What we watch for in Ma
Women age differently. We track what matters for her.
The conditions that most commonly affect women in their 70s and 80s have specific patterns — and early signs that daily check-ins catch long before a crisis.
High prevalence in women
Osteoporosis & Bone Health
Women lose bone density faster after menopause. A fall that bruises a younger person can fracture Ma's hip — and hip fractures are one of the leading causes of rapid decline in senior women.
We trackFall incidents · Mobility changes · Activity level · Any new pain complaints · Medication adherence (calcium, vitamin D, bisphosphonates)
4× more common in women
Thyroid Conditions
Hypothyroidism often presents silently in older women — fatigue, weight changes, mood shifts, memory fog. It's frequently missed because symptoms are attributed to normal aging.
We trackEnergy levels · Mood patterns · Sleep quality · Lab result dates and TSH trends · Medication adherence
Women comprise 2/3 of Alzheimer's cases
Cognitive Decline & Dementia
Daily 5-minute conversations are one of the most sensitive early indicators of cognitive change. We notice when Ma seems more confused, forgetful, or disoriented — often before family does on occasional visits.
We trackMemory and orientation in daily conversation · Repetition patterns · Medication management · Appointment recall · Mood and personality shifts
Leading cause of death in women over 65
Heart Disease & Blood Pressure
Women's heart disease often presents atypically — fatigue and nausea rather than chest pain. Blood pressure medication adherence is critical and frequently slips without someone tracking it daily.
We trackMedication adherence · Blood pressure readings (if shared) · Energy levels · Any symptoms reported · Appointment follow-through
Recurrent in senior women
UTIs & Infections
Urinary tract infections in older women can cause sudden confusion, falls, and behavioural changes that are mistaken for dementia. Catching them early prevents hospitalization.
We trackConfusion or behavioural changes · Reports of discomfort · Fluid intake patterns · Any sudden change from baseline
Underreported in senior women
Loneliness & Depression
Senior women are significantly more likely to live alone after losing a spouse. Loneliness accelerates cognitive and physical decline — and daily human connection is one of the most effective interventions.
We trackMood ratings · Social engagement · Sleep patterns · Appetite · Expressed feelings of isolation · Changes in engagement during calls
During every check-in call
What our care coordinator listens for in Ma
Beyond the questions we ask, our coordinators are trained to notice what's not being said — and what has changed.
💊Did she take her medications this morning — all of them, not just the ones she remembered?
🌙How did she sleep? Any pain, restlessness, or getting up in the night?
🍳Has she eaten breakfast? Is her appetite normal or off?
🚶Is she moving around the house? Any stiffness, balance issues, or falls?
😊What's her mood? Is she engaged and oriented — or quieter and confused than usual?
📞Has she spoken to family or friends? Is she engaged socially?
🏥Any symptoms she's been meaning to mention — pain, discomfort, something "not quite right"?
📅Does she know about any upcoming appointments? Does she remember what the doctor said?
The daily check-in
A typical morning call with Ma
9:00 AM
The call beginsSame coordinator, same time every morning. Ma knows who's calling. It feels like a familiar friend checking in, not a clinical assessment.
1 min
How are you today, Ma?Open-ended, warm. We listen to how she sounds — not just what she says. Energy, clarity, mood all come through in the first 60 seconds.
2 min
Medications and morning routineDid she take her morning pills? Has she eaten? How did she sleep? Quick, conversational — not a checklist.
4 min
Any concerns to flag?Anything she's been meaning to mention. Anything that felt off. Upcoming appointments. We log everything — and flag anything that needs family attention immediately.
5 min
Logged in the appThe moment the call ends, the update appears in the MaPa Care app. You and your siblings see it in real time. Green means all good. Amber means something to watch. Red means we've already called you.
Functional assessment
We baseline Ma on 10 domains — then track whether each one is getting better or worse.
Memory & Orientation
Recall of recent events, day/date awareness, recognition of familiar people
Early cognitive decline is most detectable in daily conversation
Mobility & Balance
Ease of moving around the home, stairs, outdoor walking, any falls or near-misses
Falls are the #1 cause of injury-related hospitalization in senior women
Mood & Emotional Wellbeing
Daily mood rating, signs of depression or anxiety, quality of emotional expression
Mood changes often precede physical decline in older women
Sleep Quality
Hours, interruptions, restfulness, daytime fatigue, sleep pattern changes
Poor sleep accelerates cognitive and physical decline
Nutrition & Appetite
Meal regularity, appetite changes, hydration, weight concerns
Malnutrition and dehydration are underrecognized in women living alone
Medication Adherence
Daily tracking of taken / missed / refused for each medication
Non-adherence is the leading cause of preventable hospitalizations
Social Engagement
Contact with family and friends, community involvement, meaningful activity
Isolation is as damaging to health as smoking 15 cigarettes a day
Personal Care & Hygiene
Grooming, bathing, dressing independence, personal care routine
Decline in personal care is a key early indicator of functional loss
Communication
Clarity of speech, word-finding, ability to express needs and concerns
Communication changes are among the earliest signs of cognitive decline
Pain & Comfort
Reported pain levels, comfort at rest and during movement, any new discomfort
Senior women frequently underreport pain — we ask directly, consistently
"The call our coordinator makes every morning isn't just a check-in. It's five minutes of genuine human connection that tells us everything we need to know about how Ma is actually doing — and often catches things she wouldn't think to call her kids about."
— Gurjot Narwal, Founder, MaPa Care
Ready to set up care for Ma?
Start with a free 20-minute call. We'll talk through Ma's situation, build a care plan together, and — if it's the right fit — have daily check-ins starting this week.
Book Ma's free care planning call