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[quote=Anonymous]What my brothers and I did was to just step in. You all can go to their house for a impromptu take out meal (without your spouse and kids), and one of you say that you have a guy who owes you money and has offered to do home repairs in return.  Then you get the guy to the house, supervise/do the prep, repair, cleaning etc, and fix the problem. This is how we started.

Next, we started to visit my parents (with a cleaning person we paid for) and together we cleaned for a few days.  Once things got settled, we took turns in the weekends to get the cleaning person, go to my parents home and get the cleaning done.  We also paid for and outsourced - yard care, snow removal and making sure their HVAC was inspected and taken care of. We made sure that their vehicle was serviced and in good running condition.  Keep an eye on their routine health visits, medications and make sure that they are eating well and exercising too.  I lived close to my parents and I checked up every evening after dinner and forced them to take a walk with me around the block for 15 minutes in a leisurely fashion. All of us benefited from this exercise.

In our parents case, we noticed the decline and knew that helping in all possible way that we could, would allow them to stay in their own home for a longer period of time and have a better quality of life. It also lessened the burden and time committment from all of us siblings  for their care.  We did end up postponing the inevitable - move to assisted living, medical issues, long term care, death, and settling the estate - for good 15 years.

Over the next few years, you should also start sorting out other things for them - the basement, the attic, cataloging and scanning all photographs, decluttering stuff, do all the necessary paper work etc.. cause that is coming down the pike. It was also a great bonding experience for all of us siblings and my parents were more open to taking help because we did most of it without our spouses.

It is not hard, but you need to have a plan and put it into action. Watch out for cognitive decline also. 
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