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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Moving Forward Safely

One of the most frustrating and anxiety-producing traits of our COVID –19 pandemic is how much uncertainty is involved in all aspects of this disease. Symptoms caused by the Coronavirus, age groups affected, the usefulness of medications, anticipated death rate, and the timeline for development of a vaccine are examples of information that sometimes change on a weekly basis.

Vermonters have done a great job of limiting the spread of the virus and protecting our most vulnerable neighbors by following the Governor's "Stay Home, Stay Safe" order over the past few months. Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. Thanks to these efforts—along with distancing, handwashing, and other factors—Vermont is among the states with the fewest number of infections. Continuing each of these important infection-prevention strategies is crucial to returning to a more normal way of life.

As we open up and begin to re-connect, we fully expect to see a rise in COVID –19 cases in Vermont. Thankfully, we have had time to prepare for this increase. We also have adequate PPE, and increased testing will help us gather crucial information for stemming the spread with less disruption to our normal lives.

More than ever, I find it helpful to focus on what we have learned and how it can help us move forward safely. Here is some of what we have learned so far: Most large hospitals, often treating over 1000 COVID patients daily, effectively protected their workers by obsessively following the rules of screening, hygiene, distancing, and masking. Each of these components is designed to work together; Each alone has its inherent limits.

  • Absent quick testing at the workplace, the best screening is asking employees if they have COVID-like symptoms (fever, chills, new cough, shortness of breath, sore throat, loss of taste or smell) and to stay home if they do.
  • Washing our hands (or using sanitizer) after touching well-handled items or visiting populated areas. Washing your hands 10 times daily is not too often.
  • Though an uncovered sneeze or cough can travel farther, 6 feet distancing continues to be the sweet spot for safety.
  • Masks (double layer cotton and surgical) are effective to prevent spreading of large and some small droplets containing virus. They also seem to give some minimal protection to those wearing a mask. Since possibly 40 percent of transmission happens when we do not have symptoms, we wear our masks to protect others and to suppress overall infection rate. They also help many people (not all) to avoid touching their face. The downside is a warm chin; the upside is you may be protecting someone from a significant illness. Masks are not a symbol of government intrusion. Masks are simply a tool to protect others and show empathy.

It is difficult to predict how many COVID-19 infections will occur in our communities in the coming months. What I am certain of is that our choices, on where we go and what we do, often affect the safety of those around us. As we learn to live with this virus in our community, following the recommendation above will help us all.

Marie George, MD, is SVMC’s infectious disease specialist.

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