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Establish Legal and Financial Documents
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Moderate — forms, signatures, possible attorney
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Low–Moderate — time, possible legal fees, secure storage
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High — clear authority, fewer delays or disputes
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When parent is competent and planning ahead
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Prevents probate/guardianship; ensures wishes honored
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Emotionally difficult; must be updated; possible cost
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Conduct a Home Safety Assessment
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Low–Moderate — walkthrough, some modifications
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Low–Moderate — time, minor equipment, occasional contractor
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High — reduced falls, prolonged independence
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Older adults living at home or with mobility/vision changes
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Prevents falls; often low-cost high-impact fixes
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Parent resistance; major renovations can be expensive
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Create a Comprehensive Health Information Summary
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Low — gather and organize records |
Low — time, scanner/shared document, secure storage
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High — faster care, fewer medication errors in emergencies
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Multiple providers, complex meds, long-distance caregivers
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Improves provider communication; lifesaving in ER
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Requires frequent updates; privacy risks if shared improperly
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Have a Conversation About Living Preferences and Care Wishes
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Low — ongoing discussions |
Low — time and emotional effort |
High — clearer decisions; less family conflict
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Early planning; aligning family around values and priorities
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Builds trust; guides future care decisions
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Emotionally hard; vague answers; preferences may change
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Document Insurance Coverage and Coverage Gaps
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Moderate — policy review and eligibility checks
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Moderate — time, calls, possibly advisor or attorney
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High — better financial planning; fewer surprise bills
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Anticipating long-term care costs, Medicare enrollment periods
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Identifies gaps; helps optimize benefits and savings
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Complex rules; plan changes yearly; may require expert help
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Establish a System for Medication Management and Tracking
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Moderate — set up organizers/tech, coordinate providers
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Moderate — pill organizers/dispensers, pharmacy coordination
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High — fewer errors, improved adherence, fewer ER visits
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Polypharmacy, memory decline, multiple prescribers
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Prevents interactions; simplifies caregiver coordination
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Ongoing maintenance; technology or pharmacy friction
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Set Up Financial Management and Bill Payment Systems
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Moderate — consolidate access, automation, tracking
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Moderate — account access, tools, possible POA
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High — timely payments; reduced fraud; clearer finances
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Caregivers managing finances or at-risk parents
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Prevents late payments; simplifies planning and oversight
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Sensitive access required; ongoing oversight; institutional
hurdles
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Identify and Document Support Systems and Social Connections
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Low — map network and contact list |
Low — time, some coordination, basic tech help
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Moderate–High — reduced isolation; distributed support
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Isolated seniors; when caregiver needs shared responsibilities
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Reduces loneliness; spreads caregiving load; increases safety
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Shrinking networks with age; depends on others' reliability
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Plan for Transportation and Mobility Changes
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Low–Moderate — assess driving, arrange alternatives
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Variable — may need paid services, volunteer networks
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High — maintained access to care and social life
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When driving becomes unsafe or before vision/mobility decline
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Safer mobility; smoother transition off driving
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Emotional loss for parent; limited rural options; costs
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Plan for Respite Care, Self-Care Boundaries, and Emergency
Communication
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Moderate — create protocols, arrange backups, document contacts
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Moderate–High — respite costs, backup caregivers, secure
communications
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High — reduces caregiver burnout; faster coordinated emergency
response
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Primary caregivers at risk of burnout or complex care needs
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Sustains caregiver health; clarifies emergency steps
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Guilt or resistance; expense; requires regular updates
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