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When someone you love begins to repeat questions, miss appointments, or seem “not quite themselves,” it’s natural to worry. As a Medicare-certified home-health agency serving Memorial and Greater Houston since 2013, we meet families at this exact moment—between concern and action.

This guide explains the earliest signs to look for, what’s normal with aging vs. not, and practical next steps so you can move forward with clarity and support.

Caregiver with elder patient.

“Normal aging” vs. concerning changes

Everyone has memory lapses. The difference is pattern and impact on daily life.

Often normal with aging More concerning
Occasionally misplacing keys or phone but finding them later
• Needing lists to remember errands
• Slower recall of names that eventually “come back”
Asking the same question or telling the same story repeatedly
• Getting lost on familiar routes or missing long-standing
appointments
• Noticeable personality or mood shifts (apathy, anxiety, irritability)
• Trouble managing bills, medications, or recipes once handled with
ease
• Decline in hygiene or dressing without a clear reason


If you recognize several items from the “concerning” list, it’s time to document what you’re seeing and schedule an evaluation.

10 early signs to track (simple checklist)

Use a small notebook or phone note. Write the date, what happened, and context (time of day, hunger, pain, sleep). Patterns help clinicians.

  1. Repetition of questions/stories within minutes or hours
  2. Disorientation (lost in familiar places; confusing days/times)
  3. Word-finding difficulty affecting conversations (“that thing for the…”)
  4. Declining judgment (unpaid bills, unusual purchases, phone scams)
  5. Misplacing items in odd places (glasses in the freezer)
  6. Changes in mood/personality (withdrawal, suspicion, irritability)
  7. Difficulty with familiar tasks (operating the microwave, balancing a checkbook)
  8. Safety slips in the kitchen (leaving the stove on)
  9. Driving concerns (near-misses, new dents, getting lost)
  10. Sleep or appetite changes without another clear cause

Bring your notes to the medical appointment—this saves time and leads to better answers.

Rule out reversible causes

Not all memory problems are dementia. Several treatable conditions can mimic or worsen cognitive changes:

  • Medication side effects or interactions (including anticholinergics, sleep aids)
  • Infections (especially UTIs), dehydration, or poorly controlled chronic conditions
  • Thyroid dysfunction, B-12 deficiency, sleep apnea, depression, untreated pain
  • Vision/hearing changes that make the world confusing or isolating

✨Ask the clinician about a medication review, basic labs, and screening for mood and sleep concerns.

Important: This article is educational and not a diagnosis. If you’re concerned, talk with your primary care provider or specialist. We’re happy to coordinate and help you prepare for that visit.

✨Not sure whether what you’re seeing is “normal”? We can help you think through the next step and coordinate with your clinician.

📞Call 713-932-0017 or email info@MPUHealthServices.com for a no-pressure consult.

🏠 MedPro USA Home Health — Exceptional care, peace of mind at home.
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