When Our Parents Age

As our parents advance in years, concerns grow. Concerns about their physical and mental health, concerns about their ability to care for themselves. We've gathered some warning signs and questions that need to be addressed.

By Margalit Shiloh, Director of Integrated Healthcare System, Health Promotion, and Reducing Disparities at Leumit Health Services

An elderly couple and their son are having a conversation

When our parents age, it's important to have conversations with them, observe their well-being, and ensure that they are functioning optimally and receiving proper care. If you have concerns, it is recommended to consult their treating physician promptly. We have compiled points of consideration and warning signs that may indicate a problem.

Are Your Parents Taking Care of Themselves Properly?

Difficulty in managing daily grooming routines or household care can be an indicator of depression, dementia, or physical limitations that hinder task performance.
Observe your parents: Are their clothes clean? Are they as well-groomed as before? Do they maintain a daily hygiene routine (brushing teeth, showering, hair care)?
Take a look around their home: Is it clean? Do the electrical appliances work properly? Is the house well-maintained? Is the lighting adequate? Is the heating system functioning?

Are your parents experiencing unusual memory loss?

Memory loss is a common symptom of the aging process, and we all experience it from time to time. There is a difference between "normal" memory changes and memory loss related to Alzheimer's or dementia. Normal memory lapses may include forgetting where you placed keys or glasses, occasionally missing an appointment, or losing track of time. In contrast, more concerning memory loss involves getting lost in familiar places, difficulty recognizing close relatives, forgetting to turn off the stove, and more.

Do your parents feel safe at home?

With age, the risk of falls increases. Falls among older adults can be dangerous, leading to injuries that require surgery or prolonged rehabilitation. Ensuring a safe home environment is crucial. Install handrails on staircases and in bathrooms, provide adequate lighting throughout the house, and remove tripping hazards. Encourage them to wear secure footwear and keep frequently used items at waist level to prevent the need for climbing.
For elderly parents taking regular medications, organize their medication in a pillbox according to the prescribed schedule, and ensure they are familiar with their medications, their purpose, and usage instructions.

Do your parents feel safe on the road?

Driving can be challenging for seniors, with many cars on the road, changing traffic rules, varying driving conditions, and unexpected pedestrians. If you feel that your parents are stressed while driving or that their driving is unsafe for them or others, it may be time to discuss giving up driving. Help them maintain their independence by finding alternative transportation options such as public transit, shuttle services, and more.

Have your parents recently lost weight?

Weight loss in the elderly can indeed be a red flag. Physical difficulties in cooking, such as trouble reading instructions, handling kitchen utensils, standing for extended periods, lack of appetite or energy, loss of taste and smell, various illnesses, and forgetfulness, can all impact the desire or ability to eat. Ensure they have accessible, nutritious food, a stocked refrigerator requiring minimal effort, and encourage regular meals throughout the day.

What about your parents' mood?

Observe your parents and ask them about their well-being, engage in conversations about their hobbies, interests, and social life. Social engagement and outings have a significant impact on their mental and cognitive health. Encourage them to explore clubs, lectures, social gatherings, senior activities, and physical exercise.

Are your parents mobile?

Observe how they move around. Are they able to walk short distances easily? Can they navigate within their home? Are any physical pains limiting their movements? If your parents are not steady on their feet, they are at risk of falls. A walking cane or walker may provide support and stability.

Worries are mounting, red flags are raised—what's next?

Have an open and honest conversation with your parents. Discuss their health-related wishes for the coming years, their housing preferences, medical care, and more. The earlier this conversation takes place, when it's still theoretical, the easier it will be for all of you to face it when the time comes.
Encourage regular medical check-ups and offer to accompany them to doctor's appointments. Address safety concerns, make necessary home modifications, and consider help with household tasks and personal care.
Consult a healthcare professional, nurse, or social worker for assistance. Sometimes, the involvement of a professional can help your parents understand the extent of their needs.
Reiterate, time and again, that your parents are important to you, that you love them, and want what's best for them.