The Decision Ladder: A Free Printable for When an Aging Parent Refuses Help

A worksheet for moving from the smallest help to larger steps, one rung at a time, when your parent isn’t ready to accept much.

Preview of page 1 of a printable worksheet for when an aging parent refuses help (Decision Ladder worksheet)

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2 pages, ready to print on standard letter paper.

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What’s on it

  • A ladder of help, from the smallest step up, with examples for each rung
  • Your parent’s answer and the date, a trial end date, and who could suggest each step
  • What your parent has said no to, and why, and what they might say yes to
  • The line you agreed on that would start the next conversation
  • Signs that would mean you need outside help now
  • Help for you

How to use it

Start at the bottom. Keep track of what’s been offered, what your parent has agreed to and what to try next. Each rung has a trial end date, so new help can start as a trial.

If your parent is in danger, call 911. If you’re worried about abuse, neglect or serious self-neglect, Adult Protective Services can help; the Eldercare Locator, 1-800-677-1116, can connect you.

Where it comes from

This tool comes from Chapter 5, “When a Parent Refuses Help,” of When Mom or Dad Can No Longer Manage Alone by Mark Duda. The chapter covers what to do when a parent refuses help.

Related reading on this site

All 18 tools from the book are on the printable tools page.

The tools may be printed and copied for personal use within your own family. They are not medical, legal or financial advice.

Two companion books for families planning ahead. The planner and the life-story journal See the books