Getting on & off the toilet
Notice whether the height, the need for stable arm support, or controlling the sit-down is the main challenge. A raised seat helps some people, but isn't right for everyone.
Practical advice from Dr. James Montgomery, DPT, for older adults and families dealing with weakness, balance changes, joint pain, or reduced mobility. Explore toileting, showering, and moving around the bathroom more safely and comfortably.
Choose the task that sounds most familiar. You don't need to change everything at once.
Low seats and standing back up.
Start here →Stepping over an edge and finding secure support.
Start here →Turning, walking, and staying steady in a small space.
Start here →Lighting, clear paths, and a setup that fits your home.
Start here →A lower seat asks more of your legs. Water can make surfaces slippery. Tight spaces can complicate turning or using a walker. Begin with the task, then think about the room and the support you may need.
Notice whether the height, the need for stable arm support, or controlling the sit-down is the main challenge. A raised seat helps some people, but isn't right for everyone.
Pay attention to slippery surfaces and where you can safely hold on. Properly installed grab bars and nonslip surfaces may help; don't rely on a towel rack for support.
Notice whether turning, carrying items, or stepping around obstacles feels unsteady. Keep the route as clear as the space allows and use your usual walking aid when needed.
Good lighting and everyday items within easy reach can make the space more practical. The best changes depend on the person and the room.
If someone needs physical help to stand or has frequent falls, ask a physical or occupational therapist for an individual assessment. See the CDC’s home-safety checklist.
The seat should feel secure during the entire sit-to-stand transfer.
Enough added height to reduce the demand of standing up without creating poor positioning.
Handles can help when a person needs a stable place to push from.
Bathroom equipment has to be practical and easy to maintain.
Equipment should improve independence without creating a complicated routine.
Equipment that blends into the home can be easier to accept and use.
See my separate Lunderg Solva review, video demonstration, who it may help, and what to check before ordering.
Watch My Lunderg Seat ReviewStanding from a standard-height toilet is consistently difficult, lower transfers aggravate pain, or appropriate added height improves mechanics.
The person requires physical assistance, has frequent falls or buckling, cannot control the descent, or you are unsure what equipment is appropriate.
Leg strength, controlled lowering, balance and repeated sit-to-stand practice can address the physical side of toilet transfers too.
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