Are You A Denier Or A Know-It-All When It Comes To LTC?

How Family Stereotypes Emerge When Aging Loved Ones Need Assistance

The statistics are staggering. About 10,000 baby boomers turn 65 each day and the U.S. Department of Health and Human Services reports that more than 70 percent of people over 65 will require long-term care services at some point.

But few people make preparations for this inevitable part of life that can drain a family both emotionally and financially. Finally, when the need for long-term care approaches the crisis level, several family members may be thrust into participation whether ready or not, says Chris Orestis, senior health-care advocate and CEO of Life Care Funding (

“In many situations the need for care will creep up on a family,” Orestis says. “Suddenly, people realize they have assumed duties that take up more and more of their time, and take a toll on their lives.”

Over the years, he says, he has seen these family members gravitate naturally to roles that fall into several stereotypes.

  • Caretaker
    This person provides care for the loved one at home and, without realizing it, becomes a fulltime caregiver. Usually, this is a spouse or an adult child, most often a daughter.
  • Bookkeeper
    This person focuses on the financial aspects, trying to determine what assets or insurance policies are available to help with the costs of care.
  • Chauffeur
    This family member drives the loved one to appointments, runs errands, makes grocery runs and eventually may drive the aging loved one to tour assisted-living facilities.
  • Guardian
    This family member takes on such roles as power of attorney or trustee, assuming the legal responsibilities within the family.
  • Denier
    This person can’t accept or admit that the loved one, or they themselves, need care.
  •  Know-It-All
    Most annoying of all, this family member constantly questions decisions, or lobs suggestions from the back bench, but isn’t near the situation or involved hands-on.
when the need for long-term care approaches the crisis level, several family members may be thrust into participation whether ready or not

With such a lineup, it’s easy for resentments to build, Orestis says, but that needs to be avoided because the focus should be on the aging loved one and easing the transition if a decision is made to move into a nursing home or assisted-living facility.

Eventually, once it’s clear professional long-term care is needed and a plan is in place to make it happen, a conversation needs to take place with the loved one, who may be apprehensive or even resistant, Orestis says.

The conversation should be handled with compassion and delicacy, he says. Emphasize that not only will this move improve their health and safety, but there will be numerous opportunities for social activities, games, art, entertainment and great food.

“The key is for the family to come together,” he says. “Look for the signs that care is needed, formulate a plan, communicate effectively with your loved ones and change the perspective about long-term care from a negative to a safe, healthy and enriching experience in the continuing journey of life.”



About Chris Orestis
Chris Orestis, nationally known senior health-care advocate and expert, is CEO of Life Care Funding (,which created the model for converting life insurance policies into protected Long-Term Care Benefit funds. His company has been providing care benefits to policy holders since 2007. A former life insurance industry lobbyist with a background in long-term care issues, he created the model to provide an option for middle-class people who are not wealthy enough to pay for long-term care, and not poor enough to qualify for Medicaid.Mr.