⚠️ The First Signs Your Aging Parent Might Need Help: Let’s Talk IADLs
- Catie Chung PhD RN
- Apr 11
- 3 min read

You know that moment when something feels off with your parent?
They’re saying they’re fine—but you’re noticing things.Like unopened mail, weird meals (or no meals), and meds that are... questionable.
This is not you being overly cautious.This is you seeing the first signs of aging-related decline.
It starts with something called IADLs—and if you’re a Gen X daughter keeping tabs on an aging parent, this is your early warning system.
Let’s break it down.
📋 What Are IADLs?
IADLs stands for Instrumental Activities of Daily Living.These are the more complex, real-life tasks that keep someone living independently.They’re not about basic survival—they’re about managing daily life.
Think of them as:
💊 Managing medications
🥘 Preparing meals or remembering to eat
💵 Paying bills and handling money
🧹 Cleaning the house and doing laundry
📞 Using phones, remotes, and even tech like texting
🚗 Getting to appointments or errands
They don’t seem dramatic—but when these start to slip, it’s often the first sign that something’s changing with your parent’s cognitive function, memory, or even mood.
👀 Why IADLs Are the First to Go
Unlike basic self-care (like bathing or getting dressed), IADLs require:
Planning
Organization
Memory
Judgment
Physical stamina
That means they’re more vulnerable to early changes in:
Cognitive decline
Medication side effects
Vision or mobility problems
Depression or isolation
And the tricky part? People can often hide IADL problems for a while—until there’s a missed medication, unpaid bill, or empty fridge that tips you off.
🔍 Real-Life Red Flags to Watch For
Here’s what IADL decline actually looks like in the wild:
Medications are missed, mixed up, or not refilled
Mail is piling up unopened—or bills are unpaid
Meals are skipped, or they’re eating toast for dinner every night
House is more cluttered or less clean than usual
TV remotes, phones, or even the microwave seem confusing
Appointments are forgotten—or they’re nervous to drive
💡 If you’re thinking, “That’s been happening a lot lately…” — you’re not wrong to be concerned.
💬 Why This Matters for Gen X Women
As Gen X daughters, we’re often the first to notice these subtle shifts—and the last to be taken seriously when we bring them up.
But here’s why IADLs matter:
They’re used in healthcare evaluations for in-home care, assisted living, and long-term planning
They help make the case for early intervention before something dangerous happens
They give you a clear, trackable way to monitor your parent’s functioning over time
They validate your gut feeling that something is changing—even if your parent says they’re “fine”
✅ What You Can Do Right Now
This doesn’t mean you need to swoop in and take over (they won't let you anyway!)— but it does mean you can start making a plan, even if you keep it to yourself, thinking about how your aging parents would get more support will help future you handle the unknown.
Here’s how:
📒 Start a simple log or checklist of the IADLs you’re seeing slip
💬 Ask low-pressure, open-ended questions like:
“Hey, how’s it going keeping track of your meds?”
“Are you still cooking a lot, or is it feeling like too much lately?”
🧾 Offer small supports that preserve independence:
Grocery delivery
Medication reminders
Cleaning help "just for the heavy stuff"
🧡 Final Word: It’s OK to Notice
IADL issues are subtle.They don’t usually come with a big dramatic moment.But that’s exactly why they matter—because you can catch them early.
If you’re starting to see changes, you don’t need to panic.You just need to pay attention, document what you’re seeing, and open the door to support (even if it’s just small stuff to start).
Your future self will thank you. And so will your parent—eventually.
xoxo,
Catie