Warning Signs

     
 
   


 



 
Elder Warning Signs
When is it time to look for help?
 

Please print this page and circle each question where you have answered yes.  
  1. Are you over 80 years old and suffer from a chronic medical condition?
  2. Have you seen a physician in the last six months?
  3. Do you have any of the following health problems?
    • Arthritis
    • Cancer
    • Suffered a stroke
    • Open wounds
    • Forgetfulness that interferes with daily life
    • Alzheimer's Disease
    • Hip, knee, or back pain for more than one month
    • Parkinson's Disease
    • Congestive heart failure / heart problems
  4. Do you take four or more prescribed medicines per day?
  5. Do you often get confused about medications?
    Can you pour medicine without spilling or take the correct pills each dose?
  6. Do you have trouble reading words as small as what is found on medicine labels?
  7. Do you have problems hearing door bells or hearing conversations over the telephone?
  8. Do people misunderstand what you want, when you talk to them?
  9. Does pain interfere with your daily life?
  10. Are you often out of breath with normal exertion?
  11. Do you have an illness or condition that changes the kind or amount of food that you eat?
    Example: Coumadin and other blood thinners which should not be mixed with vitamin K foods such as broccoli or kale.
  12. On average, do you eat less than 2 meals a day?
  13. Do you have tooth, denture, or mouth problems that make it difficult to eat?
  14. Have you lost or gained 10 pounds in the last 6 months?
  15. Are you unable to shop, cook, or feed yourself?
  16. Have you fallen or stumbled 2 or more times in the last three months?
  17. Is it an effort to walk on uneven surfaces such as a lawn or high pile rug?
  18. Do you have difficulty walking upstairs or downstairs?
  19. Do you use a walker or wheelchair for day-to-day activities?
  20. Do you have difficulty getting up and out of a chair?
  21. Do you need assistance getting up and out of bed?
  22. Do you have difficulty getting on and off the toilet?
  23. Do you have difficulty getting in and out of the tub or the shower?
  24. Do you require assistance to bathe yourself and wash your hair?
  25. Do you brush your teeth/dentures less than twice daily?
  26. Do you forget to comb or style your hair daily or when going out in public?
  27. Are you going without shaving or applying makeup daily?
  28. Do you have difficulty dressing yourself, buttoning and zipping clothes, or matching colors and clothing appropriately?
  29. Have you been in a car accident or gotten a ticket in the past year?
  30. Do you drive slower than other vehicles, swerve, or present a danger on the road?
  31. Do you often wear soiled clothing? Do you not change clothing for several days in a row?
  32. Is some of the food in your refrigerator spoiled or past expiration dates?
  33. Is your residence dusty or has the floor not been vacuumed or mopped in the past week?
  34. Do you smell urine when you enter your home?
  35. Have you gotten lost or can't find your car within the past three months?
  36. Do you have confusion when using the phone or visual problems when dialing numbers?
  37. Have you been confused as to who you are, where you are, or
    recognizing the people around you in the past month?
  38. Have you been depressed during the past two months?
  39. Have you shown diminished interest in usual activities?
  40. Do you have sleep disturbances, claim to be always tired, or wander at night?
  41. Are you bored and have little or nothing to do during the day?
  42. Do you think daily about how much pain you are in and get discouraged about how you can't seem to do what you used to?
  43. Has your spouse died within the past year?
  44. Have your kids encouraged you to move to a retirement home even when you have told them you don't want to move?
  45. Are you concerned about a friend, relative, or neighbor borrowing or taking your belongings, or asking you for money?
  46. Have you been hospitalized in the past year or made a trip to the emergency room?
  47. Has a family member told you that you should not be driving, or have you given up your driver's license due to safety concerns?
  48. Do you need help organizing and paying your bills?
If you or a loved one answered yes to 5 or more of these questions, please call Elder Options for ideas to help remain independent and safe at home. Your free consultation can be arranged by calling
(360) 636-1000 or toll free (800) 608-2388.