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ndle her mother’ s care. The hospital remended putting her mother in a nursing home. Baldocchi wasn’ t willing to do that. But moving her back into her parents’ home created other problems. Baldocchi, 48, is married and lives about a mile away from her parents. She has a fulltime job and has back problems that make it difficult for her to lift her mother. “I couldn’ t do it all,” she says. “But I didn’ t even know how to find help.” [B] With help from the Family Caregiver Alliance, she eventually hired a livein caregiver. “But even if you plan intellectually and legally, you’ re never ready for the emotional impact,” Baldocchi says. In the first two months after her mother’ s stroke, she lost about 30 pounds as stress mounted. More than 42 million Americans provide family caregiving for an adult who needs help with daily activities, according to a 2022 survey by the AARP. An additional million provided at least some care during the year. And many are unprepared. [C] While many parents lack an advance care directive, it’ s the most basic and important step they can take. The directive includes several parts, including: a durable power of attorney, which gives someone legal authority to make financial decisions on another’ s behalf。 a health care proxy, which is similar to the power of attorney, except it allows someone to make decisions regarding medical treatment。 and a living will that outlines instructions for endoflife care. (For example, parents can say if they want to be kept alive by artificial measures.) “It’ s invaluable for the kids, because it’ s hard to make those decisions for a parent,” says Jennifer Cona, an elder law attorney at Genser Dubow Genser amp。 Cona in Melville, . An advance care directive is the first line of defense if a situation arises, says Kathleen Kelly, executive director of the Family Caregiver Alliance, which supports and educates caregivers. Without an advance directive, the family will have to petition the court to be appointed the parent’ s legal guardian, says . [D] It’ s important for families to talk about longterm care so the adult children know their parents, preferences, wishes and goals, says Lynn Feinberg, a caregiving expert at AARP. But it’ s not an easy conversation. Elderly parents are sometimes suspicious of their children’ s financial motives, says Susan John, a financial planner at Financial Focus in Wolfeboro, . One client asked John to hold a family meeting because they needed an intermediary to talk about financial issues, she says. And when there are many siblings, the family decisions can bee a threering circus with much acrimony, says AnnMargaret Carrozza, an elderlaw attorney in Glen Cove, . Families who need information and help sorting out disagreements can cal