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1、大学英语四级改革阅读理解新题型匹配题练习1Caring for elderly parents catches many unpreparedA Last July, Julie Baldocchi，s mother had a massive stroke and was paralyzed. Baldocchi suddenly had to become a family caregiver, something that she wasnt prepared for. “I was flying by the seat of my pants,” says Baldocchi, an
2、employment specialist in San Francisco. Both of her parents are 83, and she knew her father couldnt handle her mothers care. The hospital recommended putting her mother in a nursing home. Baldocchi wasnt willing to do that. But moving her back into her parents home created other problems. Baldocchi,
3、 48, is married and lives about a mile away from her parents. She has a full-time job and has back problems that make it difficult for her to lift her mother. “I couldnt do it all,” she says. “But I didnt even know how to find help.”B With help from the Family Caregiver Alliance, she eventually hire
4、d a live-in caregiver. “But even if you plan intellectually and legally, youre never ready for the emotional impact,” Baldocchi says. In the first two months after her mothers stroke, she lost about 30 pounds as stress mounted. More than 42 million Americans provide family caregiving for an adult wh
5、o needs help with daily activities, according to a 2023 survey by the AARP. An additional 61.6 million provided at least some care during the year. And many are unprepared.C While many parents lack an advance care directive, its the most basic and important step they can take. The directive includes
6、 several parts, including: a durable power of attorney, which gives someone legal authority to make financial decisions on anothers 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 o
7、utlines instructions for end-of-life care. (For example, parents can say if they want to be kept alive by artificial measures.) “Its invaluable for the kids, because its hard to make those decisions for a parent,” says Jennifer Cona, an elder- law attorney at Genser Dubow Genser & Cona in Melville,
8、N.Y. 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 parents le
9、gal guardian, says AgingCare .D Its important for families to talk about long-term care so the adult children know their parents，preferences, wishes and goals, says Lynn Feinberg, a caregiving expert at AARP. But its not an easy conversation. Elderly parents are sometimes suspicious of their childre
10、ns financial motives, says Susan John, a financial planner at Financial Focus in Wolfeboro, N.H. 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 become a three-ring
11、 circus with much acrimony, says Ann-Margaret Carrozza, an elder-law attorney in Glen Cove, N.Y. Families who need information and help sorting out disagreements can call on elder-law attorneys, financial planners, geriatric care managers and caregiver support groups. In February, AARP said it will
12、offer its members a new caregiving support service through financial services firm Genworth.E Many families are unprepared for quick decisions, especially when they find out that Medicare doesnt pay for long-term care, Feinberg says. The median cost of a year in a private room at a nursing home in 2
13、023 was $77,745, according to Genworth. And only those who have spent most of their assets can qualify for Medicaid to pay for the nursing home. F Assisted living is another option. Residents can have their own apartment to maintain some independence. But the facilities generally provide personal ca
14、re services, such as meals, housekeeping and assistance with activities. Still, its not cheap: The national median cost in 2023 was $39,135, according to Genworth. Assisted living isnt covered by Medicaid.G If they have a choice, at least 90% of elderly parents prefer to stay at home as long as they
15、 can, according toAARP research. But if the parents can no longer safely live at home, it can be hard for children to move them into an adult care facility. There may be another option. Sometimes the home can be modified so a parent can stay there. For example, Baldocchi put in a chair lift for her
16、mother. She also arranged for a home caregiver.H Family caregivers take over many responsibilities. One might manage a parents finances, while another sibling will take the parent to doctors appointments and shopping. Those who move in with a parent take on a significant and sustained burden of care. Jan Walker moved into her mothers home in Leesburg, Fla. After her mother, who is 83, had fallen, she wasnt ab
