Parkinson's Disease

Managing Parkinson's at Home

Practical help for the family members doing the caring.

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Most of life with Parkinson's happens at home, not at the doctor's office. That puts a lot on the family. Medicines have to happen on time. The house has to be safe. And the person doing most of the caring needs support too.

About 1.1 million people in the U.S. live with Parkinson's, according to the Parkinson's Foundation. This page is for the families helping them at home.

Diagnosed before 50? See our young onset groups and guides.

What help at home looks like

Needs change over time. Early on, a person may need only a few small changes. Later, they may need help every day. Home care for Parkinson's often includes:

Help with bathing, dressing, and meals

Keeping medicines on schedule

Making the home safer

Staying active

Getting to appointments and keeping the care team informed

Company, patience, and emotional support

Some families do all of this themselves. Others bring in paid help, like a home care aide or a home health nurse. The right mix changes as needs change.

Medicines on time, every time

Timing matters with Parkinson's medicines. A late or missed dose can bring symptoms back. The Parkinson's Foundation's advice is simple: medicines on time, every time.

Ways to stay on schedule:

  • Tie doses to daily events, like waking up and meals.
  • Use alarms, a phone app, or a pill box marked with times.
  • Post the schedule where every helper can see it.
  • Note when symptoms get better or worse after a dose. Bring the notes to the next visit.
  • Ask the doctor or pharmacist whether meals affect how the medicine works.
Going to the hospital? Medicine times can slip during a hospital stay. Bring a written list with each medicine and the exact times it is due. The Parkinson's Foundation offers a free Hospital Safety Guide to help.

Make the home safer

Falls often become more common as Parkinson's moves along, says the Parkinson's Foundation. Small changes help:

  • Clear walkways of clutter, loose rugs, and cords.
  • Add grab bars in the bathroom and nightlights along the way to it.
  • Keep everyday items within easy reach.
  • Move furniture to make wide, open paths.
  • Ask about a medical alert button or a watch that can detect falls.

Some people "freeze" in place while walking. If you see this, tell the care team, since freezing raises the risk of falling.

An occupational therapist can suggest home changes that fit the person. A physical therapist can teach safer ways to stand, turn, and walk. Ask the doctor for a referral.

Keep moving

The Parkinson's Foundation says exercise improves balance, mobility, strength, and brain health. Many areas offer classes made for people with Parkinson's, such as boxing and dance. Ask the care team what is safe, then find a class you enjoy.

Find classes in the Triangle

Keep a steady routine

A steady routine makes each day easier. Try to keep waking up, meals, medicines, exercise, and rest at about the same times. Plan harder tasks for the times of day when medicines are working best. A routine also makes it easier to hand off care to another helper.

Understand the changes you see

Parkinson's can make a face look blank and a voice sound soft or flat. Family members sometimes read this as sadness or not caring. Often it is the disease, not the person's feelings. Give extra time to answer, and ask rather than guess.

Parkinson's can also change mood, sleep, memory, swallowing, and digestion. Keep a simple log of what you notice and share it at appointments. Call the doctor about new trouble swallowing, new confusion, or seeing things that are not there.

Take care of the caregiver

Caring for someone with Parkinson's is a long road. The work grows over time, and it is easy to run out of steam. Watch for these signs in yourself:

  • Tired all the time, even after sleep
  • Short temper or resentment
  • Dropping friends and things you used to enjoy
  • Skipping your own doctor visits

These are signs you need more support, not signs you are failing. Places to start:

Respite care

A break while someone else covers care for a few hours or days.

About respite care

Support groups

Time with people who get it.

Find a group in the Triangle

A shared plan

A written plan that spreads the work across the family.

How to make a care plan

When it is time for more help

Watch for:

  • More falls, or near-falls
  • Medicines that do not seem to last as long
  • New trouble swallowing
  • Confusion that affects safety
  • A caregiver who is worn out and not bouncing back

Talk with the care team when you see these. Planning the next step before a crisis gives you more choices. Next steps might include a home care aide, home health services, an adult day program, or a move to a place with more support.

How Ellipses helps

We help families living with Parkinson's, from early changes to late-stage care. It starts with a free 15-minute call. Next, your Domain Assessment looks at all nine areas of life, built on the social determinants of health. Then your Care Map spells out what is in place, what is missing, and what to do next, with checklists for this week, this month, and the next 3 months. On our monthly plans, we re-evaluate your Domain Assessment and Care Map every 90 days.

How much we do depends on the plan you choose:

Care Roadmap

Your Domain Assessment and a written Care Map, with resources picked for your situation.

Care Copilot

Monthly check-ins and research to help you carry out your Care Map.

Coordinated Care Management

A coordinator who works with your providers, handles scheduling, and meets with you monthly.

Comprehensive Care Management

Everything above, plus crisis planning.

We do not replace your doctors. We help your family and the care team work from the same plan.

Trusted resources

Parkinson's Foundation

Helpline 1-800-4PD-INFO (1-800-473-4636), plus free guides on hospital safety and home safety.

Visit the Parkinson's Foundation

Michael J. Fox Foundation

A free guide to the early years with Parkinson's, and Fox Trial Finder for research studies.

Visit the Michael J. Fox Foundation

Davis Phinney Foundation

The free Every Victory Counts manual, plus monthly webinars and meetups.

Visit the Davis Phinney Foundation

Parkinson Association of the Carolinas

Support groups, education, and events in North and South Carolina.

Visit the Parkinson Association of the Carolinas

You do not have to do this alone.

Start with a free 15-minute call. We will listen, and help you take the next step.

Book a free 15-minute call

Or call (984) 362-8904

Based in Wake Forest, NC. Care coordination and coaching by phone and video, nationwide. Therapy for North Carolina residents.