Winter-Proof Your Walk: Tips for Preventing Falls
Courtney Carter
/ Categories: WELLNESS, 2024

Winter-Proof Your Walk: Tips for Preventing Falls

As temperatures drop, your risk of slipping and falling on ice and snow goes up. If you’re lucky, you walk away with a bruised bottom and ego. But for many folks, especially those 65 and older, icy falls can lead to broken wrists, hips, and hands and even fatal head injuries. 

Of course, no one anticipates falling, but there are things you can do to reduce your risk. Here’s where to start:

Keep walkways clear of ice and snow. Apply sand or earth-friendly cat litter to well-used walkways and areas that commonly ice over to create traction.
Walk like a penguin. When walking on ice, shuffle your feet only slightly apart for better balance. Bending your knees slightly as you walk will also improve balance. Keep your hands free and out of your pockets to help you balance.

Walk sideways on inclines. When navigating icy inclines, turn sideways. Take small side-steps with your knees slightly bent for better balance and stability. 

Watch out for icy patches. Watch out for invisible ice when exiting cars or when walking up and down outdoor stairs. 

Choose your path wisely. If there are clean pathways with handrails, use them. If the sidewalk is icy, move just off the edge and walk on the snow or grass for traction. 

Wear shoes and boots with proper traction. Flat-soled footwear made of rubber and neoprene composite provides better traction than plastic and leather soles. For especially slippery conditions, you may want to invest in slip-on traction cleats or snow grips, which provide grip on snow and ice.

Use Assistive Devices Wisely.

If needed, use a cane or walker for added stability. Make sure any device you use is properly fitted for you.  Consider attaching an ice gripper to your cane tip or getting wheels specially designed for winter conditions for your walker.

Take your cell phone. Whenever you’re headed out in icy conditions, put your cell phone in your pocket. Having your hands free will help with balance, and if you do fall, you can call for help if needed.

Fall smart. If you feel yourself falling, try to land on something soft and use your arms to protect your head if necessary.

Stay still. If you do fall, resist the instinct to jump right up. Instead, take a few moments—or minutes—to assess any sources of pain or discomfort. If you can’t get up, hit your head, or feel like you may have broken a bone, call 911.

Get up slowly and safely. If you can get up, do it slowly to avoid falling yet again.

With a few simple precautions, you can significantly reduce your risk of falling and safely navigate winter's slippery challenges.

 

Dr. Lisa J. Downing-Forget, MD, MPH practices Geriatric Primary Care 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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