Talking About Long-Term Care:
A Guide for Families

Deciding to move a loved one into a long-term care facility can be an emotional and challenging process for families. Open and compassionate communication is essential to navigate this transition successfully. Here’s how to start the conversation, what to discuss, and how to be supportive throughout the process.
 

Starting the Conversation

• Choose the Right Time and Place: Find a quiet, comfortable setting where you can talk without distractions. Ensure it's a good time for your loved one to engage in an important discussion.

• Be Honest and Direct: Start the conversation by expressing your love and concern. Use “I” statements to convey your feelings, such as “I’ve been worried about your health and safety.” This helps to avoid sounding accusatory or judgmental.

• Listen Actively: Give your loved one the opportunity to express their thoughts and feelings. Listen without interrupting, and validate their emotions, even if they differ from your own.
   

What to Discuss

• Health and Safety Concerns: Talk about specific challenges they may be facing, such as difficulty with daily activities, managing medications, or safety risks at home. Provide examples to illustrate your points.

• Benefits of Long-Term Care: Highlight the advantages, such as access to professional healthcare, social activities, and a supportive community. Discuss how these resources can enhance their quality of life.

• Options and Choices: Offer to explore various long-term care facilities together. Discuss different types of care available, such as assisted living, memory care, or nursing homes, to find the best fit.

• Financial Considerations: It’s important to address financial aspects, including insurance, Medicare, and out-of-pocket expenses. Having this information can help alleviate concerns.

• Future Planning: Discuss the importance of planning for the future, including preferences for care and end-of-life decisions. This conversation can help ensure that their wishes are respected.
   

Being Caring and Considerate

• Acknowledge Their Feelings: Moving to a long-term care facility can evoke feelings of sadness, fear, or loss of independence. Acknowledge these emotions and reassure them that it’s okay to feel this way.

• Reassure Them: Remind your loved one that they will not be alone. Emphasize that you will continue to be involved in their care and support, regardless of where they live.

• Encourage Participation: Involve your loved one in the decision-making process. Let them express their preferences for facilities and care plans, making them feel empowered.

• Plan Visits and Activities: Discuss how you will stay connected after the move. Make plans for regular visits, phone calls, and activities that you can enjoy together to help maintain your bond.

• Seek Support: Consider involving a professional, such as a social worker or geriatric care manager, to facilitate the conversation and provide additional resources.
   

Additional Resources

• National Institute on Aging: Talking with Someone About Moving to a Care Facility

• AARP: Family Conversations About Long-Term Care

• Alzheimer's Association: Discussing Care Options

Navigating the conversation about long-term care is a delicate process, but with empathy and understanding, you can help your loved one make this important decision. Remember, the goal is to ensure their safety, comfort, and happiness as they transition to a new chapter in their life.