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Chapter 17 / Complete chapter

Caring for Aging Parents

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Chapter 17 editorial cartoon: A salesperson doesn't get the family's casting vote. Enlarge illustration
A salesperson doesn't get the family's casting vote.

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Editorial cartoon · Chapter 17A salesperson doesn't get the family's casting vote.

Original illustration with Chinese lettering; the English dialogue is below. Humour is a reading aid, not evidence.

English dialogue
  • Buy today or miss out!
  • I'll discuss it with my family.

While the elderly are still lucid, designate a future guardian in writing

While an elderly person still has a clear mind, it’s worth spending a few hundred yuan to have a written document notarized, naming who will serve as …

Cost
It costs only a few hundred yuan to have a notarized document drawn up at a notary office.…
Benefit
Under civil law, adults who are mentally sound and capable of independent decisions (legal…

Keep the elderly person’s money in a separate account and set a rule requiring two people to approve any large withdrawals

Scammers targeting older adults often build trust through gifts and attention before asking for large sums, and may insist on secrecy. Agree beforehan…

Cost
This costs nothing. You only need to discuss it once with family members and agree on a sp…
Benefit
China's Supreme People's Procuratorate described elder-fraud cases in 2022 in which small …

A ready-made phrase for seniors to deflect unwanted offers

High-pressure selling and scams try to obtain payment before reflection. Experiments found greater interest in misleading offers after emotional arous…

Cost
No cost at all. It only takes a few minutes to discuss this with the senior once.
Benefit
The US FTC describes pressure to act before thinking, including demands to stay on a call …

Avoid any “investment-based senior care” schemes that require upfront payments: card enrollment, prepaid care fees, buying senior housing units, travel-based care programs, and sales of senior products all fall under the same category of illegal fundraising.

Any senior care program that demands an initial payment while promising financial returns is essentially a scam. These schemes include selling members…

Cost
No cost at all. Simply read the following list of common tactics to seniors; it takes just…
Benefit
The Civil Affairs Bureau has identified five primary patterns used by fraudsters; recogniz…

Apart from the housing reverse mortgage insurance offered by insurers, you should avoid all other “housing-for-pension” schemes — never mortgage your home to buy financial products.

The only legitimate “housing-for-pension” option is the housing reverse mortgage insurance provided by insurers, which is currently still in the pilot…

Cost
There’s no cost involved. Keep your property deed in your own hands and don’t hand it over…
Benefit
The China Banking and Insurance Regulatory Commission’s Consumer Protection Bureau clearly…

For elderly individuals at home who are bedridden or severely disabled, apply to the local yibao (basic medical insurance) office for long-term care insurance; it is not limited to seniors only.

Long-term care insurance helps cover the cost of hiring caregivers. Those who are severely disabled and have remained in that condition for at least s…

Cost
You only need to visit the local yibao office once to submit an application and undergo a …
Benefit
There is no deductible threshold for approved long-term care services; you do not need to …

For families with someone bedridden at home, pressure ulcers are a top concern: use an electric alternating-pressure air mattress, turn the patient regularly, and check bony areas daily

Pressure ulcers are far more than just superficial skin injuries. Among older adults undergoing hip-fracture surgery, those already having pressure ul…

Cost
Electric alternating-pressure air mattresses for home use start at a few hundred yuan. Tur…
Benefit
Data come from 19,520 hip‑fracture patients in the U.S. NSQIP registry (2016‑2019). Those …

If an older person’s cataracts already affect walking safely, have an eye doctor assess surgery; when both eyes are affected, do not delay the second eye too long

In women aged 70 and older, having the first-eye cataract surgery sooner cut falls over the next year by about one-third, and fewer people fractured b…

Cost
Accompany the older person to ophthalmology once; the doctor decides whether surgery is ap…
Benefit
A randomized trial enrolled 306 women aged 70 or older with cataracts. Half had first-eye …

When elderly family members walk dogs: Hold the leash in the palm rather than wrapping it around hands or wrists, keep the lead short, and train the dog not to surge forward

In the United States, annual fractures among adults aged 65 and older associated with walking leashed dogs surged from roughly 1,700 to 4,400 cases, w…

Cost
Gripping the leash properly and shortening lead length costs nothing—simply walk with your…
Benefit
US national emergency department surveillance data estimate that annual fractures among in…

When placing an elderly relative in a nursing home, verify administrative filing with civil affairs authorities and sign a written contract: security deposits are capped at 12 months' bed fees in dedicated bank escrow accounts

Legitimate eldercare institutions must register with civil affairs authorities and execute written contracts with residents or their guardians. Securi…

Cost
Zero financial fee. Spend half a day calling local county-level civil affairs bureaus or r…
Benefit
Ministry of Civil Affairs regulations mandate that eldercare institutions must file with l…

If an only child's parent is hospitalized, check provincial statutes for statutory filial care leave and submit a written request with hospitalization proof

Multiple provincial regulations guarantee statutory paid parental care leave for only children when their elderly parents are hospitalized. Durations …

Cost
Zero financial outlay. Spend several minutes querying provincial regulations on the Nation…
Benefit
Statutory eldercare leave is codified within provincial regional legislation. Under Henan'…

If an elderly relative suffers progressive memory decline impairing daily functioning, visit a hospital memory clinic or neurology department to rule out reversible causes like depression, sensory deficits, or anticholinergic drugs

Progressive cognitive decline is not simply inevitable "old age." First rule out reversible conditions such as late-life depression, adverse drug side…

Cost
Low cost. Clinical registration at a hospital memory clinic or neurology outpatient depart…
Benefit
UK National Institute for Health and Care Excellence (NICE NG97) guidelines mandate that w…