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The Home Environment

The ideal home for a stroke victim is having a one level (ground floor) house. Having more than one floor is all right only if there is an elevator or another approved lift device, or if the person in your care does not need to go to the second floor. The ideal care home is laid out in such a way that the caregiver and the stroke victim can see each other from other rooms.


For the safest home, follow as many of these steps as possible:

To accommodate a wheelchair, arrange furniture 5 1/2 feet apart.


  • Remove all furniture that is not needed.
  • Place the remaining furniture so that there is enough space for a walker or wheelchair. This will avoid the need for a person who is elderly or disabled to move around coffee tables and other barriers. Move any low tables that are in the way.
  • Once the person in your care has gotten used to where the furniture is, do not change it.
  • Make sure furniture will not move if leaned on.
  • Ensure that the armrests of a favorite chair are long enough to help the stroke patient get up and down.
  • Modify or cushion sharp corners on furniture, cabinets, and vanities.
  • Make chair seats 20″ high. (Wood blocks or a wooden platform can be placed under large, heavy furniture to raise it to this level.)
  • Have a carpenter put railings in places where a person might need extra support. (Using a carpenter can ensure that railings will bear a person’s full weight and will not give way.)

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Posted on November 30, 2010

Adapting for Safety, Accessibility, and Comfort

The main goal in any home is safety. You and the stroke patient in your care need to take a close look at your home. You may also want to ask the advice of a friend or relative.

As you plan for safety in the home, consider what you need now and what you will need in the future. For example, furniture that works well now may need to be changed or replaced later when the stroke patient can no longer get up from low seats. Your main goal is to make the home as safe as possible. Continue reading

Posted on November 29, 2010

Falls After Stroke

After acute stroke, one of the most common medical complications is unexpected falls. Furthermore, the high fall risk remains a considerable health concern throughout the post stroke life span. Unfortunately, most of the stroke patients are aged people and social impact is growing. Stroke survivors are much more likely to sustain a hip fracture due to a fall than people without stroke; they often more easily lose independent mobility or even face more severe consequences. Preventing falls is an important issue for every person involved in stroke care and in any of the post-stroke stages. Continue reading

Posted on November 19, 2010

Returning Home

1. MAKE ARRANGEMENTS BEFORE YOU LEAVE THE HOSPITAL. Don’t forget to ask your doctor before leaving, to arrange a home visit by an occupational therapist (OT), who is trained to help you manage daily activities and regain your independence. This person will check your home and may suggest simple changes to make everyday living easier, and they also will arrange for changes to be finished before you return home.

2. ACCOMMODATE YOUR HOUSE TO YOUR RECOVERY. Forty percent of stroke survivors suffer serious falls within a year after their strokes. That’s why the OT will suggest you to move extra furniture out of the way either to corners or another room, to move electrical cords out of pathway, to remove loose carpets and runners in hallways and stairwells or to fasten them with non-skid tape to improve traction. Low pile carpeting is better than a thick one because it makes wheelchair or walker movement easier. Try stair glides, stair lifts and platform lifts if you need to use the stairs many times during the day. Continue reading

Posted on November 3, 2010

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