. Remind yourself that providing care from a distance is still a valuable contribution.

During visits, focus on high-priority tasks like organizing documents, assessing the home for safety hazards, and attending key medical appointments. Equally important is dedicating quality time for recreational activities to strengthen your emotional bond.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.