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elleng

(130,903 posts)
Mon Feb 25, 2019, 04:41 PM Feb 2019

Falls Can Kill You. Here's How to Minimize the Risk.

'Falls are the leading cause of fatal and nonfatal injuries among older adults. Every 19 minutes in this country, an older person dies from a fall.

*Falls are the leading cause of fatal and nonfatal injuries among older adults. Every 19 minutes in this country, an older person dies from a fall.

To be sure, nearly everyone falls now and then, and some falls are unavoidable. But falling is not an inevitable consequence of aging. Most age-related falls are preventable once you know why they happen and take steps to minimize the risk for yourself, relatives and friends whose age or health status renders them especially vulnerable. . .

More than a quarter of individuals age 65 and older fall each year, and falling once doubles their chances of falling again, according to the Centers for Disease Control and Prevention. A fall that may be run-of-the-mill for a young person (as in the lyric “Pick yourself up, brush yourself off and start all over again”) can be very dangerous for the elderly.

One fall in five among older adults results in a serious injury, and older people are less able to recover from the trauma physically and emotionally.

Although broken bones are usually regarded as the most common serious consequence of falls, even if no fracture occurs, a fall can result in irreversible harm to an elderly person’s health, social interactions and psychological well-being.

A frequent aftermath when older people fall is a heightened fear of falling, prompting them to limit their activities and cause further physical decline, depression and social isolation, which in turn can hasten death.

Many factors common among older people can increase the risk of falling: medical and orthopedic problems and the medications taken to treat them; physical changes that impair balance, gait and muscle strength; sensory declines in vision, hearing and awareness of body position; and pain that distorts body movements.

At the same time, there are ways to minimize the chances of a dangerous fall, starting with regular exercise to maintain leg strength, balance, endurance and coordination that can help you “catch yourself” and avoid a fall if you should trip. Tai Chi is an excellent, low-impact way to improve balance. Also, practice standing on one foot when you brush your teeth, wash dishes or prep a recipe. You might also get Carol Clements’s new book, “Better Balance for Life,” that details a 10-week plan for improving stability.

Get your eyes checked at least once a year or more often if you have a gradually worsening condition like cataracts or macular degeneration. . .

Also get regular hearing checkups and consider hearing aids if needed. You don’t want to be startled into a fall by someone or something approaching from behind.

Have your doctor review all your medications, both prescription and over-the-counter, for their ability to cause dizziness or drowsiness. Wherever possible, eliminate or lower the dose of those that are potentially troublesome. . .

Last, but by no means least, do a thorough evaluation of the fall risks in and outside your home environment. Get rid of clutter — no books, papers, clothing or pet toys left on the floor or furniture that partially obstructs paths to the bathroom, bedroom, kitchen or front door. Install railings on stairways — and always use them — and grab bars around the shower or tub and toilet.

Evaluate the safety of floors and floor coverings, including throw rugs (a big no-no), loose carpets and raised ledges between rooms. Use a top quality nonskid mat in the shower. Repair all broken or uneven stairs and flooring. Keep electric and phone cords off the floor. Wipe up all spills immediately.

Invest in the best lighting you can afford. . .

Make an honest assessment of your footwear. . .

Think you’ll be painfully embarrassed? Think how much more humiliating and painful it will be if you fall.'

https://www.nytimes.com/2019/02/25/well/live/falls-can-kill-you-heres-how-to-minimize-the-risk.html?



28 replies = new reply since forum marked as read
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Falls Can Kill You. Here's How to Minimize the Risk. (Original Post) elleng Feb 2019 OP
Sidewalks, Autos, Shopping Centers, black asphalt, wet grass, crutches and canes Tetrachloride Feb 2019 #1
I don't need environmental hazards to fall... nocoincidences Feb 2019 #2
My last two falls Ilsa Feb 2019 #3
Putting on your underwear or pants can be a killer... mitch96 Feb 2019 #4
Amen to that. Duppers Feb 2019 #5
Grab Bars cyclonefence Feb 2019 #6
It's inevitable Cartoonist Feb 2019 #7
But do you get PI every day?? nt mitch96 Feb 2019 #20
Every time I see a circle. nt Cartoonist Feb 2019 #22
Ahhh People that talk in circles shall someday be known as big wheels!! mitch96 Feb 2019 #24
Thanks Elleng DeeDeeNY Feb 2019 #8
My mother has Rebl2 Feb 2019 #9
Vertigo is now a fact of life for me... jimmil Feb 2019 #10
I'm starting to get that also.. Along with my friend tinnitus.. mitch96 Feb 2019 #21
I recently got tripped by an out of control baby stroller Submariner Feb 2019 #11
My mom died from complications of a fall dflprincess Feb 2019 #12
The worst part of getting older is the loss of my reflexes... Ferrets are Cool Feb 2019 #13
My best advice is to slow down and wear sturdy shoes! mtngirl47 Feb 2019 #14
My wife and I helped an elderly man next door to us when we lived in Pasadena. C Moon Feb 2019 #15
Thank you from US, at least. elleng Feb 2019 #16
:) C Moon Feb 2019 #18
If you can, stand while dressing instead of sitting DavidDvorkin Feb 2019 #17
That's a GREAT idea!! mitch96 Feb 2019 #23
"I bought a wobble board" mitch96 Feb 2019 #27
You're welcome! DavidDvorkin Feb 2019 #28
Proactively, I started using a Hurry-cane to make sure I don't fall, which would be very awkward No Vested Interest Feb 2019 #19
My dogs are a danger! Tracer Feb 2019 #25
Pretend like you're holding a very-full cup of hot coffee when walking or climbing stairs. SaintLouisBlues Feb 2019 #26

Tetrachloride

(7,842 posts)
1. Sidewalks, Autos, Shopping Centers, black asphalt, wet grass, crutches and canes
Mon Feb 25, 2019, 04:53 PM
Feb 2019

1. Sidewalks which are not perfectly cleared of snow and ice are a risk. New snow which falls on older snow obscures the risk of ice. Older snow tends to have more ice.

2. Wear a seatbelt in cars.

3. Shopping centers and gasoline stations are high traffic and not easy to clear of all the snow.

4. Asphalt has oil in it. During rains, oil rises to the top and can be slippier than ice.

5. wet grass of course is a risk.

6. Crutches are too easy to use incorrectly. Walkers and wheelchairs are safer.

nocoincidences

(2,218 posts)
2. I don't need environmental hazards to fall...
Mon Feb 25, 2019, 05:01 PM
Feb 2019

I turned the corner around an aisle in the grocery store a few months ago, got off balance, and down I went. Banged up my right knee and bruised my leg, but nothing broke, amazingly.

I have gotten up to pee at night, stepped on the dog, fell, and broke several bones in my foot.

I could go on and on. I am especially hard on foot bones.

Ilsa

(61,695 posts)
3. My last two falls
Mon Feb 25, 2019, 05:12 PM
Feb 2019

were 1)related to my dogs getting worked up and in the way, and 2) me tripping over cords of broken window blinds I was replacing. Stupid stuff.

mitch96

(13,904 posts)
4. Putting on your underwear or pants can be a killer...
Mon Feb 25, 2019, 05:43 PM
Feb 2019

When young you can do the one leg hop to get the other leg in but as we get older the "hop" becomes more difficult. Always be near someplace where you can sit down quick if need be.
Ironically sometimes it's not the fall it's the hospital that gets you. Lying in bed with a busted hip can lead to pneumonia.. THAT is what get's you...
m

cyclonefence

(4,483 posts)
6. Grab Bars
Mon Feb 25, 2019, 06:22 PM
Feb 2019

Install at least one in every bathtub/shower and at every doorway in your house where you transition from one type of flooring to another. Advice from a friend of mine who is an MD specialist in rehab medicine (physiatry).

mitch96

(13,904 posts)
24. Ahhh People that talk in circles shall someday be known as big wheels!!
Tue Feb 26, 2019, 11:17 AM
Feb 2019

An old zen koan I thing...
m

Rebl2

(13,506 posts)
9. My mother has
Mon Feb 25, 2019, 06:47 PM
Feb 2019

fallen 3 times. The first time was outside the home and she broke her hip. Physical therapist that came to the house for rehab said get rid of throw rugs even if they have non-skid mat. The fact is they have a tendency not to walk properly and are more likely to shuffle their feet and you come to a throw rug and you flip it with your foot and trip on it and down you go. The non-skid mat doesn’t help in that case. They try to teach them not to shuffle their feet, but it hasn’t helped my mom or dad. My parents have lost friends to falls. They hit their head and they died from brain bleed.

jimmil

(629 posts)
10. Vertigo is now a fact of life for me...
Mon Feb 25, 2019, 06:48 PM
Feb 2019

I used to think that vertigo was something I got when flying under the hood during flight training. Now I have it all the time and it is absolutely miserable. You are dizzy all the time which as a young wild man I thought was something to strive for. Now though it really sucks just to run into a wall for no reason or fall because you misjudged a step. Getting old isn't for wussies.

mitch96

(13,904 posts)
21. I'm starting to get that also.. Along with my friend tinnitus..
Tue Feb 26, 2019, 11:10 AM
Feb 2019

I might have to give up motorcycle riding for my 70'th... drat..
I always use to get ringing in my ears after riding long distance. Ear plugs didn't help. After an hour or so the ringing went away. When I came back from my last long trip the ringing just never went away.. sucks growing up...
m

Submariner

(12,504 posts)
11. I recently got tripped by an out of control baby stroller
Mon Feb 25, 2019, 06:56 PM
Feb 2019

Going downhill on the Jetway ramp to the plane. I got pinned in the jetway wheel track by my luggage bag and the stroller.

The boarding flight attendant had a look on her face like “oh crap he’s going to sue” as she asked if I needed special help. Please help me to my feet and let’s get out of here.

It’s starting to get embarrassing.

dflprincess

(28,076 posts)
12. My mom died from complications of a fall
Mon Feb 25, 2019, 06:58 PM
Feb 2019

She broke her pelvis when she fell (bending over to pick up her newspaper). About 18 hours later she apparently "threw" a fat embolism, not uncommon with pelvic fractures, and that was it.

Ferrets are Cool

(21,106 posts)
13. The worst part of getting older is the loss of my reflexes...
Mon Feb 25, 2019, 07:12 PM
Feb 2019

I used to be able to trip and catch myself with no problem...now, I find myself on the ground cursing.

mtngirl47

(989 posts)
14. My best advice is to slow down and wear sturdy shoes!
Mon Feb 25, 2019, 07:20 PM
Feb 2019

After a car accident 30 years ago my right foot is paralyzed and I had a left hip replacement about 10 years ago because I put all my weight on my left side and walked wrong. Now I know how to walk without damaging my knees and other hip.

After the hip replacement I can hike my beloved Smokies again-- but I take my time and always watch for obstacles!

My dogs and my kitty are what will kill me--they're always getting underfoot!

C Moon

(12,213 posts)
15. My wife and I helped an elderly man next door to us when we lived in Pasadena.
Mon Feb 25, 2019, 07:41 PM
Feb 2019

I was working on my computer on a hot afternoon. I kept hearing a faint voice outside, but was focused on my work and thought it was the neighbors talking. Then I heard that voice calling my landlord's name and was reassured it was nothing. A few minutes later, I heard the voice say, "Help..."

I jumped up; went outside and looked over the fence. There was the elderly neighbor lying in the sun next to the pool. I called to him that I was calling 911; I ran inside, and dialed 911 (I can't be in extreme heat, myself). My wife came home at that time, and climbed the fence to help the guy. She moved him into the shade, and at his instructions, she went inside and got his diabetes meds.

The paramedics showed up, I showed them the gate. They had to break a lock to get in the gate. At that point, a guy on the other side of his house, came over and told us to go home, that he would take care of it (I guess the were friends).

Our landlord said she'd heard him calling his name, but ignored him because she said he was always complaining about her landscaping.

In the days /weeks that followed, we never got as much as a wave from the old man—let alone a thank you.

Don't know why I shared that, but it does illustrate the dangers of falling. He's lucky he didn't fall into his pool.

DavidDvorkin

(19,477 posts)
17. If you can, stand while dressing instead of sitting
Mon Feb 25, 2019, 08:38 PM
Feb 2019

Stand on one foot while pulling the pants onto the other leg or while pulling on a sock, etc. It's hard at first, but it gets easier. Of course, have something nearby to hold onto if this is a problem.

I bought a wobble board, also called a balance board, on my doctor's recommendation. Also hard to use at first, but it gets easier. The one I bought is something like this one:

https://www.amazon.com/VIVE-Balance-Board-Skateboard-Gymnastics/dp/B075Y27ZFK/ref=sr_1_27?keywords=balance+board&qid=1551141443&s=gateway&sr=8-27

mitch96

(13,904 posts)
23. That's a GREAT idea!!
Tue Feb 26, 2019, 11:15 AM
Feb 2019

I have been just standing between the bed and dresser on one leg and see how long I could hold it, then switch legs. Then I would pat my head while rubbing my stomach, standing on one leg.. Then try to rise up and down while doing the other stuff.. very challangeing.. Fell on the bed a few times.. No damage accept the ego..
m

DavidDvorkin

(19,477 posts)
28. You're welcome!
Tue Feb 26, 2019, 03:52 PM
Feb 2019

It was a bit scary at first. I used both feet and held onto something. Now I've reached the point where I can do it one foot, meanwhile raising the other foot and/or bending the standing knee.

No Vested Interest

(5,166 posts)
19. Proactively, I started using a Hurry-cane to make sure I don't fall, which would be very awkward
Tue Feb 26, 2019, 03:50 AM
Feb 2019

re the possibility of getting myself up.
I have not fallen as yet, and I'm plenty old.

My spouse fell in his early 60s, and the broken leg bone, near the hip joint, altered his life, not for the better.
Somehow, blood circulation was cut off as it healed, and the leg gradually grew shorter, eventually 2-3 inches shorter than the other.
He had to have his shoes adjusted with lifts on the bottom of the affected leg/foot, and eventually walk with a 4-pronged cane, and finally a walker.
This physical problem affected his self-image and eventually he called himself "crippled", a bad term in his mind.

Always make sure you have enough light as you walk throughout your home - turn on lamps and overhead lights when needed.

Tracer

(2,769 posts)
25. My dogs are a danger!
Tue Feb 26, 2019, 11:36 AM
Feb 2019

I've counted 8 times where they have pulled/tripped me down -- and they aren't particularly big dogs.

The most recent event was when I was walking them off-leash at a nearby soccer field.

They were behind me, running and jumping on each other. I heard them come racing up behind me and expected them to pass me by. Nope.

Not looking where they were going, they slammed into me and crashed me to the ground. Ouch and more.

Sprained ankle and wonky knee.

SaintLouisBlues

(1,244 posts)
26. Pretend like you're holding a very-full cup of hot coffee when walking or climbing stairs.
Tue Feb 26, 2019, 02:12 PM
Feb 2019

I heard this advise years ago as a way to concentrate on walking carefully.

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