Preparing For A Future That Includes Aging Parents

  • Natasha Shamone-Gilmore (right) attends church with her husband, Curtis Gilmore (center), and her father, Franklin Brunson, 81. Shamone-Gilmore moved Brunson into her Capitol Heights, Md., home after he developed dementia.
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    Natasha Shamone-Gilmore (right) attends church with her husband, Curtis Gilmore (center), and her father, Franklin Brunson, 81. Shamone-Gilmore moved Brunson into her Capitol Heights, Md., home after he developed dementia.
    Kainaz Amaria/NPR
  • "Dad, wake up. Do you know what day it is?" Natasha says to her father during her daily morning routine. The family had a friend install a makeshift wall in their living room to create a bedroom for Franklin.
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    "Dad, wake up. Do you know what day it is?" Natasha says to her father during her daily morning routine. The family had a friend install a makeshift wall in their living room to create a bedroom for Franklin.
    Kainaz Amaria/NPR
  • "In the morning my head is spinning, because I'm thinking of all the things that have to be done," Natasha says. Not only does she care for her father, but her 24-year-old son, Nicholas, also lives in the family home.
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    "In the morning my head is spinning, because I'm thinking of all the things that have to be done," Natasha says. Not only does she care for her father, but her 24-year-old son, Nicholas, also lives in the family home.
    Kainaz Amaria/NPR
  • Natasha applies makeup to "get the tired out of my face." She credits her faith with allowing her to manage the stress of being a caregiver.
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    Natasha applies makeup to "get the tired out of my face." She credits her faith with allowing her to manage the stress of being a caregiver.
    Kainaz Amaria/NPR
  • Franklin, who was a Safeway employee for over 40 years, spends his weekdays at the Crescent Ridge Adult Day Health Center.  Franklin's dementia and partial blindness mean Natasha can't leave him alone.
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    Franklin, who was a Safeway employee for over 40 years, spends his weekdays at the Crescent Ridge Adult Day Health Center. Franklin's dementia and partial blindness mean Natasha can't leave him alone.
    Kainaz Amaria/NPR
  • Natasha keeps inspirational notes and messages throughout her home to help her focus her thoughts.
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    Natasha keeps inspirational notes and messages throughout her home to help her focus her thoughts.
    Kainaz Amaria/NPR
  • Franklin sits patiently waiting for his tai chi class to begin at Crescent Ridge. Several dozen residents who live with dementia, Alzheimer's or other brain injuries spend their day at the center.
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    Franklin sits patiently waiting for his tai chi class to begin at Crescent Ridge. Several dozen residents who live with dementia, Alzheimer's or other brain injuries spend their day at the center.
    Kainaz Amaria/NPR
  • Franklin (center) makes a punching movement in a self-defense exercise during his Tai Chi class.
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    Franklin (center) makes a punching movement in a self-defense exercise during his Tai Chi class.
    Kainaz Amaria/NPR
  • Natasha hugs Nicholas at the office where she works as an industrial trainer. Nicholas stopped by to get some money for gas and to fix his car.
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    Natasha hugs Nicholas at the office where she works as an industrial trainer. Nicholas stopped by to get some money for gas and to fix his car.
    Kainaz Amaria/NPR
  • Nicholas (left) laughs with his childhood friend Corey Buford while they work on Nicholas' car. Nicholas has briefly abandoned his music aspirations and is close to getting a job with Comcast to install cable. "The money is more important," Nicholas says. "I need something that I can contribute [to the household] with."
    Hide caption
    Nicholas (left) laughs with his childhood friend Corey Buford while they work on Nicholas' car. Nicholas has briefly abandoned his music aspirations and is close to getting a job with Comcast to install cable. "The money is more important," Nicholas says. "I need something that I can contribute [to the household] with."
    Kainaz Amaria/NPR
  • Franklin wipes pollen from the family car in their driveway before heading to church on a Sunday morning. He talks often about missing his independence, especially his ability to drive.
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    Franklin wipes pollen from the family car in their driveway before heading to church on a Sunday morning. He talks often about missing his independence, especially his ability to drive.
    Kainaz Amaria/NPR
  • Natasha and Curtis pray during Sunday worship at The Sanctuary Baptist church in Capitol Heights, Md. "She is always trying to take care of someone or something — a dog, a cat, a bird," Franklin says of Natasha. "She has been that way since she was knee-high."
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    Natasha and Curtis pray during Sunday worship at The Sanctuary Baptist church in Capitol Heights, Md. "She is always trying to take care of someone or something — a dog, a cat, a bird," Franklin says of Natasha. "She has been that way since she was knee-high."
    Kainaz Amaria/NPR
  • Franklin prays during Sunday worship. "I got aches and pains but I can still walk around," he says.
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    Franklin prays during Sunday worship. "I got aches and pains but I can still walk around," he says.
    Kainaz Amaria/NPR

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Planning a wedding is exciting.

Mapping out a vacation is fun.

Figuring how to afford care for your confused, elderly father? That one may never cross your mind — at least, not until you need more money to care for him.

"Never thought about it," Natasha Shamone-Gilmore, 58, says about her younger self. "Never ever."

She thinks about it a lot these days. Shamone-Gilmore, a computer trainer in Maryland, now shares a modest home with her husband, 24-year-old son and 81-year-old father.

Like millions of other middle-aged Americans, she had long regarded her parents as robust adults, more than capable of managing their own affairs. "My mom was a very active woman; my dad ... was a Safeway employee for 40-something years," she said.

But time does what it does, and today, her father needs a caretaker. So she has had to step into that role and figure out how to make it all work financially.

Natasha Shamone-Gilmore keeps a letter from her father's doctor diagnosing him with dementia on a wall in her kitchen. She uses it at times to remind Franklin Brunson of his condition. i i

hide captionNatasha Shamone-Gilmore keeps a letter from her father's doctor diagnosing him with dementia on a wall in her kitchen. She uses it at times to remind Franklin Brunson of his condition.

Kainaz Amaria/NPR
Natasha Shamone-Gilmore keeps a letter from her father's doctor diagnosing him with dementia on a wall in her kitchen. She uses it at times to remind Franklin Brunson of his condition.

Natasha Shamone-Gilmore keeps a letter from her father's doctor diagnosing him with dementia on a wall in her kitchen. She uses it at times to remind Franklin Brunson of his condition.

Kainaz Amaria/NPR

Shamone-Gilmore's family is one of three multigenerational households being profiled by NPR this spring. Their stories will help highlight the importance of family financial planning. The series, Family Matters, began last week and will continue in installments each Tuesday into June.

While aging is inevitable, planning for the costs associated with dependency in the latter phase of life doesn't come easily to most Americans.

"People dread talking about it because we don't like to face our mortality," says Jack Hetherington, a certified elder-law attorney in suburban Philadelphia. He estimates that fewer than 1 person in 5 takes even the first steps needed to prepare legally and financially for taking care of an incapacitated parent.

Consider this contrast between expectations and reality:

Only 13 percent of some 4,000 U.S. workers surveyed for the 2011 Aflac WorkForces Report believe that the need for long-term care would affect their families.

The Cost Of Elder Care

Adults have been providing an increasing percentage of financial assistance to their parents in recent years. Below are the national average annual costs and daily rates paid for various types of adult care.

Type Average Annual
Nursing home: semi-private room $214/day $78,110
Nursing home: private room $239/day $87,235
Assisted living $3,477/month $41,724
Home care: home health aide $21/hour $21,840
Home care: homemaker $19/hour $19,760
Adult day services $70/day $18,200
A state-by-state comparison

And yet providing long-term care is, in fact, common. Nearly 10 million adult children are caring for aging parents, according to the MetLife Mature Market Institute. Other adult children are contributing to the cost of a parent's assisted-living care, which MetLife says averages about $3,500 a month.

"The percentage of adult children providing personal care and/or financial assistance to a parent has more than tripled over the past 15 years," the research group found.

Of course, in today's tough economy, it also is common for elderly adults to be supporting their adult children. But in some ways, that's easier to accept: Parents often plan to leave whatever wealth they have to their children anyway. The flow of wealth from older to younger generation feels natural to many.

But with Americans living so much longer now, the younger generation has to do more thinking about how they might care for parents who have exhausted their savings.

"That's a tough one," says Paul Taylor, director of the Pew Research Center's Social and Demographic Trends project. "You have lots of uncertainties in your own life, let alone worrying about paying for your parents' care."

So like many other baby boomers, Shamone-Gilmore is struggling with bills, and hoping to reform her family for the future.

"Now that it's happened to us, and I am the household coordinator, I am now trying to educate the entire family that: You guys need to get in line," she says. "We're not thinking. No one is thinking."

Experts say any serious plan for caring for aging parents must begin — not with discussions about money — but with a legal document designating someone as having "power of attorney." That paperwork grants authority to another individual to handle decisions if a loved one can't make them as a result of illness or memory loss.

"The purpose is to provide a safety net in case of incapacity," Hetherington says. "If you wait too long and you don't have the capacity to make decisions, you end up in guardianship court, and that could involve lawyers, doctors, judges, time and money."

Franklin Brunson (left) and Curtis Gilmore help Natasha's mother, Luella Brunson, sit upright in her hospital bed. Along with caring for her aging father, Natasha keeps a close eye on her 80-year-old mother, who is often hospitalized with complications from chronic obstructive pulmonary disease. i i

hide captionFranklin Brunson (left) and Curtis Gilmore help Natasha's mother, Luella Brunson, sit upright in her hospital bed. Along with caring for her aging father, Natasha keeps a close eye on her 80-year-old mother, who is often hospitalized with complications from chronic obstructive pulmonary disease.

Kainaz Amaria/NPR
Franklin Brunson (left) and Curtis Gilmore help Natasha's mother, Luella Brunson, sit upright in her hospital bed. Along with caring for her aging father, Natasha keeps a close eye on her 80-year-old mother, who is often hospitalized with complications from chronic obstructive pulmonary disease.

Franklin Brunson (left) and Curtis Gilmore help Natasha's mother, Luella Brunson, sit upright in her hospital bed. Along with caring for her aging father, Natasha keeps a close eye on her 80-year-old mother, who is often hospitalized with complications from chronic obstructive pulmonary disease.

Kainaz Amaria/NPR

Once the legal paperwork is done, families can turn to an array of sources for legitimate advice on boosting savings, buying appropriate insurance and maximizing home equity.

For example, many employers offer workplace benefits that include free financial planning services. Credit unions can help, too. Public library shelves are loaded with books on how to get started making a financial plan, and websites, such as HelloWallet and Mint.com, offer help.

Individuals can ask for professional referrals from the National Association of Personal Financial Advisors.

Hetherington says taking those first steps can be difficult. "But it's the only way of avoiding problems down the road," he says.

Correction April 27, 2012

The introduction to the audio version of this story overstated the number of Americans living in households with three or more generations. The statistic cited — 1 in 6 Americans lives in a multigenerational household — comes from a recent study by the Pew Research Center. However, in its definition of multigenerational households, Pew also includes homes with two generations of adults from one family, for example where children over age 25 have moved back in with parents, or where elderly parents have joined their middle-aged children under one roof.

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