Dr. Amy Cheng, an emergency medicine physician and member of Cleveland Clinic Canada’s Corporate Medical Director program, is familiar with the challenges faced by women in the sandwich generation. She points out that women in this stage of life need to have conversations with their loved ones about the future, even when it's difficult. Issues like power of attorney, for financial and health decisions, and end of life care need to be discussed while women are healthy.
“They are hard questions to ask, particularly in certain cultures,” Dr. Cheng says, noting that it can be helpful to involve a professional in these conversations. “If there is a crisis or if the parent is no longer cognitively able to make decisions for themselves, the family will be in a place to honour their wishes.”
Caregivers also need to focus on their own health and wellness and ensure they don’t burn out, Dr. Cheng adds. Reaching out to family and mental-health professionals can help reduce the burden. As well, caregivers looking after aging family members may be able to take advantage of resources such as meal programs, adult day programs, personal support workers, cleaning services, respite care, personalized home care and even temporary stays in assisted living facilities.
“Sometimes you just need a break,” she says, adding that primary care physicians can help identify local resources.
Both Wood and Dr. Cheng point out that it's critical for women in the sandwich generation to take care of themselves to keep stress and burnout at bay. Small actions prioritizing self-care can make a big difference, says Dr. Cheng. For example, if caregivers are feeling overwhelmed, she recommends taking microbreaks, such as a five-minute walk outside, time in a quiet room or just a moment to breathe.
“Make sure that you’re rested and that you’re taking care of yourself the best you can, so that you can mentally and physically be there and be capable to care for others.”