Living Alone with Hemiparesis

Safety would be the dominant concern of course when people with hemiparesis live alone or are alone for extended amounts of time. Of course your first references are your doctor, physical therapist and occupational therapists especially. This being stated, I can offer insights on some important items to consider in functional aspects of living alone after a traumatic brain injury or a stroke that consequence in a harsh muscle weakness along the left or right side of the body and is sometimes exhibited in slight nerve damage as with me. Perhaps instead of living by them selves, it would be better to consider us living independently. At this writing, I will have reached almost thirty years of living with hemiparesis. Most of this time I was living alone and working as an engineer and writer, author.

For us, the detrimental effects of hemiparesis are nevertheless common already after initial rehabilitation and limited recovery. The effects can change with extreme variation.

Effects When Tired or Awoken

When the body is tired, effects can be worse and certainly more dangerous when living alone. An example is if awoken in the night, maybe by thirst, a call, or other concern. already a healthy person could possibly stumble on sleepy legs or with eyes half open, but for those with left or right hemiparesis, the negative effects are magnified. A stumble can turn into a fall and possibly a head injury since one arm has poor strength, does not react quickly and is not likely to stop a fall. If a foot drags slightly during the day with shoes, then it can be so much worse at night already so unsafe that the person will roll over the toes so as to bruise them and fall forward on the ineffective side. Lessons learned here press the need for uncluttered floors and hallways. A stray shoe on the floor or already newspaper can prove disastrous. Either could throw off the balance suddenly for a waking person especially in the dark.

This brings up a suggestion for low level lighting in the home or apartment. Economical battery operated motion detector lights are obtainable at many stores now or a search online. already if a cane is not needed during the day; it would be wise to have a cane near the bed, already a quad cane for late night awakenings or an early morning rising. In the morning, there are other issues as tightened up leg muscles that need stretching before safely moving.

Shower and Bathroom Safety

Morning stretching is important, especially as we who are injured age but more importantly, shower safety needs to be addressed. There is much assistive devices obtainable and occupational therapists can communicate effectively the needs here, however I can give you my thoughts. These are that it can be quite scary at times, especially if you have had an accident, falling in the shower, tub or bathroom before. You will need to be able to have something within reach on your good side to grab onto, basically at all times. Please observe that if you can’t use the screwed in sustain rails and use the bars with suction cups, you really need at the minimum two bars together. Redundant sustain as these are known t slip and when you have water or soap in your eyes and reach out with the bar slipping, it can be devastating. I would recommend having a bar on the entry or exit and on the opposite side. This way if a person with hemiparesis turns around there is always a bar on the good side.

But it does not stop there. Bathroom floors are usually smooth surfaces and with one foot having no or minimal grab, then any water on a smooth tile or marble surface is like ice and can easily cause a fall when drying. Rubber backed rugs are most often used but can bunch up under feet. A work around solution for these throw rugs is rubber strips with adhesive on both sides. The local hardware store will have some rug grippers or search the web


This is an area again where an occupational therapist assures you are prepared with any assistive devices for reaching around the ineffective side or fastening in back and collar. However, I can press that so much more time needs to be obtainable, just in case. already though, there are assistive devices and there is abundant training in doing this usually obtainable before already leaving the hospital.

Food Preparation, Cooking Kitchen Safety

One’s ability to prepare meals will vary. I understand it’s good to be independent but in the kitchen it just may be smarter to minimize preparation with knives or stovetop. already the oven can cause burns and fire easily. Having a cardboard pizza box fall onto a hot broiler iron can start a fire that is not too easy for someone with a disability to put out quickly. Sure there are now small functional fire extinguishers obtainable but some often need two good hands to function correctly and then already finding it quickly can be an issue for trauma, brain injury or stroke victims.

Fortunately, there has been an improvement In microwave dinners. This certainly would not be your first option in the past. However, I have been at this for almost thirty years now and I really have seen a great variety come on the market and costs go down. Good, healthy dinners can be cooked in one minute. I nevertheless bake chicken and pizze plus a few others but safety really needs to bethe forst priority. Losing balance and reaching out to find as hot frying pan to lean on can happen and I have personal experience, it’s not a quick heal having a burn in the palm of your good hand. Agsin here as in the bathroom, a rug with rubber backing and rug grabbers should be required.

Mind Body Health Needs

Concentration and Focus are the meaningful in most everything that the person with hemiparesis might have to conquer. That is why current brain training is so important.

Human interaction, relationships contribute greatly to complicate usage of our brain and already helping to stay young. Well living alone minimizes this assistance ad over time can have an negative effect. Sure, some will say the upward possible may be limited but start with the objective of not losing ability. Without regular exercise, mind or body can atrophy to borrow a term used to describe not using muscles.

There are free and paid supplies on the web. There are now brain improvement magazines at the local supermarket and brain games are popular and effective, most already for one hand use.

Geographic Area Specific Issues

Depending on your locality, strength outages can occur during natural events mostly as snow or ice storms, hurricanes, tornadoes. When living on the eastern coast, I lost strength already when their was a high windstorm. Natural events as this can have an impact on people living with hemiparesis just as they do for others with a disability, elderly or families in general. However preparedness is the meaningful here and living alone increases importance of having battery lighting, food, water, cell phone, radio, all obtainable and easily attainable in possibly in the dark.

The strength loss may be worse in cold weather for this condition as detrimental effects can disable some people with this extreme muscle weakness and possibly nerve damage. This varies of course depending on person or injury but in general arms and legs can start shaking uncontrollably and a serious limitation to mobility. Poor effects are also characterize in sudden changes of weather. Each person may experience this differently but a check with your physician is best.

To assist in times as these, warm clothing, already a safe generator where it can be installed in a home as a backup are suggestions with heat packs obtainable at sporting good stores or camping supply shop.


Some of the techniques and tips outlined here may seem obvious to some or simple but they are not always thought of ahead of time before they are used. This is apparent in sustain forums online, knowing individuals and my own thirty years of living with hemiparesis. There are of course more but in general, consideration that movements can be slow at times as can thinking. An important point is if there is a loss of balance or tripping, it will most likely be on the ineffective side which of course doesn’t react fast nor have enough hand strength usually to hang on to something firmly. This is why safety is the first priority when living alone with this injury.

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