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Healthier Home

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ALPIMS β€’ Surroundings

Create a healthier home

One manageable change can make your home easier to live in.

Calm river with reflections of trees

How a healthier home can help

A home with less dampness, relevant allergens and irritating products can reduce some exposures that affect health. Comfortable surroundings, manageable tasks and practical support can also make rest and daily life easier.

Aim for a home that supports your needs, rather than a perfect home. Changes may help comfort and wellbeing, but they do not replace care for underlying conditions.

Low-irritant cleaning products Fragrance-aware choices Β· Coming soon

Choose products you tolerate. Fragrance-free does not guarantee that a product is suitable for everyone.

NIH β€’ Your Healthiest Self

Create a healthier home

Take a look around your home. Do you know what’s in your household goods and products? Some chemicals can harm your health if too much gets into your body. Becoming aware of potentially harmful substances and clearing them out can help keep you and your family healthy.

To reduce toxic substances in your home:

  • Vacuum with a HEPA filter. Wet-mop floors. Wipe surfaces with a damp cloth to dust.
  • Take off your shoes at the door.
  • Prevent mold. Fix leaks, dry areas quickly.
  • Improve indoor air. Open windows when possible. Use exhaust fans in kitchen/bath.
  • Choose fragrance-free products. Try to avoid stain-resistant or nonstick products.

Original NIH wording supplied for this page. Line breaks and checklist symbols have been reformatted. See the ALPIMS notes below for individual adaptations.

NIH Environmental Wellness Toolkit β†—

ALPIMS: make these tips fit you

Open one coloured domain. Choose one useful adaptation.

ALPIMS adaptations by domain

These are optional practical adaptations, not treatments for every condition. A condition may affect several domains; use only the notes that fit you.

A Anxiety & Autonomic

POTS, dysautonomia or anxiety may make standing, heat or uncertainty harder.

Make cleaning less upright

Sit for suitable tasks. Keep supplies within reach and ask someone else to carry buckets, bend repeatedly or clean hot rooms.

Make changes predictable

Agree when cleaning will happen, which products will be used and where you can rest. Open windows only when outside air and temperature are suitable.

Care note

Follow your individual POTS or dysautonomia plan. Do not assume dizziness, fainting or palpitations are anxiety. Fluids and salt need individual advice.

Seated cleaning & heat planning Coming soon A predictable cleaning plan Coming soon
L Laxity & Connective Tissue

Hypermobility spectrum disorders or Ehlers–Danlos syndromes may make gripping, lifting and repetitive movements difficult.

Reduce joint strain

Choose lightweight tools and comfortable grips. Avoid forcing joints into their end range. Split repetitive tasks or ask for help with lifting and scrubbing.

Adapt the shoes-at-the-door tip

Sit to change shoes. Keep supportive indoor footwear nearby if barefoot walking worsens pain or instability. Leave wet floors clear and allow them to dry.

Care note

An occupational therapist or physiotherapist can help choose equipment and positions. Follow any condition-specific restrictions; EDS types do not all have the same needs.

Joint-friendly cleaning tools Coming soon Supportive indoor footwear Coming soon
P Pain & Bodily Sensitivity

Migraine, chronic pain, fibromyalgia or neuropathy may affect which cleaning tasks and surroundings you tolerate.

Reduce a symptom trigger

If relevant to you, reduce glare, vacuum noise or strong smells. Choose familiar fragrance-free products and arrange noisy cleaning while you are elsewhere.

Reduce painful effort

Try a supported position or smaller task. Keep frequently used items at a comfortable height. Avoid forcing activity through worsening symptoms.

Care note

With reduced sensation, avoid very hot cleaning water and check skin for irritation. Gloves need to fit and be tolerable. New or changing symptoms deserve assessment.

Cleaning with migraine or pain Coming soon Skin & reduced-sensation safety Coming soon
I Immune & Inflammatory

Asthma, allergic rhinitis, eczema or diagnosed MCAS may require specific exposure and treatment plans. ME/CFS may also change cleaning capacity.

Reduce relevant exposures

Use damp dusting and HEPA-filter vacuuming as the NIH suggests, with help if needed. Fix leaks and dampness. Choose products that fit your known allergies or sensitivities; fragrance-free does not guarantee suitability.

Make cleaning possible with limited energy

With ME/CFS or post-exertional malaise, include physical, thinking and sensory demands in your energy plan. Delegate or reduce tasks rather than pushing through a crash.

Care note

Avoid mould cleanup yourself if asthma, immune suppression or symptoms make it unsafe. Follow prescribed asthma or allergy treatment.

Suspected anaphylaxis or severe breathing difficulty needs emergency care: follow your action plan and call 000 in Australia.

Allergen & mould management Coming soon Household help with ME/CFS & PEM Coming soon
M Mood & Mental Health

Depression, anxiety or trauma-related difficulties may make decisions, household demands or changes to a personal space harder.

Make the task smaller

Choose one useful action, such as clearing one surface or asking for a leak to be repaired. A healthier home does not require a perfectly tidy home.

Keep choice and consent

Agree before moving belongings, entering a room or changing routines. Offer practical help without criticism. Keep a familiar resting space available during cleaning.

Care note

If worry about contamination leads to repeated checking, excessive cleaning or distress, seek support. With OCD, repeated reassurance and expanding cleaning rules can maintain difficulties; agree an approach with your clinician.

Consent & shared-home agreements Coming soon Small steps when tasks feel overwhelming Coming soon
S Sensory & Neurodevelopmental

Autism, ADHD, misophonia or sensory sensitivity may make noise, smells, textures, planning and transitions difficult.

Plan for sensory needs

Choose tolerable products, gloves and tools. Give notice before vacuuming or using exhaust fans. Offer a quieter place with suitable air quality while cleaning happens.

Reduce planning demands

Use one clear instruction or a short visual checklist. Store essential supplies together safely. Keep familiar items in predictable places; agree before reorganising.

Care note

Strong-smell reactions can involve sensory distress, migraine, non-allergic rhinitis or other mechanisms, rather than allergy alone. Vasomotor rhinitis and vocal cord dysfunction need appropriate assessment and individual care.

A sensory-friendly cleaning plan Coming soon Simple visual cleaning checklists Coming soon
One small next step

What is adding the most load?
Choose one issue.

What could help?
A smaller task, a change in the surroundings or practical help?

What fits today?
Choose one manageable step. You can stop here.

Shared home and product notes

Agree on products and cleaning times with the people who share your home. A support worker can help with the tasks you cannot manage.

Never mix cleaning chemicals. Prioritise leaks, dampness and known hazards rather than replacing every item. NIH’s broad nonstick advice does not mean every nonstick product causes harm.

The domain headings are an ALPIMS organising framework, not evidence that all the listed conditions have a single cause or need the same treatment.

Sources: NHS: joint hypermobility β†— Β· NSW Health: mould β†—

General information, not individual medical advice. Adaptations do not replace assessment, prescribed treatment or an emergency action plan. NIH has not reviewed or endorsed these ALPIMS additions.

← Back to ALPIMS Home

ALPIMS β€’ Surroundings

Create a healthier home

One manageable change can make your home easier to live in.

Calm river with reflections of trees

NIH β€’ Your Healthiest Self

Create a healthier home

Take a look around your home. Do you know what’s in your household goods and products? Some chemicals can harm your health if too much gets into your body. Becoming aware of potentially harmful substances and clearing them out can help keep you and your family healthy.

To reduce toxic substances in your home:

  • Vacuum with a HEPA filter. Wet-mop floors. Wipe surfaces with a damp cloth to dust.
  • Take off your shoes at the door.
  • Prevent mold. Fix leaks, dry areas quickly.
  • Improve indoor air. Open windows when possible. Use exhaust fans in kitchen/bath.
  • Choose fragrance-free products. Try to avoid stain-resistant or nonstick products.

Original NIH wording supplied for this page. Line breaks and checklist symbols have been reformatted. See the ALPIMS notes below for individual adaptations.

NIH Environmental Wellness Toolkit β†—

ALPIMS: make these tips fit you

Open one coloured domain. Choose one useful adaptation.

ALPIMS adaptations by domain

These are optional practical adaptations, not treatments for every condition. A condition may affect several domains; use only the notes that fit you.

A Anxiety & Autonomic

POTS, dysautonomia or anxiety may make standing, heat or uncertainty harder.

Make cleaning less upright

Sit for suitable tasks. Keep supplies within reach and ask someone else to carry buckets, bend repeatedly or clean hot rooms.

Make changes predictable

Agree when cleaning will happen, which products will be used and where you can rest. Open windows only when outside air and temperature are suitable.

Care note

Follow your individual POTS or dysautonomia plan. Do not assume dizziness, fainting or palpitations are anxiety. Fluids and salt need individual advice.

Seated cleaning & heat planning Coming soon A predictable cleaning plan Coming soon
L Laxity & Connective Tissue

Hypermobility spectrum disorders or Ehlers–Danlos syndromes may make gripping, lifting and repetitive movements difficult.

Reduce joint strain

Choose lightweight tools and comfortable grips. Avoid forcing joints into their end range. Split repetitive tasks or ask for help with lifting and scrubbing.

Adapt the shoes-at-the-door tip

Sit to change shoes. Keep supportive indoor footwear nearby if barefoot walking worsens pain or instability. Leave wet floors clear and allow them to dry.

Care note

An occupational therapist or physiotherapist can help choose equipment and positions. Follow any condition-specific restrictions; EDS types do not all have the same needs.

Joint-friendly cleaning tools Coming soon Supportive indoor footwear Coming soon
P Pain & Bodily Sensitivity

Migraine, chronic pain, fibromyalgia or neuropathy may affect which cleaning tasks and surroundings you tolerate.

Reduce a symptom trigger

If relevant to you, reduce glare, vacuum noise or strong smells. Choose familiar fragrance-free products and arrange noisy cleaning while you are elsewhere.

Reduce painful effort

Try a supported position or smaller task. Keep frequently used items at a comfortable height. Avoid forcing activity through worsening symptoms.

Care note

With reduced sensation, avoid very hot cleaning water and check skin for irritation. Gloves need to fit and be tolerable. New or changing symptoms deserve assessment.

Cleaning with migraine or pain Coming soon Skin & reduced-sensation safety Coming soon
I Immune & Inflammatory

Asthma, allergic rhinitis, eczema or diagnosed MCAS may require specific exposure and treatment plans. ME/CFS may also change cleaning capacity.

Reduce relevant exposures

Use damp dusting and HEPA-filter vacuuming as the NIH suggests, with help if needed. Fix leaks and dampness. Choose products that fit your known allergies or sensitivities; fragrance-free does not guarantee suitability.

Make cleaning possible with limited energy

With ME/CFS or post-exertional malaise, include physical, thinking and sensory demands in your energy plan. Delegate or reduce tasks rather than pushing through a crash.

Care note

Avoid mould cleanup yourself if asthma, immune suppression or symptoms make it unsafe. Follow prescribed asthma or allergy treatment.

Suspected anaphylaxis or severe breathing difficulty needs emergency care: follow your action plan and call 000 in Australia.

Allergen & mould management Coming soon Household help with ME/CFS & PEM Coming soon
M Mood & Mental Health

Depression, anxiety or trauma-related difficulties may make decisions, household demands or changes to a personal space harder.

Make the task smaller

Choose one useful action, such as clearing one surface or asking for a leak to be repaired. A healthier home does not require a perfectly tidy home.

Keep choice and consent

Agree before moving belongings, entering a room or changing routines. Offer practical help without criticism. Keep a familiar resting space available during cleaning.

Care note

If worry about contamination leads to repeated checking, excessive cleaning or distress, seek support. With OCD, repeated reassurance and expanding cleaning rules can maintain difficulties; agree an approach with your clinician.

Consent & shared-home agreements Coming soon Small steps when tasks feel overwhelming Coming soon
S Sensory & Neurodevelopmental

Autism, ADHD, misophonia or sensory sensitivity may make noise, smells, textures, planning and transitions difficult.

Plan for sensory needs

Choose tolerable products, gloves and tools. Give notice before vacuuming or using exhaust fans. Offer a quieter place with suitable air quality while cleaning happens.

Reduce planning demands

Use one clear instruction or a short visual checklist. Store essential supplies together safely. Keep familiar items in predictable places; agree before reorganising.

Care note

Strong-smell reactions can involve sensory distress, migraine, non-allergic rhinitis or other mechanisms, rather than allergy alone. Vasomotor rhinitis and vocal cord dysfunction need appropriate assessment and individual care.

A sensory-friendly cleaning plan Coming soon Simple visual cleaning checklists Coming soon
One small next step

What is adding the most load?
Choose one issue.

What could help?
A smaller task, a change in the surroundings or practical help?

What fits today?
Choose one manageable step. You can stop here.

Shared home and product notes

Agree on products and cleaning times with the people who share your home. A support worker can help with the tasks you cannot manage.

Never mix cleaning chemicals. Prioritise leaks, dampness and known hazards rather than replacing every item. NIH’s broad nonstick advice does not mean every nonstick product causes harm.

The domain headings are an ALPIMS organising framework, not evidence that all the listed conditions have a single cause or need the same treatment.

Sources: NHS: joint hypermobility β†— Β· NSW Health: mould β†—

General information, not individual medical advice. Adaptations do not replace assessment, prescribed treatment or an emergency action plan. NIH has not reviewed or endorsed these ALPIMS additions.

Back to Surroundings Coming soon ← ALPIMS Home ↑ Back to top