Are you worried about someone who lives alone?

If you have a friend or relative with dementia who lives alone, you might be concerned about their well-being. It's natural to wonder when it might be time for them to have more support to stay safe and healthy. Many older adults are reluctant to ask for help, often out of fear of losing their independence, not wanting to burden others, or simply not realising they need assistance. This can make it harder to spot when they need a little extra care.

Signs they are struggling

Trips and falls

If they have recently had a fall or seem unsteady, it’s a sign that they may need more support. Balance issues or tripping over objects can indicate they’re struggling with mobility. Make sure their home is free from hazards and consider discussing mobility aids, like a walking stick or frame.

Dementia progression

As dementia progresses, a person’s ability to manage daily tasks and navigate their surroundings can become increasingly challenging. For example, they may forget to take medications, find it difficult to prepare meals, or become confused in familiar places.

Personal hygiene

Neglecting personal hygiene - such as body odour, unclean clothes, or changes in grooming habits - can signal that they are struggling with daily tasks.

Sudden weight changes

Unexplained weight loss could indicate health problems, a lack of appetite, or forgetfulness when it comes to meals. These changes should not be ignored, as they can point to a deeper issue that needs addressing.

A messy home

If their home, once tidy, is now cluttered or dirty, it may be a sign that they are feeling overwhelmed. Unopened post, food left out, and disorganisation could indicate they’re having trouble staying on top of things.

Feeling withdrawn or lonely

If they seem more withdrawn or are avoiding social activities they once enjoyed, it could signal loneliness or depression. Social isolation can impact both mental and physical health, so it’s important to check in and offer emotional support.

Taking the first step

For someone living alone with dementia, maintaining independence is still important, but they may need extra support to stay safe. Start a gentle conversation with them, understanding that they may not fully recognise the need for change. Try to put yourself in their shoes, how might they be feeling about the situation? Ask if they’ve noticed any changes in themselves. You can then suggest support as a positive step to help them with tasks such as shopping, cleaning or personal care.

Build a support network 

Reach out and ask friends, family, and neighbours for support. Simple acts like checking in regularly, offering a listening ear, or helping with daily tasks can make a big difference. Spending time together, whether it's sharing a cup of tea or going for a short walk, can also help support someone who lives alone. 

Encourage social activities  

Encourage them to stay connected with others - whether it’s chatting with friends, or joining a community group, social activities can help reduce feelings of loneliness. Going out also provides fresh air, gentle exercise and a change of scenery, which can be incredibly uplifting. For someone living alone, these moments of connection can make all the difference in feeling supported and valued.

Support from carers

Whilst they might be reluctant to admit they need extra help or reject the idea completely, having carers can be a big help. Professional carers can assist with day-to-day tasks like cooking, shopping, and managing medication, helping to ease the burden on friends and family. They also provide companionship and consistency, which can be especially reassuring for someone with dementia. It’s worth having an open conversation about the benefits, focusing on how it can help maintain their independence and improve their quality of life.

Introduce technology

Simple devices like smart speakers can provide reminders for daily tasks, such as taking medication or preparing meals, and can even play their favourite music or radio stations to lift their spirits. Video doorbells are another fantastic tool, allowing them to see and talk to visitors without having to open the door, which adds an extra layer of security. GPS trackers and apps can help keep them safe if they go out, providing peace of mind for both them and their loved ones. Other helpful technologies include automatic pill dispensers to ensure medication is taken correctly and motion sensors that can alert family members or carers to any unusual activity in their home.

Sources of support

If you’re looking for further guidance or support the following organisations can help:

• Age UK (www.ageuk.org.uk) – supports older people with practical advice and information.

• Dementia UK (www.dementiauk.org) – provides specialist dementia support through their free helpline on 0800 888 6678. 

• Local council's social services department - contact your local council to discuss what support is available.

• Dementia support groups - look for a local support group where you can meet and talk to people in the same situation.