Adult Children and Their Parents' Expectations of Future Elder Care Needs

Walz, Helga S.; Mitchell, Thomas P.

doi:10.1177/0898264307300184

Cited by 14 publications

(10 citation statements)

References 26 publications

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“…Many older adults underestimate their future care needs—57% of older adults say they rarely or never think about their future care needs (Walz & Mitchell, 2007), only 15% of older adults report having a concrete plan for their care, 55% state they have no plans at all, and 31% report having general preferences, with no clear idea of how to implement them (Sörensen & Pinquart, 2001b). Because planning can enhance access to choices, help individuals gain control over their environment, aid in maintaining health-related quality of life, and prevent disease progression, the aforementioned statistics suggest that one public health strategy in aging services may be to help older adults overcome their reluctance to engage in care planning, a preventive health behavior.…”

Section: What Is Preparation For Future Care?mentioning

confidence: 99%

“…Some state an unwillingness to contemplate potential future illness and disability (Black & Reynolds, 2008; Carrese, Mullaney, Faden, & Finucane, 2002). Others engage in what might be termed unrealistic optimism (Walz & Mitchell, 2007; Weinstein, 1987). Participants in a cross-national study (Pinquart & Sörensen, 2002) stated that thinking about future frailty would reduce their present psychological well-being.…”

Section: Advantages and Disadvantages Of Preparation For Future Carementioning

confidence: 99%

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Planning and Decision Making for Care Transitions

Sörensen¹,

Mak²,

Pinquart³

2011

annu rev gerontol geriatr

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The need to plan for future health care and residential adjustments increases with age, growing frailty, and restrictions in coverage of long-term care and will continue to grow with population aging. Older adults’ lack of financial preparation for health care costs, insufficient knowledge about available options, and inadequate communication about care-related values has become an increasing public health challenge. This chapter describes a model of Preparation for Future Care (PFC), which encompasses different levels and domains of planning. Research about the extent to which planning is helpful in navigating care transitions is reviewed, and barriers and facilitators of planning including individual, familial, cultural, and national long-term care policy factors are discussed. Planning in the context of dementia and practical approaches that can be taken to enhance PFC is addressed, as well as recommendations for future research in the area of planning and decision making in the context of care transitions.

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Section: What Is Preparation For Future Care?mentioning

confidence: 99%

Section: Advantages and Disadvantages Of Preparation For Future Carementioning

confidence: 99%

Planning and Decision Making for Care Transitions

Sörensen¹,

Mak²,

Pinquart³

2011

annu rev gerontol geriatr

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“…Increasingly families are viewed as being central to the solution, having primary responsibility for such care (Keefe and Fancey 2000;Port et al 2005;Wisensale 2005); concern is expressed as well that families may lack the resources to care, especially given falling birth rates and fewer children in each generation. In North America, marriage and fertility rates have been declining for nearly 50 years and some scholars have argued that the resultant ''bean pole'' family with few members in each generation and weak affinal ties is a main source of reduced family care potential (Brannen et al 2004;Walz and Mitchell 2007).…”

Section: Introductionmentioning

confidence: 99%

Tensions among siblings in parent care

Lashewicz

Keating

2009

Eur J Ageing

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From a place of ''genealogical equivalence'' as children of their parents, siblings spend a lifetime developing separate identities. As parents near the end of their lives, issues of sibling equivalence are renegotiated in the face of equal obligations to provide care and equal entitlement to parent assets. In this paper, we hypothesize how unresolved issues of rivalry for parent affection/attention among siblings may be reasserted when parents need care. Data are drawn from a project about how parent care and assets are shared. In-depth interviews with three sibling groups experiencing conflict over sharing parent care and assets along with six Canadian legal case portrayals of disputes among siblings over how parent care and assets were shared are examined. Findings are that disputes occur when siblings perceive others as dominating parent care and assets through tactics such as separating the parent from other siblings and preventing other siblings from being engaged in decisions about care and assets. Discussion is focused on paradoxes faced by siblings given expectations for equity in parent relationships alongside perceived pre-eminence in care and asset decisions.

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“…Studies focusing on joint planning for long-term care between adult children and their parents suggest that extended family conversations about this issue occur in similar proportions to those reported in this study but that actual decision making happens mostly in the presence of a crisis (Bromley & Belizner, 1997). More recent research indicates that both adult children and their parents underestimate future care needs (Walz & Mitchell, 2007). Thus it may be important to further understand the extent and nature of the discussions persons have to know how these are generating a higher level of preparedness for some individuals.…”

Section: Discussionmentioning

confidence: 98%

Long-Term Care Planning and Preparation Among Persons with Multiple Sclerosis

Putnam¹,

Tang

2008

Home Health Care Services Quarterly

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Individuals with multiple sclerosis (MS) primarily rely on informal supports such as family members and assistive technology to meet their daily needs. As they age, formal supports may become important to compliment these supports and sustain community-based living. No previous research exists exploring plans and preparations of persons with MS for future independent living and long-term care needs. We analyzed data from a random sample survey (N = 580) to assess knowledge and perceptions of future service needs using ANOVA, chi-square, correlations, and MANOVA procedures. Results indicate that overall, most respondents are not well informed and have not planned or prepared for future care needs. Persons reporting severe MS were more likely to plan and prepare. Key "entry points" for making preparations include receiving specific education and planning information, discussions with family and professional service providers, and increased age, education, and income. We recommend greater infusion of long-term care planning into these existing entry points and creation of new entry points including healthcare provides and insurers.

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Adult Children and Their Parents' Expectations of Future Elder Care Needs

Abstract: Consistent with Weinstein's (1980) theory of unrealistic optimism, results demonstrated the tendency for AC and parents to underestimate their own future care needs. Such underestimation may in turn, lead to inadequate planning for future care needs.

Cited by 14 publications

References 26 publications

Planning and Decision Making for Care Transitions

Planning and Decision Making for Care Transitions

Tensions among siblings in parent care

Long-Term Care Planning and Preparation Among Persons with Multiple Sclerosis

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