Falls in the home

The odds of falling each year after the age 65 in the U.S. are about one in three. Fortunately, most of these falls aren’t serious. Still, falls are the leading cause of injury and injury related death among older adults. As we age, our sight, hearing, muscle strength, coordination and reflexes change, weakening our balance. Also, some health coordination’s, such as diabetes and circulation problems affect balance. Even some medications have been known to make people dizzy.

By 2040 an estimated 500,000 hip fractures per year
(cooper 1992, braensky 1997)

Following hip fracture 17%-32% mortality
(kannis ctal 2003)

87% of all fractures among older adults are due to falls

Approximately 1/3 of older Californians fall each year, with many of the 1.3 million suffering serious injury, particularly hip fractures and head injuries.

More than 40% of those hospitalized for hip fractures never return home or live independently again and 25% will die within one year.

On average, everyday in California, two older adults die from fall related injuries. You’re more likely to fall as you get older because of common age related physical changes and medical conditions. There are medications you can take to treat such conditions.



The majority of falls can be prevented thru proper methods. Such as:

Appropriate risk assessment and follow up by real healthcare practitioners
Exercise strength training and flexibility aimed at reducing falls
Environmental modifications such as removing clutter and installing grab bars



Cause of falls


Internal risk factors

Medical conditions

Decreased vision

Medications

Decreased strength

Foot problems

Decreased balance

External risk factors

Uneven/ slippery surfaces

poor lighting

Activity level

Timing demands (i.e. crossing streets)

Home safety environment



Reducing your risk

Take care of medical problems as needed

Have your vision checked and wear eyeglasses as needed

Check with your doctor regarding possible medication interaction which may affect your balance

Take medication only as prescribed

Exercise daily

Do simple balance exercises balance is just like muscle strength - if you don’t use it you loose it

Try advanced balance exercise Taichi, Yoga, Pilates, balance classes or ball classes
Strength training consider using weights and resistance bands. Strength training helps balance, improves muscle tone, bone strength and fights osteoporosis

Take care of your feet and wear supportive, rubber soled shoes
Install proper lighting thought out your home

use nightlights

Stay on pathways

Let the phone ring- use a portable phone, *69 or answering maching

Use a cane, walker or other device if instructed to do so

Take the home safety check listed below and make repairs or changes as necessary for safety- full proof your living environment

When visiting friends or in any strange environment be alert to possible hazards

Never climb onto a chair to change a light bulb or reach high objects on shelves use a sturdy stool or step ladder or have someone else do it



Preventing Falls At Home

If you want to stay in your own home for as long as possible….

You certainly do not want to fall and risk an injury. Most serious falls occur in and around your home and can be life changing. To help maintain your independence, its important to understand the ways you can protect yourself from falls. Some simple precautions can ensure safety and reduce your risk of falling at home.

Have you done a safety check in your home recently? The attached brochure will help you understand what to do to prevent falls around your home, empowering you to live independently as long as possible.