10 Subtle Signs Your Elderly Parent May Need Help at Home and REAL SOLUTIONS
- We Nailed It! Media
- Apr 23
- 4 min read
As a worried family member, you want your parent(s) to stay independent for as long as possible.
But what if they’ve been hiding the fact that they’re struggling?
It’s common for aging adults to downplay their needs or mask daily challenges, especially in cultures where independence is valued. Whether your parent(s) live alone in Santa Monica or with family in Inglewood, paying attention to the little changes can make a big difference.
Here are the top 10 evidence-based signs that your aging parent may need home care.

1. Frequent Falls or Near Misses
Evidence: According to the Centers for Disease Control and Prevention (CDC), unintentional falls are the leading cause of injury and injury death among adults aged 65 years and older (CDC, 2023).
Frequent falls, even if minor, are red flags for balance, vision, or mobility issues. Home care can help prevent falls through mobility support and safety adjustments.
Real Solution:
· Install grab bars, non-slip mats, and motion-sensor lighting.
· A home safety assessment from a professional caregiver can spot hidden hazards.
· Consider daily caregiver check-ins to assist with walking, transfers, or stairs.

2. Medication Mismanagement
Studies done in 2024, show that the incidence of medication errors is 30% higher in patients who are prescribed five or more drugs and 38% higher in those 75 years or older.
A caregiver can help organize medications, track schedules, and communicate with healthcare providers.
Real Solution:
Use a weekly pill organizer or automated dispenser with alarms.
Caregivers can assist with reminders and coordinate with pharmacies or doctors.
Digital medication logs can help family members monitor from afar.

3. Unintentional Weight Loss
Insight: Unexplained or unintentional weight loss of at least 5% of body weight over six to twelve months can signal underlying medical conditions such as cancer, thyroid problems, diabetes, gastrointestinal disorders, depression, and infections.
Home care can support nutrition through meal planning, grocery shopping, and meal preparation.
Real Solution:
Have a caregiver prepare fresh, favorite meals tailored to dietary needs.
Include social mealtimes — seniors eat more when they’re not alone.
Request a nutritionist consult through your agency or primary care provider.

4. Cognitive Changes or Memory Loss
While mild forgetfulness can be normal, signs like forgetting appointments, repeating questions, or getting lost are often early symptoms of mild cognitive impairment (MCI) or Alzheimer’s disease.
Routine monitoring by a caregiver can catch these signs early and reduce safety risks.
Real Solution:
Engage a caregiver trained in dementia care to help with structure, safety, and calm communication.
Use daily routines and memory prompts (whiteboards, reminder notes, clocks).
Schedule a neurocognitive screening through a geriatric doctor.

5. Withdrawal from Social Activities
A sudden lack of interest in hobbies, church, or social outings may be a sign of depression or cognitive decline, according to the National Institute on Aging.
Companion care helps combat loneliness and encourages healthy engagement.
Real Solution:
Companion caregivers can offer conversation, help with outings, or attend church/services.
Enroll in senior center activities or virtual community programs.
Coordinate transportation for safe access to social events or hobbies.

6. Neglected Personal Hygiene
Changes in grooming, wearing soiled clothes, or a noticeable body odor can be signs of physical limitations, depression, or early-stage dementia.
Assistance with bathing, dressing, and grooming helps maintain dignity and health.
Real Solution:
Hire a caregiver for discreet bathing, dressing, and grooming assistance.
Modify the bathroom for safer access (e.g., shower chair, hand-held shower head).
Address depression with a mental health screening if hygiene changes are sudden.

7. Trouble Managing Finances
Declining financial skills are among the earliest signs of cognitive decline.
Unpaid bills, bounced checks, or excessive spending may indicate it’s time to seek support.
Real Solution:
Set up automatic bill pay and limit credit access.
Assign a trusted family member or legal fiduciary as power of attorney.
Use caregiver support to monitor mail and paperwork regularly.
Source: https://www.nia.nih.gov/health/legal-and-financial-planning/managing-money-problems-people-dementia

8. Dirty or Unsafe Living Conditions
Seniors with functional decline are more likely to struggle with basic home upkeep — leading to trip hazards, pest issues, or fire risk.
In-home caregivers can help with light housekeeping, organization, and clutter prevention.
Real Solution:
Caregivers can perform light housekeeping and organize key living spaces.
Conduct monthly deep cleans or decluttering sessions with family or pros.
Include fridge checks, laundry, and trash disposal in the care plan.

9. Changes in Mood or Behavior
Irritability, paranoia, confusion, or mood swings may indicate neurological changes, medication side effects, or psychiatric conditions like depression or anxiety.
Real Solution:
Monitor behavior changes and log any triggers or patterns.
Engage a caregiver who uses calm redirection and companionship.
Follow up with a geriatric psychiatrist or neurologist for deeper evaluation.
Trained caregivers are skilled at recognizing and gently responding to these shifts.

10. Driving Difficulties
Seniors with vision loss, slowed reaction time, or early dementia are at increased risk for car accidents. A study in Accident Analysis & Prevention found that driving ability declines with mild cognitive impairment.
Non-Emergency Medical Transportation support through a home care agency keeps seniors mobile — and everyone safer.
Real Solution:
Schedule a DMV senior driving evaluation or occupational therapy driving test.
Encourage alternative transport: caregivers, ride shares, or senior shuttles.
Make transportation part of your caregiving plan to preserve independence.
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