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Fall Prevention

3/3/2023

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Author - Lisa Johnson, RN, BSN, CCP

Falls among older individuals are much more common than we know. One in four individuals falls each year, many resulting in severe bone fractures and head injuries. In fact, falls are the most common cause of traumatic brain injuries around the world and the primary reason for injury-related hospital admissions in those over sixty-five. (Harvey& Close, 2012)

Edelman & Ficorelli (2012) noted the following causes of falls related to the physical body:
1) Advanced years, 2) A recent fall, 3) Impaired gait, balance, flexibility, or vision,
4) Impaired cognitive ability, 5) Urinary and bowel incontinence, and 6) Medications that cause drowsiness or dizziness.
 

The good news is that falls can be prevented! Making some minor adjustments in your home can be life-saving. And don’t forget to speak to your healthcare provider about additional changes that can be made to improve your physical well-being, including a visit with an Occupational Therapist who can come to your home and make suggestions as to how to make your environment safer. Visit the American Occupational Therapy Association at www.aota.org for additional tips.
 
Fall Prevention Techniques:
1)Remove clutter and make sure walkways are open and well-lit
     This would include books, magazines, boxes
 
2) Remove or secure rugs and electrical cords
    Adding a nonskid backing to rugs and taping electrical cords can be very helpful
 
3) Clean up spills immediately
     Water and grease are serious hazards
 
4) Wear rubber-soled tie shoes; avoid wearing loose-fitting or backless slippers
      Shoes with support improve balance
 
5) Add a nightlight to bathrooms and hallways
     Improved vision adds stability and balance for walking 
 
6) Stay well hydrated
    When the body is well-hydrated, muscles are stronger
 
 7) Talk to your medical provider if medications are making you drowsy or dizzy
      Alternative medications with fewer side effects may be available
    
 8) Exercise to stay strong and flexible
     Hip flexibility and core strength improve balance
 
9) Install or secure handrails on staircases and in hallways
     Having something sturdy to grasp if you lose your footing can prevent a serious mishap
 
10) Consider subscribing to a medical alert alarm system
      Knowing that you can reach someone if you are in need of help provides peace of mind

Para obtener información en español, visite este sitio:
https://www.cdc.gov/steadi/spanish/pdf/patient/checkforsafety-final-spanish-508.pdf

A number of additional resources can be found on the CDC Patient and Caregiver brochure page https://www.cdc.gov/steadi/patient.html

 
 
Edelman, M., & Ficorelli, C. T. (2012). Keeping older adults safe at home. Nursing. https://doi.org/10.1097/01.nurse.0000408481.20951.e8
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Harvey, L., & Close, J. C. T. (2012). Traumatic brain injury in older adults: characteristics, causes and consequences. Injury-International Journal of the Care of the Injured, 43(11), 1821–1826. https://doi.org/10.1016/j.injury.2012.07.188
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