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Getting Frank Blog

Apr 23, 2026

There’s a moment many families experience but few plan for: That late-night phone call, the unexpected hospital visit, the sudden realization that a parent who once managed everything independently may now need help making decisions. In that moment, you’re not just dealing with emotion, you’re making critical financial, medical, and logistical decisions under pressure.

The best time to plan for the future needs of aging parents is well before a crisis, when circumstances can force hasty decisions.

Why a Proactive Approach Matters More Than Ever

On average, people are living longer. That’s a good thing. However, longer life spans can also mean more people may experience periods of declining health, cognitive changes, and dependency. Families who don’t plan ahead for these possibilities may find themselves making reactive versus proactive decisions for themselves and loved ones. Decisions lacking foresight can not only be more costly but are more likely to create family conflict.

Advance care planning, on the other hand, may support greater clarity, control, and confidence in the decision-making process.

Start with the Conversation Most Families Avoid

Contrary to what many people may think, thoughtful planning begins with a conversation—not documents or strategies. And while it can feel uncomfortable to discuss things like declining health, financial dependency, and end-of-life preferences, avoiding difficult conversations doesn’t prevent these situations from happening. It just means you’ll be less prepared when they do.

Also, don’t assume that loved ones who may be reluctant to talk about these topics, haven’t spent time thinking about them. In a recent survey, 75% of retirees expressed serious concerns about declining health and potential long-term care needs as they age. Among them, 41% cited “declining health that requires long-term care” as one of their greatest retirement fears. In addition, 36% fear losing their independence and 32% are concerned about cognitive decline and dementia.1

For older adults who may be reluctant to initiate or engage in discussions about aging, consider adopting a curious and respectful approach that focuses on more positive or neutral aspects of aging. Questions like those below may lead to deeper discussions about aging and independence:

  • What do you enjoy most/least about this stage of your life?
  • What do you find easier/harder about growing older?
  • What aspects of aging have surprised you the most?
  • What do you worry about the most as you get older?   
  • Who do you want to make healthcare decisions on your behalf if you’re unable to do so yourself?
  • What type of living arrangement would make you feel happy and secure if you were no longer able to live independently?
  • What are some specific ways I can help you retain your independence for as long as possible?
  • Are there things that you no longer want to do, or don’t feel up to doing, where I can lend a hand?

These conversations aren’t about taking control away—they’re about honoring your loved ones’ wishes before someone else has to guess them.

The Financial Reality Most Families Underestimate

Long-term care can be an often-overlooked financial consideration in retirement planning. Whether it’s in-home care, assisted living, or a nursing facility, the costs can be substantial—and services are often needed longer than expected.

The annual Cost of Care Survey released in March 2026 lists the national median costs for long-term care services and supports in the United States as follows:2

  • Non-Medical Caregiver: $80,080 annually (44 hours/week)
  • Skilled Nursing in Home: $90 per hour, with a median per-visit rate of $160
  • Assisted Living Communities: $74,400 annually
  • Nursing Home: $315 per day, or $114,975 annually for a semi-private room; $355 per day, or $129,575 annually for a private room

Key questions to address about long-term care planning, include:

  • Do your parents have a plan to pay for care not covered by Medicare?
  • Are assets structured efficiently in the event care is needed?
  • Do they have long-term care insurance or another funding strategy in place?

Many people don’t realize that Medicare does not cover long-term care expenses, such as assisted living facilities, in-home aides, or nursing home costs. Without advance planning, families may face pressure to use assets quickly or make rushed decisions that may limit available options.

At Return on Life Wealth Partners, we seek to align financial strategies with individual values, needs, and preferences, not just theoretical projections.

Important Legal Documents to Consider

Having the right documents in place can also help reduce stress and anxiety on everyone’s part at a time of crisis or when faced with a medical emergency. Below are several foundational documents that should be part of every family’s estate plan:

  • Durable Power of Attorney (POA) – designates a trusted person (agent) to manage your financial or medical affairs; remains effective even if you become mentally or physically incapacitated
  • Healthcare Power of Attorney – focuses strictly on medical care and not financial matters
  • Living Will / Advance Directive –specifies your preferences for medical care, particularly end-of-life treatment, if you become unable to communicate

These documents, which are executed by a legal professional, ensure that if your parents are unable to make decisions, someone they trust can step in without court involvement or delays. Without appropriate legal documents, families can face complications and delays at a time when they need to make clear and timely decisions.

Organization Matters

One of the most practical and often overlooked steps in preparing for what lies ahead is simply organizing information. Make sure someone in a position of trust knows:

  • Where your loved one’s accounts are held
  • Where important personal, legal, and estate planning documents are kept
  • How to access insurance policies and coverage details
  • What their monthly obligations and recurring expenses are and how they’re managed
  • How to contact their trusted financial, legal, and accounting advisors

Think of this as creating a “financial and life roadmap” for your parents. It doesn’t just make things easier—it can help avoid costly mistakes and unnecessary stress.

Watch for the Early Warning Signs

Planning shouldn’t wait until there’s a crisis. Often, there are subtle indicators that it’s time to step in:

  • Missed bill payments and/or appointments
  • Memory lapses that impact daily life
  • Declining physical mobility
  • Increased reliance on others
  • Decreased interest in social activities and engagements

These signals don’t mean independence is gone—but may mean it’s time to begin planning discussions.

The Emotional Side No One Talks About

This process isn’t just logistical. It’s deeply emotional. Roles begin to shift. The people who raised you may now rely on you more and more. That can result in all parties experiencing different degrees of guilt, stress, uncertainty, and family tension.

When there’s a plan in place, families can spend less time worrying about decisions and more time focusing on what actually matters: being present with each other.

Bringing It All Together

Planning for aging parents isn’t about expecting the worst, it’s about being ready for reality. Navigating this new stage of life with confidence begins with:

  • Starting conversations early
  • Aligning financial and care strategies
  • Putting legal protections in place
  • Being proactive instead of reactive

If helping parents put a plan in place for the future is something your family has yet to address, remember, the conversation doesn’t have to be perfect, it just has to start. If you’re unsure how to begin, give us a call. At Return on Life Wealth Partners, we help families navigate change with strategies that seek to support what brings the most meaning to their lives.

1Retirement Realities: The Experience of Retirees 25th Annual Transamerica Retirement Survey, December 2025; Transamericainstitute.org.

2CareScout 2025 Cost of Care Survey, March 2026; Genworth.com.

Important Disclosures

This material is provided for informational and educational purposes only and does not constitute investment advice, legal advice, or tax advice. The information contained herein is general in nature and may not be applicable to all individuals or situations.

Tax laws and regulations are subject to change, and their application may vary based on individual circumstances. Individuals should consult with qualified tax, legal, or financial professionals regarding their specific situation before making any financial decisions.

Investing involves risk, including the potential loss of principal. No strategy can assure success or protect against loss. Past performance is not indicative of future results.

Return on Life Wealth Partners does not provide legal or tax advice. Any discussion of tax strategies is not intended to be used, and cannot be used, for the purpose of avoiding tax penalties.

Investment advisory services offered through Planned Financial Services, LLC, dba Return on Life® Wealth Partners, an SEC-registered investment adviser.