As the holidays approach, I want to share a story with you. It’s
the story of a friend of mine, Noreen*-a typical sandwich-generation mom and
daughter who had many people and priorities to juggle. But it was at
Thanksgiving last year when she realized something needed to change.
Noreen left home for college 30 years ago. After graduation,
she got married, had two sons, and settled into a life in a small town north of
Boston. But her roots, along with her aging parents, were still in Western
Massachusetts. Among her three siblings, Noreen lived the closest to her folks and
was the most worried. Her brother, Tom lived on the west coast and typically
chalked up Mom’s forgetfulness and Dad’s driving mishaps as part of getting
older. Pam, the youngest, had her hands full with a rebellious teenager and a
recent divorce. She had no room on her plate to worry about Mom and Dad.
So, as Noreen drove –- or crawled -- along the highway last
Thanksgiving, she wistfully remembered Thanksgivings past. Mom’s famous pecan
chocolate chip pie, Dad’s careful carving of the turkey and the children’s
delight at watching the Macy’s Thanksgiving Day parade in their pajamas seemed like
scenes out of a Norman Rockwell painting. Noreen also recalled the fractious
squabbles that sometimes erupted amidst the merriment. Those tensions seemed
far less weighty than the anxiety she now felt about her parent’s safety and
welfare, and her siblings’ apparent dismissal of her fears.
Arriving at her parent’s home, Noreen couldn’t help but
stare at the peeling paint and the unkempt lawn. Years ago, she suggested her folks
sell the house and find a place to live that was more senior-friendly. Dispelling
her concerns, Noreen’s parents quickly dismissed the idea. Noreen, unsupported by
her siblings, let the issue drop. Now, she regretted that decision. She opened
the front door and got a whiff of something burnt. Turns out it was the turkey.
Noreen’s mother was apologetic. She had gotten distracted by the excitement of
the holiday. Tom and Pam were busy ordering take out Chinese food and seemed un-phased by the Thanksgiving turkey that had already been tossed. Mom had always been a
consummate cook. Now, no one seemed to care that she ruined the holiday meal
centerpiece. Noreen also worried about
her Dad who seemed unsteady and frail.
She asked how he was feeling and he replied “under the weather” but
hadn’t seen the doctor in months. As the day progressed, Noreen grew
increasingly more concerned. She saw a stack of bills on the kitchen counter,
some of them dating back months. She observed
Mom forgetting simple things and got frazzled easily. While Noreen did not want
to worry excessively or make a scene, things seemed out of sorts and she could
no longer pretend otherwise.
Holidays are a time when emotions get stirred up. Like Thanksgiving
cranberry sauce and stuffing, our emotions are a mixture of ingredients:
Excitement, joy, sadness and stress can all be part of the family recipe. Many
adult children, like Noreen, must face a changing reality and confront their own
anxiety and grief as their parents lose their strength and independence. These
changes are often more prominent around holiday time, particularly for adult
children who live at a distance. It is easy to overreact when we see, as Noreen
did, bills piling up or a home not properly cared for. At the same time, it is important
to differentiate changes in behavior. A newfound tendency to let the house go a
bit can be part of normal aging, or it can represent illness and decline. When
I later met Noreen for coffee, she told me she worried that the burnt turkey
was an ominous sign. I assured her that one burnt turkey does not foreshadow disaster,
but a pattern of uncharacteristic behaviors, is more of a concern.
Holidays can be incredibly stressful. In the midst of all
the activity and eating, they can also provide an opportunity to observe our parents
as they age. So this season, here is what to look for to determine if your
worries are justified and whether there are real concerns about your parent’s
wellbeing and safety that need to be addressed:
- Change in eating habits/weight loss
- Forgetfulness -- out of the ordinary
- Neglected personal hygiene and cleanliness
- Decrease in socialization and activity level
- Significant mood changes
- Unexplained dents in the car (Learn how to talk to a parent about no longer driving>>)
- Misuse of prescribed medications
- Mishandling finances
Like Noreen.. Read more from Jody Gastfriend on Huffington Post
*Noreen is a composite of friends and family caregiver.