HealthyLife Articles

Tag: falls

  • Be Safe – Prevent Falls Checklist

    Home Safety

    *  Do regular exercise to improve strength and balance.

    *  Ask your care team if conditions you have or medications you take raise your risk for falls. Ask how to lower the risk.

    *  Install handrails on both sides of the stairs.

    *  Keep stair areas well lit. Install a switch at the top and bottom of the stairs.

    *  Make sure that carpet on stairs is nailed down securely.

    *  Keep stairs clear of clutter.

    *  Install grab bars in the shower, tub, and toilet area.

    *  Use a shower bench that has rubber tips on the legs.

    *  Before getting in the tub, test the bath water. Make sure it is not too hot.

    *  Use a bath mat with suction cups or use nonslip adhesive strips in the tub/shower.

    *  Don’t use any loose area rugs.

    *  Keep lamp switches within easy reach.

    *  Arrange furniture so there is a clear path for walking.

    *  Test if furniture is sturdy enough to lean on.

    *  Clear away phone or electrical wires from walk paths.

    *  Use night lights.

    *  Only use step stools with handrails.

    *  Have snow and icy patches cleared from the sidewalk and steps.

    Note: Let your health care team know if you have had a fall.

    Other Home Safety Tips

    *  Keep emergency phone numbers posted.

    *  Stock first aid supplies.

    *  Never smoke in bed or when you feel drowsy. Better yet, don’t smoke at all!

    *  Install smoke alarms. Check them every 6 months. Keep a fire extinguisher in the kitchen and garage.

    *  Install carbon monoxide detectors in your home and garage.

    *  If you use a space heater, make sure it has an emergency shut off.

    *  Plan an escape route in case of fire.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Prevent Falls

    Home Safety

    Do This, Not That

    *  Falls are the leading cause of non-fatal injuries for children ages 0 to 19. Every day, about 8,000 children are treated in U.S. emergency rooms for fall-related injuries.

    *  Almost 86,000 fall injuries each year are linked with dogs and cats. This includes falling or tripping over the animal or its toys and/or being pulled down or pushed by a dog.

    *  One out of 3 people age 65 and older takes a bad fall every year. And in this age group, falls are the leading cause of death by injury.

    Older Adults

    People with Special Needs

    General Guidelines

    Safe at Home - Do This, Not That Book. Published by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • A Matter Of Balance

    WELL-BEING

    Illustration of 3 people figures with one of them falling.

    A fall for a senior is not simply a matter of shaking it off and standing back up. A fall could mean a broken hip or a bruise, and some seniors really “can’t get up.” Falls are a major threat to the health and independence of older adults.

    The best solution is preventing falls in the first place. And a recent study in the British Medical Journal pointed to the success of exercise programs in reducing falls that cause injuries and broken bones.

    Risk factors for falls include muscle weakness, especially in the legs, and poor balance-all linked to lack of exercise or certain medical conditions. Poor vision and confusion can also lead to falls. Even some medications can cause dizziness. To lower your risk for falls, CDC recommends you do four things:

    1. Exercise to improve balance and strength.

    Walking, using a stretch band and lifting weights increase muscle strength. Yoga and tai chi improve balance. Follow your doctor’s advice for exercise.

    2. Have your doctor or pharmacist review all prescribed and over-the-counter medications you take.

    Some, when taken alone or with other medications or alcohol can make you dizzy or sleepy and raise your risk for falls. Also, let your doctor know if you feel lightheaded when you get up from sitting in a chair or out of bed. Before you get out of bed, sit on the edge of it for a minute or two and get up slowly.

    3. Get an eye exam from an eye doctor at least once a year.

    Follow his or her advice for wearing corrective lenses and/or using low-vision aids. Get treatment for cataract, glaucoma, macular degeneration and other eye conditions as needed.

    4. Make your house safer.

    *  Keep the inside of your house well lit. Use night lights.

    *  Have secure handrails on both sides of  all stairs.

    *  Keep stairs and walk paths clear from clutter and tripping hazards.

    *  Install grab bars in the tub/shower and next to the toilet. If needed, use a shower chair that has rubber tips on the legs and a hand-held shower.

    *  If you use throw rugs, use ones with nonskid backs. Or, put nonslip rug pads or carpet tape underneath rugs.

    *  Wear sturdy shoes with thin, nonslip soles. Avoid going barefoot.

    *  Avoid using a step ladder or a chair to stand on. Keep items you use often in easy-to-reach places.

    *  Be mindful of where your pet and his or her toys are to avoid tripping over them.

    © American Institute for Preventive Medicine

  • Preventing Falls In The Winter

    SELF-CARE CORNER

    Image of family walking outside in the snow.

    Most of us can recall a time when we slipped in the winter snow or on an icy sidewalk. You may have gotten away with just a bruise or a sore spot for a few days.

    But, slips and falls can be serious – especially for older adults and those with health problems. In fact, falls are the leading cause of injuries in older adults. Some falls can even be fatal.

    Colder temperatures mean slick surfaces –  and dangerous falls. Follow these suggestions to help avoid falls in the winter, and share them with the older adults in your life.

    Vehicle safety

    Getting in and out of a car is a prime time for slips and falls.

    *  Look at the surface before you step out of your car.

    *  Keep three or four “points of contact” when getting in and out. This means put both feet on the ground, and have one or two hands on a stable part of the car before you try to move.

    Walk safely

    People who have a high fall risk may need to avoid walking outdoors when it’s icy. But for those who can’t avoid walking in the winter weather, follow these tips:

    *  Get rid of old footwear. Shoes and boots that have worn soles are more likely to lose their grip and slip.

    *  Wear boots with deep cleats or use ice cleats on the outside of boots. These are available at most sporting goods stores.

    *  If you use a cane for walking, consider getting an ice grip that attaches to the tip of your cane.

    *  Wear warm gloves or mittens. Don’t keep hands in pockets, as this makes it harder to keep your balance.

    *  Keep hands free by using a backpack or cross-body purse in place of a handbag.

    *  When possible, choose surfaces that have been salted and that are in direct sunlight.

    *  Keep a small bag of kitty litter in your purse or pocket. If a surface looks icy, scatter some of the litter in front of you before walking.

    *  Don’t be afraid to go “off road.” If a sidewalk looks icy, consider walking on the grass next to it. This can work if you can see that the ground doesn’t have hazards like holes or uneven surfaces.

    *  Use ice melting salt or sand on your sidewalks and around entries to your home. Older adults may need a loved one or a neighbor to help apply this every time it snows or gets icy.

    Source: National Council on Aging

    © American Institute for Preventive Medicine

  • The Downside Of Skiing: Falls And Spills

    BE FIT

    Image of man on top of a skiing slope.

    If you find yourself heading downhill on skis, but you’re swooshing down on your backside because of a fall, you’ll be glad you prepared for the inevitable spills.

    According to the American College of Sports Medicine, falls account for up to 85% of skiing injuries. The majority of those injuries are sprains, broken bones, cuts, and dislocations-and now more knee injuries because mid-calf plastic ski boots are protecting ankles.

    Thirty to 40% of ski injuries affect the knee area, most likely the MCL (medial collateral ligament). This trauma often occurs with slow twisting falls or when beginners maintain a snowplow position for lengthy periods and stress the ligament. If skiers catch an edge (when the lower leg is suddenly twisted away from the upper leg) or skis separate, the foot is forced away from the body, which causes a distraction force on the inside of the knee.

    Another common knee injury is rupture of the anterior cruciate ligament (ACL), which can be caused by a backward fall as the lower leg moves forward. Catching an edge causes a sudden external rotation below the knee, which can cause the ACL to become sprained or snap (5 times more common in women skiers).

    Your pre-conditioning program should include 4 elements: endurance, strength training, flexibility, and balance. Aerobic fitness is the key to preventing the end-of-the-day injuries. Cross training, which includes multiple sports and activities, will help with cardiovascular endurance, while strength and flexibility focusing on the legs is vital for injury prevention, says Scott M. Levin, MD, a board-certified orthopaedic surgeon and sports medicine specialist.

    “Besides conditioning, skiers need to warm up and stretch before starting down the hill because cold muscles are more prone to injury,” notes Dr. Levin. Warm up with jumping jacks, running, or walking in place for a few minutes and then stretch your hamstrings, hip flexors, and quadriceps.

    © American Institute for Preventive Medicine