As our loved ones grow older, it’s natural for them to need a little more help with daily tasks. But sometimes, the changes go beyond the occasional forgotten appointment or skipped chore. When an older adult consistently struggles to maintain personal hygiene, prepare meals, manage medications, or keep their home safe and clean, it may be more than just aging—it could be a sign of elder self-neglect.
Self-neglect is a deeply concerning but often misunderstood issue. It can happen gradually and quietly, especially when a senior is living alone or reluctant to ask for help. Families may not recognize the signs right away, or they may feel unsure about how to step in without overstepping boundaries. Understanding what self-neglect looks like—and what you can do about it—is an important part of keeping your loved one safe, healthy, and supported as they age.
Elder self-neglect occurs when an older adult is no longer able—or willing—to meet their own basic physical, emotional, or medical needs. This may include neglecting hygiene, skipping meals, missing medications, or living in unsafe conditions. Unlike abuse or neglect caused by another person, self-neglect stems from within—often linked to physical decline, mental health issues, cognitive impairment, or social isolation.
Seniors experiencing self-neglect may not realize the extent of their challenges, or they may insist they’re managing just fine. But without proper intervention, their well-being—and even their life—can be at risk.
Recognizing the early warning signs is the first step to getting your loved one the help they need. Common indicators include:
If you notice one or more of these signs in an older adult—especially if they live alone—it may be time to take a closer look and consider next steps.
Self-neglect doesn’t happen overnight. It often emerges slowly and for a variety of reasons, including:
By understanding the root causes, family members and caregivers can approach the situation with empathy—not judgment—and work toward solutions that prioritize dignity and trust.
When you're worried about an aging parent or relative showing signs of self-neglect, it can be hard to know where to begin. That’s where a geriatric care manager (GCM) can provide clarity, guidance, and support.
Geriatric care managers are trained professionals who specialize in assessing the health, safety, and well-being of older adults. They act as advocates, coordinators, and compassionate problem-solvers for families facing difficult care decisions.
A GCM can help by:
With the help of a geriatric care manager, families can move from worry to action—knowing their loved one is getting the care they need to remain safe and supported at home or in a more appropriate setting.
It’s never easy to face the possibility that someone you love is no longer able to care for themselves. But taking action early can prevent accidents, hospitalizations, or irreversible health decline. If you notice concerning-changes in an aging relative, don’t wait. Trust your instincts, gather information, and reach out for professional support.
You’re not alone in this journey—and your loved one doesn’t have to navigate it alone either.
