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Achieving A Successful Outcome When Change Is Needed

My last blog offered specific signs to look for as indicators of change in the health and safety in an older adult. Indicators of change  Once information has been gathered, and there are changes, the next step is communicating your concerns to the older adult in a manner which will be accepted and implemented.

Here are 4 tips to achieve a successful outcome:

1 .Once areas of change have been identified, RESEARCH SOLUTIONS before having a conversation. For example, if cognitive decline has been assessed by the primary physician, research and contact neurologists. If weight loss is due to meal preps being too burdensome, research local Meals On Wheels, local restaurants and markets that deliver prepared meals. Or if driving is no longer safe, research local transportation options.
Each area of concern must have solutions before sharing concerns.

2. Always share your concerns with concrete examples and avoid being critical or judgmental. For example,” I see that your clothing looks big on you and I am concerned that you are losing weight”. Another example, “you have always kept your car in great condition, and I am concerned about the dings and dents”.
Be sure to ask the individual if they have experienced any changes or have concerns.

My last blog, Indicators of change,  offered specific signs as indicators of change in the health and safety in an older adult. Once information has been gathered and assessed, the next step is communicating your concerns with the older adult in a manner which will be accepted and implemented.

Here are 4 tips to achieve a successful outcome:

Research solutions to the issues at hand before having a conversation. Some examples include:
If the primary physician has assessed issues of cognitive decline, the next step is to research and contact neurologists.
If weight loss is due to meal preps being too burdensome, research local Meals On Wheels, restaurants and/or markets that deliver prepared meals.
If driving is no longer safe, research local transportation options.
Each area of concern must have solutions before sharing concerns.

Always share your concerns with concrete examples and avoid being critical or judgmental. For example, you may mention “I see that your clothing looks big on you and I am concerned that you are losing weight”. Another example could be, “you have always kept your car in great condition, and I am concerned about the dents”.
Be sure to ask the individual if they have experienced any changes or have concerns.

Create an engaging and safe atmosphere so the conversation is a discussion, not an interrogation. It is important to let the person know your goal is to assure their continued safety, health and independence. To maintain an engaging discussion it is necessary to welcome their input on solutions.

Be patient and prepared to have multiple conversations before changes can be implemented.
It’s common that individuals will deny there is a need to make changes. This is especially true for individuals with dementia as their cognitive impairment interferes with their ability to notice changes.


This is a challenging process as noticing decline in a loved one is upsetting and having to take action is often understandably overwhelming. In my practice I offer guidance, solutions, and local resources geared to achieving a successful outcome for all. For more help and resources Contact Me






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