ALPIMS β’ Surroundings
Create a healthier home
One manageable change can make your home easier to live in.
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.
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 whatβs 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.
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.
L Laxity & Connective Tissue
Hypermobility spectrum disorders or EhlersβDanlos 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.
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.
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.
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.
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.
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. NIHβs 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
ALPIMS β’ Surroundings
Create a healthier home
One manageable change can make your home easier to live in.
NIH β’ Your Healthiest Self
Create a healthier home
Take a look around your home. Do you know whatβs 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.
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.
L Laxity & Connective Tissue
Hypermobility spectrum disorders or EhlersβDanlos 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.
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.
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.
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.
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.
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. NIHβs 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