The end of the year brings families together for celebrations—often for the first time in months. While these holiday gatherings create cherished new memories, they can also reveal important signs that an aging family member may need additional support to maintain their independence and safety.
Why the Holidays Are the Ideal Time for Assessment
Extended time spent with elderly loved ones during Thanksgiving and December holidays provides a unique opportunity to observe changes that may have occurred gradually over time. These changes are easier to spot when you haven’t seen someone regularly, and the relaxed holiday setting allows for natural observation and gentle conversation.
Many older adults initially resist additional support—they don’t want to lose their independence. Bringing them into the conversation early helps them understand that assistance will keep them safe.
Why Early Planning Makes All the Difference
It is far less stressful to address these changes before a crisis occurs. When families explore potential options while their loved one can actively participate in creating the plan, everyone benefits. Your aging family member will better understand the reasons for suggestions and feel empowered rather than forced into decisions.
Many older adults initially resist additional support—they don’t want to lose their independence or face the changes happening with their health. However, bringing them into the conversation early and discussing all alternatives can help them understand that assistance will keep them safe while giving the entire family peace of mind.
Common Warning Signs to Watch For
During holiday gatherings, be alert for these indicators that your loved one may need additional support.
Medication Management Issues
Forgetting to take medications or taking them incorrectly
Finding medications on the floor
Confusion about prescription schedules or dosages
Balance and Mobility Concerns
Difficulty walking or ambulating
Moments of instability when standing
Recent falls or near-falls
Hesitation or fear when moving around
Food and Nutrition Problems
Difficulty preparing meals independently
Becoming short of breath during meal preparation
Burned foods or burners/oven left on
Spoiled food in the refrigerator
Unexplained weight loss or forgetting to eat meals
Personal Care Decline
Infrequent showering (less than once or twice a week)
Wearing the same clothes multiple days
Poor personal hygiene
Signs of skin infections or breakdown
Mood and Behavioral Changes
Withdrawal from social activities
Depression or loss of appetite
Increased anxiety or agitation
Hesitation to go out or participate in family activities
Memory and Cognitive Changes
Increasing confusion or disorientation
Difficulty with familiar tasks
Forgetting recent conversations or events
Repeating questions or stories
For families caring for loved ones with dementia or Alzheimer’s: Holiday gatherings can reveal memory and cognitive changes. If you notice increasing confusion, difficulty with familiar tasks, or behavioral changes during your visit, learn more about creating dementia-friendly holiday celebrations and when specialized memory care may help.
Difficulty Coordinating Care
Needing increased assistance making doctor appointments
Trouble getting prescriptions refilled
Requiring help with transportation or food shopping
Exploring Your Options
If you’ve noticed any of these warning signs, it’s time to discuss support options that can help your loved one continue living safely. Depending on their needs, appropriate options may include:
In-home assistance ranging from companion services to skilled nursing care, allowing individuals to age in place with dignity
Starting the Conversation
When discussing care options with your loved one:
Choose the right time and place – Find a quiet, private moment during the holidays when everyone is relaxed
Lead with love and concern – Express your care for their wellbeing and desire to support their independence
Listen to their perspective – Understand their fears and preferences before presenting solutions
Explore options together – Review all appropriate alternatives so they can participate in decision-making
Focus on benefits – Emphasize how support will enhance their quality of life and safety
By establishing a plan together when your loved one can understand and participate, the eventual transition to additional support will occur with greater ease.
Getting Expert Guidance
Navigating care options for an aging loved one can feel overwhelming. Healthcare professionals can help assess your family member’s specific needs and recommend the most appropriate level of care.
At Gurwin Healthcare System, we serve as a resource for families exploring future possibilities. Our experienced team can answer questions, help determine the best care situation, and ensure your loved one remains in a safe and healthy living environment—whether that’s at home with support services or in a residential care setting.
Take Action This Holiday Season
Don’t wait for issues with an aging loved one to escalate. Use this holiday season as an opportunity to observe, assess, and open caring conversations about their needs. The gift of safety, support, and continued independence is one of the most meaningful presents you can provide.
