In Part I, we explored how a catastrophic event like a fall or medical crisis often forces the move to assisted living, and in Part II, we highlighted the more subtle signs that someone might be struggling with Activities of Daily Living (ADLs) like bathing, dressing, and ambulating—even if they aren’t saying so.
In Part III, we want to focus on another important area that may indicate it’s time for assisted living: Instrumental Activities of Daily Living (IADLs). These are the everyday tasks that allow a person to live independently, and while they may not seem as critical as ADLs at first glance, struggles in these areas can also lead to a serious decline in safety, health, and overall well-being.
Some signs that a loved one may be struggling with their IADLs include:
- Managing Medications – Are medications being taken on time—or at all? You might notice pill bottles are full when they should be empty, or prescriptions are being refilled too early or too late. A missed dose here and there may not seem urgent, but consistent issues can lead to worsening health conditions, preventable hospital visits, or dangerous interactions.
- Meal Preparation – Are there signs of spoiled or expired food in the fridge? Is your loved one relying more and more on frozen meals or skipping meals altogether? They may not have the energy, ability, or desire to cook like they used to. Weight loss or signs of malnutrition can follow quickly.
- Housekeeping and Laundry – A decline in the cleanliness of the home or clothing is another warning sign. You might notice trash piling up, laundry not being done, or dishes sitting in the sink for long periods. These are often some of the first things people begin to struggle with as mobility, energy levels, or memory decline.
- Managing Finances – Are bills stacking up on the counter? Is your loved one forgetting to pay—or overpaying—bills? This can put their housing, credit, and utilities at risk. In some cases, they may become more susceptible to scams or financial abuse.
- Transportation – Have they stopped going to church, the store, or social outings they once enjoyed? Are they uncomfortable or unsafe behind the wheel—or relying on others to get them everywhere? Loss of transportation limits freedom and contributes to isolation, loneliness, and even depression.
It is important to remember that needing help with IADLs is not a failure. It is a natural and common part of aging. Recognizing these signs early gives you the opportunity to explore assisted living in a thoughtful, empowering way.
As we’ve shared before, it is completely normal to have reservations about moving into an assisted living, but important to remember that assisted living is the right choice for many aging individuals. Through researching options and planning now, you or your loved one will have the ability to choose their future home. Those who wait often lose control over where they end up. Making the decision on your terms allows you to choose a facility with the best location, price point, and services to fit your individual needs.
In Part IV, we’ll go one step further and talk about the emotional, social, and cognitive indicators that might suggest it’s time—even if the ADLs and IADLs are still being managed.