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§17 · 10 tips

When there are elderly people at home

How should you arrange an older person's guardianship, will and money ahead of time?

Tips from this section that apply in the United States.

While an older person is still clear-headed, name their future guardian in writing

While the older person's mind is still clear, spend a few hundred yuan at a notary office to have a written document made that states who will be their guardian in the future. Without this document, once the older person can no longer make decisions, a court has to appoint who signs for them and who manages their money. If family members disagree, it takes even longer.

  • High value
  • Evidence A
  • Saves money

Keep an older person's money in a separate account, and set a rule that large payments need two people to confirm

People who defraud the elderly often start with small gifts and warm concern to build up trust, and then take a large sum in one go. Scammers also often insist "don't tell anyone." Agree on a rule beforehand: any payment above a certain amount has to be mentioned to a particular person first. That way the family gets to know, and the payment is also delayed a little.

  • High value
  • Evidence B
  • Saves money
  • For: Elderly relative at home, Age 60+

Give an older person a ready line for turning things down: "I have to go home and talk it over with my family"

Sales pitches and scams depend on pressure in the moment, to make you pay before you have time to think. When people get excited, they believe exaggerated ads more easily, and older people are more easily persuaded than younger ones. Agree on a line with the older person beforehand: "I have to go home and talk it over with my family." They can say it at any time, it gives them a way out on the spot, and they can decide after calming down at home.

  • High value
  • Evidence B
  • Saves money
  • For: Elderly relative at home, Age 60+

Stay away from any "invest for your retirement" scheme that asks an older person to pay first: cards, beds, retirement apartments, travel-retirement and senior products are all the same illegal fund-raising

Eldercare schemes that ask the older person to pay first and promise a return are all the same fraud: cards, buying beds, buying retirement apartments, travel-retirement, and meetings selling senior products. Under the rules, money lost this way is yours to bear. In one case someone took 136,000,000 yuan (1.36亿) by supposedly reserving beds in a retirement apartment, and harmed more than 2,100 people. The only thing you can stop is the moment of paying.

  • High value
  • Evidence A
  • Saves money
  • For: Elderly relative at home, Age 60+

If someone at home is bedridden for a long time, treat pressure sores as the number one enemy: use a powered air mattress, turn them on a schedule, and check the bony spots every day

For an older person who already had a pressure sore before hip-fracture surgery, the chance of dying within 30 days is about 20% higher. Switching to a powered air mattress cuts new pressure sores by about 60%. Turning on schedule, when it is really done, cuts them by about 70%. Don't let the person lie face down for long. Every day, look at the tailbone, heels, hips, shoulders and back, and if you see a red area that doesn't fade when pressed, contact a nurse or doctor the same day.

  • Moderate value
  • Evidence B
  • Buys life

If an older person's cataract already affects seeing the way, go to an eye doctor for an assessment and surgery; if both eyes have it, don't delay the second one too long

For women aged 70 and over, having cataract surgery on the first eye promptly meant about 34% fewer falls in a year, and fewer broke a bone. But the number of people who fell at all did not drop. For the second eye, no clear difference in falls was seen. Among older people who had the surgery, hip fractures within a year were about 16% lower.

  • Moderate value
  • Evidence B
  • Buys life
  • Disputed
  • For: Elderly relative at home, Age 60+

If an older person walks a dog, hold the leash in the palm of the hand and don't wrap it around the hand, keep the leash short, and first train the dog not to lunge forward on the leash

In the U.S., fractures among people aged 65 and over from falling while walking a dog on a leash rose from about 1,700 people a year to about 4,400, and about 80% were women. The hip was the most common fracture site, and nearly 30% were hospitalized. About three-quarters of hand injuries from dog leashes happened when the leash was wrapped around the hand and the dog yanked. So hold the leash in the palm, keep it short, and train the dog not to lunge.

  • Moderate value
  • Evidence B
  • Buys life
  • For: Elderly relative at home, Age 60+

Mainland China only 3 tips

These tips describe mainland-China rules and do not apply in the United States; they are here for people living in China.