Household Chores with Rheumatoid Arthritis: Energy Conservation & Adaptive Techniques

Core Principles

• Pace: Alternate activity/rest (20 min/10 min).
• Prioritize: Must-do vs. can-wait; delegate.
• Protect joints: Use large joints, avoid sustained grip/pinch, respect pain.
• Plan: Weekly chore chart; batch similar tasks.

Room-by-Room Adaptations

Area	Challenges	Solutions
Kitchen	Chopping, opening jars, standing	Food processor, electric can opener, jar popper, sit/stand stool, lightweight cookware
Laundry	Carrying baskets, reaching, folding	Rolling cart, front-load washer/dryer, fold seated, sock aids
Bathroom	Tub entry, reaching, gripping	Grab bars, shower chair, handheld shower, pump dispensers, long-handled sponge
Cleaning	Vacuuming, mopping, dusting	Lightweight stick vac, microfiber mop (no bucket), extendable duster, robot vacuum
General	Reaching high/low, repetitive motion	Reacher/grabber, step stool with handle, rotating storage, voice-activated lights

Assistive Devices Worth Trying

• Ergonomic knives (rocker, angled)
• Spring-loaded scissors
• Button hook, zipper pull
• Key turner, pen grip
• Voice-controlled smart home (lights, thermostat, locks)

Self-Care During Chores

1. Pre-medicate (NSAID/topical) 30 min before heavy tasks.
2. Heat stiff joints before; ice after if swollen.
3. Hydrate, protein snack for sustained energy.
4. Celebrate completion — reinforces self-efficacy.

Occupational therapy home assessment provides personalized prescription.