A messy house is not necessarily a cause for concern. First, take into consideration underlying reasons. If the elder is recovering from illness or injury, they may not have the ability to keep up their normal routine due to pain. If it has been awhile since you’ve seen the elder—maybe they don’t keep their house the same as they did when you were younger. You need to assess if this is by choice or lack of ability. Drastic changes, especially, are the concern. For both of those issues housekeeping services will help. If the holidays are near there can be other factors such as depression of the loss of loved ones or the family’s inability to come together. Still, you can be sensitive to recognize warning signs during occasional visits. See other warning signs that care may be needed. Download our printable checklist to see if care might be needed.