PHOENIX (3TV/CBS 5) -- As we approach the holidays, you may be spending more time with aging loved ones and notice they need extra help taking care of themselves.

"That can be a very difficult conversation, especially if we're dealing with someone with mild cognitive impairment, the beginning stages of dementia where they, unfortunately, don't have the self-awareness that they need that help," said Denise Kaye, who owns Connections in Home Care with her husband. "We provide caregivers to our most vulnerable adults or physically challenged adults that want to age in place at home, and they may need some help."

She said four red flags point to a senior needing help. That includes behavior change, lack of personal hygiene, short-term memory loss, and issues understanding conversations.

"It can be difficult, and what we do is come in and meet with the family and do a consult and really show the client by having someone in your house; it will allow you to remain in the house," said Kaye. "You don't want something to happen to a person, and then the decision goes away from them."

Rose Viney said she hired the company to help her mom living in Scottsdale. "She was angry," said Viney. "'I don't need it. I can do things myself.' Knowing my mom, she liked to do things for herself, but she couldn't."

As Viney's mom got older, she says she began falling often. Viney said the Kayes talked to her mom and explained how the services could benefit her.

"Now she has 24-hour care," said Viney. "It's going really well. I thought she'd fight it, but she really likes somebody in the house all the time."

"We do light housekeeping," said Kaye. "We do laundry. We do meals. We'll go grocery shopping. We do transportation to the doctors."

The couple offers free consultations for families. "We are going in and creating the plan of care with the families," said Kaye. "We want to meet every one of our clients...One of the things we have to do is safety inspections because we want families to make sure the home is set up correctly for success."

Kaye said the average cost of hiring a caregiver to help at someone's home is $31 to $32 an hour.

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