Supporting Independence: Helping Adults After a Stroke or TBI

Caring for someone who has had a stroke or traumatic brain injury (TBI) can be challenging.
Supporting their decision-making fosters independence and confidence. By simplifying choices,
involving them in their care, and creating a supportive environment, you help them regain
control over their lives.

Why Independence Matters

Independence involves making decisions and doing tasks on your own, which boosts self-
esteem. After a stroke or TBI, people might feel like they've lost control. Supporting their
independence helps them regain a sense of control and purpose, which is crucial for their
mental and emotional health.

Tips to Promote Independence

Involve in Daily Activities:
Encourage participation in daily tasks like making a meal, picking out clothes, or doing
light chores. This builds confidence and a sense of accomplishment.
Create a Safe Home Environment:
Make changes to the living space for safety. Install grab bars in the bathroom, remove
tripping hazards, and make sure frequently used items are easily accessible.
Encourage Self-Care:
Motivate them to perform self-care tasks like grooming, dressing, and feeding
themselves. Provide tools like long-handled brushes or utensils with larger handles to
make these tasks easier.

Support Decision-Making

Simplify Choices:
Provide structured choices versus open-ended questions to reduce stress and becoming
overwhelmed. For example, "Would you like a sandwich or soup for lunch?"
Involve in Care Plans:
Use simple language to explain medical options. Give them time to consider their
options, making them feel comfortable and confident in their decisions.
Empower Everyday Decisions:
Encourage decisions about daily routines, starting with small choices like what to wear
or eat, and moving to more significant ones.
Build Confidence Gradually:
Celebrate successful decisions to build confidence. Start with small decisions and
gradually involve them in more significant ones, reminding them of their successes
along the way.

Final Thoughts
Supporting a loved one after a stroke or TBI is about balancing support with promoting
independence. Each small step towards independence is a significant achievement. Celebrate these moments and continue supporting them on their recovery journey. Your dedication and love make a tremendous difference in their lives, helping them regain a sense of purpose and control.

Guest Blogger: Rachel Delman, OTD, OTR/L

References:
https://www.stroke.org/-/media/Stroke-Files/Lets-Talk-About-Stroke/Life-After-
Stroke/LTASInteractingwithStrokeSurvivors2021.pdf

https://www.flintrehab.com/what-every-stroke-survivor-wished-you-knew/

https://www.stroke.org/en/help-and-support/for-family-caregivers/15-things-caregivers-
should-know-after-a-loved-one-has-had-a-stroke

https://www.biausa.org/public-affairs/media/effective-advocate-brain-injury