A Family Upside Down is a 1978 American drama television film directed by David Lowell Rich and written by Gerald Di Pego. It stars Helen Hayes and Fred Astaire as an elderly married couple, with Efrem Zimbalist Jr., Pat Crowley, and Patty Duke in supporting roles.

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The film was praised for the performances of the cast, earning Astaire a Primetime Emmy Award for Outstanding Lead Actor in a Drama or Comedy Special. It also won a Golden Globe Award for Best Television Film.

Ted Long (Fred Astaire) is a retiree who suffers a debilitating heart attack that leaves him incapable of caring for himself. Unable to rely on his wife Emma (Helen Hayes), herself suffering from deteriorating health, Ted grows increasingly dependent on his adult children for his basic needs. Familial bonds are tested when Ted and Emma decide to move in with their son Mike (Efrem Zimbalist Jr.) and daughter-in-law Carol (Pat Crowley) rather than face the prospect of living in a retirement home.