Formal to Senior
Care · Emergency
You
顔色がいつもと違いますね。どこか痛いですか？
かおいろがいつもとちがいますね。どこかいたいですか？
You don't look quite yourself today. Are you in pain somewhere?
Romaji: Kaoiro ga itsumo to chigaimasu ne. Doko ka itai desu ka? / Reply Romaji: Sukoshi atama ga itai desu. / Ie, daijoubu desu.
Reply
少し頭が痛いです。 / いいえ、大丈夫です。
すこしあたまがいたいです。 / いいえ、だいじょうぶです。
I have a bit of a headache. / No, I'm fine.
Gesture & etiquette
Crouch or sit at the senior's eye level. Maintain calm, unhurried eye contact. Rest your hand lightly on the armrest or nearby surface — not on the senior's body unless invited — to signal presence without intrusion.
Notice and name changes in appearance before asking directly — this shows attentiveness and makes the senior feel seen. Phrase it as an observation ('you look different'), not an accusation ('are you sick?'), to reduce any sense of alarm.