Reducing Home Hazards & Fall Risks for Older Adults

The leading cause of fatal and non-fatal injuries among Americans age 65 and over, falls account for 3 million emergency department visits, 1 million hospital stays, and, tragically, 36,000 deaths in that population every year. And while more than 25% of older adults take a tumble every year, they don’t have to be an inevitable part of aging.

In fact, there are proven ways to reduce and prevent falls. Because most falls (60%) happen in the home, let’s start by taking a look at what you can do to make your home more safe for everyone—but especially older adults.

Clear the way: Remove tripping hazards, like throw rugs, power cords, or clutter on the floor. If you must have a rug in the bathroom, make sure it has a no-slip bottom. Re-arrange furniture to create a path for safe movement and de-clutter by removing boxes, books, or other items stored on the floor.

Shine a light: Good lighting is key to safely navigating throughout your home. During the day, open curtains or blinds to let in natural light. Add extra lighting, such as night-lights in hallways and light strips on steps. Replace lightbulbs with bright, non-glare bulbs to help you see around the house. Keep a flashlight by your bed in case the power goes out and you need to get up.

Secure the bathroom: Add a shower seat and grab bars near the shower and toilet and consider installing a higher toilet or a seat extender. Use a non-slip bathmat and/or rug and place a non-slip mat or decals on the floor of the shower or bathtub. If possible, place shelves at eye level so seniors don't have to reach up into a cabinet or bend down to look in a cupboard for toiletries and other items. Install a nightlight or motion-sensor lighting both in the bathroom and along the pathway to the bathroom to provide adequate light for nighttime visits to the bathroom.  

Organize for ease of access: Throughout the home, store frequently used items between waist and shoulder height to eliminate the need for bending or using a stepstool to access items.

Next, let’s look at other steps you can take to prevent falling and stay independent longer.

Stay active: There’s a common misperception that the way to avoid falls is to stay seated or in bed. But the truth is, being active actually improves your strength, range of motion, and coordination all of which can work to prevent falls at home or anywhere else. Look for senior strength and fitness programs at your local gym, pool, or community centers.

Stay healthy: Be sure to get your vision checked annually and update eyeglasses as needed. Have your doctor check your feet at least once a year and discuss proper footwear to reduce your risk of falling. Ask your doctor to review your medications and discuss changing anything that may cause you to feel dizzy or drowsy. Ask your provider about taking vitamin D supplements to improve bone, muscle, and nerve health.

Be honest: Tell your friends, family, and doctor if you have fallen or if you feel unsteady when standing or walking.

If you’re concerned about falling, consider installing an emergency response system that enables you to alert 911 with the push of a button on a special necklace or bracelet. Note, there may be a fee for this service that’s not covered by insurance. SVHC Auxiliary does provide funding to individuals who may have trouble affording these devices. To learn more, call (802) 447-5089 or click here to access an online registration form.

Download a registration form and get started today.

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