A refrigerator rarely fails all at once. It runs a little warmer, works a little harder, and sounds a little different for weeks before anyone notices. The upkeep is simple, but it splits into jobs that need a person on site and jobs you can check from a distance.

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.

The three checks that matter

Start with the coils. Most refrigerators have condenser coils at the back, underneath, or behind a front grille, and the owner's manual for your parent's model will say where they are and how often to clean them. Dust on the coils makes the unit work harder. The door seal is the second check: close the door on a sheet of paper, and if the paper slides out with no resistance, the seal is letting cold air escape. Third is the temperature. A small appliance thermometer set inside the main compartment gives a reading you can ask for by photo.

Who owns each check

Coil cleaning needs someone physically present, a brush or vacuum, and the unit unplugged. The paper test also needs someone at the door. The thermometer reading can be owned by a local helper who sends a photo once a week, or by your parent if they are able. Decide the owner for each item in writing, because a shared task with no owner tends to be skipped.

What to watch from a distance

Ask for a short description of what the fridge sounds like and whether the light, the fan, and the ice maker are working. A change in sound or a warm spot on the outside of the cabinet is worth a phone call. If the thermometer shows a steady rise over several days, arrange a service visit rather than waiting for a failure.

What to do tonight

Find the model number on the inside wall of the fridge, look up the owner's manual online, and find out where the coils are. Put the three checks on one list with a name beside each one. If no local person is available for the coil cleaning, ask the local help page on this site for ways to find someone in St. Louis to do it.

What to leave with the doctor

Nothing about the fridge itself goes to the doctor. If bending down to the coils or reaching the back of the unit is hard for your parent, that is a separate question for the doctor or a therapist about safe reach and bending, and it is worth asking before anyone else is asked to do the job.