There once was a time where if you put all the electronic items such as TV remote controls that I may need during the day in very close proximity to me that I would be all right. Now, however that is simply not the way I work. Quite a few years have passed since I lost the ability to do anything really useful with my hands except just about use computer and drive my wheelchair. In that time I have needed more creative solutions to access things in my home like the TV, light switches and the telephone. I have always used an environmental control. This is a device which can record and fire out IR signals such as the ones that come out of the television remote control and activate some light switches.
Suffice to say I think that pretty much covers this simple but invaluable device. If you are struggling and regulating TV controls and using the home phone and all that stuff that people just take the granted. Then I would highly recommend that you try and get hold of and OT and get some sort of environmental control. I guarantee you that it will increase your independence tenfold.