© 2017 Upward Care, LLC  
  • Black Facebook Icon
  • Black YouTube Icon
  • Black Instagram Icon
1380 Pantheon Way
San Antonio, TX 78232
Jul 26

When should professionals step in?


My aging father has been getting worse mentally for the last few years. I noticed a fast decline after he had hit his head when he slipped on ice in 2015. He struggles at times to the point where we had to take away his car keys as he was thinking he had to get to work. He hasn't worked in 20 years now. My mother on the other had is just forgetful at times but is still mentally healthy for her age I'd say.


I am wondering at what point a person should know to reach how for professional help to come in and assist with day to day living. It is getting a bit hard on my mom but she is insisting that he doesn't need extra care. I want to know from a professional's standpoint on the subject.

This is an excellent question and one we hear a lot. I know you asked about assistance for day-to-day care. But the side-question I would ask, what type of "professional help" do you need? There are a multitude of professional services: medical, psychological, care-giving..... I would suggest you first ensure that you have the right diagnoses for your parents. This will inform what type of cognitive issues you are dealing with and what type of care you may dealing with now and in the future. You may also need help defining that type of care and the safety issues surrounding cognitive decline. Back to your original question - when to bring in care-givers. Many people wait until a crisis hits and that is too late. You need to gauge the ability of your parents' current support system, understand the gaps (or where someone is doing too much and approaching burnout). Then fill those gaps with a professional care-giving agency. Your mother may accept a small amount of help now, especially if you let her know it is for your peace of mind. This care can often grow as she begins to see the benefits.

Aug 13

Thank you for your responses. I certainly feel a lot better having reached out to someone who knows how this all works and how has experience with it. I definitely don't want to wait until he is in a bad way.


I am going to check out that Guide right now. Thanks again!

New Posts
  • My loved one is always asking what day it is. Many times I will answer the question. After the 5th or 6th time it gets very frustrating. My question, is how do I handle this situation without getting frustrated? Often times I will try to distract or re-direct but she keeps coming back to the same question. Do I just need to get over it?
  • My mother-in-law is having issues with incontinence and she is refusing to use adult diapers out of being embarrassed. Her memory is not exactly healthy either so my husband and I find ourselves getting her to agree with using them yet back to refusing a few day later. I there anything we can do to help her?
  • I was not sure where to put this question so I am putting it in the general section. I just want to get an idea of what to expect to be provided in general home/health care for seniors to make sure everything will be covered that my mother will need help with. She lived alone but my sister recently started staying with her a few times a week to help her out. I am not sure she is to the point where she needs round the clock care but she does need someone to help out daily.


Russell Gainer, LCSW

Co-Founder - GainWel



  • Mental Health

  • Dealing with Grief

  • Family Dynamics

  • Caregiver Burnout

Marie Hoffman, RN, BSN

Lead Instructor

  • Nursing Skills

  • Personal Care

  • Education and Training

  • Caregiver Skills Training


Tim Montfort

Financial Adviser - Raymond James



  • Retirement Planning

  • Wealth management

  • Estate Issues

  • Longevity Planning

Leanne Chaloupka, OT

Occupational Therapist


  • Home Health/ Hospice

  • Rehabilitation

  • Aging in place

  • Adaptive Care

Laura McGuire

Co-Owner - Griswold Home Care



  • Introducing Home Care

  • Aging in Place

  • Resistance to Care

Carol Bertsch

Elder Law Attorney



  • Advance Directives

  • Power of Attorney

  • Medicaid considerations

  • Estate Planning


Byron Cortes, LCSW, CMC
  • Care Management

  • Needs Assessment

  • Crisis Intervention

  • Placement Management

  • Family Caregiver

  • Estate Planning

  • Advance Directives


Family Caregiver, Elder Law Paralegal


Toni O'brien


The medical, legal and financial information contained on this web site is provided for educational and informational purposes only and is not a substitute for professional advice. 

We love to help, that is why we are here! But... Questions related to specific legal, financial or medical issues can only be be answered in general terms. If more detail is needed you can contact the professional directly for a consultation or meeting. 

Read the full disclaimer HERE