Home Safe Home
Courtney Carter
/ Categories: WELLNESS, 2024

Home Safe Home

Tips for reducing fall risk

Even though falls are the leading cause of fatal and nonfatal injuries for older Americans, falling is not an inevitable part of aging. In fact, there are proven ways to reduce and prevent falls. Given that more than 50% of all falls occur in the home, the best place to start looking for ways to reduce your risk is inside your own front door.

The good news is this: making your home safe doesn’t require a lot of work or dramatic modifications. Here are five quick modifications you can make on your own:

  1. Secure some support: Buy a shower seat, grab bar, and adjustable-height handheld shower head to make bathing easier and safer.

  2. Light it up: Replace burnt-out bulbs with bright, non-glare lightbulbs. Add lighting to the top and bottom of stairs, pantries, closets, in large cabinets, and other areas where you struggle to see.

  3. Have a seat: Place a sturdy chair in your bedroom so you can sit while getting dressed.

  4. Clear the way: Keep items off the stairs and remove tripping hazards such as clutter and throw rugs.

  5. Store for success: Store frequently used items between your waist and shoulder height where you can access them without having to reach or bend.

  6. Watch out for your pet:  Sometimes our “best friend” may be our biggest risk. Know where your cat, dog, or other pet is to avoid trip and fall hazards. Of note, pet fish are not tripping hazards!

 

Do you know your risk?

The National Council on Aging offers a free, online falls check-up designed to help you stay healthy, safe and independent. Click here to take the 13-question check-up.

 

But there’s more to avoiding falls than making changes to your home. Here’s a look at other steps you can take to reduce your risk.

Wear your hearing aids: People with hearing loss are nearly three times as likely to fall compared to those with normal hearing, but wearing a hearing aid reduces the risk of falling by 50%.

Wear sensible shoes: Loose-fitting shoes as well as those with high heels, narrow heels, and those without laces, straps, or buckles are linked to an increased risk of falling. To be safe, choose footwear with low heels and firm slip-resistant soles.

Build balance and strength: Doing strength and balance activities at least three times a week can reduce your risk of falling. If you belong to a gym, ask an employee to help you create a workout routine. Or, you can find exercises online that you can do at home for free.

Avoid using your furniture for walking support:  If your balance is not steady, the best support for walking and moving about your home is with a cane or walker and not moving from varied pieces of furniture. 

Don’t skip annual medical appointments: Hearing, eye, and regular check-ups are essential for staying safe from falls as you age. Instead of making excuses, make the appointments.

 

Did You Know?

Falling once doubles your risk of falling again.

 

Pamela Duchene, PhD, APRN-BC is the Vice President of Patient Care Services and Chief Nursing Officer at Southwestern Vermont Medical Center.

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COVID and Kids

When I first heard the news about COVID-19, I was relieved as both a parent and pediatrician that it seemed unlikely to seriously affect children. However, more recently in both the literature and amongst colleagues, I began hearing about an uncommon but serious inflammatory disorder affecting some children with COVID-19. The American Academy of Pediatrics and the Centers for Disease Control are calling this “Multi-System Inflammatory Syndrome in Children” or MIS-C.

My goal in writing today is to dispel myths about this new manifestation of the illness, provide helpful steps families can take to protect their kids from COVID-19, and assure that medical providers are aware of this new subset of COVID-19 and taking appropriate steps to keep your children safe.

Symptoms of MIS-C include inflammation in the skin and eyes, irritability and sluggishness, along with fever, rash, swollen lymph nodes, and abdominal pain. The symptoms are similar to a rare childhood illness called Kawasaki disease, which causes inflammation of the blood vessels and primarily affects children under 5 years of age.

There is very little known about MIS-C due to the small number of cases around the country. However, the medical community is monitoring this new syndrome very closely to learn all they can about it. I would like to emphasize that this condition is very rare and occurs a few weeks after a child has already recovered from COVID-19 infection.

As we have throughout the pandemic, pediatricians are urging families to take precautions to prevent their exposure to COVID-19. This includes reducing close contact with others by staying home as much as possible and avoiding congregating in groups. Anyone over the age of two should wear a mask when outside of the home.

Wash your hands and your child’s with soap and water for at least 20 seconds and sanitize frequently touched surfaces at least twice per day. Avoid touching your face and teach children to cough and sneeze into a tissue or their elbow. Aim to wash and dry plush toys about once a week.

There are special precautions to take if someone in your household is ill. See https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/care-for-someone.html for details.

The American Academy of Pediatrics recommends creating a healthy routine for your children that includes balanced meals, learning at home, exercise, social connection (Facetime, videochat, and in person with household), and adequate rest. This will help your children remain both physically and mentally healthy during this stressful time. Continue to reassure your children that the medical community is working hard to keep them safe during this time. Be sure to monitor their media consumption, watch for signs of anxiety, and be a good role model in regards to COVID-19 safety measures.

Call your pediatrician if you have any concerns about your children’s health, including symptoms of COVID-19 or MIS-C listed above. There are still important reasons to bring your child physically into the office such as immunizations, developmental checks, and growth monitoring. We would like to reassure you that we are taking proper steps to allow your children to safely receive care at our offices.

More detailed information about keeping your child healthy is available at https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/children.html. For information about obtaining healthy food or other basic needs for your family, dial 2-1-1.

Dr. Meghan Gunn is the medical director of SVMC Pediatrics.

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