Signs That an Older Adult Needs Help
January 31, 2025

The holidays are often when we gather with loved ones, whether in our homes here in Keizer, or with a far-away relative. Sometimes, these annual visits are when we notice that some of our family members are not faring as well as we may have hoped. As our loved ones age, our concern for their well-being and independence naturally increases. Maintaining autonomy is often a priority for them, but certain signs might suggest they need support to ensure their safety and quality of life. Early recognition of these signs is key to providing necessary care. Here are 10 warning signs:
1. Changes in personal hygiene: Noticeable decline in grooming habits, such as unkempt hair, wearing dirty clothes, or body odor, could indicate difficulties with self-care.
“We see that a lot with couples,” said Alex Sims, Marketing Director at Fieldstone Village at Keizer Ridge. “They may be trying to help each other, but not having the ability. We can help you both with the tasks. We want to give them back as much independence as possible for the tasks they may struggle with.”
“There are different levels of assistance,” she explains. “They might not want us to shower them or get them dressed, but we are here and ready if they do need that help.”
2. Unexplained injuries: Be alert to any unexplained marks or wounds, which may be signs of falls or accidents that they are reluctant to mention.
“Families often take action after a serious injury from a fall or when multiple falls occur,” Sims said. “Fear of falling can lead to a dangerous spiral—causing people to avoid essential activities like showering, which can then lead to hygiene issues, reduced mobility, or even major health complications. Having someone nearby for stand-by assistance during tasks like showering can provide peace of mind and help older adults regain confidence.”
3. Forgetfulness and memory loss: While occasional memory lapses are common, frequent forgetfulness or the inability to recall important dates or repetitive questioning might signal cognitive issues.
4. Unpaid bills and financial issues: Unfortunately, falling victim to financial scams is often one of the first signs of cognitive decline. Look for signs like unpaid bills, overdue payment notices, or piles of unopened mail. Challenges with financial management or unusual spending could suggest it’s time to help manage their finances.
5. Changes in mood or behavior: Watch for significant shifts in mood or behavior, including increased irritability, social withdrawal, or symptoms of depression, which could indicate physical or emotional distress.
6. Decline in physical mobility: Observe any difficulty they have in moving around independently. Trouble walking, an unsteady gait, or reluctance to go out might indicate mobility issues or a fear of falling, which can exacerbate health declines due to decreased activity.
7. Spoiled food in the refrigerator: Expired or spoiled food in their home can suggest they are struggling with grocery shopping or meal preparation, pointing to potential nutritional concerns. If cooking or baking is something your loved one previously enjoyed taking part in, they will still have opportunities for that in assisted living or memory care.
“There may be restrictions on some small appliances for safety, but residents can often participate in group cooking or baking activities,” Sims said. These activities provide engagement, stimulation, and a sense of purpose while ensuring safety.
8. Neglected household maintenance: Signs like clutter, unsorted mail, or lack of cleanliness can show difficulties in managing household chores, possibly due to declining physical or cognitive health.
Managing home maintenance tasks can become a significant burden. For example, something as simple as changing a light bulb might go undone. In a supportive environment, services like a maintenance director can take care of these tasks, allowing older adults to focus their energy on the things they enjoy.
9. Isolation and withdrawal: If your loved one avoids social interactions or has stopped participating in previously enjoyed activities, it could be a sign of loneliness or depression.
10. Medication mismanagement: Ensure they manage their medication properly; look for signs like missed doses or confusion over prescriptions, which can pose serious health risks.
If you observe any of these signs, approach your loved one with compassion and understanding. It’s important to recognize that needing assistance in our older years is not a personal failure. Many people can thrive in assisted living or memory care communities. Initiate open discussions about your observations and express your readiness to help them find appropriate solutions. Options might include hiring in-home care services, arranging regular visits from family members or caregivers, or considering transitions to assisted living or long-term care communities.
Prioritizing the well-being of your loved one means acknowledging when they might need assistance and taking proactive steps to ensure they receive the appropriate care and support. By remaining attentive and responsive to their changing needs, you can help preserve their dignity, independence, and quality of life.