Somebody put it there for a reason. A folded towel on the bathroom tile after a wet floor. A kitchen chair pulled up to the bedroom door so there is something to hold. A lamp cord run along the hall because the outlet by the bed stopped working. Each one was meant to last until the real fix arrived. Most of them are still there.

Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.

Walk the six stops as she walks them

Use the same six stops from bed to toilet. Stand where she stands at night, not where you stand in daylight. Turn off the overhead light and use only the lamp she would use, so you see what she sees. At each stop, ask one question: is there anything here that someone put down for a short time?

Write down what you find, even if it looks harmless. A rug corner that was folded to get past it. A bucket beside the tub. A bath mat with the backing lifting at one edge. A bedside table pushed closer to the bed than it used to be. Each item gets a line on your page, with the stop number beside it.

Name the owner before you name the fix

For every stopgap, write three things: who put it there, who is responsible for replacing it, and what the replacement is. If the honest answer to the first question is 'I don't remember,' that is useful information. It means nobody has been watching that item, and it has been doing its job by default.

Owner means one name, not a group. 'Everyone in the house' has never replaced a towel on a tile floor.

Set a trigger, not a date

Do not write 'fix by next month.' Write what has to happen first: the next visit, the next night anyone sleeps over, the day a tradesperson is booked, the day the list of changes from her doctor is in hand. A trigger keeps the job from waiting on someone's free afternoon. A calendar date tends to slide without anyone deciding that it should.

Watch for a stopgap that became a grab point

Look hardest at anything she has started holding onto: a chair back, a towel bar, the edge of a door frame. A stopgap she grabs is no longer temporary, and it may not be built to take her full weight. Whether she should be holding onto anything on that route at all is a clinical question. Put it on the list for her physician and do not settle it on the bathroom floor at 3am.

Write the page and keep it current

Keep one sheet with a line for each stop. Column one is the stopgap. Column two is the owner. Column three is the trigger. Column four is done or not done, with initials and the day it was checked. Walk the route again after each change. A repair that is finished on paper but not tested on the floor is still open.

When the trigger passes and nothing has changed

Do not let it run quietly. Tell the owner. If that is you, tell the other person who sleeps over or shares the house. Then decide, in writing, whether the item is replaced, moved, or removed. Removing it is a valid answer when nothing has replaced it and the route works without it. Leaving it in place 'for now,' with no owner and no trigger, is how the towel stays on the tile for years.

Every fact on this desk links to its public source, and the full list is on the sources page.