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Sibling Conflict:
When Brothers & Sisters
Argue About Elder Care

Your father has managed alone for some time, but it is becoming clear to you that he is beginning to lose his battle to remain independent. You think it is time to start talking to him about moving somewhere where there is more support, like an assisted living residence.

Your brother says you are over-reacting and that you father is doing just fine where he is. Your conversations are becoming heated, and you both usually end up more angry with each other every time you talk.

Caring for an aging parent can be lonely and overwhelming for an only child. But talk to many caregivers who have siblings and they will tell you that working together smoothly for the benefit of a parent is often easier said than done.

Old family patterns and unresolved issues often surface in stressful circumstances. We continue to play out the roles we fell into as children. The "good child," the "responsible child," the "favorite child," and the "take charge child" pick up old battles that were never finished. Distant siblings may perceive the "caregiver" as having shut out more distant siblings. The caregiver may perceive more distant siblings as uncaring, critical, or "in denial," while he or she is burdened with all the caregiving responsibility. An aging parent may continue a life-long game of playing one child against another.

Whatever the reasons, families with multiple siblings often come into conflict about how to care for an aging parent.

 

Senior Care Is All About Open Communication

It will not be easy to resolve long-standing conflicts, and it would be unrealistic to think that progress will be quick. However, the more difficult family relations can be resolved over time, the better a family's ability to provide good care. These steps have proven to help strained families come together with a common goal, and that's what it's all about.

1. Have realistic expectations. If you have a sibling who has never been one to follow through with anything, it is best not to expect a miraculous change now. This is the sibling you will want to keep informed, but not to delegate any important duties.

If you have a sibling who finds fault with everything you do, find things to delegate that don't impact direct care, but that will be helpful. If the critical sibling can take over reconciling health insurance payments, balancing the checkbook, running errands or other time-consuming and necessary jobs this may be the best way for him or her to be involved.

2. Expect that you will disagree

There is rarely one absolutely right way, or one absolutely wrong way, to do something. It is often the case that siblings who are used to conflict naturally adopt a "no" attitude when a sibling presents a different option. Even if it makes you uncomfortable, sometimes it's worth giving a new idea an open-minded try. If a suggestion seems to be too radical, look for a way to compromise that might satisfy both sides.

If you are disagreeing about a critical care component, such as whether a parent is still safe at home, or safe to drive, seek out competent expert advice from a professional. A professional assessment from an impartial third party should be objective, and may offer options no one has yet considered.

3. Keep each other informed

Poor communication is often a simple consequence of overwhelm. It can be just "too much" to have to telephone siblings on a regular basis to keep them up to date. Distant siblings often mis-interpret a lack of communication as purposeful reluctance to keep them informed. These perceptions can fester and lead to mistrust and resentment on both sides.

Ask non-caregiving siblings for suggestions about how to keep the lines of communication open. Perhaps one sibling can call or email you on a regular basis, and then pass the information on, so you don't have to have multiple conversations. A scheduled conference call on a regular basis, once or twice a month, can also be especially useful if everyone sticks to pre-determined ground rules.

4. Call a family meeting

Arrange a family meeting if communication continues to be difficult. With the knowledge of everyone, ask a trusted outsider to attend as a mediator so everyone is heard and the meeting stays on track.

5. Move on.

Ultimately, the only thing we can control is ourselves and our responses. If there are family members who continue to refuse to be helpful, decide how much energy you are willing to put into maintaining resentment and hurt feelings. Sometimes, in the interest of self-preservation, we must decide to move forward alone or without the help of a hold-out. Actively look for other support by contacting your local senior center and your local Area Agency on Aging for referrals and support.
 

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