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What kind of care is needed?

Seven questions about daily needs, memory, safety, and medical care. We'll show the options that usually fit, and what to do next.

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1. Which daily activities does your loved one need hands-on help with?

These are called activities of daily living (ADLs). Leave all unchecked if none.

2. Which household tasks do they need help with?

These are instrumental activities of daily living (IADLs).

3. How is their memory and thinking?
4. How often are there safety problems when they're alone (falls, wandering, leaving the stove on)?
5. Do they need skilled medical care, like wound care, injections, or a feeding tube?
6. How much family help is available?
7. Has a doctor said the focus should now be on comfort rather than cure?

How care needs are usually judged

Care professionals look at three things: how much help someone needs with daily activities, how safe they are when alone, and whether they need skilled medical care. Memory problems change the picture, because supervision becomes as important as physical help.

Needs change, often after a fall or hospital stay. Revisit this quiz every few months, and read choosing the right level of care for the full comparison.

Common questions

What are ADLs and IADLs?

Activities of daily living (ADLs) are basic self-care tasks like bathing, dressing, eating, and toileting. Instrumental activities (IADLs) are household tasks like cooking, managing medications, and handling money. Professionals use both to judge care needs, and long-term care insurance often uses ADLs to trigger benefits.

Who can do a formal care assessment?

A doctor, a geriatric care manager, a hospital discharge planner, or your Area Agency on Aging. State Medicaid programs and the VA do their own assessments for their programs.

Is this a medical evaluation?

No. It's a planning aid. Talk with your loved one's doctor about health and memory concerns.