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Having “The Talk” with Elders: Conversations about End of Life Issues

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Sex and death. It’s odd that those two topics should bring so much anxiety to parents and children. But, there you have it. One – sex – is about the beginning of life. The other – death – is about the end. Both are a part of the life cycle but if anything sex is easier for many to discuss than death.

I’ve found in my experience that it isn’t always the elders who shy away from end-of-life talks. Some do, of course, but many would like to discuss the arrangements they’ve made for finances, as well as their opinions about what measures they would want taken if they needed someone to make their decisions, however the adult children often find excuses to put off that particular “talk.”

Few of us like to consider the fact that our parents will die. However they will. Nothing will change that fact. Good medical care, solid healthful habits, a pleasant social life – all of these may extend our years, but in the end, we will die.

With this in mind, it is to everyone’s advantage to discuss the details at as early a stage as possible. As I told my kids when I had my own legal papers drawn up, “Let’s do all of this and then get on with the business of living.” We did just that, and while my sons didn’t find the prospect of my death fun to talk about, they dutifully listened to what I had drawn up and where I keep my papers.

Whether it is the adult children or the parents who don’t want to have the talk, this is something that needs to be done. So, how to start?

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nurselawyer said
Oct 21, 2009

As a nurse and attorney, I fully agree with Ms. Bursak that "the conversation" needs to take place. However, there are many among us who lack the courage, communication skills or will to have it. There is a lot more to talk about than end of life issues. Any competent estate planning lawyer is going to bring up the need for a healthcare directive and a durable power of attorney for finances. There's more to it than would be covered by these essential documents. What if the aging parent needs help at home? How will that be paid for? And what about those poorly thought out promises to "never put me in a nursing home"? What if the elder is too much for the family to take care of at home? Then what?

Carolyn L. Rosenblatt, R.N., Attorney

MindingOurElders said
Oct 23, 2009

You are so right, Carolyn. That's why I recommended those excellent books. There are many questions unique to each family. In the end, some families may do well be having a counseling session with a professional to guide them through. I'm not sure every incident will ever be thought of before it happens, but it's good to cover as many as possible. Thanks for your insightful comment.
Carol

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