Five Ways to Manage Difficult Elders

'You are old, Father William', the young man said,·Becoming dependent.
'And your hair has become very white;By imagining yourself in their place, you may react
And yet you incessantly stand on your head --more sympathetically and suitably.
Do you think, at your age, it is right?'3) Forget "Parenting Your Parent"
Lewis Carroll (1865)One of the least helpful ideas in our current culture is
My grandmother was the original matriarch. When shethe notion that as your parents age, you become their
barked "frog," the only acceptable response was "howparent. Stuff and Nonsense! You are NOT your
high?" She was hard to deal with in her last days,parent's parent, nor will you ever be. Your role may be
surprising no one.friend, confidant, caregiver, and supporter, but when
Not being the brightest penny in the family bag, Iyou take the role of parent, you diminish your elder by
reacted emotionally to her complaints, judgments, andreducing them to the position of child. No wonder they
demands. Rather than leave immediately, I stood myreact negatively. Wouldn't you?
ground, trying to defend my relatives and myself from4) Use behavior modification techniques
her relentless attacks. As a result, we were notBehavior modification has gotten a bad rap of late,
speaking when she died.probably due to the many ways in which its principles
Had I understood what I was facing, had I tried to puthave been misused. However, used properly, behavior
myself in her shoes, our story could have had a bettermodification techniques can remove unpleasant
ending. In hopes that your story will have a morebehaviors and return sanity to your family.
satisfying ending, I offer a few of the tricks for dealingIf you don't know the basics of behavior modification,
with difficult elders I've learned since then.here is a site that can bring you up to speed quickly:
1) Make a plan BEFORE a crisisA few tips to help you begin
The best way to deal with difficult parents is to avoidBefore you begin, you must clearly define what
as many problems as possible by planning how you willoutcome you want to achieve. For example, you find
handle them before they arise.that you are spending an increasing amount of time
Pick a time when ALL family members can meet inwaiting for your elder to get ready for an outing. If you
person or on a conference call to discuss what youwant your elder to be on time, make that the specified
will do when a family member needs help. Take theoutcome.
focus off elderlyIdentify your elder's positive reinforcers. Clearly they do
Family members by fully including them in the planningnot respond to your annoyance (or are you even
and making certain they have a role to play.allowing your irritation to show?), but they do enjoy
Be sure to take notes! Share them with all familyoutings.
members to verify your family agreements. In difficultTie the outcome to the reinforcer in a clear statement,
situations, you might want to ask family members tofor example, "If you are ready at 10:15, we will go
sign and return a copy of any agreement.shopping."
Here are a few of the issues you may want toShape the behavior you want. If your elder is habitually
address:30 minutes late, it is unlikely that they will suddenly be
Physical Locationon time. So, decide in advance to shape their behavior.
How will you help a family member when they live inFor example, you may choose to wait 20 minutes. If
another town?they are not ready, leave without them. Once that
Can you be an effective long-distance caregiver, and,behavior has been established, wait only 10 minutes,
if so, how?then only five. By using this tactic, you will arrive at the
If not, who will move, and when should that moveoutcome you desire with a minimum of pain.
happen?Punishment. Punishers can work - if they are severe
Rolesand immediate. However, they increase the likelihood
Who will be responsible for what?that you'll get results you didn't anticipate or want!
Will you share expenses equally, or will you balanceLocking someone in a room or closet is punishment.
money versus time contributions?Don't go there!
What will happen when there are disagreements?Extinction. Use extinction techniques rather than
How will you handle changes in individualpunishers to get rid of unwanted behaviors. Extinction
circumstances?is simple. Offer no reaction to bad behavior. Don't talk
How will you react to threats to health and safety?about it. Don't react to it. Leave the room, leave the
Differentiate preferences and requirements. If it's morehouse if you must. But remove the opportunity for
than a preference that family members not livereinforcement of such behaviors.
together, get it out on the table before a crisis erupts.Be aware that it will take time for extinction techniques
Document Planningto carry out your goal. Also realize that the frequency
Where will you store important documents such asof the undesirable behavior may actually increase
Wills,while extinction is occurring. Be patient and resolved.
Power of attorney,You'll get there if you don't weaken.
Insurance policies, and5) Identify your own contribution to difficult parents and
Deeds of trust.difficult families
Who will have access to these documents? AndPerhaps the most difficult (and perhaps the most
under what circumstances?useful) technique is to identify your own contribution to
2) Stretch your patience musclethe problem, and stop it!
Remember your excitement when you crossed the·Are you taking the course of least resistance and
threshold of adulthood? When you first got a driver'sputting up with undesirable behavior because it's too
license? When you got your first job? When youdifficult to change it.
found your first apartment and could decorate it all on·Do you avoid conflict at all costs?
your own? Then think about how you would feel if you·Could you be afraid to give up your position as
had to give up adult privileges, one by one. What"favorite" or "good?"
you're feeling now may closely approximate the·Do you feel emotionally superior when you deny
feelings of your difficult parent. But your elder's feelingsyour own needs to attend to those of others?
cannot be imagined away.Any of these may lead to more difficulties in the
Your difficult parent may fearfuture, so give them up. Decide what you can do within
·Becoming invisible;reason, and do that. If you need help, ask for it. You
·Seeing themselves as useless or stupid;can deal with the problems of difficult parents and
·Losing their friends;difficult families if you are willing.
·Losing physical abilities;