The aging population experiences increased health risks, both physical and emotional. Two such risks are those of isolation and falling. This papers draws from HCI literature in these two independent research areas to explore the needs of family communication with elderly parents at risk of falls. We report on a study with 7 elderly parents and 3 of adult children, as well as a group interview with 12 elderly living in a sheltered accommodation. Findings indicate important emotional needs on both parts: adult children’s anxiety for the wellbeing of their parents at risk of falls, and elderly’s need for autonomy and their appreciation for an aesthetic design. We concluded with implications of these findings for designing for family communication in this challenging context.