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Guiding with Care: Essential Tips for Serving as a Human Guide for Loved Ones with Low Vision

Feb 01, 2024

Navigating the challenges of caring for someone with a low-vision diagnosis can be a concern, especially when it comes to ensuring their safety and ability to move without the risk of falls or injuries. Many individuals with low vision often depend on the assistance of a "human guide," and you may already play a crucial role in that capacity for your loved one. If your relative also uses a cane, it not only provides additional environmental information but also serves as a visual cue to others, enhancing consideration and reducing the risk of accidental bumps.

In supporting your loved one as a human guide, consider the following tips with a thoughtful and caring approach:

  • Walk one half step ahead of your relative, allowing them to grasp the back of your arm just above the elbow with the hand not holding the cane. This positioning gives them a bit more lead time to react to obstacles or changes.

  • Let your loved one set the pace, whether they need to slow down or speed up. Maintain awareness of obstacles to the side of their walking path, positioning yourself "extra wide" to steer them clear. Periodically check in by looking back to confirm their comfort with the journey.


  • Communicate upcoming changes, such as "stairs up" or "curb down." When approaching an edge, do so straight on (perpendicularly) rather than at an angle, making it easier for your relative to judge the distance before any change. When encountering stairs, guide them to feel the edge with their toes before proceeding. If a handrail is available, position your relative so it's on the side of their free arm, and consider stopping to lift their free hand to the rail before continuing.


  • In narrow passageways, signal your loved one to get in single file by placing your forearm behind your back. Shift their grip down to your wrist, and once through, return your forearm to a forward-facing position, allowing them to resume their half-step-behind position.


  • Never leave your relative in the middle of an open area—indoors or outdoors—without landmarks to orient themselves.

Seeking assistance from orientation and mobility specialists can empower your loved one with the strategies needed to navigate environments independently. Consult your doctor for a referral and verify coverage under Medicare for these services.

If you find yourself grappling with the challenges of caring for a loved one with low vision in the Upstate area, the experts at Connections to Care understand the delicate balance between independence and concern. Reach out to us at (864) 549-0023, and let us help you find the right support for your unique situation.

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