In real Gresham life, families are busy—commutes, work schedules, and school pick-ups—so early warning signs can be missed unless someone is paying close attention. Common initial red flags include:
- Weight dropping faster than expected or not matching the care plan
- Dehydration indicators like dry mouth, low urine output, dizziness, or new confusion
- Frequent infections or slow recovery after illness
- Swallowing or feeding problems where the resident seems to eat less each day
- Medication changes followed by a noticeable decline in appetite or alertness
Sometimes the decline looks gradual. Other times it follows a staffing change, a change in dietary orders, or a shift in how caregivers assist with meals.


