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Preventing Falls and Fractures (Part 1)
Each year thousands of older people are disabled, sometimes permanently, by falls that result in broken bones. In fact, each year 1/3 of people over age 65 fall at least once, and half of those falls lead to injuries. This number increases to 50% by age 80! A simple fall can result in major changes in someone's life. 80% of injuries in the aged are the result of falls. There are some things you can do to decrease your risk for falling.

Here are some ideas to help prevent falls and fractures.

  • Have your vision and hearing tested often and wear appropriate corrective devices.
  • Find out about the side effects of the prescription drugs you are taking. Do they effect your balance and coordination? Ask your doctor to suggest ways to decrease your risk for falling. A serious problem with diuretics may be fluid depletion, which can lead to dizziness, lightheadedness and fainting.
  • Limit the amount of alcohol you drink.
  • Get up slowly from lying down and sitting. Low blood pressure may cause dizziness with spacial body changes.
  • Be aware dizziness can be caused by extreme temperatures of being too hot or too cold.
  • If you feel unsteady when walking use a cane or walker to help keep your balance especially over uneven surfaces.. Don't hold onto furniture or walls and be careful on wet and icy surfaces.
  • Wear low-heeled shoes with rubber soles. Wearing only socks or slippers can cause you to slip on stairs or waxed floors and they don't support your foot fully.
  • Exercise regularly to keep your muscles toned and your joints, ligaments and tendons flexible.
  • Keep one hand on the handrail when going up or down stairs at all times.
  • Avoid taking chances and putting yourself in high risk positions. Don't stand on chairs to reach something. Don't walk across freshly washed floors. Use a reach stick to grab items off the floor instead of bending down at the waist.

Make your home safe by using this checklist.
Stairways, hallways, and pathways should have:

  • adequate lighting and be free of clutter
  • firmly attached carpet and rough texture or abrasive strips to secure footing
  • securely fastened handrails running the whole length and along both sides of stairs
  • light switches at the top and bottom of stairs

Bathroom should have:

  • nightlights
  • nonskid mats or abrasive strips in the bathtub or shower
  • carpet or nonskid rugs on floor
  • grab bars placed both in and out or bathtubs, showers and near toilets

Bedrooms should have:

  • nightlights or light switches within reach of bed(s)
  • area rugs only if firmly attached to the floor
  • telephone that is easy to reach from the bed
  • all electrical and telephone cords placed out of the walkway or securely fastened to the floor

Living areas should have:

  • all electrical and telephone cords placed out of the walkway or securely fastened to the floor
  • area rugs only if firmly secured to the floor
  • furniture (especially low coffee tables) and other objects out of the main walking areas
  • couches and chairs at proper height to get into and out of easily

If you are alone frequently and have problems with balance and/or dizziness you might want to look into a medical monitoring system. This service works through your telephone line and include an emergenecy button you wear at all times. Should you fall or need help in any way, a push of the button is all that is needed to activate the EMS (emergency medical system). There is a monthly fee for such a monitoring service but is a small price to pay compared to the alternative. Ask your doctor or local social worker where to get such a device.

by Carol Glasscock, MS,PT

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