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10 Signs Your Elderly Parent Needs Help

Updated January 2026 8 min read

Most aging parents won't ask for help—even when they desperately need it. They don't want to be a burden, they fear losing independence, or they genuinely don't realize how much they're struggling.

As their adult child, you're often the first to notice the signs. Here's what to watch for and what to do when you see it.

1Changes in Personal Hygiene

One of the earliest warning signs. Bathing, grooming, and laundry require physical ability, executive function, and motivation—all of which can decline.

What to look for: Body odor, unwashed hair, the same clothes worn repeatedly, long fingernails, unshaven face (if that's unusual)
2Unexplained Weight Loss

Losing weight without trying is a red flag. It can indicate depression, difficulty cooking, forgetting to eat, trouble swallowing, or underlying medical issues.

What to look for: Clothes that are suddenly too big, visible cheekbones, empty refrigerator, spoiled food, lots of frozen dinners or takeout containers
3Unpaid Bills or Financial Confusion

Managing finances requires memory, organization, and sometimes just remembering to open the mail. Missed bills can lead to serious consequences.

What to look for: Stacks of unopened mail, late payment notices, utilities getting shut off, unusual purchases, falling for scams, confusion about accounts
4Medication Mismanagement

Not taking medications correctly can be dangerous or even fatal. This is often one of the first cognitive issues to emerge.

What to look for: Pill bottles with wrong quantities, expired medications, prescriptions not being refilled, confusion about what each pill is for, duplicate prescriptions
5Home in Disrepair

A messy or neglected home can indicate physical limitations, depression, or cognitive decline—especially if your parent was previously tidy.

What to look for: Dirty dishes piling up, clutter everywhere, burned pots, broken items not repaired, overflowing garbage, neglected yard
6Dents and Scrapes on the Car

New damage to the vehicle they can't explain is a major warning sign for driving safety. This is a conversation you can't avoid.

What to look for: Unexplained dents/scrapes, running red lights or stop signs, getting lost on familiar routes, near-misses, increased anxiety about driving
7Social Withdrawal

Pulling away from friends, church, hobbies, or activities they used to love. This can indicate depression, embarrassment about decline, or physical difficulty getting around.

What to look for: Not answering the phone, declining invitations, friends mentioning they haven't heard from them, stopped going to regular activities
8Mood or Personality Changes

Unusual irritability, anxiety, suspicion, or depression can indicate cognitive decline, medication issues, or underlying health problems.

What to look for: Uncharacteristic anger or tears, paranoid accusations (someone stealing), apathy about things they cared about, rapid mood swings
9Difficulty with Mobility or Balance

Trouble walking, getting up from chairs, or frequent near-falls dramatically increase the risk of a serious fall injury.

What to look for: Holding onto furniture when walking, bruises they can't explain, avoiding stairs, not going outside, hesitation when standing up
10Memory Issues Beyond Normal Aging

Everyone forgets occasionally. But certain patterns suggest something more concerning than normal aging.

What to look for: Repeating the same story/question multiple times in one conversation, getting lost in familiar places, forgetting names of close family, confusion about time/date, trouble with familiar tasks

When to Act Immediately

Call their doctor or go to the ER if you notice:

What to Do Next

  1. Document what you're seeing. Write down specific examples with dates. This helps you track changes and is useful for doctor visits.
  2. Talk to your parent. Lead with concern, not criticism. "I noticed X and I'm worried about you" rather than "You can't do Y anymore."
  3. Get a medical evaluation. Many issues have treatable causes (UTI, medication side effects, thyroid problems, depression).
  4. Assess their needs. Our Care Needs Assessment can help you determine what level of support they need.
  5. Start small. Begin with one area of help—meal delivery, medication management, housekeeping—rather than suggesting major changes.

Remember: Early intervention is always better. The changes you're noticing won't reverse themselves, and waiting until there's a crisis limits your options.

Take the Care Needs Assessment

Answer 12 questions to understand what level of care your parent needs right now.

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First Steps to Supporting Your Parent

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