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Caregiving Issues Facing
the Multi-Generational Family
By Helen Hunter, ACSW, CMSW
There are many family situations
today where you can find three, four or even five
generations living under one roof. While the
circumstances that result in multi-generational living
vary from financial to health-related to simple family
closeness, those who live in these types of households
deal with many issues. Serving as the main caregiver for
an older relative, dealing with grandchildren and having
one of their own children living back at home after
several years on his/her own can be a challenge for the
best of families.
In dealing with your older relative, the most critical
aspect is not just tending to their physical needs, but
providing them with the emotional support they require
as well. Often, it is coping with these emotional needs
that is most time consuming and stressful. Family
members often ask “How do I talk to my relative about. .
. “(You fill in the blank.) The answer is “Not easily.”
Remember, your job is to help your older relative make
informed, reasonable decisions for themselves, not to
make the decision for them. It is also important to
realize that they may be frightened about their overall
condition, and that this frightened state is relayed
through anger toward YOU, the main caregiver. It is
crucial to keep the lines of communication open between
the generations so that both of you can express your
fears and concerns as honestly as possible. You may also
wish to gain as much knowledge as possible regarding the
older person’s condition so that you know what to expect
of them now and in the future. In that way, you can let
them maintain their sense of independence and well-being
and provide the needed care when it becomes necessary.
Children, even at an early age, can be asked to take on
family responsibilities. They can be very helpful and
resourceful. They can perform everyday chores like
cleaning and help in preparation of meals and laundry.
They can also help Grandma or Grandpa by sitting with
them, reading together or watching TV, among other
things. By involving children, you are giving them an
honest look into the daily care giving process and you
open the door to start a dialogue about aging issues in
general. The relationship between an older relative and
a child is invaluable in that the older person provides
educational and historical information that is passed on
to another generation and the child can give new and
fresh insight on things for the older person.
When an older relative begins to fail, either mentally
or physically, it can be very confusing and sometimes
frightening for a child. There are many resources geared
specifically for children that explain the aging
process. Children are seen as extremely therapeutic
assets as families deal with the daily issues associated
with the care of a relative.
Older relatives can also be an invaluable resource to
their grandchildren. They can serve as educators, story
tellers and, in many instances, serve as the primary
providers of care to their grandchildren. Many older
people end up “raising” their grandchildren due to a
variety of circumstances. These older relatives struggle
not only with the daily demands of care needed by their
grandchildren, but also with the concerns and struggles
that their own children (the grandchildren’s parents)
face and their own health and financial issues.
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