Living with ALS
Daily needs differ from person to person. Care should be individualized and adjusted over time.
Nutrition
Maintaining weight is important. Smaller, more frequent meals and dietitian support may help when eating becomes tiring.
Swallowing
Choking, coughing during meals or weight loss should prompt assessment by a speech-language therapist or physician.
Speech and communication
Speech may become slower or less clear. Early planning for communication tools can preserve independence.
Breathing
Morning headaches, poor sleep, shortness of breath or weak cough should be discussed with a medical team. NIV may help selected patients.
Physical therapy
The goal is safe movement, stretching, prevention of contractures and fatigue-aware activity.
Occupational therapy
Helps adapt daily tasks, home environment and assistive devices.
Assistive devices
Canes, walkers, wheelchairs, braces, bathroom equipment and communication devices can improve safety and independence.
Psychological support
Support for the person and family is an important part of care, not a sign of weakness.
Practical advice
- Plan ahead before equipment is urgently needed.
- Track symptoms and questions before appointments.
- Discuss nutrition, breathing and communication early.
- Include caregivers and family in planning when appropriate.