2016年12月英语四级阅读理解练习及答案(九)思维导图

Questions46-55arebasedonthefollowingpassage.

A)LastJuly,JulieBaldocchi'smotherhadamassivestrokeandwasparalyzed.Baldocchisuddenlyhadtobecomeafamilycaregiver,somethingthatshewasn'tpreparedfor."Iwasflyingbytheseatofmypants,"saysBaldocchi,anemploymentspecialistinSanFrancisco.Bothofherparentsare83,andsheknewherfathercouldn'thandlehermother'scare.Thehospitalrecommendedputtinghermotherinanursinghome.Baldocchiwasn'twillingtodothat.Butmovingherbackintoherparents'homecreatedotherproblems.Baldocchi,48,ismarriedandlivesaboutamileawayfromherparents.Shehasafull-timejobandhasbackproblemsthatmakeitdifficultforhertolifthermother."Icouldn'tdoitall,"shesays."ButIdidn'tevenknowhowtofindhelp."

B)WithhelpfromtheFamilyCaregiverAlliance,sheeventuallyhiredalive-incaregiver."Butevenifyouplanintellectuallyandlegally,you'reneverreadyfortheemotionalimpact,"Baldocchisays.Inthefirsttwomonthsafterhermother'sstroke,shelostabout30poundsasstressmounted.Morethan42millionAmericansprovidefamilycaregivingforanadultwhoneedshelpwithdailyactivities,accordingtoa2009surveybytheAARP.Anadditional61.6millionprovidedatleastsomecareduringtheyear.Andmanyareunprepared.

C)Whilemanyparentslackanadvancecaredirective,it'sthemostbasicandimportantsteptheycantake.Thedirectiveincludesseveralparts,including:adurablepowerofattorney,whichgivessomeonelegalauthoritytomakefinancialdecisionsonanother'sbehalf;ahealthcareproxy,whichissimilartothepowerofattorney,exceptitallowssomeonetomakedecisionsregardingmedicaltreatment;andalivingwillthatoutlinesinstructionsforend-of-lifecare.(Forexample,parentscansayiftheywanttobekeptalivebyartificialmeasures.)"It'sinvaluableforthekids,becauseit'shardtomakethosedecisionsforaparent,"saysJenniferCona,anelder-lawattorneyatGenserDubowGenser&ConainMelville,N.Y.Anadvancecaredirectiveisthefirstlineofdefenseifasituationarises,saysKathleenKelly,executivedirectoroftheFamilyCaregiverAlliance,whichsupportsandeducatescaregivers.Withoutanadvancedirective,thefamilywillhavetopetitionthecourttobeappointedtheparent'slegalguardian,saysAgingCare.com.

D)It'simportantforfamiliestotalkaboutlong-termcaresotheadultchildrenknowtheirparents'preferences,wishesandgoals,saysLynnFeinberg,acaregivingexpertatAARP.Butifsnotaneasyconversation.Elderlyparentsaresometimessuspiciousoftheirchildren'sfinancialmotives,saysSusanJohn,afinancialplanneratFinancialFocusinWolfeboro,N.H.OneclientaskedJohntoholdafamilymeetingbecausetheyneededanintermediarytotalkaboutfinancialissues,shesays.Andwhentherearemanysiblings,thefamilydecisionscanbecomeathree-ringcircuswithmuchacrimony,saysAnn-MargaretCarrozza,anelder-lawattomeyinGlenCove,N.Y.Familieswhoneedinformationandhelpsortingoutdisagreementscancallonelder-lawattorneys,financialplanners,geriatriccaremanagersandcaregiversupportgroups.InFebruary,AARPsaiditwillofferitsmembersanewcaregivingsupportservicethroughfinancialservicesfirmOenworth.

E)Manyfamiliesareunpreparedforquickdecisions,especiallywhentheyfindoutthatMedicaredoesn'tpayforlong-termcare,Feinbergsays.Themediancostofayearinaprivateroomatanursinghomein2011was$77,745,accordingtoGenworth.AndonlythosewhohavespentmostoftheirassetscanqualifyforMedicaidtopayforthenursinghome.

F)Assistedlivingisanotheroption.Residentscanhavetheirownapartmenttomaintainsomeindependence.Butthefacilitiesgenerallyprovidepersonalcareservices,suchasmeals,housekeepingandassistancewithactivities.Still,it'snotcheap:Thenationalmediancostin2011was$39,135,accordingtoGenworth.Assistedlivingisn'tcoveredbyMedicaid.

G)Iftheyhaveachoice,atleast90%ofelderlyparentsprefertostayathomeaslongastheycan,accordingtoAARPresearch.Butiftheparentscannolongersafelyliveathome,itcanbehardforchildrentomovethemintoanadultcarefacility.Theremaybeanotheroption.Sometimesthehomecanbemodifiedsoaparentcanstaythere.Forexample,Baldoechiputinachairliftforhermother.Shealsoarrangedforahomecaregiver.

H)Familycaregiverstakeovermanyresponsibilities.Onemightmanageaparent'sfinances,whileanothersiblingwilltaketheparenttodoctors'appointmentsandshopping.Thosewhomoveinwithaparenttakeonasignificantandsustainedburdenofcare.JanWalkermovedintohermother'shomeinLeesburg,Fla.Afterhermother,whois83,hadfallen,shewasn'tabletogetaroundaswell.Walker,55,hasthreebrothers.Butsheistheonlydaughter,isdivorcedandhasnochildren."IalwaysknewthatthiswastherolethatIwouldhave,andIguessmymindwaspreparedforit,"saysWalker,whonowisafull-timecaregiverandworksfromhomeasatutorialinstructorforadigitalscrapbookingwebsite."Whenyougetintothetrenches,it'sliterallybaptismbyfire,"shesays."Newthingscomeup.It'snotjustaboutadvanceplanningforfinancesormedicalcare.It'severything,"shesays.

I)Carcgiversneedtoalsowatchtheirownhealth."Thereissuchathingascaregiverburnout,"Conasays.Amongfemalecaregivers50andolder,20%reportedsymptomsofdepression,accordingtoa2010studyonworkingcaregiversbyMetLife."It'sahardjob,"Walkersays."Butmostworthwhilethingsarehard.ShewasalwaysthereformewhenIneededahelpinghand.It'sonlynaturalthatIbehereforhernow."

根据以上内容，回答46-55题。

46、Whenelderlyparentscannotliveathomesafely,theirchildrencanchangetheirhomeinsteadofsendingthemtoanadultcarefacility.

47、Totalkaboutlong-termcareisnoteasybecausesometimesagedparentsaresuspiciousoftheirchildren'sfinancialmotives.

48、Besidesadvanceplanningforfinancesormedicalcare,familycaregiverstakeovermanyotherresponsibilities.

49、Thedifferencebetweenadurablepowerofattorneyandahealthcareproxyisthatthelatterallowssomeonetomakedecisionsregardingmedicaltreatment.

50、Baldocehididnotwanttosendhermothertoanursinghome,butshehaddifficultytakingcareofher.

51、Over42millioncaregivershelpedanadultwitheverydayactivitiesintheUSAin2009.

52、Ifafamilyneedsinformationorhelptosortoutdisagreements,therearemanypeopletheycancallon.

53、Caregiversshouldpayattentiontotheirownhealth,ortheymaybumoutor.becomedepressed.

54、Onewillhavetopetitionthecourttobetheparent'slegalguardian,ifthereisnoadvancedirective.

55、Thenationalmediancostofassistedlivingin2011was$39,135anditisnotcoveredbyMedicaid.

46-55GDHCABDICF