Fall Prevention is Everybody’s Business

Senate Minority Leader Mitch McConnell made news in July when he abruptly stopped speaking in the middle of a press conference and was ushered away from the podium by aides. It was later revealed that the veteran politician had suffered a few falls in the past year. In June, President Biden fell on a stage at the Air Force Academy graduation. These incidents put a very public face on the problem of falls among seniors. McConnell and Biden are not alone: One in four older adults experience a fall each year. Sadly, these falls can lead to injuries and hospitalization.

September is National Fall Prevention Awareness month, a good time to revisit why older adults are at increased risk of falling and what we can do to prevent it from happening in the first place.

Falling is not an inevitable part of getting older, but older adults are at increased risk because of biology, behavior, and environment. Biological reasons include muscle weakness, balance issues, chronic conditions, vision changes or medication side effects. The behavioral reasons for falls include substance abuse, inactivity, and risky activities. Finally, environmental factors are things such as low lighting, clutter and other tripping hazards, unsafe public spaces, or homes that have not been updated to better assist mobility.

Right at Home franchise owner Sandi Heintz specifically trains her caregivers to look out for fall hazards in clients’ homes and ensure there are well-lit clear paths throughout.

Only one in five falls results in serious injury, and fewer than one in 100 result in death. But any fall can start a spiral of increasingly poor health outcomes for older adults. Falling can have a big impact on an older adult, even if they aren't badly injured. Experiencing a fall can have an emotional impact as well. The fear of falling again can cause depression and anxiety in older adults and contribute to less physical and social activity. That can lead to isolation and increased frailty.

It’s a dangerous cycle that Sandi sees often, because an older adult’s fall is frequently the reason families decide to get some in-home care help. That can include more than just help around the house. “When there is a fall risk the person becomes very fearful of falling, so they stop being active, and then they actually raise the risk of falling again” Sandi explains. “We can bring in occupational or physical therapy to get them moving again.” That helps build their muscles and confidence, which Sandi says helps them believe in their ability.

We can see why it's so important take steps to prevent falls before they happen. What things can we do to make sure our loved ones take steps to prevent falls?

Help Ensure The Home Is As Safe As Possible

Creating a safe home environment for an older adult is crucial in preventing falls and ensuring their well-being. Start by removing any clutter and tripping hazards from pathways, such as loose rugs or cords. Install handrails in hallways and staircases, and place non-slip mats in the bathroom and kitchen areas. Adequate lighting is essential, so ensure all rooms are well lit and use nightlights in bedrooms and bathrooms. Organize commonly used items within easy reach to avoid reaching or bending excessively. Regularly check and maintain the condition of stairs, flooring, and outdoor walkways. Some communities have funds available to help older adults afford necessary home modifications. The Harris County Area Agency on Aging can help point families to resources.

Help Seniors Get Moving And Keep Moving

Engaging in regular physical activity can significantly help older people prevent falls and maintain their independence. Activities that focus on improving balance, such as standing on one leg or walking heel-to-toe, can enhance stability and reduce the risk of falls. Strength training exercises, like leg lifts and squats, build lower body strength and support better balance. Moderate aerobic exercises like brisk walking or swimming can improve cardiovascular health and overall mobility. Gentle exercises such as tai chi or water exercises offer the added benefits of enhancing balance and flexibility. Sandi recommends her clients look into their local YMCA or community center for a low-cost way to get more exercise.

Get A Fall Assessment

A fall assessment is a comprehensive evaluation conducted by healthcare professionals to identify a person's risk of falling. During the assessment, the healthcare provider will ask about medical history, medications, and any prior falls. They will assess the individual's balance, gait, muscle strength, and flexibility through various physical tests.

With proper preparation, older adults can feel safe and confident in their ability to move around independently in their homes and communities without injury.

Download our FREE Fall Prevention Guide for more helpful information.