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Caring for Aging Parents in India as an NRI

Anthony Jacob
October 2, 2024
5 min read

Caring for Aging Parents in India as an NRI

Making a permanent move to live abroad can be an exciting but life-altering decision. The decision could be made for a variety of reasons - work, better opportunity, education, or simply a choice to experience a different lifestyle and culture.  It comes with its own set of challenges, especially when it comes to caring for ageing parents back home in India. Distance, different time zones, cultural differences, and logistical complexities can make providing adequate care a daunting task. Combined with this, the constant worry and concern that comes with not knowing what’s going on at an appointment or with a progressive disease, can lead to a lot of anxiety and guilt. However, with careful planning, leveraging modern technology, and availing of elder care services, you can ensure your parents receive the compassionate support they deserve, while you remain up to date on any issues or progress. This blog explores practical strategies, resources, and services available to you to navigate elder care for your family in India.

What are some challenges you might face?

Distance and Time Zones

The physical distance, especially with western countries, and the drastic difference in time zones are one of the primary challenges you, as an NRI, might face. Add to this a hectic home and work schedule, and this could make communication on a frequent basis challenging. It also hinders being able to immediately respond to urgent or critical situations, be available at important engagements or appointments. Not being there physically could mean missing important cues that might tell you that not everything is right. Having frequent and consistent communication and establishing a reliable support network are crucial strategies in overcoming these barriers.

Regular conversations that don’t only and entirely revolve around health could go a long way in your parents and family being more open about their health concerns. This would help in getting assistance at the right time.

It is also very helpful to cultivate a reliable network of people who meet your family on a regular basis. This could be in the form of support staff such as a cook, the watchman or even a friendly neighbour who is willing to step in when needed. A relative or close friend in the city is a huge bonus. Enlist the help of others whenever and wherever you can.  

Cultural and Language Barriers

Coordinating care across borders with local healthcare providers can be demanding too, due to cultural, language and other barriers. Businesses operate during fixed hours, so their availability could be limited during your available hours. Navigating cultural nuances and language barriers in healthcare settings when coordinating care across borders can be problematic too. Engaging local caregivers who understand these nuances can facilitate smoother communication and cultural sensitivity in caregiving.

Legal and Administrative Responsibilities

A number of administrative responsibilities come up too. Luckily, these are often easier to plan ahead when compared to healthcare situations. But they do require the effort of planning and appointment of the right resources and people locally to handle the matter. Especially legal aspects such as power of attorney, healthcare directives, and property matters from abroad may necessitate professional legal assistance to ensure compliance with Indian laws and regulations. 

Prepare a list and a detailed schedule of such ongoing activities, and of ones that are likely to come up in the future as well. It is best to stay organised with these matters, so that you have all the information clearly laid out and ready to be relayed. Make sure you appoint someone who is empowered to make decisions locally, and if necessary, can sign on your behalf.

Reviewing finances systematically and on a regular basis is critical to stay on top of matters. 

Sensible planning and scheduling, along with reliable on-ground support can make handling these issues far easier. 

What are some strategies for Caring for Aging Parents as an NRI

Establish Clear Communication Channels

Maintain regular communication with your parents and local caregivers using video calls, messaging apps, and emails. Schedule routine updates on health status, medical appointments, and daily activities to stay informed and involved in their care.

But do take care to ensure that the conversations with your parents or family are more than just about their health status. After all, they might have much more life experience than you do, and much wisdom and insight to offer!

Leverage Technology for Remote Monitoring

Some instances may warrant more close-quarter, regular monitoring. If your parent or elderly loved one has a medical condition that requires frequent monitoring or could result in an emergency at any time (some examples include advanced dementia, dialysis, etc., you might consider investing in a range of remote monitoring devices. There are multiple medical alert systems, smart home devices, and healthcare apps that enable remote monitoring of vital signs, medication adherence, and daily activities. These technologies provide real-time insights and alerts, enhancing safety and proactive healthcare management.

Also consider setting up an SOS system at home that can help relay the message to the right network and ensure that timely assistance is available.

Coordinate Care through Local Support Networks

Elder care has evolved over the years into a robust system, with several options available, both locally and at a national level. Think of healthcare support in two clear scenarios - one, for day to day support, either at home or in the form of a concierge who is familiar with and can manage all your loved ones’ healthcare needs. 

The second should be a plan in case of an emergency. Identify an emergency support provider in your area, inform those in your support network about the plan and contact details and stay prepared. Consider conducting a few tests scenarios with your support system.

Finally, stay in regular contact with your support systems, whether your relatives, or your loved ones’ caretaker or their doctors.

Engage reputable elder care services and agencies in India that offer home care, concierge services, and emergency support. Collaborate with local doctors, caregivers, and community organizations to create a comprehensive care plan aligned with your parents' needs and preferences.

Understanding Elder Care Services in India

There are a number of ways in which you can offer support and care to your parents with their healthcare needs. 

  • Home Care Services: Provides personalised and long term care at home, including assistance with daily activities, medication management, physiotherapy, nursing care or doctor’s assistance at home. 
  • Elder Care Concierge Services: Offers comprehensive support such as coordinating medical appointments, arranging transportation, managing household tasks, and providing companionship. A strong elder care concierge service can also help organise homecare services or emergency care, and handle the complex coordination that it entails. 
  • Emergency Support Services: Ensures immediate medical assistance and crisis management in case of emergencies, offering peace of mind to both seniors and their families.
  • Financial Assistance Programs: Provides support through government schemes, insurance benefits, and retirement funds designed to alleviate financial burdens associated with healthcare and daily living expenses.

Plan Visits Strategically

Schedule regular visits to India to personally assess your parents' well-being, address any immediate concerns, and provide emotional support. Plan visits around important milestones, medical appointments, or family gatherings to maintain familial bonds and reassurance.

Seek Financial and Legal Guidance

Consult financial advisors and legal experts to navigate financial planning, insurance coverage, and legal documentation remotely. Ensure all necessary paperwork, including wills and healthcare proxies, are in place to safeguard your parents' interests and facilitate smooth decision-making.

Conclusion

Caring for aging parents in India as an NRI requires a blend of foresight, proactive planning, and leveraging available resources. By embracing technological advancements, fostering clear communication, and collaborating with local caregivers and support services, NRIs can fulfill their caregiving responsibilities effectively and ensure their parents receive compassionate care and support. Remember, while physical distance may pose challenges, the bond of love and commitment transcends borders, fostering a meaningful connection and ensuring your parents' well-being in their golden years.

In conclusion, navigating elder care responsibilities as an NRI in India is a journey that requires resilience, compassion, and strategic planning. By harnessing the support of elder care services, utilizing technology for remote monitoring, and maintaining open communication, NRIs can provide their aging parents with the comfort and security they deserve, honoring their contributions and ensuring a dignified quality of life.

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Anthony Jacob
October 2, 2024
5 min read