
For many women over 50, caring for ourselves is only part of the picture.
We may also be helping an aging parent manage appointments, transportation, meals, household responsibilities, finances, or the everyday tasks that have quietly become more difficult. Sometimes the changes are obvious. Other times, there is simply a growing sense that life isn't working quite as easily as it once did.
And eventually a difficult question begins to surface: What happens next?
Should Mom stay in her home? Would Dad be happier somewhere with more people around? Does additional help make sense? Who in the family can realistically provide it? What if siblings disagree? And perhaps most importantly, what does your parent actually want?
These conversations are much easier to have before a crisis makes them urgent.
That's why I created Planning Ahead Together: A Guide for Adult Children and Their Aging Parent, a free resource designed to help families begin these conversations thoughtfully, while there is still time to listen, explore the possibilities, and plan together.
One of the most important ideas in the guide is also one of the simplest:
Begin with how your parent wants to live – not where you think they should live.
It can be tempting to begin with solutions.
Maybe you've noticed the house is becoming harder to maintain. Maybe driving concerns you. Perhaps your parent lives alone and you wonder whether they are lonely. Or perhaps a sibling is convinced that moving to a community would solve everything.
Those concerns deserve attention. But they aren't necessarily the best place to begin. Instead, ask your parent about the life they want.
– What do they enjoy about life right now?
– What has become harder?
– What would they like more of?
– What responsibilities would they happily give up?
– Do they have as much companionship as they want?
– What would they most want to preserve if their living situation ever changed?
The answers may tell you far more than asking, “Would you ever consider moving?”
Living alone doesn't necessarily mean someone is lonely. Accepting help doesn't necessarily mean losing independence. And wanting to remain at home doesn't necessarily mean that someone is unwilling to consider change.
Listen for the values underneath your parent's answers. They may be protecting privacy, familiar routines, friendships, pets, possessions, community connections, independence, memories, or simply the freedom to decide how they spend their day. Those things matter.
At the same time, adult children may have legitimate concerns about safety, transportation, home maintenance, changing health needs, or how much assistance the family can sustainably provide.
Good planning makes room for both.
Begin the conversation with how your parent wants to live –
not where you think they should live.
This may be one of the harder parts of the conversation.
Families often have very different ideas about what “staying at home” will require – and who will make that possible.
If staying home depends upon an adult child providing transportation, meals, household help, emergency support, medical coordination, or frequent check-ins, that support needs to be part of the conversation.
A useful family principle is: If you disagree with a proposed solution, help develop a workable alternative.
If you strongly believe your parent should remain at home, explore what would actually make that possible. What support would be needed? Who would provide or coordinate it? What would it cost? What happens in an emergency? And what would need to change if your parent's needs increase?
Apply the same scrutiny to every option.
This may be my favorite exercise in the guide.Instead of comparing your parent's house with an apartment in a retirement or assisted-living community, compare the life your parent could realistically have in each setting.
Consider things such as:
• Companionship and social connections
• Meals and nutrition
• Transportation
• Movement and physical activity
• Emergency help
• Privacy and independence
• Purpose and meaningful activities
• Affordability
• Support, if needs change
The question isn't simply, which place is nicer? It's – which arrangement best supports the life my parent wants to live?
And sometimes the answer may be staying exactly where they are, with no additional support needed right now.
Does your parent's living arrangement best support
the life your parent envisions?
A beautiful lobby, model apartment, activity calendar, and polished sales presentation tell you very little about what everyday life actually feels like.
If your parent is willing to explore community living, approach the first visit as information gathering, not decision-making.
Have lunch. Walk through the common areas. Notice what residents are actually doing. Talk with people who live there.
And keep bringing the conversation back to your parent:
• What feels appealing?
• What feels uncomfortable?
• Could you imagine making friends here?
• What do you think you would gain?
• What might you have to give up?
• Could you imagine not simply living here, but building a life here?
Criticism is participation. Your parent doesn't have to like a community simply because you think it looks wonderful.
If a community eventually becomes a serious possibility, slow down.
Understand the agreement, fees, refund policies, future costs, rules, services, and what happens if your parent's needs change. Ask important questions in writing and look for important promises in writing.
A deposit deadline, available apartment, waitlist opening, or incentive can create urgency.
That urgency doesn't have to become your family's urgency.
The goal isn't simply to secure a place. It's to make a decision your parent understands, can afford, and feels comfortable making.
Planning ahead does not mean deciding that your parent needs to move.
It may mean deciding that staying home continues to work well.
But if that's the choice, make it an active one.
Identify any support that would make life easier now. Talk about what changes would signal that the plan deserves another look. Those might include changes in mobility, transportation, meals, memory, household responsibilities, health, or the amount of support family members are providing.
Then choose a time to talk again.
The purpose isn't to predict every possible future. It's to make sure the next conversation doesn't begin for the first time in an emergency room.
I created Planning Ahead Together to help families have these conversations while there is still time to listen, explore, disagree, reconsider, and make thoughtful decisions together.
The guide includes conversation starters, family planning questions, exercises for comparing living options, a Community Visit Form, a detailed Community Assessment Checklist, due-diligence questions, and a No-Crisis Plan.
Most importantly, it keeps one principle at the center:
As long as your parent has the capacity to make the decision, the decision about where and how to live remains theirs.
Our role as adult children is not to quietly make the decision for them. It is to listen, share concerns honestly, help investigate realistic possibilities, and support informed decision-making.
Planning Ahead Together: A Guide for Adult Children and Their Aging Parents is a practical guide for starting the conversation now – before a crisis makes the decisions harder.
Download the free guide here.
Planning Ahead Together is an educational resource. It is not a substitute for individualized medical, legal, financial, or capacity assessment.
• Gaugler, J. E. (Ed.). (2021). Bridging the family care gap. Elsevier. https://doi.org/10.1016/B978-0-12-813898-4.09989-9
• Lashewicz, B., & Keating, N. (2009). Tensions among siblings in parent care. European Journal of Ageing, 6(2), 127–135. https://doi.org/10.1007/s10433-009-0109-9
• Murawski, A., Tschoe, M., Miller-Winder, A., Schierer, A., Relerford, R., Ramirez-Zohfeld, V., & Lindquist, L. A. (2023). Identifying conflicts experienced by older adults while aging in place. Innovation in Aging, 7 (Suppl. 1), 817. https://doi.org/10.1093/geroni/igad104.2636
• National Academies of Sciences, Engineering, and Medicine. (2016). Families caring for an aging America. The National Academies Press. https://doi.org/10.17226/23606
• National Institute on Aging. (2024). Loneliness and social isolation – Tips for staying connected. National Institutes of Health. https://www.nia.nih.gov/health/loneliness-and-social-isolation/loneliness-and-social-isolation-tips-staying-connected
• Nerenberg, L. (2019). Elder justice, ageism, and elder abuse. Springer Publishing Company.