Knowing when to ask for help can be surprisingly tough for family caregivers. That’s because all of us like to see ourselves as capable, and most of us adapt pretty quickly to less-than-ideal situations so we think we’re doing fine even when we’re not.
Fortunately, there are some clear signs that it’s time to get help for your folks and for yourself. Some are “yellow flags” that your parents may need a checkup or extra help from time to time. Some are hard indicators that your folks need full-time care. Others are signs that you need a helping hand to maintain your own health:
If you’re wondering if your folks are doing okay at home, watch for changes in their behavior, household and social life. These changes don’t have to dramatic. Small deviations from the way your parents have always done things are the first flags letting you know they may need help. Here are some examples.
If your parent used to keep a neat home, but now you notice layers of dust, grubby floors or unwashed laundry piling up, something has changed. Mobility issues can cause anyone to slack off their chores. So can cognitive decline and depression. Vision changes can cause older adults to miss the expiration dates on food packages or new infestations of small pests like ants and pantry moths.
Possible solutions: You parent may need a checkup, extra help from family caregivers, mobility aids, new glasses, weekly visits from a house cleaner or other help.
Most of us would rather not cook an elaborate dinner for one, but sometimes making even a simple healthy meal can be a challenge. If your parents are losing weight or leaving their food uneaten, try to find out why. Again, depression, mobility issues or vision changes can cause your parents to go for what’s easy instead of what’s healthy — or forget to eat altogether. Illnesses and medications can affect appetite, too, so try to get your folks to the doctor if you notice they’re not eating well.
Possible solutions: Your parents may need a grocery or prepared meal delivery, medical checkup or weekly homemaking help to plan menus, prepare or shop for meals. If your parents have a limited income and no one nearby to help with meals, contact the local Area Agency on Aging and Meals on Wheels to find out what services are available.
Pets can be a good indicator of how your folks are doing. If Fido’s coat and nails are now going ungroomed or the litterbox is consistently overdue for a cleanout, mobility or mood may be the cause.
Possible solutions: Help your parents keep track of their pet’s vet needs through an app like PetDesk, hire a pet-sitter to help with cleanup and walks, or arrange for regular doggie daycare for grooming and playtime.
One of the hardest things about aging in place is maintaining a network of friends as everyone grows older. One of my great-aunts, in her early 90s, told me she was bored living at home in her small seaside town because she’d “outlived everyone I knew here.” For her, moving into assisted living was the boost she needed to recover her extroverted, upbeat outlook and make new friends. If your parents have gone from weekly church attendance and lunches with friends to sitting at home, the cause could be physical, emotional, cognitive, trouble driving—or a dwindling social network.
Possible solutions: Your folks may need new social opportunities. Many cities have senior centers where older adults go to enjoy movies, board games, fitness classes, and civic and political discussions. The Osher Lifelong Learning Institutes at dozens of colleges around the US offer weekly lectures and seminars for students over 50 for a yearly fee. And every state has free or discounted college course options for older adults.
Driving is a lifeline for most suburban and rural residents, and giving it up can be traumatic unless you help them make alternate transportation plans. We have an entire post on knowing when it’s time for your folks to stop driving, how to get them to agree and how to help them stay active without a car.
Stacks of unopened mail are a bigger warning than they might seem. Often, unopened mail means unpaid bills, which can mean a financial mess that needs sorting out. If your parents have friends and relatives who still practice the fine art of letter writing, unopened personal mail can be a sign of cognitive problems or depression. Learn more signs that your parents may need help with their finances.
Possible solutions: Help your folks go paperless and automate their bill payments, offer to help them sort out any problems with late payments and see if they need help reading letters or writing replies.
If the changes above are yellow flags that your folks might need a hand, these next things are red flags that indicate your folks need help right away to keep them and the people around them safe.
When these situations arise it’s time to talk to your parents, their caregivers and doctor to decide if the solution is more extensive help at home or a move to a senior community:
This type of behavior toward caregivers, family members, friends or neighbors is a sign that the caregiving situation needs to change, for everyone’s safety.
Falls are also a danger sign, especially if they’re happening often, if you suspect your parent is concealing them from you, or if he or she lives alone or in a house with stairs or on a steep lot.
If your folks are accidentally starting cooking or electrical fires, it’s time for round-the-clock supervision to prevent a tragedy.
Forgetting medication or not taking medication correctly can lead to falls, hospitalizations or overdoses.
Seniors who wander need round-the-clock supervision to stay safe.
These scenarios can indicate issues like advancing dementia, medication problems or undiagnosed infections (UTIs are notorious for sparking odd behavior in older adults), which is why it’s important to get your folks to their doctor and have a conversation about what to do next.
Sometimes it may feel like your folks are fine, it’s just that you can’t keep up with everything they need. It can be tempting to try to take on all the caregiving responsibilities yourself or to assume that you can’t delegate any of them, but that’s not always the most effective approach.
These are signs that it’s in everyone’s best interest for you to bring in help from family members, friends or paid helpers:
Even the most capable caregivers can catch the flu or sprain an ankle. That’s why it’s a good idea to have a backup caregiver you can call on short notice. Line up a couple of other family members, good friends or a home health agency ahead of time so you won’t have to worry about your folks when you need a few days to recuperate. Learn more about respite care options.
At some point, you may need to know how to change the dressing on a wound, check for signs of infection, give insulin injections or take blood pressure accurately. Ask your parent’s doctor, nurse or a hired home health aide to show you what you need to know. If you can, ask them to watch you practice so you’ll have more confidence that you’re doing it right. You can also explore these other resources for caregiver training.
Try as you might, you really can’t be two (or more) places at the same time and most of us could use a couple extra hours in each day. If you feel like you’re having to choose between caring for your children or parents, it’s time get others to pitch in by cooking meals, running errands or tackling other caregiving chores.
Remember, caregiver burnout is a serious health condition that happens when caregivers don’t have enough support, training or time for self-care. Caregiver burnout can lead to anxiety, depression and poor health, and in some cases, to self-harm. Signs that you have burnout and need help right away include:
If you ever think you’re at risk of acting out — toward yourself or your parent — get help right away, either by calling the National Suicide Prevention Hotline at 800-273-8255 to talk to a counselor, calling 911 to ask for a mental health officer, or calling a friend to take you to the nearest emergency room.
If you feel the other symptoms of caregiver burnout, it’s time to ask for more help from your family and friends. It’s also time to make an appointment with your doctor to talk about your stress level, schedule and what you can do to protect your health. You can also call 211 to ask about eldercare and family programs in your area.
Caregiver burnout symptoms are also your cue to take a look at your diet, exercise and stress-management habits.
Are you able to make time to eat healthy meals, get some exercise each day and have at least a few minutes to yourself? If not, it may be time to get in-home respite care or to look into adult day programs to give your parents good care while you take care of yourself.
It’s not always easy to know when to ask for help for yourself and your parents, but in general, it’s wise to err on the side of caution. Explore the care programs in your area and remember that your friends and family may be happy to help if you’ll let them know what you need.
References: Kelly-Barton, C. (2018, March 20). Time to Get Your Parents Some Help? SeniorAdvisor.com. Retrieved from https://www.senioradvisor.com/blog/2018/03/time-to-get-your-parents-some-help/