A 26-page printable workbook for adult children who are worried about a parent’s memory and want to know what to do next.
Written by retired occupational therapist Esther C. Kane, CAPS, C.D.S., it turns worry into steps you can take at home and a better-prepared visit to the doctor.
Inside the workbook, readers will find:
- Observation Log: record what you’ve noticed, with dates and specific examples
- The Five Habits: a worksheet for each habit that protects an aging brain:
- Movement: a habit-stacking planner
- Hearing: a hearing and vision record, plus a hearing aid troubleshooting chart
- Connection: a weekly connection map and a planner for one recurring activity
- Sleep: a 7-night sleep log and a list of warning signs
- Novelty: ideas for trying something new
- 8 Real-Life Scenarios: “what would you do?” situations with space to write your answers
- Ordinary Forgetting or Something More?: a sorting exercise, plus a “What else could this be?” worksheet on common, often treatable causes to raise with her doctor
- Doctor Visit Summary Sheet: a one-page summary to hand to the nurse or doctor, plus a medication list, questions to ask, and space for the doctor’s answers
- Talking With Your Parent: conversation starters, what to avoid, and a log of what worked
- 30-Day Plan: week-by-week steps you can check off
- Resources and Next Steps: who can help, a contacts page, and what to do next
- Black and white with large, clear type and plenty of room to write. Designed to print at home and use alongside the companion Brain Health Home Check checklist.
- For general education only. Not medical advice.
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Important Disclaimer: This workbook is for general educational and planning purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment, and it cannot tell you whether a loved one has dementia or any other condition. Always talk with a qualified health professional about changes in memory, thinking, sleep, hearing, vision, or daily function. Check with a health professional before your loved one starts a new exercise routine, and never change or stop a medication without talking to their prescriber or pharmacist. If you notice sudden confusion, call their doctor the same day. Call 911 right away for trouble speaking, facial drooping, weakness on one side of the body, or any other emergency. Esther C. Kane, CAPS, C.D.S., and Senior Safety Advice are not responsible for decisions made or actions taken based on this material. Your use of this workbook does not create a clinical or professional relationship.
