The Sandwich Years: Caring for Parents Before Crisis | Prue Bowden | Club Sandwich

"I'm alright, sweetheart. No, I don't need help." Every one of us has heard it.

Prue Bowden runs home care for 50,000 Australian families, which makes her the person everyone corners at parties to ask about a parent who won't accept a thing. Today, she's in the chair talking about what to actually do next.

Ageing parents? You've got them. We've got you.

Content note: this episode covers ageing parents, dementia, hospital decline and loneliness. For support: Carer Gateway 1800 422 737. My Aged Care 1800 200 422 (myagedcare.gov.au). Dementia Australia's National Dementia Helpline 1800 100 500, 24/7 (dementia.org.au). Lifeline 13 11 14, 24/7.

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In this episode:

The Conversation: Prue Bowden, Group CEO of Home Health at Australian Unity, joins Sarah Macdonald to talk about what actually keeps a parent at home — starting with her own mum and dad, in their late seventies, still sailing and still walking the dog, and the conversations she and her sister are already having about flat landings and handrails.

From there: the loneliness hiding inside "we want to keep her at home", now the banks have closed and the shopping has moved online; the eighteen-month-to-two-year wait for home care support and why you start the assessment before you think you need it; what care workers actually notice when they're in the house; why superannuation was designed to be spent; and what she'd say to a stretched, guilty listener, one carer to another.

This Week's Hack: Start the assessment before you think you need it. The wait for home care support runs 18 months to two years, so the time to get on the list is while your mum or dad is still well and still saying they're fine. And if they won't hear it from you, get the GP on side — a clinician saying it often lands where a daughter saying it doesn't.

Send this to: the sibling who keeps saying "she's fine, she'd tell us if she wasn't" — and anyone who's been told "I'm all right, sweetheart" one too many times.

A moment that stays: Sarah tells Prue she's the doctor at the party — the one everyone corners about a bad back, except it's always a parent who won't accept help. Prue's parents, meanwhile, are in their late seventies and doing their weights. "Everyone's doing weights."