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Family and caregiving questions

The questions families ask each other late at night.

Quick answer

At minimum a durable financial power of attorney and an advance directive for health care, signed while the parent has capacity; an elder law attorney can also review wills, deeds and Medicaid planning.

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What legal documents does an aging parent in Alabama need?

At minimum a durable financial power of attorney and an advance directive for health care, signed while the parent has capacity; an elder law attorney can also review wills, deeds and Medicaid planning.

Without them, a family may need to petition probate court for guardianship or conservatorship, which is slower and costlier.

How do siblings share caregiving fairly?

Divide by strengths and distance: the local sibling handles visits and appointments, a distant sibling handles bills, insurance calls and research, and everyone contributes to respite, with a shared calendar and written medication list.

Regular family calls with notes prevent the usual resentment that one person is doing everything.

How often should we visit after a parent moves to assisted living?

Visit often in the first few weeks at varied times, including evenings and weekends, then settle into a routine; varied visits show you staffing and care that scheduled visits do not.

Join the resident or family council if the community has one.

What if our parent refuses help?

Respect capacity: an adult who understands the risks can refuse, so focus on small accepted steps, involve the doctor, and seek an evaluation if refusals reflect confusion rather than preference.

If there is self-neglect that endangers life, APS at 1-800-458-7214 can assess.

When should a family hire a professional?

Bring in an elder law attorney for Medicaid and estate questions, a geriatric care manager for complex coordination, and a SHIP counselor for Medicare choices; each saves money and mistakes when decisions are large.

The area agencies on aging can refer you.

How do we handle a parent's finances when they can no longer manage them?

With a durable financial power of attorney signed while the parent had capacity, the agent can pay bills and manage accounts; without one, a family may need a probate court conservatorship, and Social Security can appoint a representative payee for benefits.

Keep records of every transaction made on a parent's behalf, especially if a Medicaid application may follow.

What is respite care?

Respite is short-term care that gives a family caregiver a break, provided at home, in adult day health or through a short stay in an assisted living community or nursing home; the E&D Waiver can pay for respite for eligible people.

Some assisted living communities offer furnished respite apartments for a week or a month.

How do we keep a parent connected after a move?

Bring familiar furniture, photos and a routine from home, tell staff about the parent's history and preferences, and schedule regular calls and visits, including church, club or neighborhood friends.

The first month is usually hardest. Most residents settle in within a few weeks when family visits are frequent and predictable.

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