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A resident walking outside with an employee

Struggles with Activities of Daily Living (ADLs)

Difficulty with Mobility
Falls are the leading cause of emergency room visits in the United States for individuals over the age of 65. Falls can cause many problems, including fractured bones, lacerations, and even death. As your parent ages, many factors can contribute to their fall risk. Common sensory disorders, such as vision and hearing deficits, can affect safety and balance. Drug interactions can result in problems like high blood pressure fluctuations, confusion, and shortness of breath. Other significant risks include musculoskeletal disorders such as arthritis pain, numbness in feet, decreased muscle strength, and gait abnormalities.

Difficulty Eating
Malnutrition is a real concern among the elderly living home alone. A lack of proper nutrition can cause weakened immune systems, lack of energy, and chronic health conditions like high blood pressure, diabetes, dehydration, and osteoporosis. Seniors who no longer drive may find it challenging to get to the store and carry groceries home, which can influence their purchases. They may opt for processed frozen meals loaded with calories and sodium and skip fresh produce and meats that require more prep and cooking. Some may hate the effort of cooking for one. Many seniors experience a loss of appetite due to a decreased sense of smell and taste and are prone to over-salt foods or reach for sugary snacks. And because seniors are less active, they require fewer calories, which makes it even more important that what they eat is nutrient-packed.

Changes in Physical Appearance

Dramatic Weight Fluctuation

Nutrition and diet can become major concerns among the elderly, particularly those with dementia. If you notice extreme weight loss in your parent, it may be a sign they are not eating enough. You should also keep an eye out for large amounts of uneaten or spoiled food in the refrigerator and pantry. Often, malnutrition and weight loss in seniors with dementia is a result of them forgetting to eat.

Declining Personal Hygiene

An elderly loved one’s appearance can deteriorate suddenly or gradually over time and warrants concern by family and friends. Poor hygiene is not a matter of fashion or taste; it’s a health concern. A disheveled appearance, unkempt clothing, or inappropriate clothing for weather conditions may be the signs of greater issues. Poor personal hygiene can be an indicator of depression due to the loss of a loved one, loneliness, or deteriorating health. Depression is more common among the elderly than younger adults, and poor hygiene is often an outward sign. Dementia can also leave a person without a clear concept of good personal hygiene. Your loved one may simply forget to comb their hair, use deodorant, wash their hands, or brush their teeth.

For an elderly person to maintain proper hygiene, they need to be able to bathe themselves regularly. Daily hygiene, such as bathing, can be limited by their physical impairments. Lack of bathing may be a consequence of crippling arthritis, paralysis, limited mobility, and nerve damage. They may find it difficult to bathe due to age-related changes in their physical strength, flexibility, and coordination. Or the side effects of medication can leave them feeling drowsy, unsteady, or unwell, so they cannot bathe as they usually would.

Changes in Your Parent’s Behaviors

Loneliness and Seclusion

No parent wants to be a burden to their adult children. They will try to maintain a semblance of independence as long as they can but living at home alone can lead to feelings of isolation. Feelings of loneliness impact a senior’s ability to thrive and contribute to a number of health-related issues, including increased risk of mortality, depression, and high blood pressure. If your parent is withdrawing and secluding themselves at home, then you may want to assess their current living situation.

Loss of Interest in Activities

Take notice of your parent’s social and extracurricular activities. Has your parent abandoned their favorite hobby, stopped going to church, quit their charity work, or left bridge club? Loss of interest in activities that your parent once found pleasurable can be a sign of depression, fatigue, or possibly even dementia.

Attention to Finances

Although finances can be a touchy subject for some, discussing them with your parent is essential for their future. If you notice that your parent’s decision-making skills are slowing due to age or health-related issues, you may need to step in and offer financial guidance and support. If your parent is in the beginning stages of dementia or Alzheimer’s, providing financial assistance is a must, as the disease can result in a myriad of poor financial planning decisions, such as forgetting to pay monthly bills or making irresponsible and irrational purchases.

Hearing Loss

Is your parent able to track a conversation? Do they actively take part in a discussion? Do you find yourself repeating parts of a conversation often? If your parent or loved one has hearing loss, they may choose to isolate themselves from family and friends because they are embarrassed. They may try to hide their hearing loss by withdrawing from activities and social events. They may avoid using a hearing aid because it makes them feel old. Hearing loss can lead to depression and loneliness if left untreated.

Memory Loss

A “senior moment” is to be expected with age. We have all forgotten where our keys are, or maybe why we’ve walked into a room. This type of modest memory problem is relatively common as we age. Forgetful moments are not a cause for concern. But if memory loss affects everyday tasks, like driving, shopping, and paying bills, then it needs to be checked. Are they asking the same questions repeatedly?  Can they follow directions? Do they remember to take their medications as prescribed? Keep an eye out for these red flags.


Getting lost or wandering from home is not normal behavior with age. If your parent has gotten lost on a familiar route to church or has become frightened after being disoriented in their neighborhood, you need to consult their physician. According to the Alzheimer’s Association, 60 percent of people with dementia will wander. This behavior is caused largely by memory issues and disorientation, as seniors may forget their addresses or feel lost in even the most familiar settings. One danger of wandering is that seniors can become lost, but it can also lead to falls and injuries that can be detrimental to one’s health.

A doctor checking a resident’s heartbeat

Physical Cues in Your Parent’s Home

Cluttered, Dirty, or Disorganized Home 

As you are looking for signs that your parent needs assistance, assess their home. When visiting, look at each room to determine how clean and organized each appears. Make sure they are removing their garbage, cleaning their dishes, doing their laundry, caring for their pets, and keeping the floors clear of clutter. Take note of any unusual odors, stains, or damage. Also, look outside. Is their lawn overgrown and the garden not maintained? These can be signs that their home, for whatever reason, is too overwhelming for them.

Broken Appliances

Are your parent’s appliances in good working order?  Are they in disrepair due to misuse or neglect? Is a large broken appliance causing them hardship? For example, the water heater is broken, so they are not bathing. In their home, verify that all large appliances are functioning and check smaller items like dead batteries and burnt-out lightbulbs, which can be a fall risk.  A house requires ongoing maintenance that entails strength, energy, and effort, which your parent may not have. Again, things break in the home, which is to be expected. But if these repairs are being overlooked, not addressed, and accumulating, this may be a sign of a more significant issue.

Unexplained Dents or Scratches on the Car

One of the more difficult discussions to have with your parent is when to remove their car keys. Your parent wants to be independent, but if you are noticing damage to their car that cannot be explained, then it might be time to assess their ability to drive. You don’t want them to get into an accident and harm themselves or someone else. Make a routine check of their car exterior and note any damage.

Unopened Mail or Unpaid Bills

Are sealed letters piling up on their countertop or never removed from the mailbox? Your parents have always paid their bills, managed a home, and opened their mail. But with age, these simple tasks may no longer be so easy.  Physically being able to walk out to the mailbox and back may be too much for some seniors. They may be experiencing lapses in memory, so they forget to pick up the mail or pay a bill. Your parent may be so overwhelmed by all the tasks associated with house management that they fall behind.

Little-to-No Food in the House

Check your loved one’s refrigerator, pantry, and cupboards for food. Is there enough food in the house for them to prepare multiple meals per day? Is food spoiled or past the expiration date? Do they have fresh fruits, a variety of vegetables, and lean protein for nutrition? Are their pots heavily scorched on the bottom because they leave food to burn on the stove? Are their garbage cans overflowing? Your parent’s ability to cook, pick up groceries, make meals for themselves, and clean their kitchen is critical to continue living on their own.  

If your parent’s health or personal happiness seems to be compromised, it’s time to discuss their living situation and options for care. Depending on their needs, the possibilities could be moving in with you or another family member, finding a senior housing or assisted living community, moving into a memory care community, or arranging in-home care. These decisions are never easy but delaying a decision can affect your loved one’s quality of life.

If you notice any of these signs, make it your family’s priority to get your parent the care and help that they need. Contact your local Aegis Living community to arrange a tour, meet our residents and staff, and stay for a meal. We look forward to answering your questions and making your parent feel at home!

A resident talking to an employee outside

Next up


Has your parent recently been hospitalized and needs a place to recover? Do they seem lonely and withdrawn living in a house by themselves? Or is your family feeling that your parent’s physical or mental health is declining, and they are not safe living alone? Whatever the reason or concern, your family is now facing the need for long-term care for your parent. The beginning of this process may be overwhelming. But if we break it down into parts, you can tackle each aspect and better educate yourself quickly to find the best solution for your parent. Let’s start with the financial considerations when looking for senior care, specifically assisted living and memory care.

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