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Why Families Should Talk About Long-Term Care During the Holidays

November 12, 2025 by
Why Families Should Talk About Long-Term Care During the Holidays
Elkin Financial, Mike Elkin

The “Perfect Time” We Never Think About

The holidays are about laughter, stories, and family traditions — but they’re also one of the few times of year when families slow down and truly come together. Between the meals, games, and gift-giving, there’s something else that deserves a spot on the agenda: a conversation about long-term care.

It’s not the easiest topic to bring up. Nobody wants to interrupt the joy of the season with talk about aging or health issues. But the truth is, there’s no better time to have it. The holidays provide the space, the presence, and the emotional connection that can make a sensitive topic feel more natural and heartfelt.

Before the hustle of the new year begins, use this time to make sure your loved ones’ wishes are understood and their futures are secure.

Why the Holidays Are the Right Moment for the Conversation

Think about it — when else do you have everyone in the same room? The holidays bring together siblings, parents, grandparents, and adult children who might not see each other often throughout the year. It’s the perfect opportunity to share meaningful conversations in a comfortable, familiar environment.

You can also get a clearer sense of how aging loved ones are really doing. You might notice changes in mobility, memory, or mood that aren’t as obvious over the phone. These small observations often serve as the first signs that it’s time to talk about support and planning.

Unlike a rushed doctor’s visit or a stressful moment of crisis, holiday gatherings provide a relaxed backdrop for connection. There’s time to listen, reflect, and ensure everyone’s voices are heard — and that’s exactly what thoughtful long-term care planning requires.

Why Families Avoid Talking About Long-Term Care

Even though most people agree it’s important, very few families actually have this conversation before a crisis forces it. Why? Because it’s hard — emotionally and practically.

Here are some of the biggest reasons families avoid it:

  • It feels uncomfortable. No one likes imagining a future where a loved one needs daily help. It brings up fear, sadness, and vulnerability.
  • They don’t want to upset anyone. Adult children worry about offending their parents. Parents worry about being a burden. Everyone tiptoes around the topic, hoping someone else will bring it up.
  • Denial feels easier. “We’ll handle it when the time comes” sounds reassuring — until that time actually comes, and decisions have to be made quickly.
  • Money is stressful. Long-term care costs are significant, and financial conversations often feel intimidating or awkward.
  • The role reversal is tough. Talking about care needs can make adult children feel like they’re parenting their parents — and that shift is emotional for everyone.
  • Cultural taboos. In many families, talking about health or money simply isn’t something people do openly.
  • It’s me not you. Aging parents often don’t mind the discussion, it’s often their children that aren’t prepared emotionally to admit the need may be on the horizon and it may shine a light on the fact that they, themselves, may not be prepared.

Avoiding the conversation might feel easier now, but it creates much harder conversations later. The goal isn’t to dwell on worst-case scenarios — it’s to protect peace of mind, preserve relationships, and make sure everyone is prepared.

What Happens When Families Don’t Talk About It

When families avoid the topic of long-term care, it often leads to confusion and stress during a health crisis. Without clear direction or planning, adult children are left scrambling to make quick decisions — often while emotions are high.

Common consequences include:

  • Emotional stress when families have to make decisions in the middle of a crisis.
  • Financial strain when care costs weren’t anticipated or insurance coverage is misunderstood.
  • Disagreements among siblings who each have different ideas about what “the right thing” looks like.
  • Lost options — many of the best care choices require early planning, not last-minute scrambling.

💡 Did you know? The average cost of a private room in a nursing home exceeds $100,000 per year — and that number continues to rise.

Talking early ensures your family can make thoughtful, informed choices while you still have time on your side.

How to Start the Conversation (Without Making It Awkward)

If you’re wondering how to bring this up without killing the holiday mood, you’re not alone. The secret is to lead with care, not concern.

Try easing into it with something like:

“Mom, I’ve been thinking a lot about making sure we all know what you’d want if you ever needed care. I just want to make sure we’re prepared, together.”

Here are a few practical tips:

  • Pick the right moment. A quiet morning coffee or a walk after dinner can feel more natural than a formal “family meeting.”
  • Keep it conversational. This doesn’t need to be a one-time event. It can start as a short talk that evolves over time.
  • Ask open-ended questions:
    • “What would make you feel most comfortable if you needed help at home?”
    • “Would you ever consider moving closer to family or to an assisted living community?”
    • “Have you ever thought about what kind of care you’d want if your health changed?”
  • Reassure them. Emphasize that this is about choices and peace of mind, not loss of independence.

Key Topics to Cover

Once you’ve opened the door, these are some important areas to explore:

  • Current health and independence: How is your loved one doing day to day?
  • Living preferences: Would they prefer to stay in their home, move in with family, or explore assisted living?
  • Financial readiness: Do they have long-term care insurance or savings set aside?
  • Legal documents: Power of attorney, health care directives, wills — are they up to date?
  • Support system: Who can help, and what resources are available locally?

🗂 Not sure where to start? Click here to provide your email and we'll send you a free copy of our “What My Loved Ones Need to Know” – a comprehensive, fill-in-the-blank planning guide.

Tips for a Productive and Compassionate Discussion

  • Listen more than you talk. Make your loved one feel heard, not managed.
  • Don’t overload the conversation. You don’t need to cover everything in one sitting.
  • Keep notes. Jot down key points and action items for follow-up in the new year.
  • Bring in professionals. Financial advisors, Medicare brokers, and elder law specialists can offer clarity and guidance.
  • Keep the focus on empowerment. This is about creating security, not fear.

Turning Talk into Action

After the conversation, make a few small commitments to move forward:

  • Schedule a time in January to review your loved one’s existing insurance coverage.
  • Research local care options or facilities that align with their preferences.
  • Meet with a trusted advisor to discuss long-term care plans, potential coverage, and costs.

These small steps can prevent major stress later. Planning ahead isn’t just about logistics — it’s about ensuring your family has the freedom to focus on what matters most when the time comes: care, comfort, and connection.

Give the Gift of Peace of Mind

This holiday season, the best gift you can give your family isn’t something you can wrap — it’s the peace of knowing you’re prepared.

Starting the conversation about long-term care might feel uncomfortable at first, but it’s one of the most loving things you can do. It ensures that everyone’s voice is heard, everyone’s wishes are honored, and no one is left unprepared when life changes unexpectedly.

🎁 Give your family the gift of clarity this holiday season.

If you’d like help understanding long-term care coverage or Medicare options that support it, contact Elkin Financial for a no-pressure consultation. We’ll help you explore your choices, compare plans, and make confident decisions — together. 


Free Planning Guide

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  • Critical personal, legal, and financial information
  • Online accounts and insurance documents
  • Final wishes for medical care, memorial services, and beyond
  • Contact details for your trusted advisors and loved ones
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Why Families Should Talk About Long-Term Care During the Holidays
Elkin Financial, Mike Elkin November 12, 2025
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