The Practical Side of Caring for Aging Parents

It’s a horrible and terribly mundane title of this entry.

I once read a story of family of four who lost three members in the span of minutes. A dog ran into the surf at the beach. The young boy ran into the water to save it and was swept away by the current. The horrified father and mother, seeing their youngest child drowning ran into the water to save him. They too were pulled away by the same riptide. The oldest child, their teenage daughter watched from shore and was the only one who survived.

The dog chose to run into the surf. The young boy chose to run to save it. The parents chose to jump in to save their son. All choices that ultimately resulted in their deaths and all deaths were preventable.

I’m the daughter standing ashore seeing how there is something in the water that her family members can’t control. I’m not getting into the water and testing whether I have the wherewithal to handle a force of nature.

My mother is that current. I entered the water with the best of intentions to “save” her. I found myself sucked into the vortex that is beyond normal human control and with the last vestiges of my rational mind, suddenly find myself trying to save myself.

I give up. I can say that now. I tried. I tried really hard, not just since my mom fell but for most of my life to be there for my mom and my siblings.

And I got confused and nearly lost myself.

I’m throwing money at the problem now. I’m stepping away. My mom is better cared for by strangers, strangers who don’t have their own history of emotional and mental abuse, strangers who will feel pity and tolerance for her overbearing and manipulative ways. To best care for her is to remove myself from the position of receiving abuse at the hands of my mom and her agent. I’ve always known it. It’s why I moved away. It’s why I chose such a reliable and trustworthy partner to create my own safe space. My mom is not safe for me. Not sure if she ever was.

And my karmic debt to my mother? Paid in full.

My Filial Piety

What exactly is my perspective on filial piety? In short, I no longer believe in it. I believed in it before I understood the true nature of my mom, before I fully believed in myself.

I think it’s an archaic idea and serves only the parents. Dogma works when people mindlessly live their lives without a sense of consequence for their actions. Everyone needs a moral code to live by and some will follow what has come before them and adopt it without challenging the ideas while others, the minority, work at a model that fits them, that makes sense, that they have thoughtfully decided with conviction and intention.

When I am aging and no longer able to care for myself, perhaps there will be someone to take me in and care for me. I would hope that they do it out of love and not a sense of duty. Guilt only takes you so far before one is buried in resentment and bitterness. I would not want my loved one to live their life that way. But love, love will take you beyond what is physically capable. Love is the activity of the source, the divine energy of nature. And when you can no longer make decisions out of love, it is time to look at alternatives.

If there is no one to take me in, I hope I have the means to take care of myself, preferably in my own home enjoying my own company and those of others if I so chose. And if I no longer have the means to take care of myself, I would prefer my life end peacefully rather be a burden to others. If I forget this resolution, I hope someone would remind me to read these words of my younger self.

Intrinsic duty of a child

I recently listened to a podcast of Dr. Gabor Mate who spoke of the effects of trauma endured as a child on our adult present day lives. A child has four basic needs that need to be met as part of their normal development. One, they need to be loved unconditionally and accepted for who they are by multiple adults. Secondly, they need to be able to express all their emotions ie anger, fear, lust, envy, grief without fear of being shamed. Thirdly, they need to have rest and not have to work for the love that they are receiving. Fourthly, they need to play without having an agenda, to feel free to create and use their imaginations. These are all conditions that parents need to ensure are met for children to grow into emotionally grounded, loving adults themselves.

The duty of parents is to help guide the development of their children. But do the children then have the duty to take care of their aging parents? Is this an implicit transaction in the parental – child relationship driven by society’s norms or driven by nature? Do children owe their parents for the care they received and sacrifices parents made for their child and eventually, are these roles then reversed so that the child must reciprocate this care for their aging parents?

To a rational, modern person, the most obvious fault to this logic is the point that children don’t ask to be born. Parents have control over the decision of having children, save for people who live in restrictive, patriarchal societies or who are victims of sexual violence. If children don’t ask to be born, they never agreed to this “transaction” and parents should raise their children not expecting anything in return from them.

A child borne into an Asian family, usually immigrant or first generation, typically knows these dilemmas all too well. These questions or ideas of reciprocal obligations and burdens in parent – child relationships are based in Confucianism. And in traditional Vietnamese Buddhism tradition, in which my mother raised me and my siblings, filial piety is practiced in three ways: to repay the gratitude toward one’s parents and earn good merit; to pay karmic debt, and as a way to contribute to and sustain the order in society.

Additionally, if you perceive these questions from a Buddhist point of view, children don’t ask to be born but their spirit does choose the family they are born into, specifically the parents. A child and their parents are linked by their individual karma. Parents who are difficult to their children is considered a welcome exercise for the children towards becoming a Bodhisattva. In Buddhist teachings, it is in the struggle to be filial to their parents, that the children gain wisdom and patience just as diamonds were once coal under pressure for long periods.

In traditional Vietnamese culture, aging parents were typically cared for until death by family members. Even now in California where resides the largest Vietnamese community outside of Viet Nam, nursing facilities catering to the aging Vietnamese is a recent phenomenon. Those who choose to place their loved ones in such facilities experience a different level of guilt, one that is compounded by Vietnamese cultural expectations that family is insular and care for their own.

It behooves every generation to question why norms and cultural expectations exist, to inquire what has changed in our society, and whether we need to create a new reality that serves our current needs.

What is filial piety according to Wikipedia? “filial piety means to be good to one’s parents; to take care of one’s parents; to engage in good conduct, not just towards parents but also outside the home so as to bring a good name to one’s parents and ancestors; to show love, respect, and support; to display courtesy; to ensure male heirs; to uphold fraternity among brothers; to wisely advise one’s parents, including dissuading them from moral unrighteousness; to display sorrow for their sickness and death; and to bury them and carry out sacrifices after their death.”

It’s easy to want to take care of our aging parents if they treated us well. But what we do with aging parents who were terrible role models, abusive to their children, neglected them, caused their children trauma, and thwarted development of their children, essentially abdicating their duty as parents? One or any combination of these conditions may warrant detachment from their parents. Even as we understand generational trauma, do we have the courage to end it now with us being the one to initiate change? I understand that my mother is who she is because of what happened to her. I have compassion and love for the child who was traumatized by two wars, who was traumatized by my grandmother who was abusive and showed little love and affection, and who was raised to care for her family without knowing how to care for herself. I feel love and compassion for the deeply flawed adult who she came to be, whose strongest instinct is her own survival at the cost of her children. What do I do now as the adult child, now that she is vulnerable and requiring care for her basic needs? I’m not seeking an answer about the legal implications which is a morass in itself. But more importantly, how do I live with myself and conduct my actions with integrity being the child and having experienced my own traumas with her? What are my moral responsibilities?

I forgive her for being a mother who was often times neglectful, cruel, mean, and selfish but I also honor for what she gave me, a model for resiliency and strength of will and mind, demonstrating compassion and generosity to those less fortunate even if those virtues were usually only directed to others outside of our family.

At minimum, children can strive to ensure their parents are safe and in a secure environment. Beyond that, each adult child must make their own individual decision about how to care for their aging parents. There are the foundations of the cultures we grew up with whether it be Confucianism, Buddhism, Islamic, Christian values and virtues to help guide us towards making the rational decision but in the end, we are left with the feelings of our own heart. What does our heart tell us? What does our body tell us as we make these decisions? Are we pained or are we liberated and free? What we do out of love is our guiding light and no one and nothing can force us to do otherwise.

My own heart leads me back to myself. I choose now to strive to live a life that is my own making, choose to make decisions that propel me forward to be independent, choose to make love my guiding force, and I choose to do it according to my own timetable, even if it means I’m stumbling along at times. Ultimately, I choose to take care of myself before I can take care of my mom. It’s a choice that I only recently since the pandemic started, am comfortable to even contemplate making. It’s a choice that is absolutely necessary but so often neglected in favor of taking care of others, another dilemma that women in particular are conditioned to accept. Yet it is what good parents wish for, to nurture their children so that they can one day take care of themselves. And I suspect my mom, while she doesn’t like it when I say no to her demands, has grudging respect for me, respect she will never admit to me or even to herself. And if she doesn’t, the most important person to give me respect is me. I finally understand that now. My mother was strong once with my grandmother, leaving her family, her homeland, everything that was familiar to her to go to America for a chance at a different, better life. She’s never been back to Viet Nam even for my grandmother’s funeral. She knows what it means to make decisions that isn’t popular or meeting convention, to make decisions that are right for her, even if it meant disappointing her most beloved ones. I’m learning to be true to my essence. That’s what she raised me to be. Even if she didn’t intend it to be against her advantage one day.

Bringing us all together

Proudly, my mom boasted to her nurse at Fountain valley Hospital that she had brought us together. It was true. All nine kids were called back, and all eventually even the estranged eldest daughter came to her bedside. But how long did that last? A short minute. The briefest moment in time.

Our mom fell down the stairs in her home on June 9. From that day forward, I’ve been spinning in place, and going nowhere. I haven’t moved forward in work and my romantic life is full of old ghosts.

Our mom is the strongest willed, most wily person I’ve known. All nine of us siblings have been trying to anticipate her next decision but to no avail. She’s so good at making up stories that have just enough of the hint of truth to make us believe. No one really knows for sure when she’s telling the truth. Being a child of two wars, she’s a survivor with an ironclad sense of self preservation. With our mom, it’s every man for himself and here I am, the easiest mark. It was only in the last few years of the pandemic, did I even consider setting boundaries with my mom. Boundaries was not even on my radar. In my distorted mind, it was what others did, others who played by the rules. I was unconventional, avant garde. I didn’t have rules.

How arrogant was I? I didn’t know I was arrogant, that’s how arrogant I was.

I think it started at the beginning of 2022 when I called for a family meeting among the siblings to address taking care of our mom. The financial and emotional burden of caring for her and the house was weighing on me and my older brother. Looking back on what I thought was a burden seems like a fond memory now. We talked to one another like we were strangers, navigating so many old conflicts, needing a moderator to corral us in case we were unruly. The first meeting never led to the series of meetings since I lost a bit of momentum as it came time to make decisions. But we reunited when our mom fell. Now, I don’t even know where to start. There are so many decisions to make but I can’t procrastinate like I’ve tended to do in the past. Too many people involved and the consequences are more dire.

I had always known our mom was a complicated human. I just didn’t know how complicated she could make everything around her. Now more than ever, I have to stay centered and not lose myself while taking care of her.