PREVENTING FALLS

Falling is one of the most serious problems affecting older persons and is associated with considerable morbidity, mortality, reduced functioning, and premature institutionalization. Approximately 35% to 40% of people aged 65 and older fall in their homes annually.  Nearly ten percent of falls result in serious injury, such as a hip or other type of fracture, head injury, joint dislocation, or other serious soft-tissue injuries. Another forty to fifty percent

result in more minor injuries such as abrasions, lacerations, or sprains. Often someone who has fallen avoids activities such as walking or shopping because of fear of falling again. However, too often older people will not tell their physician that they have fallen for fear of loss of independence.

Detecting a history of falls and assessing the risk of falling is an important first step in reducing the future probability of falls. The risk factors identified in a complete fall assessment may be modifiable or non-modifiable, however, knowledge of all risk factors is important for treatment planning. The full Falls Evaluation consists of: 1) History and circumstances of fall /falls, 2) Health problem checklist, 3) Vision testing, 4) Medication review, 5) Mobility assessment, 6) Neurological exam, 7) Cardiovascular exam, and 8) Home assessment.  Ask your doctor about doing a complete fall assessment if you have fallen in the past year.

This Hartford Center project has developed a number of educational tools for patients and families who are dealing with the risk of falling. Included are tips for what to do if you fall, fall prevention guidelines, and how you can help your doctor assess your risk for falls. In addition, we provide links for Assess Your Home for Fall Risks and exercises you can do to Strengthen Muscles and Prevent Future Falls.
 

                              Top  |  Home