Can You Reduce Your Client’s Fall Risk?

September 16, 2022

Falls can be so spontaneous and sudden that caregivers and their clients can feel that it could not be prevented, but this is not true.

Reducing your client’s fall risk is possible, if you are equipped with the facts and remain vigilant.

You need to understand the physical aspects of aging that make your client more susceptible to falling in the first place, and the environmental factors in your client’s home that make this risk even greater.

Beloved furniture and décor that may have been a joy earlier in life, now pose a high fall risk to your client.

The Center for Disease Control (CDC) says that people over 65 have a greater than 25% chance of falling. They also say that if someone falls once, their chance of falling again doubles, meaning there’s over a 50% chance of a second fall.

The Mayo Clinic says this is serious because falls can create a health crisis, hospitalization, and loss of independence and ability, and in some cases severe hip injuries, traumatic brain injury (TBI) or even death.

Some seniors often aren’t able to recover fully from the trauma, their overall health declines, and their care needs increase significantly.

But the risk of falling is a culmination of several different factors that are common to aging.

Here are six age-related changes that increase senior fall risk:
1. Decreased strength
Muscle loss starts very early, around age 30. In older adults, less muscle means less strength and weaker bones.

2. Weaker sense of balance
Many body systems work together to keep us standing upright. Age-related changes and medication side effects can make it more difficult for seniors to stay balanced.

3. Declining eyesight
Vision helps us keep our balance and avoid obstacles. As vision worsens, so does the ability to stay upright and clearly see what’s in our path.

4. Loss of flexibility
Age and health conditions make seniors less flexible, especially in the hips and ankles. This stiffness increases the likelihood of falling.

5. Decreased endurance
Not being able to endure physical activity like standing or walking for a reasonable amount of time increases fall risk.

6. Declining ability and desire to walk
Continuing to walk will improve strength, balance, flexibility, and endurance for older adults. However, many seniors become less active and fall into a negative cycle where less activity leads to less strength and balance. That leads to even less activity as their physical abilities keep declining.

Falls cause serious injuries in seniors

In older adults, falls typically cause hip fractures and head injuries. They’re also the leading cause of death from injury, often from traumatic brain injury (TBI).

Even if an injury isn’t life-threatening, falls have harsh long-term consequences for older adults because their bodies usually aren’t able to recover fully.

They can end up needing extended stays in nursing homes or assisted living facilities or a significant amount of in-home help.

As a care professional, you may wonder what you can do to prevent your client from experiencing the trauma of falling. Take a look around your client’s home to assess any environmental factors that may increase their risk of falling.

Environmental risk factors and prevention

Check if the stairs and hallways are well-lit. Recommend the installation of nightlights from the bedroom to the bathroom. Keep flashlights at the bedside in case of power outages.

Make sure to keep floors dry and if the floor is being cleaned make sure to use bright caution signs to prevent slips and falls. You can also use non-skid floor wax.

Secure area rugs and rug ends. If you believe that the risk is too great, recommend to your client and the supervising nurse that the carpet be removed and replaced with alternate floorings like tile or hardwood flooring.

The staircase should have sturdy handrails on both sides. Non-slip treads can be added to hardwood stairs. Loose carpets and floorboards need to be repaired immediately.

Grab bars should be installed near toilets and showers; glass shower enclosures should be replaced with shatterproof material and slip-resistant rugs should be placed near the shower for safety. Shower chairs and raised toilet seats can also help your client maintain their balance.

Living space
Remove clutter, low coffee tables, footrests, and electric cords that may cause your client to trip. Remove any shaky or damaged furniture.

Make a note if your client has any difficulty getting in and out of bed. Advise them to keep a phone near the bed and remove any clutter from around the bed as this can cause trips.

If your client has high cabinets, check to see if a sturdy step stool with handrails for balance is available; if not, recommend that they purchase one.

Remove unstable chairs and avoid chairs that are too low. Your client may find it difficult to get up easily and fall in an effort to get up.

Make sure your client wears supportive, non-skid shoes that are weather-appropriate and fit properly. Make sure their shoelaces are well-tied and if possible, opt for shoes that have no laces. House slippers also should fit well and have good traction. During the winter, watch for icy spots on the walkway and during your outings for fresh air.

Beware of tripping over pets or getting tangled in long leashes. You can add bells to the pet’s collar so your client will know their precious pet may be in the way.

Fall prevention is key for maintaining health and independent living. Do all you can to assist your client in avoiding this crisis through vigilance and prevention.

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