What they need help with
Everything a family might need, in one place — not just where she lives. Nine areas. You will need some of them and not others, and the point of reading the whole list once is that most families meet the rest of it one crisis at a time.
What is hard right now?
Where they live
Complete listEvery licensed setting in the state, from the state's own register. A move is one option on this list, not the point of it — staying put is a row here too.
Independent living · Assisted living · Residential care · Memory care · Adult foster home · Nursing facility · CCRC
Care that comes to them
Official sourceNursing care at home and help with daily life are two different things with two different payers, and almost every family confuses them once. This is the difference, and what each costs you.
Home health (nursing, physical therapy) · In-home caregivers · Hiring someone directly · Adult day services · Respite care · Hospice & palliative care
Food and daily living
Official sourceMeals, housekeeping, laundry, company. The unglamorous half of staying at home, and the half that usually slips first.
Home-delivered meals · Commercial meal delivery · Grocery delivery · Housekeeping · Laundry · Bathing & grooming help · Companionship visits · Pet care
Safety, monitoring and devices
No register existsAlert buttons, fall detection, sensors, cameras, pill dispensers. Nobody licenses this and nobody publishes a trustworthy ranking, so we will not pretend to.
Medical alert & fall detection · GPS locator for wandering · Activity sensors · Stove, door and water sensors · Cameras · Pill dispensers · Hearing aids · Grab bars, ramps, stairlifts
Health and medicine
Official sourceDoctors, pharmacy, therapy, and the specialists nobody tells you exist — a geriatrician is not the same as a family doctor who has older patients.
Primary care & geriatrics · Specialists · Pharmacy & delivery · Medication packaging · Therapy at home · Dental, vision, hearing · Telehealth · Dialysis
The house itself
No register existsThe jobs a parent quietly stopped doing. Usually the cheapest thing on this whole list and the one that buys the most time at home.
Lawn & snow · Handyman · Heating & plumbing · Accessibility changes · Home safety assessment · Downsizing & move managers · Cleanouts
Getting around
Official sourceVolunteer driver programmes and paratransit are free or nearly free in most counties, and almost nobody knows they exist.
Medical transport · Volunteer drivers · Paratransit · Rideshare for older adults · Driving assessment · Giving up the car keys
Money, legal and benefits
Official sourceThe part families put off and then need at two days' notice. Benefit screening is free and national; so is your state's insurance counselling.
Power of attorney & advance directive · Elder-law attorney · Medicaid application · VA Aid & Attendance · Long-term-care insurance claim · Benefits screening · Scam & fraud protection · Guardianship
People who help you decide
Official sourceYou do not have to be the only person working on this. Three of these are free and independent of the industry, which is more than can be said for most of the advice online.
Area Agency on Aging · Long-term-care ombudsman · Geriatric care manager · Hospital discharge planner · Support groups · Respite for you
Why the free option is always listed first
Where a subsidised or public service exists — the meal programme, the volunteer driver scheme, the ombudsman, your Area Agency on Aging — it appears above the paid alternative, every time. That is not generosity; it is the same rule as the rest of this site. Money never changes what we recommend, and the day any of this earns us something, the page that earns it will say so on the page.