Holding and handling cutlery effectively is essential to independence and, if standard cutlery can no longer be used with ease, you can look at ways of adapting the grip to make management easier. Simply increasing the girth of a hand grip, for example, can make it easier for someone with a painful grip to handle cutlery, or adding a hand strap that incorporates a pouch for the cutlery handle will assist someone with a weak grip. Generally, short handled cutlery is easier to manage, but longer handles will give a greater reach. Serrated blades are more effective at cutting.