The Answer
What This Looks Like in Real Life
You visit your dad on a Saturday and watch him walk from the kitchen to the living room. His hand never leaves a surface — counter, doorframe, the back of the recliner, the arm of the couch. When you mention a cane, he waves it off: "I don't need a cane. The floors in this house are uneven, that's all." The instinct is to push back. The better move is to stay curious. "I noticed you've been touching the counter and the chairs as you move through the room. I'm not trying to make a thing of it — I just want to understand what you're feeling." Naming the behavior gently, without diagnosis, opens a door that confrontation closes. The conversation may not land that day. It may not need to. The win is moving from "I don't need a cane" to "my doctor mentioned PT could help with balance — I'll ask about it at my next visit." Physical therapy for balance is covered by Medicare Part B with a referral, and a few weeks of targeted work can change the trajectory entirely.
What to Do Next
- Try the ten-second single-leg stand near a counter (do not hold it). Note the result without judgment — it is a baseline, not a verdict.
- Walk through the home and notice every spot where a hand reaches for a wall, chair, counter, or doorframe. That map of touchpoints is the data worth bringing to a doctor.
- At the next primary care visit, ask for a fall-risk screen and a referral to physical therapy for balance training. Medicare Part B covers PT with a referral.
- Schedule the annual vision exam and ask for a medication review focused on dizziness, drowsiness, and blood pressure drops when standing.
- Open the conversation from strength, not worry: "I want to stay ahead of this" lands very differently than "I'm worried about you." Name it before someone else has to.
Sources & references
- Centers for Disease Control & Prevention — CDC STEADI — Older Adult Fall Prevention
- National Institute on Aging — National Institute on Aging — Falls and Fractures in Older Adults
