6 out of 11 Signs Your
Parent May Be Ready for Assisted Living
You can gather valuable information by looking for these clues
You can gather valuable information by looking for these clues
The decision to help an aging adult move out of a current home
is a complex one — both emotionally and practically. Above all, you want your
mother or father or another loved one to be safe and well. How can you feel
more confident about whether circumstances suggest that he or she should no
longer be living alone?
Finding lots of mail scattered around raises concern about
how bills, insurance and other matters are being managed.
Although every situation is different, looking at the
following 11 signs will give you valuable information to help make the
decision:
1. Big-Picture Signs
Keep the big red flags in mind. Certain situations make it more obvious that it’s wise to start thinking about alternate living arrangements.
Keep the big red flags in mind. Certain situations make it more obvious that it’s wise to start thinking about alternate living arrangements.
Look for:
Recent accidents or close calls Did your loved one take a fall, have a medical scare or get in a fender bender (or worse)? Who responded and how long did it take? Accidents do happen, but as people get older, the odds rise of them happening again.
Recent accidents or close calls Did your loved one take a fall, have a medical scare or get in a fender bender (or worse)? Who responded and how long did it take? Accidents do happen, but as people get older, the odds rise of them happening again.
A slow recovery How
did the person weather the most recent illness (for example, a flu or bad
cold)? Was he or she able and willing to seek medical care when needed, or did
last winter’s cold develop into untreated bronchitis?
A chronic health condition that’s worsening Progressive problems such as COPD, dementia
and congestive heart failure can decline gradually or precipitously, but either
way, their presence means your loved one will increasingly need help.
Increasing difficulty managing the activities of daily
living (ADLs) and instrumental activities of daily living (IADLs) ADLs and IADLs are the skills needed to live
independently — dressing, shopping, cooking, doing laundry, managing
medications and so on. Doctors, social workers and other geriatric experts
evaluate them as part of a functional assessment, which is one way to get an
expert’s view of the situation. Difficulties with ADLs and IADLs can sometimes
be remedied by bringing in more in-home help.
2. Up-Close Signs
Give your loved one a big hug. Clues aren’t always visible from a distance;
especially when you don’t see the person every day, you might learn more
through touch.
Look for:
Noticeable weight loss
Does the person feel thinner? Are clothes loose or has he added notches
to his belt? Many conditions, from depression to cancer, can cause weight loss.
A person who is having trouble getting out to shop or remembering how to cook
(or to eat) can lose weight; check the fridge and watch meal-prep skills.
Seeming more frail Do
you feel anything “different” about the person’s strength and stature when you
hug? Can your loved one rise easily from a chair? Does she or he seem unsteady
or unable to balance? Compare these observations to the last time you were
together.
Noticeable weight gain
Common causes include an injury slowing the person down, diabetes and
dementia (when someone doesn’t remember eating, he or she may indulge in meals
and snacks all day long). Someone with money troubles may choose fewer fresh
foods and more packaged goods or dried pasta and bread.
Strange body odor
Unfortunately, a close hug can also reveal changes in personal hygiene
habits. Causes range from memory trouble to depression to other physical
ailments.
Changes in appearance
Does the person’s hair and makeup look all right? Are clothes clean?
Someone known for crisply ironed shirts who’s now in a stained sweatshirt may
lack the dexterity for buttons or may have lost the strength for managing an
ironing board and iron. A formerly clean-shaven man with an unkempt beard may
be forgetting to shave (or forgetting how to shave).
3. Social Signs
Think realistically about the person’s social connections. Social circles tend to shrink with age, which can have health and safety implications.
Think realistically about the person’s social connections. Social circles tend to shrink with age, which can have health and safety implications.
Look for:
Signs of active friendships
Does your loved one still get together for lunches or outings with
friends or visits with neighbors or participate in religious activities or
other group events? Does he or she talk about others or keep a calendar of
appointments? Lack of companionship is associated with depression and heart
problems in older adults. If friends have died or moved away, moving to a place
where other people are around could be lifesaving.
Signs that your loved one has cut back on activities and
interests Is a hobby area abandoned? Has
a club membership been given up? A library card gone unused? There are many
reasons people cut back, but dropping out of everything and showing interest in
almost nothing is a red flag for depression.
Days spent without leaving the house This sometimes happens
because the person can no longer drive or is afraid to take public
transportation alone and lacks a companion to come along. While many older
adults fear being “locked away” in a retirement home, many such facilities
offer regular outings that may keep them more mobile and active, not less.
Someone who checks in on a regular basis If not you or another family member, who does
this? Is your loved one willing to consider a home-safety alarm system, a
personal alarm system or a daily calling service?
A plan for a worst-case scenario If there’s a fire, earthquake, flood or other
disaster, is someone on standby to assist? Does your loved one understand the
plan?
4. Money Signs
Riffle through the mail. Your loved one’s mail can offer an often-overlooked clue to how he or she is managing money, a common early warning sign of cognitive trouble.
Riffle through the mail. Your loved one’s mail can offer an often-overlooked clue to how he or she is managing money, a common early warning sign of cognitive trouble.
Look for:
Snowdrifts of mail in various places Finding lots of mail scattered around raises
concern about how bills, insurance and other matters are being managed. (Piles
of mail are also a potential tripping hazard.)
Unopened personal mail
Everybody skips junk mail, but few of us can ignore a good
old-fashioned, hand-addressed letter.
Unopened bills This
can indicate that your loved one is having difficulty managing finances — one
of the most common first signs of dementia.
Letters from banks, creditors or insurers Routine business letters aren’t worrisome.
But it’s alarming if letters are referring to overdue payments, overdrawn
balances, recent accidents or other concerning events.
Thank-you messages from charities Older adults are often vulnerable to
scammers. Even those who have always been fiscally prudent are vulnerable if
they’re having trouble with thinking skills (a common sign of Alzheimer’s
disease). Some so-called charities are bogus; other legitimate charities hit up
givers over and over, and your loved one may not remember having donating the
first time.
Lots of crisp, unread magazines The person may unknowingly have
repeat-renewal subscriptions he or she doesn’t need.
5. Driving Signs
Take a drive — with your loved one behind the wheel, if he or she is still driving. Living independently in our culture often depends on the ability to drive, or the arrangement of alternate transportation options.
Take a drive — with your loved one behind the wheel, if he or she is still driving. Living independently in our culture often depends on the ability to drive, or the arrangement of alternate transportation options.
Look for:
Nicks or dents on the car Notice the car body as you get in
and out. Damage marks can be signs of careless or poor driving.
Whether the person promptly fastens his or her seatbelt Even people with mild dementia usually follow
the rote basics of driving. It’s worrisome if he or she is forgetting this
step.
Tension, preoccupation or being easily distracted The person may be unwilling to engage in
conversation while driving. He or she may avoid certain routes, highway
driving, or driving at night and in rain — a safe kind of self-policing but
also signals of changing ability.
Signs of dangerous driving
People whose driving ability is impaired are more likely to tailgate,
drift from their lane, go below the speed limit, react slowly to lights or
other cars and mix up gas and brake pedals.
Warning lights Check
out the dashboard as you ride along. Does the car have sufficient oil, gas,
antifreeze and windshield-wiper fluid?
6. Kitchen Signs
Go through the kitchen, from fridge to cupboards to oven. Because people spend so much time in this room, you can learn a lot.
Go through the kitchen, from fridge to cupboards to oven. Because people spend so much time in this room, you can learn a lot.
Look for:
Stale or expired foods
We all buy more than we need. Look for signs that food is not only old
but that this is unnoticed — mold, sour milk that’s still used or expiration
dates well past due, for example.
Multiples of the same item Ten bottles of ketchup? More
cereal than can be eaten in a year? Multiples often reveal that the shopper
can’t remember from one store trip to the next what’s in stock at home.
A freezer full of TV dinners
They might have been bought for convenience, but frozen dinners tend not
to make for a healthy diet. If there’s not much fresh food in the house
(because it’s too hard to for the person to procure or cook), your loved one
might be ready to have help with meal prep or delivery services.
Broken appliances
Check them all: microwave, coffeemaker, toaster, washer, and dryer — any
device you know your loved one uses (or used to use) routinely.
Signs of fire Are
stove knobs charred? Pot bottoms singed badly (or thrown out)? Do any
potholders have burned edges? Also look for a discharged fire extinguisher,
smoke detectors that have been disassembled or boxes of baking soda near the
stove. Accidents happen; ask for the story behind what you see. Accidental
fires are a common home danger for older adults.
Increased use of takeout or simpler cooking A change in physical or mental abilities
might explain a downshift to simpler recipes or food choices.
Copyright Caring.com,
2013
Reprinted from: http://www.nextavenue.org/11-signs-might-time-assisted-living/ Article: 11 Signs Your Parent May Be Ready for Assisted Living by Paula Spencer Scott; July 11, 2016; published on Caring.com
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