Feeling Uneasy at a Home Aide's Behavior

Q: Dear Francine,

My mother just turned 97! and after a lot of snafus, my sister and I are working together harmoniously to take care of her. Speaking for myself, I have to put the past away, really away, to face and resolve present challenges with our extremely elderly parent. She's still reading, going to the theater, walking on a walker, so we are fortunate.

The caretakers pose a different challenge. My sister and I don't agree on the proper boundaries. We have twoa full-timer and a relief person. They are both lovely, competent and warm. (Again, after much trial and error.) Sometimes, the bond that has formed between the main caretaker and my mother feels a bit disturbing, a bit symbiotic. she is loving and cloying and it's a bit hard to tell how much of the loving part of the connection is opportunistic. She calls my mother "darling." My sister's inclination is not to interfere--she lives nearby and is grateful for the respite--I worry more about the caretaker's judgment on some things and where the professional boundary should be. She is my mother's employee after all. Advice?

Carol
New York City

A: Dear Carol,

You dont appear to be worried about the caregiver stealing from your mother or tricking her into signing a will in her favor, so I presume that you have placed safeguards to make sure this does not happen or that is not your concern. You speak of an employee/employer relationship, but I dont think that adequately describes what occurs between a frail old woman and the person on whom she depends for her most intimate needs, things she can no longer do for herself. Would you feel the same way about a nanny who cares for your small children? Or a nurse who tends a patient whos alone in a hospital, frightened, or in pain?

While some home aides may be opportunistic, manipulative, or downright crooks, many feel drawn to this work out of real empathy for the old people for whom they care. They take satisfaction in being able to provide for their needs and to feel needed and important. So, in this way, the relationship may, in fact, be symbiotic, but not necessarily problematic. That this competent and warm aide is loving, it seems to me, is a great blessing for your mother. But the very frailty and dependency which evokes her loving response may be unsettling. No matter how old our parents are, they are still our parents, and we dont like to think of them as dependent, needy or even childlike. How you and your sister respond to your mothers condition and the bond between your mother and her caregiver, depends on too many things to name, but among them is the relationship each of you had and has with your mother, and how you each feel about what you want to do for her now, and what you can do.Its complicated. But I suggest that unless your mother expresses unease with her aides behavior, try to put aside your own discomfort and be open to thinking about their relationshipin a way that takes in not just its function but its human dimension.FrancineAbout the Author: Francine Russo is the author of They're Your Parents, Too! How Siblings Can Survive Their Parents Aging Without Driving Each Other Crazy. A widely respected journalist, she is especially tuned into trends that impact her own boomer generation.
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