Help Your Loved One Avoid a Devastating Injury from a Fall

Posted on

Sep 20, 2021

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Elderly people suffer29 million fallsannually in the United States. When a frail older person falls, theyre more likely than a younger person to suffer severe injuries, such as broken bones or concussions.
As a geriatric nurse practitioner, I have seen firsthand that falls are among the worst things that can happen to older adults. Falls are the No. 1 cause of injury-related death for people65 and older. Falls that result in hip fracture, for example, can lead to loss of independence, serious health complications, or death.

I dont want to scare you if the seniors in your life are active and independent.But fall risk is vital to consider as your loved ones age and their risk for fall-related injuries increases.

Why are seniors at high risk for falls?
So many physical factors work against us as we age. Our muscles become weaker, our joints become stiff and painful with arthritis, and our ligaments become shorter and stiffer, impairing how we walk.

Other coexisting conditions increase the risk of falls, including:

Dementia or other brain diseases
Dehydration
Peripheral neuropathy (lost feeling in the toes and feet) fromdiabetes
Living a sedentary lifestyle
Obesity or being overweight
Poor vision
Problems with the feet or toenails
Suffering from the effects of a stroke
Taking certain medications, such as forhigh blood pressure

Hip fractures are among the most serious injuries an elderly person can sustain after a fall they face a20 percent riskof dying within a year after the injury. And 20 to 30 percent of elderly people who fall never regain their full mobility or quality of life. Once an elderly person falls, theyre at greater risk for suffering another fall in the future.
3 tips to reduce the risk of falls for seniors
When BrightStar Care starts to care for a new client, our Registered Nurse Director of Nursing conducts a comprehensive health and wellness evaluation to determine lifestyle, medical, and environmental factors that may put their health at risk. A fall-risk assessment is part of this process.

We weave risks into their personal care plan so nurses and family caregivers know what they need to focus on to keep the client safe from falls at home. Often, these reviews point to three main areas of risk: home safety, medications, and mindfulness.

1. Optimize your loved ones home
Household items and fixtures that may seem harmless to you and me can be dangerous to elderly people. Reinforce these tips with your loved one at home, and ask your in-home nurse to recommend other tips for your loved ones home:

Bathroom:Install grab bars on shower walls and non-slip sticky pads on the floor of the tub or shower. If your loved one has trouble getting in or out of the tub, consider investing in a bathtub transfer bench to help them get in and out easier.
Lighting:Make sure the room is adequately lit and that the client can reach all light switches and pull strings.
Furniture:Arrange furniture in such a way that the client can grasp or brace against a firm surface to get up and down easily. Help the client get rid of or store loose, light furniture such as bar stools or rolling ottomans that could tip or give way when the client braces against it, or that could cause them to trip. Sturdy furniture that isnt too squishy also promotes better body alignment, which makes it easier to sit down and get up.
Rugs and carpets:Avoid throw rugs and loose, shaggy carpeting. If you must use a rug, affix a durable, non-slip backing to the rug and place it so that the corners are unlikely to flip up.
Clutter:Clear pathways of items that arent needed for constant use. This could include storage totes, hobby supplies, reading materials, or other items that could easily be stored and accessed from a shelf or cabinet.
Mobility tools:Remind your loved one to set their cane, walker, wheelchair, or grabber out of the way when not in use. These tools are meant to prevent falls, not cause them!

2. Review medication side effects
Certain medications can cause dizziness, sleepiness, or fainting. These increase the risk for falls, especially in older people. Major culprits include medications for high blood pressure, heart failure, pain management, or disturbed sleep.

If your loved one has any of these conditions, talk through their prescription list with a BrightStar Care nurse. The nurse can pinpoint dangerous medication interactions or give you peace of mind that your loved ones medications are safe. This is an easy way to avoid falls and other potentially life-threatening side effects.

3. Urge loved ones to be mindful of their surroundings
I always tell clients, Look out below! We have a good laugh, but its solid advice. Remind your loved ones to survey their surroundings before they stand or sit.

Are kids in the house (and their toys, books, etc.) out from under your loved ones feet?
Is the chair theyre about to sit on stable, sturdy, and unlikely to slip?
Are your feet firmly planted on solid ground and not a slippery rug?

Another big fall culprit is the family pet. The benefits of pet ownership for older people are astounding feeling needed, getting exercise, and having companionship. But those dogs and cats love to be in their owners paths. Clients should double-check every time they sit, stand, or take a step to see if the family pet is underfoot.

I often recommend that they add a little jingle bell to the pets collar for extra awareness of the animals whereabouts. And its fun to hear that jingle-jangle when their pet greets them at the door.
What to do when a fall happens
Under no circumstances should an elderly person try to get up on their own after a fall not even if they feel no pain from the accident. If theyve broken a hip or another bone, they will do more damage to the fracture and surrounding muscle tissue as they try to get up.

A client should call for help immediately after a fall, either to a nearby caregiver in the home or 9-1-1 if theyre in pain or recognize that theyre injured. I recommend clients wear an emergency pendant or carry a small, light cellphone in their pocket at all times for emergency situations.

Even if your loved one seems OK after a fall, its important to get them evaluated by a doctor, and to let your in-home nurse know as well. Many times the reason for the fall isnt obvious, and that means there is something else going on with their health.

Elderly people often are afraid to let caregivers know they fell. Clients tell us that they worry their family will put them in a home, be angry with them, or strip away some of their independence.

I implore you to sit down with your loved one and let them know that their safety and health is your primary concern.Being honest about their well-being will allow you to provide an appropriate level of care while still maintaining their independence for as long as you can. A BrightStar Care nurse can help you approach the topic of fall prevention and reporting with your loved one.

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Memory Care Options for Seniors With Dementia

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Senior Care Planning Without Relying on Family

Senior care conversations often assume that adult children will assist as the senior ages. Yet, this isnt always an option. Many people need to plan for care without relying on family at all. Thankfully, aging on your own is entirely possible. Senior care systems are increasingly recognizing this pattern and helping support independent aging. When youre aging on your own, planning becomes crucial. You need to put systems in place as early as possible, then refine plans as things change. The tips in this article will guide you along the way.Why some seniors dont rely on family for future careThere are many reasons for not relying on family members for future care. Sometimes this is as simple as not having any children or close relatives. Other times, your family may not be able to help. Perhaps they live in a different state or even a different country. They may also lack the capacity due to their own responsibilities, health, or other factors. After all, life can be pretty overwhelming at times, and even those who care may not have much to give. Some seniors simply want to do things on their own. Doing so reduces the burden on loved ones and can be the best option if there are any difficult or estranged relationships.Risks of not planning aheadWithout planning, you risk having to make big decisions in the middle of a crisis. In those situations, your resources, attention, and options are often limited, and you might not get the solution you want.There are also cases where you cant make decisions for yourself, like if youre in a coma or in the later stages of dementia. Someone then needs to make decisions on your behalf. Without the right paperwork, the person and the decisions might not be what you hope for at all. In practice, lack of planning could leave you in assisted living when you want to age at home or mean youre kept alive with interventions you never would have chosen. The following three sections highlight the main approaches to take when planning ahead for your own senior care.Set up legal decision-making documentsCertain legal documents are used to express your wishes and ensure the right people are making decisions for you. Crucial documents include: A living will, which details your health care wishes, including information about comfort care, resuscitation, and life-sustaining treatments (like feeding tubes). A health care power of attorney (POA), which gives the nominated person authority to make decisions for you in specific circumstances. Your living will guides these decisions.  Financial and legal POA. These are similar to a health care POA but for financial and legal matters, respectively. HIPAA release forms. These forms can speed up your health care agents access to medical information and make it easier for someone to help you with health care decisions. Plan for housing and care needsThe various housing and senior care options can seem overwhelming at first. However, a little research and planning now can make a world of difference when care needs become significant.Here are the main options to consider when planning where to live as you age. Aging in placeMany older adults wish to continue living in their own homes as they age. While being fully independent is possible for some, it can become difficult as physical abilities, health, and cognition decline. To age in place, you might need to rely on external support, such as: Home care. Home health care. Meal prep assistance or delivery. Local community assistance programs. Home modifications for safety. Its also important to stay socially connected when living independently. Doing so is crucial for well-being and means theres someone around to notice any health declines that you might miss. Still, even with support, aging in place can become unrealistic for some. Its worth considering other options early and looking for signs that its time to move to a senior care facility.Independent livingIndependent living communities are designed for older adults who do not need daily hands-on care but want a simpler, more supportive lifestyle. They often include private apartments or cottages, along with features like dining options, housekeeping, transportation, social activities, and maintenance-free living. Some are stand-alone communities while others are part of larger senior living campuses that also offer assisted living, memory care, or nursing care.This option can work well if you want more convenience, more opportunities for connection, and fewer responsibilities at home while still maintaining a high level of independence. Planning ahead gives you time to compare communities, think about what services and amenities matter most, and decide whether a stand-alone independent living setting or a larger community with higher levels of care would be a better long-term fit.Assisted livingAssisted living provides support with activities of daily living, such as bathing and eating.These communities have other benefits, too, including engagement and connection, prepared meals, transportation, planned activities, and various amenities. In fact, most of the things you need are close at hand, which can make a huge difference in a seniors daily life.Planning gives you the chance to research communities, decide which ones you might like, and talk to them about the future. Nursing homesNursing homes provide a higher level of support for older adults who need ongoing medical supervision as well as help with daily living. In addition to assistance with tasks like bathing, dressing, and mobility, they also have licensed staff available to manage more complex health needs.This setting may be necessary if you have serious medical concerns, substantial physical limitations, or a condition that is likely to require close monitoring over time. Planning ahead gives you a chance to learn how nursing homes differ from other senior care options, consider what level of medical support you may need in the future, and identify communities that would be a reasonable fit if that level of care ever becomes necessary.Continuing care retirement communities (CCRCs)Continuing care retirement communities provide a continuum of care from independent living to skilled nursing care, so you can simply move within the community as your care needs change. The result is smaller transitions, a familiar environment, and increased financial predictability. However, CCRCs are expensive, and its best to enter them when youre still healthy. As such, theyre not the best choice for everyone.Questions to ask yourself about future careDifferences between care environments arent the only things to consider. You also need to think about what matters to you. Here are some questions to consider as you plan for senior care: Do you have a health condition that might limit your ability to care for yourself in the future? Are there significant health conditions that run in your family? How might these impact your independence?  How important is aging at home to you? Could you find connection and peace in a community of others your age? What happens if youre diagnosed with dementia? When would you consider memory care? Organize your financesNot relying on family when planning for senior care means you may need to rely more heavily on paid services, making aging more expensive. Whats more, theres limited financial support for long-term nonmedical care. Many costs must be paid privately using a combination of personal savings, investments, pensions, and proceeds from asset sales. Medicaid and Veterans benefits are sometimes relevant if you meet the criteria. Long-term care insurance can also be helpful. However, this needs to be purchased early, before you have any significant diagnoses. Here are some crucial tips for keeping your finances organized when planning for senior care. Store important documents in a single place, and update them regularly.  Take time to understand the lowest income youre likely to have in the future. This information is crucial for developing a realistic strategy.  Talk to a financial advisor and an elder law attorney to determine the best use of your assets. Develop a budget that meets your current needs and allows you to save for the future.  Review spending and future plans regularly. Doing so is crucial as markets change and your needs may change as well. Oasis can help you plan for future senior care needsPlanning for senior care without relying on family can feel like a lot to carry on your own, but with the right legal documents, financial planning, and a thoughtful approach to future housing and care, you can create a path that gives you more stability, more choice, and more peace of mind.Oasis Senior Advisors can help you think through your options and prepare for what may come next. Whether you are exploring independent living, assisted living, memory care, or nursing homes, an Oasis advisor can help you understand the differences, narrow down the right fit, and make a plan that supports your goals for the future.