When a family thinks about the night trip, it usually thinks about the hallway and the bathroom. The clothes she wears on the trip get less attention, yet they are on her body for every step. Slippers, robes, and long nightclothes can show a risk early, while nothing has happened yet.

Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.

Look at the slippers first

Find the pair she wears at night and check the heel back. A heel back that is folded down, flattened, or missing means she is walking in a shoe that does not hold her foot. Turn the slipper over and check the sole. A smooth or worn sole on a hard floor gives less grip than a textured one. Check whether the slipper stays on when she takes a full step, or whether it slides off the back or front.

Look for two different pairs. If she has one pair for the day and another for night, or keeps a pair by the bed that she does not wear on the trip, note which one she actually walks in.

Check the robe and the hem

Look at the robe's belt. A belt that trails on the floor or hangs loose can catch on a door handle or a chair leg. Notice whether she wears the robe open or closed on the trip. Measure the nightgown or pajama bottoms against her feet while she stands. A hem that reaches the floor or past her heel changes where her foot lands on each step.

Notice what she leaves on the floor

Walk the trip once after she has gone to bed and look for anything she has kicked off, dropped, or left in the path. Slippers that land at the bed edge, a robe over a chair near the door, or a sock on the bathroom floor are all early signs of how she moves in the dark. Write down where each item lands.

What to do with it

Swap to a supportive slipper in daylight, not at 3am. Then walk the trip again with the new pair on, on two nights, and write what you notice about the heel, the sole, and whether she still stops or grabs. If she still trips even with the right footwear and the clothes fitted, bring the list to her physician and ask about her balance. Do not treat the clothing change as a substitute for that question.

Keep the list short. One line per item, with the item, the problem you saw, and the change you made.