Few people plan to use the dresser as a handrail. It happens on the night route: she reaches for the nearest solid thing, and the nearest solid thing turns out to be a chair on castors, a nightstand on a thin base, or a laundry basket that rolls. The piece shifts, she moves her weight to catch up, and the trip goes wrong.

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.

What goes wrong

Pieces that are light, sit on wheels, or stand on a loose rug can slide when pushed or leaned on. A bed frame on an uneven floor can creep a little each week. A drawer pulled open to lean on can tip a small chest. None of this looks dangerous until weight comes down on it.

How to see it early

Look for furniture pushed out of its usual line, scuff marks on the floor in a curve, a drawer that sits open a little more than before, or a chair that is no longer where you left it. Walk the route and note which pieces she can reach from the bed edge or the bathroom doorway. Those are the pieces she is most likely to grab.

Test each piece before you trust it

Push each candidate with one hand, then press down steadily on its top edge. Watch whether the base moves, whether the wheels roll, and whether the piece tips before it takes the load. Anything that moves under a light push is not a stop. Move it out of the route or mark it clearly.

Put a fixed support where she reaches

If she is reaching for furniture, the support she needs is a fixed handhold at the height her hand naturally goes. Whether a grab bar, a bed rail or another stable support fits is a question for her physician and an occupational therapist, who can see how she moves in the room. Do not assume the reach she makes is the reach she needs.

What to write down

Note the piece, its position, and the stop it sits beside. Record which pieces she has touched, which ones moved, and when. If furniture shifts twice in one week, the route has a problem your notes can catch before a fall does. If she does fall, the first ten minutes guide on the front page covers what to do next.