Birmingham-Atlanta Geriatrics Research, Education and Clinical Center, Birmingham, Alabama, USA.
JAMA. 2011 Aug 17;306(7):746-53. doi: 10.1001/jama.2011.1163.
In the United States and globally, increasing numbers of older parents are living with their adult children. Making the decision to live together requires careful thought and planning; particularly when the decision means the children will be responsible for their elder parents' care, the physicians of all parties should be consulted. More than one-third of caregivers state that they seek advice from their physician or other clinician when information is needed about this transition. Using the case of a couple receiving care from their daughter in her own home, we review the prevalence and epidemiology of adult children caring for a parent in the adult child's home, important issues to consider, and a framework for clinicians to help guide their patients through this transition. We describe the physician's ongoing role in caring for and advising both the older parent and the adult children during common stages of multigenerational living: before the move and during coresidency and subsequent care transitions.
在美国和全球范围内,越来越多的老年父母与成年子女生活在一起。做出共同生活的决定需要深思熟虑和精心规划;特别是当这意味着子女将负责照顾年迈的父母时,所有相关方的医生都应该咨询。超过三分之一的照顾者表示,当他们需要有关这一转变的信息时,他们会向医生或其他临床医生寻求建议。我们以一对在女儿自己家中接受护理的夫妇为例,回顾了成年子女在成年子女家中照顾父母的普遍性和流行病学,讨论了需要考虑的重要问题,并为临床医生提供了一个框架,以帮助他们的患者顺利过渡。我们描述了医生在多代人共同生活的常见阶段中照顾和为年迈的父母和成年子女提供建议的持续作用:在搬家之前、共同居住期间和后续的护理过渡期间。