Better carry multiple rounds/clips too.
As arthritis set into my hands I couldn’t rack or clean it any more, had to trade in my automatic for a Revolver. In home defense is a 12 gauge pump with a pistol grip. Not bird shot either.
I had the same problem, until a friend recommended this: the Handi-Racker - http://www.handi-racker.com/
It has allowed me to continue using and enjoying my semi-autos.