Cognitive Compensatory Strategies for ALS

Cognitive compensatory strategies help individuals with ALS and their care partners manage daily tasks more effectively. These tools promote independence and improve safety while adapting to cognitive and physical changes.

Memory Aids

• Voice-activated assistants (ex: Alexa, Google Home) for reminders and scheduling
• Digital calendars and alarm apps to track appointments and medication schedules
• Sticky notes or whiteboards kept in visible areas for important reminders

Task Simplification

• Break tasks into smaller, manageable steps (ex: use step-by-step cooking recipes)
• Use checklists to provide step-by-step guidance for completing activities
• Establish consistent routines to reduce decision-making demands

Support and Education

• Care partner training on cognitive changes in ALS to recognize and adapt to new challenges
• Joining ALS support groups can provide shared strategies and emotional support

Communication Strategies

• Use speech-generating devices or communication boards if verbal communication becomes difficult
• Encourage yes/no questions to simplify interactions
• Provide extra time for responses and allow written or visual communication as needed

Environmental Modifications

• Label drawers, medications, and commonly used household items for easy identification
• Reduce distractions by creating a quiet, clutter-free environment
• Ensure accessible home layouts to accommodate mobility changes while supporting cognitive function

Supporting functional cognition in ALS involves a combination of memory aids, task simplification, environmental modifications, and communication strategies. Care partners play a critical role in implementing these techniques. Small adjustments can lead to significant improvements in daily life, fostering greater confidence and connection. You are not alone in this journey—there are many resources and support systems available to help.