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I think Golden's message about flexibility is right on the money🤔. Many of the posts I've read through the years that are furious rants about the lack of planning are really about a stubborn unwillingness accept that circumstances have changed and the status quo isn't working any more, and that goes for caregivers who continue on despite personal damage as well as the care recipients.
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It's trite to say 'don't worry about death & enjoy life now' yada yada. The truth is, however, that if we DON'T 'worry about death', we wind up putting that burden on someone ELSE, don't we? Like our children, for instance, for those of us who have them.

My cousins did the wise thing; they bought into a continuum of care situation where they pay a huge up front fee of around $400K to be cared for for LIFE. They're starting off in a brand new IL apartment that's 1500 sf, decorated to their preferences, 2 bed/2 bath, with a view of the mountains. They pay around $3500 a month in rent which includes about 12 meals a month, per person, in restaurants on the property or delivered to their apartment by staff. They can then move into AL/MC/SNF or cancer care as needed, on the property, but they'd pay rent accordingly in each location, until their money runs out. At which time their care is free of charge until death. If there is money left over when the last one dies, it goes back into their estate.

My DH & I cannot afford such accommodations, but we do have a house that's appreciated in value double-fold since I bought it in 2003. So we'll downsize at some point, pocket the cash and use it for our nest egg in old age. We also have a plan to end our lives (if necessary) with pills & booze if we face a dementia diagnosis or some other horrible fate, and that's that. We feel that in the end, it's easier to go quietly into the night than to burden our children with our care or try to figure out how to pay for LTC in a facility, etc. Although I am not opposed to Assisted Living at all, IF I can afford it. I have no doubt one or more of our 7 children would step up to offer to care for us, but moving in with one of them is NOT in our plans!

The other thing I've thought about lately is manufactured homes; they are quite affordable and quite nice, too. Around here, there are even senior villages of manufactured homes that I want to check out (NOT trailer parks). I wonder if they are becoming popular all over the country?
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XenaJada Mar 2022
I had relatives who lived in senior living manufactured home community in Oregon and it was very nice.
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Stop worrying about the end of your life. Enjoy the present to the fullest. If you can afford it, you can buy a long-term care insurance policy. Don't worry, death will find its way when the time comes but for now, relax and live the present.
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Abby2018 Mar 2022
I understand your philosophy, but some personal responsibility must come into play.....especially when your life becomes dependent on someone else. Dementia is on the rise because people are living longer.......and the consequence has long term health requirements. While we should enjoy our remaining days to the fullest, it is only prudent to plan for what may lie ahead. With that said....sadly, many here on this forum don't have the luxury to throw caution to the wind because we are living first hand with parents who chose not to plan for their twilight years.
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I have nothing to look forward to. No siblings or partner (yes, I have cousins who are lovely and sibling-like, but they have kids and their own worries). So that I'm looking at a pretty bleak picture. My only hope is that I go fast and don't need a lot of care. Other than that, I'm looking at a pretty dark picture. Both my dad and maternal aunt had Parkinson's and that was not a pretty way to go.
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Dylan Thomas
"Do not go gentle into that good night"
When he tells readers to "not go gentle into that good night" and "rage against the dying of the light," he's telling them to not accept death passively. Instead, he tells people that the last thing a dying person gets to choose is how he faces death.
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GAinPA Mar 2022
That “rage against the night” clause always gave me pause. I want to go gentle into that phase. While “passing in my sleep” would
be the absolute achievement of a lifetime, I would opt for a docile, compliant exit.
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I have my AL ranch condo to retreat to at some point where I intended to live with as much support as I can afford, hopefully until I actually die from either an asthma or heart attack. If I end up in a NH, I hope to still be able to read or listen to my books or watch documentaries on youtube or cable.

I think I may have a few visits from nephews and nieces but mostly I expect my social contacts in my later years to be the friends and acquaintances I make at the senior center and church.

A "good" death to me would be like the 93 year old neighbor I knew as a young adult. When a snow was coming, he went to the barn to care for his horses and was carrying some lumbar up his driveway when he had a sudden heart attack and was apparently dead by the time his 88 year old wife called for help and joined him with a quilt.

I'm going to help as many people as I can (in small ways) for as long as I can while enjoying ball games and other local events. If my health and finances allow, occasional travel will give me something to plan for and enjoy too.
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I have a partner but we are both 80; one of us will be leaving the other one soon enough; we can't know which. We have children, but they are lifelong been told they are NOT to take on eldercare and are not to sacrifice their lives to their elders;that's how they have been raised and how we were raised. How did OUR parents do it without depending on us? They moved to elder care community in the one case, where they had their own place and progressed to more care as needed. In the other case the Mom, left alone with the Dad's death, got a reverse mortgage on her home.
As to ourselves we have lifelong saved knowing we would have to do so, in order to be secure in old age. I think we lived in lucky times when one salary could support a family in our early years, when my education as an RN was free (would result in lifelong debts likely now if parents couldn't afford to put kids through college). Where you could start your own small business and thrive. We made certain our kids knew they would be going to college; we managed to get them through it. And our savings should see us out in Assisted living if/when needed.
I think we have been lucky in how we were raised, the times in which we were raised, the way we were taught to save from early childhood and remained "coupon clippers" lifelong even when there was not a "need " to do so, in times when you could save. I think times now are very changed.
I don't think you are alone in your fears. I do know a personal friend who downsized the home she still owed some on, sold at a profit, bought a trailer in a lovely park, can afford the 700.00 a month that includes space and utilities with her social security and still have enough left to support herself, but who has almost no savings. She lives in California. Another has done the same in Oregon, but a fire sustained there means she is again working as an elder because she was not adequately insured, and now lives in a small rental.
There are many. I often wonder that seniors so seldom get together as roommates. Given our aging population I wonder if that will change. I hope admins will switch your "question" to discussions.
I hope there are many and varied answers. I see many saying that "man plans and God laughs". I am an atheist, but if there's a god I am certain he often gets the giggles about me, and I know many humans do as well. I made plans, always, and for me they have worked so far. They included all that coupon clipping, a joke really, I always lived below my means and I saved, saved, saved, saved. My grandson is the same and was raised to it. At 23, instead of college debt he has savings started. I think a lot has to do with luck and genetics. I have managed to stay well. Once your health fails plans are indeed a laugh and a half.
I sure wish you luck.
I often wish that Sarah Palin's "death panels" were a reality. Though I am a democrat, my hand would be raised to volunteer. I have had a happy life, and a lucky one, and am well. As a nurse I have made out all my papers in detail. But I don't relish the end and am the proverbial sissie about age and its losses one after another. I saw my brother, 7 years old than me, through probable Lewy's dementia. I don't care to go there or anywhere like it; he felt lucky in some sense to get sepsis and go on hospice. I guess I am saying I think we live too long. I have had a life and I am ready to head on to the last roundup whatEVER it might be. I have done what I had to do. I wish we had more options in all that regard and I am happy to see "right to die" laws slowly coming.
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Abby2018 Mar 2022
I agree totally. I see my mother now in the last stage of dementia and I want to avoid that at all cost. I feel the right to die is a freedom we are denied. I think many of us wish we would have the option to control our demise. That said....there needs to be more availability in affordable senior housing. With the boomer generation now in full swing in our country, most communities (at least here in CT.) are very expensive. If I live another twenty years my savings should see me through.....but if AL/MC is thrown into the mix, well that's a different story altogether.
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Not sure what Canada has but here we have communities where you start out in independent living. If needed transition to an Assisted living and on to NH when needed. A number of widows from where I live live in one.

I am not relying on others to care for me. I do have a DH that will care for me I am sure. If he goes before me, I do not plan on staying in my house. I have found in life, the only one I can rely on is me. So I will plan accordingly.
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Interesting and, for me, a very apt question.

Despite the knowledge of and experience that "The best laid schemes o’ Mice an’ Men Gang aft agley," (often go awry), I am a planner. Now part of my plans are always that they are not written in stone but will inevitably change. I plan on it lol. And I count on God's grace to get me through whatever comes.

I planned and worked hard to be financially independent and that one worked out.

I have planned to stay relatively healthy into my old age and am doing not too badly in that regard though this CFS.FM can be a real pain.

I planned on oldest son being my POA etc. and that one didn't work out. Well, back to the planning board there.

I planned on my dd and sil being my current go-to helpers and with her recent cancer diagnosis that didn't work out. As far as the future goes, we will see.

Middle son I am learning not to plan on at all. Having kids is no guarantee for having help or support.

Siblings - well the less said about that the better.

Considering all of the above, I planned on going into an ALF sooner rather than later. Then covid struck, so I scrapped that plan.

Once, years ago, I read that the main characteristic of seniors living successfully was being flexible and able to adapt to change. Made sense then and makes sense now.

I am downsizing to a condo with the idea that it will be more manageable for me than this house and moving a bit south will offer better weather and resources. Looks like this will work out.

Re other significant relationships - I am a risk taker in some regards though not financially. I have given my relationship with R a great deal of thought and work (as has he) to establish something that will be beneficial for both of us. That was the plan. We all benefit from stable loving relationships. We will see how being in closer proximity works for both of us. We both know we are aging and that aging people need support and care e.g. if we get ill or need surgery we also need someone to bring us meals, do a little shopping for us and give us a hug. We even have plans for a recreational property with a workshop for him and trees for me!!!! If all this does not work, I have a plan B (that word again). Hire help as much as I can afford to then back to the ALF option. Thank you, Canada, for providing affordable care.

And so it goes.

Do you remember "Dr. Strangelove or: How I Learned to Stop Worrying and Love the Bomb"

I think he had something there.
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I was writing out a long, thoughtful reply but I'll just summarize instead - sh*t happens, and fate laughs at plans and expectations. Who could have planned for the last few years?
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I love the viewpoints you guys. I'm naive in that I think I won't be a doddering old idiot when I'm of a certain age. But of course my mom who was brilliant, seldom allowed anyone to mess with her independence, made great plans for her future, still ended up in a nursing home, angry at us and never setting foot outside her room the whole year and a bit she was there. I still believe she willed herself to die and this even with a daughter (me) who tried to make her last days pleasant enough for her.

So, how to create a different reality for myself when that day comes is a concern. I see my mom, who was so prepared and yet her pride and preparation was still not enough.

Selfishly, I hope I die before I get old.
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Gershun, you know what they say: if you want to make God laugh, make a plan.

But then again wringing your hands and thinking "what's to become of me?" will only make you miserable and anxious and waste precious time that way, so cover the basics - make a will if you have any property of monetary or family value, and I would add Downsize Downsize Downsize - plus form some ideas about what you would *like* to happen. When the time comes, you will cope because you always do.

About your partner, though. What might be sensible is to give some serious thought to how far you're prepared to support him. You don't want to get sandbagged by guilt or obligation if God forbid he encounters some life-changing illness or injury and you find you're "expected" to become his full-time caregiver. Have the two of you talked this through, not including flippantly?

I have mixed feelings about advance directives. I see so many people who "never thought" they would encounter frailty or disability or failing mental faculties - you didn't? What, nobody ever told you that in 2022 you'd be ninety-three? - and have undergone a radical change of heart about what constitutes quality of life. We sit there in reasonable good health with a form in front of us and state boldly that we would not choose resuscitation and sign our names to it. But in the back of the ambulance, thinking "SH!T this is it!!!" all of a sudden it all looks very different and people decide they do want to live after all. Fortunately no paramedic, doctor or first responder is going to wave a form at them and say "nope, sorry Mrs G, it says here..." - you are allowed to change your mind.

First think about what is important to you, but don't stop there. Also question why these factors are important, and check that they really are and will continue to be. As an extreme example: there was a wife who rejected respite care for her impossible husband because - I wanted to slap her, to be honest - the facility's garden was north-facing and he liked to spend time out of doors.

Personally, I expect to keep working. Partly because I can't afford to retire, but much more importantly because it's what women in the family do - mother, grandmother, aunts, cousins, they've all gone on doing *something* until at least their late seventies and mostly their eighties. Granny lost her marbles at 91, had her care plan messed up by my peculiar aunt, refused food and died less than four months later. Aunt 1 ignored breast cancer and died 14 months later. Aunt 2 concealed CML and died spectacularly 18 months later. Mother, dear mother, refused to make any plans, accepted my naive suggestion that we all move to the country together, and died 7 years later hating the place, hating the house, and blaming me for her being there (though she didn't hate me. I think.).

What makes a good death? Or, by that question do we mean, what makes a good end-of-life? I don't know that anyone really knows the answer, and I'm quite sure no one has any enforceable right to it. You do to some extent get what you're given, you know.

Still! What do you think you would like, and be able to cope with? And what do you think you couldn't take at any price?
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MaryKathleen Mar 2022
I love the saying about making God laugh by making a plan. That is so true.
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Death is just the final part. Dying is really just the last few days. Everything else is living!

It is normal to have worries about the future. (Well I hope so.. I have many). I try to not ever think of worries at night in bed since I read the brain still processes worries but not solutions in the sleeping hours.

I too have sibs that I won't be able to count on for various reasons. DH cooks & cleans but does not do 'illness'.

So I suppose I will either carry on until I can't. Fall down & depart via sudden heart attack or stroke or just not wake up..

Or land in hospital & after 100 falls on crumbly bones, be sent to rehab & some sort of nursing home where I will join the choir, bingo & make the best of it.

Or, if I outlive the snorer, get a group of widows together & live in a share house Golden Girls style. You in?
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XenaJada Mar 2022
“…Or, if I outlive the snorer, “
🤣
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Tothill, thank you for responding. I am fortunate to live in Canada as well. 😊
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I have been divorce for 6 years, marriage ended 2 years before that. I have no plans to find another partner, so I will be doing it on my own.

2 of my 3 children have mental health issues and no capacity to help in any manner. The third does, but I have no intentions of burdening him with my care. I will live independently as long as possible. I have written a letter to my future self telling me to accept help when it is offered and if that means residential care so be it.

I have my affairs in order. I am lucky to live in Canada where Medical Assistance in Dying is legal and available and my sister in law is a physician who currently is my health care representative.

I am obese and this year and working at managing my weight. I know excessive weight will limit my life and I need to address that.
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JoAnn29 Mar 2022
Please work on that weight. I know its not easy but be determined. I just found out my nephew, with challenges, weighs 330lbs. With his physical problems he shouldn't weigh more than 150. At 32 he is having problems with his legs to the point he was in the hospital. At 72, I am having a problem dealing with this. I really don't want to be responsible for him anymore.
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