Home care options and assisted living. Helping your aging parents. Cost of health care. Long term Care Insurance.

1. Bullock’s Nursing Service
Home Healthcare since 1978

2. Welcome to the Sandwich
Generation
 More than 65 million Americans provide
care to a disabled or aged friend or family
member.
 The cast majority of caregivers – nearly
90% - are family members.
 30% of caregivers care for more than one
person.
 The average duration of caregiving is
more than 4 years.
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3. The Sandwich Generation
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The proportion of adult children providing personal care and/or
financial assistance to a parent has more than tripled over the past
15 years.
The total estimated aggregate lost wages, pension, and Social
Security benefits of these caregivers of parents is nearly $3 trillion.
For women the total individual amount of lost wages due to leaving
the labor force early and/or reduced hours of work because of
caregiving responsibilities equals $142,693. The estimated impact
of caregiving on lost Social Security benefits is $131,351. A very
conservative estimated impact on pensions is approximately
$50,000. Thus, in total, the cost impact of caregiving on the
individual female caregiver in terms of lost wages and Social
Security benefits equals $324,044.
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4. Facts and Statistics
 According to AARP, the value of unpaid
hours for all family caregivers is $375B
annually.
 23M households are currently providing
eldercare for aging family members.
 37% of caregivers had to reduce their
work hours or quit their jobs to handle their
care responsibilities.
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5. 5 Considerations for in-home care
1.
Independence. In-home care allows your loved one to stay in their home and to remain as
independent as possible.
2.
Family involvement in care. Those who are cared for at home have the advantage of open visiting
hours. Family members can help out as necessary without concerns about intruding in the care of
others.
3.
Continuity of care. Because your loved one is able to stay at home, they can continue to see the
same doctor, so the continuity of their care remains intact.
4.
A personal environment. Of course, moving to an assisted living facility or nursing home can be
quite difficult for an elder. In-home care keeps your loved one in an environment they know and
trust.
5.
Lower costs. Traditionally, in-home care costs are lower than those found in assisted living
facilities or nursing homes. You and your elder get to select the hours of service, only using it
when your loved one needs the help the most.
Take time to research the various options for elder care, so when
you do make the decision, you'll know the choice was the right one.
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6. 4 Reasons to choose in-home care
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Home care promotes freedom. Individuals receiving home care can
engage in their traditional day-to-day activities as their health
dictates, while getting the care and support they need.
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Home care provides for control. Home care allows your loved one to
remain a participant in their own care.
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Home care is flexible and personalized. Home care can be tailored
to the needs of each individual. You and your loved one can dictate
the type of care needed and when that care should be provided.
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Home care relieves the caregiving burden. In-home care services
reduce the day-to-day caregiving responsibilities. Instead of being
heaped upon a single family member, those duties can be shared
as needed with a professional caregiver.
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7. 4 Considerations for assisted living
1.
Facility size - Would your elder prefer to live in a large complex with
amenities such as a gym? Or, would they like to live in a smaller residential
home with only a few other elders?
2.
Social activities. Does the assisted living facility offer recreational activities?
Menu - What type of food does the assisted living facility provide? If your
loved one has special dietary needs, can the facility meet those needs?
3.
Transportation - Does the facility provide transportation services for its
residents?
4.
Cost - What is the base monthly fee for living at the facility? Are there other
costs for additional services or amenities?
To find the right fit for your loved one, tour the different facilities you're interested
in (with your loved one, if possible). Put together a checklist of questions to ask
and find out if the facility offers the staff, environment, cost, and amenities that
can help your loved one transition to their new phase of life.
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8. Questions to ask before becoming
your parent’s caregiver
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What are the personal sacrifices I will have to make in order to properly look after my
parent?
What are the sacrifices my spouse and children will have to make in order for me to
look after my parent?
Will there be financial burden?
Will my employer notice and object to my devoting time each day to my parent’s
welfare?
Will too much time away from work cost me my job?
How much do I know about care giving?
Do I have the time to do this properly?
Will I be able to do enough, or will I always feel professional caregivers would have
done a better job?
Will I be offended or become resentful if my care giving efforts are taken for granted?
Is there any way in which my being my parent’s caregiver could damage my
relationship with that person?
Will my spouse and/or children object to my devoting time each day to my parent’s
welfare?
Will my parent accept me as their homemaker/caregiver? Is this what they want?
Can I integrate some professional care along with my own services to allow myself a
break now and again?
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9. Long-term care costs
Service
Monthly
Annually
24 x 7 Home Care
$18,720
$224,640
12 x 7 Home Care
$9,360
$112,320
8 x 7 Home Care
$6,420
$74,880
Assisted Living
$4,645
$55,740
Nursing Home/Rehab
$10,500
$126,000
Adult Day Care (8 x 5) $2,200
$26,400
Home care costs assume a nurse’s aide at $26 per hour. Adult day care assumes $100 per day including meals.
Assisted living and nursing home costs taken from averages of the MetLife Market Survey of Long Term Care Costs. 12

10. Long Term Care Costs - MA
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11. Long Term Care Costs - RI
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12. Helpful Resources
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MetLife Mature Market Institute
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AARP
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Genworth caregiving.genworth.com
Your local Council on Aging (MA) or DEA (RI)
National Family Caregivers Association
Family Caregiver Alliance caregiver.org
Mindingyourelders.com
Agingcare.com
Caring.com
Ourparents.com
Children of Aging Parents (CAPS)
National Institute on Aging
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metlife.com/mmi/
aarp.org/home-family/caregiving/
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13. The Sandwich Generation
The "Sandwich Generation" is dealing with one of
the most elaborate juggling acts – caring for an
elderly parent, parenting their own children while
working a full time job. Nearly 66 million Americans
are care givers and the average care giver is 49
year old woman who not only holds down a job but
also spends about 19 hours a week providing care
to a loved one.
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14. Sandwich Generation Stats
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89% percent of all women over age 18 will be caregivers to children, parents or
Most women will spend 17 years caring for children and 18 years helping an elderly
parent.
44% of Americans between the ages of 45 and 55 have aging parents or in-laws as
well as children under 21. The Sandwich Generation phenomenon.
59%-75% of family or informal caregivers are women.
The average caregiver is age 46, female, married and working outside the home
earning an annual income of $35,000 per year.
Nearly half of all baby boomers aged 45-55 have children still living at home and
elder care responsibilities.
64% of caregivers are employed full-time or part-time.
More than 14 million US workers care for aging family members.
Fastest growing population group is older Americans.
Most rapid population growth is among people 85+ with the majority being females.
An estimated 7 to 10 million adult children are caring for their parents from a long
distance.
Nearly two-thirds of Americans under age 60 think they will have elder care
responsibilities in the next ten years.
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15. Caregiver Profiles
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44% of Americans between the ages of 45 and 55 have aging parents or inlaws as well as children under 21.
59%-75% of family or informal caregivers are women.
The average caregiver is age 46, female, married and working outside the
home earning an annual income of $35,000 per year.
Nearly half of all baby boomers aged 45-55 have children still living at home
and elder care responsibilities.
64% of caregivers are employed full-time or part-time.
More than 14 million US workers care for aging family members.
Fastest growing population group is older Americans.
Most rapid population growth is among people 85+ with the majority being
females.
An estimated 7 to 10 million adult children are caring for their parents from a
long distance.
Nearly two-thirds of Americans under age 60 think they will have elder care
responsibilities in the next ten years.
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16. Caregiving Trends of the Future
 Continued increase in prevalence of
caregiving for American families
 Increasing numbers of working caregivers
 Increase in male caregivers
 Increase in long-distance caregivers
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17. Time and Money
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Time: Average length of time spent on
caregiving was about eight years, with about
one-third of the respondents providing care for
10 or more years.
Money: Almost all respondents reported helping
the care recipient with some expenses, most
frequently with food, transportation, or
medications. On average, caregivers helped with
expenses for two to six years and spent a total
of $19,525 in out-of-pocket expenses.
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