How to Assess When an Older Adult Requires Caregiving Assistance(Mobility)

Sometimes an older adult's need for additional help is obvious. It could be that he or she is having a hard time getting to appointments, seems confused by instructions or perhaps isn't paying bills on time. More often, though, the change happens gradually. That's where a professional assessment comes in. This comprehensive review of all aspects of person's mental, physical and environmental condition is one way to determine if your loved one needs assistance. This helps to evaluate his or her ability to remain safely independent and identify risks and ways to reduce them.

A family member or caregiver also has an opportunity to evaluate how a loved one is doing in terms of health, safety and quality of life. “The goal,” says Ardeshir Hashmi, M.D., section chief of the Center for Geriatric Medicine at Cleveland Clinic, “is to pick up clues early, before they start to impact day-to-day life a significant way, so we can do something about them.” Here are red flags to look for, which may signal a loved one needs further evaluation — and possibly more support.

Today, we will start from one of the 8 parts, which is Mobility


According to the Centers for Disease Control and Prevention, each year, more than 1 in 4 older adults will have a fall. To make sure your loved one isn't part of that statistic, evaluate their living space, including potential fall hazards: unsafe indoor or outdoor stairs (especially without railings) or slippery throw rugs. Are they using unsafe stepladders or stools to reach for items on kitchen shelves? Do the soles of their shoes have good traction?

Pay particularly close attention to how well your loved one is getting around. A lack of mobility not only takes a physical toll, it can also have psychological repercussions. Lindsey Yourman, M.D., a geriatrician affiliated with the University of California, San Diego Health-Jacobs Medical Center, points to something known as life space, which is the area that you can walk to safely — meaning the environment that is available to you on a regular basis. “Decreased life space can mean decreased interactions with other people and decreased engagement in activities,” Yourman says, “which can lead to isolation and depression.”

——————adopted from AARP 

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