Grampa was ahead, a lean ragged, quick old man, jumping with quick steps and favoring his right leg – the side that came out of joint. He was buttoning his fly as he came, and his old hands were having trouble finding the buttons, for he had buttoned the top button into the second buttonhole, and that threw the whole sequence off. He wore dark ragged pants and a torn blue shirt, open all the way down, and showing long gray underwear, also unbuttoned. His lean white chest, fuzzed with white hair, was visible through the opening in his underwear. He gave up the fly and left it open and fumbled with the underwear buttons, then gave the whole thing up and hitched his brown suspenders. His was a lean excitable face with little bright eyes as evil as a frantic child’s eyes.

– John Steinbeck

The Grapes of Wrath, Chapter 8. Grampa Joad is described here as a ragged old man who has lost the capacity to carry out simply tasks like dressing himself.