(1) Toileting:

1. Special Toilet Chair that are either attached to the lavatory pan or slide over, if are suitable for more severely affected people.
2. Handrails are provided.
3. For cleaning automatic washer, a handheld faucet can be used.
4. Disposable nappies for the young inconvenient child.

(2) Bathing:

1. A bath mat may be sufficient to prevent a child slipping in the bathroom, suction based seats are also available.
2. As the severely handicapped person becomes heavier and larger a shallow bath insert or hoist may be necessary.

(3) Feeding:

1. Ideally, the feeding person should be directly in front in order to maintain the person’s position.
2. The table should be positioned at axilla height and close to the chest, so that the distance from the plate to mouth is reduced.
3. A Non-slip mat ion (table mat) the table can stabilize dishes or special suction based dishes can be used.
4. Special cutlery, such as combined Fork/Knife may be suitable.
5. Using a straw or a cup with a lid will prevent liquids dribbling back out of the mouth.

(4) Sleeping:

1. For some children who are on Antiepileptic or Antispastic Drugs and who may sleep for long period during the day, frequent stimulation is provided to discourage unwanted Sleep.
2. Night Splintage and foam wedges are used to support limbs or whole body in a more satisfactory position.

(5) Dressing:

• Positioning the individual on the floor, bed or specially fatten work surface is safer than using one’s lap a chair or wheel chair.
• Techniques to inhibit spastic postures will facilitate the movements of the limbs into and out of clothing.
• Clothing should be loose, free from unnecessary fastening and limited to a few layers.