Sometimes I do a family consultation and after many questions and no red flag responses, I tell adult children, continue what you’re doing. Count yourself and your parent(s) as fortunate, but, like a good scout, be prepared.

So what is it I am saying?  It’s something like car maintenance. No squeaking brakes, or dashboard lights on, but you bring your car for maintenance.  Some older adults, if you excuse the analogy, are just like that. Blessed with good health, realistic about their needs, they can remain safely in their homes.

So for the parent who is fine, I do suggest five strategies to help keep that status quo:

  • A medic alert pendant or bracelet. Particularly, one that has a fall alert built into its sensor. Unlike the commercials, there is no need to dial the phone, the sensor picks up on the fall and calls the designated numbers.
  • A current list of all medications.
  • A notation of any medications a parent is allergic to.
  • If there is a DNR, I am referring to a Community DNR, (different than a hospital DNR) it should be prominently displayed.
  • A daily check-in call. Such calls allow for the adult child (or designated caller) to pick up on the slightest of changes in a parent’s cognitive status. Infections in older adults travel at lightning speed with altered mental status one of the hallmarks that something is wrong. Urinary tract infections are notorious for causing this altered status.

One particular service that facilitates much of the above is the Vial of Life ( The Vial of Life is a program that allows individuals to have their complete medical information ready in their home for emergency personnel to reference upon arrival.

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These small but essential steps can go a long way in helping an adult senior maintain his/her independence and at the same time be safe in their beloved home.