You want to make sure your aging parents are safe and that they are taking care of themselves, but sometimes they are reluctant to ask for help, or they don’t realize they need assistance, and you have to assess the situation.

We talked about signs that your aging parent may need assistance; here are a few more ways to determine if additional help is needed to ensure their health and safety.

Environmental damage – Burned pans in the kitchen or dents in the car may indicate possible confusion or mobility problems.

Bruising or other physical trauma – Mom or dad may have fallen, or have other difficulties getting around the house.

Lifestyle changes – A change in social behaviors, staying home, declining invitations may indicate depression or trouble getting around.

Inappropriate behavior – Neighbors may have noticed confusion in conversations or actions, which could be a sign of dementia or other illness that needs medical attention.

Symptoms of depression – Depression in older adults is often overlooked. Feelings of despair or hopelessness, as well as loss of interest in activities once enjoyed can be warnings of depression.

Of course, any signs of mental or physical changes should be checked by a doctor, but sometimes assistance, whether it is a new living arrangement or help at home may help your parents enjoy an improved quality of life.

However, I know from first hand experience that watching your parents become less independent, both physically and emotionally, can be very stressful. I remember wondering, “Hey, where’d all the grown-ups go?” the first time I had to make decisions about my mother’s care when she was ill.

There are lots of resources out there to help you as well as your parents when it’s time to consider home care assistance or a change in living arrangements. But, don’t wait until a crisis forces you to take action, discuss their wishes, even when it’s tough to bring it up with them, and plan early.