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Leslie Kernisan - When Your Aging Parent Needs Help: A Geriatricians Step-by-Step Guide to Memory Loss, Resistance, Safety Worries, & More

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Leslie Kernisan When Your Aging Parent Needs Help: A Geriatricians Step-by-Step Guide to Memory Loss, Resistance, Safety Worries, & More
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    When Your Aging Parent Needs Help: A Geriatricians Step-by-Step Guide to Memory Loss, Resistance, Safety Worries, & More
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Its scary and stressful when it happens.... noticing changes in your parent and becoming increasingly worried about their health and safety. Maybe its Mom leaving the stove on, Dad getting lost on his way home, or unpaid bills that trigger this realization. Or perhaps there have been falls or emergency room visits. Whatever it is, you know somethings wrong. You wonder about a diagnosis. And you want your aging parent to accept help, or perhaps move.
Helping an older parent can be gratifying. But its especially hard if theyre blowing off your concerns, refusing to make changes, or otherwise resisting your efforts. You want them to listen, but they get upset or withdraw when you try to talk about this. What to do?
You dont have to remain stuck in conflict with your parent (or other family members). You dont have to keep getting the runaround from doctors or feel stumped about next steps. Instead, use an experts clear plan on how to help your aging parent.
In this practical, step-by-step guide, geriatrician Leslie Kernisan, MD, walks you through what to do and what to say in order to offer respectful assistance and intervention to a declining elderly parent.
Full of actionable advice and insider tips, When Your Aging Parent Needs Help provides practical and flexible steps that move concerned families toward effective elder care action, while respecting a parents dignity and autonomy.
Youll discover:

  • How to communicate with your aging parent to reduce conflicts and enhance cooperation
  • The A-B-C-D-E assessment framework for Alzheimer or other dementia concerns, safety issues, or independent living and steps to implement change
  • Strategies to overcome parental resistance, health provider reluctance to share information, and family disagreement
  • How to get a medical evaluation for memory loss and, if applicable, a diagnosis for Alzheimers or another dementia
  • What to know about possible mental incompetence, powers of attorney, HIPAA, and other options for gaining legal authority as a caregiver
  • How to find geriatric care managers and other eldercare professionals to assist
  • Downloadable worksheets, symptom checkers, and checklists to bring to doctor visits
  • What this looks like family stories that show you what these action steps look like in real-world situations
  • Transform good intentions into workable solutions and improved relationships. If youre concerned about an aging parents health, wellbeing, or safety, youll find encouragement and direction for this next life stage in When Your Aging Parent Needs Help.

    Leslie Kernisan: author's other books


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    Praise For
    When Your Aging Parent Needs Help

    With its handy checklists (downloadable cheatsheets) and illuminating vignettes (What This Looks Like), this book is a terrific guide for families starting on their caregiving journey. The exhortations to focus on the patients perspective and the gentle reminders that caregiving is often frustratingly difficult make the manual especially valuable.

    Muriel R. Gillick, MD
    Harvard Medical School, author of The Caregivers Encyclopedia: A Compassionate Guide to Caring for Older Adults

    An essential step-by-step guide for families wondering how to respond when an older parent begins to experience difficulties. Full of sound practical advice, compassion, expert wisdom, and helpful resources.

    Judith Graham
    Navigating Aging columnist, Kaiser Health News

    Far too many adult children struggle with uncertainty and doubt when it comes to helping their parents. This book is the missing piece that turns a puzzle into a picture.

    Bill Thomas, MD
    Founder, Changing Aging and The Eden Alternative

    Gives adult children easy-to-understand answers to the many challenging questions they have about their aging parents health, behavior, and safety. Even more important, it raises questions that they may not have even known to ask. And the answers are supported by communication tools and strategies to deal with obstacles they may encounter. Dr. Leslie Kernisan, a geriatrician, and her coauthor, Paula Spencer Scott, have combined their years of experience to offer practical, realistic, and respectful ways to guide both readers new to caregiving and those who are experienced but still searching.

    Carol Levine
    Senior fellow and former director, Families and Health Care Project, United Hospital Fund, and MacArthur Foundation fellow

    An outstanding guide for anyone concerned about an aging parent. The cheatsheets alone are worth ten times the purchase price, helping to ensure the best chance at success. Family caregivers stress about fixing things. This guide will provide a step-by-step process for the journey.

    Linda Fodrini-Johnson, MA, MFT, CMC
    Geriatric care manager/consultant/educator and past president, Aging Life Care Association

    As a health activist for 12 years, Ive learned to watch for deep understanding and pragmatic structured tools. As an aging boomer, I hunger for compassionate guidancefor my whole family. This is a home run on both counts.

    Dave DeBronkart
    e-Patient Dave blogger and author of Let Patients Help

    This book is a resource not just for the sons and daughters of aging parents but anyone who has to help older adults who are beginning to show signs of memory loss. Using a step-by-step process and applying them to two fictional cases, the authors give the readers practical advice on how to investigate and talk to older adults about their concerns and a clear process on how to develop realistic solutions that align with the hopes of both children and parents alike.

    Eric Widera, MD
    Geriatrics professor, UCSF School of Medicine

    I can think of no one, and I mean no one, I would trust more than Dr. Kernisan to deliver a highly practical, understandable, and usable guide for navigating this life phase with your parents. This is a much-needed resource that I recommend for everyone, including adult children and their aging parents.

    Anne Tumlinson
    Daughterhood.org

    Finally, a practical guide for the adult children of aging parents to help them help their parents navigate physical and cognitive decline of old age. An indispensable guide to one of the hardest things that most of us will have to do.

    Sei Lee, MD
    Geriatrics professor, UCSF School of Medicine

    When is a memory lapse, fall, mood, or behavior change a sign of dementia versus a side effect of a medication or even a sign of an infection? How do I bring it up without scaring them or making them angry? And what do their doctors need to know? How to balance safety and independence? This is an invaluable resource to help people navigate what is too often a frightening and confusing process to ensure people get the right care.

    Geri Lynn Baumblatt
    Family caregiver advocate and cofounder of the Difference Collaborative

    Pure gold! Whether youre planning future care for your parents or are stuck for answers about what comes next, this is your resource. Stellar advice from the doctor we all wish our parents could have.

    Carol Bradley Bursack
    Author of Minding Our Elders

    A much-needed book that gives clear, actionable, and medically sound advice to those of us whose parents have started to need help. This book breaks down what is often an emotionally complex and daunting process into manageable steps, providing you with a road map and the tools you need to navigate the process and reassuring you along the way. I know that many will benefit from it.

    Roy Remer
    Executive director, Zen Caregiving Project

    This book is GPS for the children of older adults. If you are caring for an aging parent, this invaluable guide will help keep you on the right road.

    Howard Gleckman
    Forbes columnist and author of Caring for Our Parents

    This book puts practical, useful information from a practicing geriatrician at your fingertips.

    Alex Smith, MD
    Associate professor, UCSF School of Medicine

    A thorough exploration of the conversations, resources, checklists, and helpful hints on how to best care for aging parents. The expert insights on what to know and how to be empathetic about getting older make this an essential book.

    Sherri Snelling
    Gerontologist, CEO of The Caregiver Club

    Dr. Kernisan and Paula Scott show us how to get started when we are worried about our parents, offering clear, pragmatic guidance and ways to handle even the thorniest of issues like dementia or our parents resistance to help. No one is prepared for the journey, but stop worrying, read this book and get started. You are not alone.

    Janet Simpson Benvenuti
    Founder, Circle of Life Partners and author of Dont Give Up on Me!

    Invaluable advice and direct access to practical toolslike having your own geriatrician.

    Amy Goyer
    Family caregiving consultant and author of AARPs Juggling Work, Life, and Caregiving

    When Your
    Aging Parent
    Needs Help

    A geriatricians step-by-step
    guide to memory loss, resistance,
    safety worries, and more

    Leslie Kernisan, MD, MPH
    Paula Spencer Scott

    A Better Health While Aging Quick Book

    Copyright 2021 Leslie Kernisan, MD, and Paula Spencer Scott

    All rights reserved. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the publisher, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law. For permission requests, write to the publisher, addressed Attention: Permissions Coordinator, at the address below.

    Published in the United States by Better Health While Aging, San Francisco
    1st edition

    ISBN: 978-1-7361532-0-8 (print)

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