The Caregiver Trap

National studies find that elder abuse is ofteneffort has merely saved mother's money for the
committed by family members. Many times theseinevitable nursing home.
are Caregivers. The resulting conflict and alienationDriven by these factors the caregiver may
can be avoided. A "caregiver contract" canappropriate a parent's money to pay her bills or
eliminate problems of financial elder before theyto buy things that salve the hurt. Without
occur.voluntary and informed consent by a competent
There comes a time when an aging parent needsparent, these appropriations are elder abuse and
a full time caregiver. Many times a child, usually athe daughter could be subject to criminal
daughter, steps up and either moves in or takesprosecution. While even the smallest taking is
mom in her own home. Everybody knows thatcriminal, it is often that the money taken is small
being a full time caregiver for an elderly person isat the start and then rapidly grows. The result is
a difficult job, but not everybody appreciates howan elder who loses her caregiver and has no
dangerous it can be for the caregiver and themoney left to pay for commercial care.
elder. Too often elder abuse becomes a part ofDysfunctionality of the family is another factor
the relationship. While there is a wide array ofoften at work in these situations. While there are
abuse, one form may easily be avoided and thatmany causes, a commonly overlooked
is financial abuse by an exhausted child caregiver.component is that of the dependent personality
Reports have shown that elder abuse is mostof the parent. It sets up a
often committed by persons known to the elder.psychodynamicbetween the parent and those
Spouses and children are the top perpetrators.upon whom he or she depends. I describe it as
There are abusers who are caregivers for onlythe pattern of the dependent person who needs
one purpose - to get the elder'smoney. Whenothers for support. This type of person marries a
financial elder abuse is committed by children, it isspouse with a "strong" personality who proceeds
often by those who have a history of financialto be the "one in charge who takes care of
problems or addictions. The great majority ofeverything."
caregivers are not in it for the money. They don'tThe "weaker" spouse develops ways of
want any of a parent's property and if asked willmanipulating the stronger to get his or her needs
say "if I wanted money I would have gotten amet. When the strong spouse dies the weak
job." Yet there are times when these wellspouse needs somebody to depend on. The
meaning children dip into their parent's accounts topattern, including manipulation, continues. This is a
benefit themselves.setup for conflict. Then comes the drama where
A short definition of elder abuse is any taking of athe parent has "scripted the parts" and the
vulnerable adult's property for self use. If a parentchildren play their roles. The setup in the caregiver
is dependent on a child for full time care then shecontext is the the parent's message "I'm so
is vulnerable. Even if she is of sound mind her willthankful for you. Nobody else cares about me."
can be overcome bypressure from the caregiver.At different times the parent may have said the
A simple statement such as "I will have to putsame thing to other children. Compounding the
you in a nursing home and get a job" can causedifficulty is that one child may adopt the
the elder to give the caregiver almost anything.personality of the weaker parent and the sibling
There is a complex interplay of fact and emotionadopts the stronger. For example, the oldest son
that can drive a caregiver to financial elder abuse.may not be suitable for care giving but may have
Studies show that the stress of full time carethe personality of the deceased stronger spouse.
giving causes serious health impairments. TheIn that case then he often "comes to the rescue"
stressors are many. The parent may be aof the parent against the "abusive" sibling
demanding, unappreciative patient. The child maycaregiver.
be on 24 hour duty for months without a break.The best way to avoid this type of conflict is to
The caregiver may become emotionallyact before it happens. An elder law attorney
exhausted and angry at the parent for her lossshould set up the business relationship of care
of health and lack of appreciation. She be angrygiving. All interested persons should be involved.
with siblings who do not do their share to help out.There should be an independent,professional
A child caregiver's services, no matter howassessment of the extent of the need for
valuable, are presumed to be renderedassistance. The commercial cost of these
gratuitously. The unpaid child caregiver who lives inservices should be identified. The persons who
the parent's home often has very little financialperform the services are identified. A contract is
means. The caregiver may only becompleted specifying the services to be provided
availablebecause she is not employed. She oftenand the compensation for those services. In this
has no spouse and very little in savings. Theway nobody is taken advantage of, not the elder
caregiver may note that the siblings are doing wellnor the caregiver. There would be no charge of
financially while she is tottering on the brink offinancial abuse of an elder or the permanent
financial ruin. She may become aware of thealienation of the caregiver as a thief.
commercial value of her care. A live-in aide mayDysfunctional family relationships are a common
cost over $7,000 per month. Finally feeling at thecause of caregiver conflict.
end of her rope she may conclude that all her