Healthy Aging Health Center
This article is from the WebMD Feature Archive
Stuck in the Middle with You
If you’re caring for an elderly parent -- or parents -- and your own children at the same time, you’re probably overwhelmed, overworked, overscheduled, and exhausted. You’re also part of a growing cultural phenomenonknown asthe “sandwich generation.”
As today’s parents have children later in life, it often means that their childrearing and other family responsibilities collide head-on with the growing needs of aging parents.
According to the American Association of Retired Persons (AARP), 44% of Americans between the ages of 45 and 55 are “sandwiched” between aging parents or in-laws, and their own children under the age of 21. Most of them have both elder care responsibilities and children still living at home.
If you’re part of the sandwich generation, how do you cope? The good news: It can be done. In fact, the AARP survey finds that 87% of sandwich generation adults are either "very satisfied" or "somewhat satisfied" with their lives. Few -- just 4% -- regard their “sandwich” families as a burden, and two out of three believe they’ve done better at caring for their parents than their parents would have expected.
The bad news: Almost half still worry that they should be doing more.
But whether you’re solidly in the middle of the “sandwich” trying to cope, or looking down the road at decisions that loom ahead, there are steps you can take now to avoid being torn between competing demands. The first step, experts say, is to be researching, asking questions and laying the groundwork for what’s to come.
Planning Ahead
Caring for an elderly parent is never easy -- emotionally, financially or logistically. But it’s infinitely harder when you are forced to react to emergencies without advance notice. Too many families don’t talk about things like power of attorney, living wills, advance directives and who should live where -- until a crisis hits.
“The elderly do not plan for getting old. They often don’t have anyone who can handle their finances and make medical decisions for them,” says Carol Abaya, founder and publisher of the elder care web site, The Sandwich Generation ( www.sandwichgeneration.com). Abaya was faced with just such a situation when her father died and she began caring for her mother. “I had no legal authority to do anything for her, yet I had to take over her business and running her finances.”
“It’s so much easier to have these discussions before there is a consequence. It’s easier to talk about health when everybody’s healthy,” says Barbara Friesner, a generational coach and the founder of AgeWise Living (www.agewiseliving.com). “Then you can start working things out, so that they are fair and livable for everyone.”
Indication
Uroxatral® (alfuzosin HCl 10 mg extended-release tablets) is an alpha1-blocker for the treatment of the signs and symptoms of BPH.
Important Safety Information
Do not take UROXATRAL if you have liver problems or if you are taking antifungal drugs like ketoconazole or itraconazole, or HIV drugs like ritonavir.
UROXATRAL can cause a sudden drop in blood pressure, especially when starting treatment. This may lead to fainting, dizziness, and lightheadedness. Do not drive, operate machinery, or do any dangerous activity until you know how UROXATRAL will affect you. This is especially important if you already have a problem with low blood pressure or take medicines to treat high blood pressure. There may be an increased risk of low blood pressure and fainting when taking UROXATRAL in combination with blood pressure medication or nitrates, or erectile dysfunction medication.
If considering cataract surgery (clouding of the eyes), tell your eye surgeon that you are currently taking UROXATRAL or have previously been treated with an alpha-blocker.
Before taking UROXATRAL, tell your doctor if you have kidney problems.
Also, tell your doctor if you or any family member(s) have or take medications for a rare heart condition known as congenital prolongation of the QT interval.
BPH and prostate cancer can cause the same symptoms. However, UROXATRAL is not a treatment for prostate cancer.
The most common side effects with UROXATRAL are dizziness, upper respiratory tract infection, headache, and tiredness.
Please see UROXATRAL full prescribing information.
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.


