Home Treatment

Helping with daily routines

• Using the toilet. Some people who have CP have poor bladder control or problems that make using a toilet difficult. Special undergarments and training by an occupational therapist may help.
• Bowel elimination. People who have CP often become constipated, making stools difficult to pass. For information about preventing and treating constipation, see the topic Constipation, Age 11 and Younger or Constipation, Age 12 and Older.
• Dressing. Provide clothing and shoes that are easy to put on and take off, such as those that zip or button in the front or that have large buttons, ties, or Velcro fasteners.
• Speaking. Problems with jaw and mouth muscles, and also hearing loss, can make it difficult to form words. Speaking slowly and reading with your child often are examples of ways to help your child communicate.
• Keeping active. Your child needs to move his or her limbs to help keep muscles strong and joints flexible. Have him or her move and play as much as possible. Involve other family members too. Ask the doctor, physical therapist, or other parents for ideas.
• Safety. People who have CP are prone to falls and other accidents, especially if they have seizures. You can take safety measures at home-such as having sturdy furniture-to help your child avoid accidents. Use common sense and care around sharp objects. And never leave a person who has CP alone while he or she is bathing.

Feeding and grooming

• Feeding and eating. Children with CP may have problems being able to chew, suck, and swallow. Using special utensils and serving soft foods may help. A registered dietitian can suggest ways to help your child eat healthy foods and make food easier to chew and swallow. A person with severe CP may need a feeding tube in order to eat.
• Bathing and grooming. People who have CP who do not have control of their hands or arms usually cannot groom themselves. Some children can be taught some self-grooming with practice.