Top 5 Causes of Falls

Author

Brightstar Care of MSC

For more information about the author, click to view their website: BrightStar Care

Posted on

Dec 04, 2023

Book/Edition

Florida - Sarasota, Bradenton & Charlotte Counties , Florida - Southwest

share-this
Share This

Why is Falling Serious for Seniors?

Did you know that older adults often fear falling, even if they haven’t fallen in the past? This makes sense, because falling, even from something as simple as tripping on a rug or slipping on a wet floor can result in broken bones. For an older person, a broken bone is very serious, so for seniors, fall prevention is crucial. A fall can sometimes be the start of serious health problems or lead to long-term disability. More than one in four people over age 65 fall each year(Opens in a new window), and falling causes 90 percent of hip fractures. The risk of falling and breaking a bone increases with age, but there are proactive measures you can take to help your older loved ones reduce their risk of falling and increase their longevity. The first step is to identify fall risk factors with your loved ones, in order to take precautionary measures.

Five Top Causes of Falls

By knowing the top causes of falls(Opens in a new window) in elderly people, you can take steps to protect your older loved ones.

1. Impaired Vision

Older people often have vision problems like cataracts and glaucoma, which alter depth perception and visual acuity as well as limit their peripheral vision, making them more susceptible to glare. These issues can make it more difficult to navigate the home safely and anticipate or notice hazards in time to prevent a fall. Even wearing bifocal or varifocal lenses can affect depth perception and make it hard to go down stairs.

2. Home Hazards

It is easy to overlook fall hazards in the home(Opens in a new window), but being proactive about removing them can greatly reduce the risk of falls. Home hazards include:

  • Steps or stairways that are poorly lit or have loose/unsecure handrails or, worse, no handrails
  • Poorly lit hallways and walkways
  • Clutter blocking pathways
  • Pets that may get underfoot
  • Loose wires, rugs, or other objects that can cause tripping
  • Bathroom or kitchen tile without non-slip tread
  • Showers and bathtubs without non-slip basins, or missing grab bars
  • Important items not kept within easy reaching distance

3. Medication

Certain medications can cause side effects like dizziness, light-headedness, unsteadiness, drowsiness, blurred or double vision, and reduced mental alertness. Some medications can affect balance and cause a drop in blood pressure while standing. Taking four or more medicines, often referred to as polypharmacy, can increase the risk of falling(Opens in a new window), especially with those that are considered high risk medications. Opiates, diuretics, anti-depressants, sedatives, blood pressure medication and anticonvulsants are some examples of high-risk medications that pose a higher risk for falls among the elderly. It is important to talk to your doctor and be aware of any potential side effects.

4. Weakness and Poor Balance

As people age, they lose muscle mass. This can cause problems with balance and gait. To reduce muscle loss, older people should remain active and try balance and strength training exercises like yoga, Pilates and tai chi.

5. Chronic Conditions

Certain conditions, like Parkinson’s, hearing problems, diabetes, heart disease or issues with the thyroid, nerves, blood vessels or feet, can increase fall risk factors. Conditions like diabetes can cause neuropathy, which involves numbness, tingling, weakness, or burning in the feet, and this can make it difficult to walk without stumbling. Heart disease can also make people unsteady on their feet. Parkinson’s disease is a neurodegenerative disease that causes motor symptom that include stiffness, tremor, impaired balance, shuffling gait, and changes to the center of gravity. Incontinence, which causes people to rush to the bathroom, can also increase the risk of falling(Opens in a new window).

Preparing Your Home for Fall Prevention: How to Prevent Falls

Fall prevention at home for seniors is important for keeping your loved ones safe. Here are 10 tips to prevent falls at home(Opens in a new window).

  1. Check stairs and steps to make sure none are broken or uneven and all have sturdy handrails on either side. Install anti-slip stair treads for slippery hardwood stairs.
  2. Make sure there is adequate lighting, especially around entryways, in hallways and at the top and bottom of stairs.
  3. Install grab bars in the bathroom, by the toilet and in showers and tubs.
  4. Remove any throw rugs to prevent them from tripping.
  5. Keep pathways and stairways free from clutter.
  6. Consider adding strips of bright or contrasting colors in places you have trouble seeing, like the stairs or grab bars, handrails or any uneven surfaces.
  7. Keep commonly used items within easy reach to avoid the use of step stools and chairs.
  8. Install a bed rail to provide support getting in and out of bed.
  9. Clean spills immediately to reduce the risk of slipping.
  10. Fall-proof your bathroom with non-slip rubber grips in the shower or tub, a shower chair, hand-held shower head or even a walk-in bathtub.

The Warning Signs and Risk Factors of Falling

The more risk factors(Opens in a new window) a person has, the greater the risk of falling. Pay attention to your older loved ones, looking for signs of the following risk factors,, and consider a risk assessment(Opens in a new window) if you are concerned about any of the following:

  • Muscle weakness
  • Worsening eyesight
  • Declining hearing
  • Uneven gait or poor balance
  • Pain in hips, knees, ankles or feet, including injuries or stiffness
  • Dependence on supports for walking, getting up or sitting down
  • Chronic physical ailments, including hypertension, diabetes, arthritis incontinence, or Parkinson’s
  • Cognitive impairment or decline
  • New prescription medications with side effects that can increase the risk of falling
  • Overuse of alcohol or abuse of narcotics
  • Blackouts or fainting
  • Changes in sleeping habits

High Quality Care for Older Adults

BrightStar Care® takes a comprehensive approach to fall prevention, pairing our unmatched clinical expertise with educational resources to help and empower families. Our agencies can perform a home safety evaluation, assessing possible risks and making recommendations regarding accessibility modifications. Then, at every reassessment, an RN will do a further safety check, educating the client and family on fall risks and ways to reduce them.

Additionally, by contracting for home care with us, you will be ensuring that someone ist there to help with things that could be hazardous, like reaching high shelves, bathing, or climbing stairs. In some cases, physical therapy may be helpful in building strength to prevent falls. When you partner with BrightStar, you gain the assistance of a caring, compassionate team, dedicated to keeping your loved one safe and healthy.

Find a BrightStar Care® Location Near You 

Looking for in-home care services or assisted living for your loved one or a reliable medical staffing partner for your organization? Our experienced local care team members are ready to help. Find a location near you, contact us online, or call 866.618.7827 to speak with a local care expert and learn more about how BrightStar Care offers A Higher Standard®.

Other Articles You May Like

Navigating Hospital Stays and Rehabilitation for Parkinsons Patients

Navigating Hospital Stays and Rehabilitation for Parkinsons Patients. This article is part of The Parkinsons Care Compass: A Caregiving Roadmap Guiding Families Through Every Stage, an educational series presented by At Your Home Caregiving of Texas. We are honored to walk beside families, offering specialized in-home care solutions to support every step of the Parkinsons journey. Hospital stays are a stressful experience for any family, but for individuals living with Parkinsons disease, hospitalization poses unique challenges that can significantly impact recovery and long-term health. When a Parkinsons patient requires surgery, treatment for complications, or recovery after a fall, family caregivers must act as advocates, organizers, and partners in care. Being prepared and informed is the key to ensuring a safe hospital stay and a smooth transition back home.At Your Home Caregiving of Texas understands these complexities and stands ready to help families through every step of the journey, providing expert support for rehabilitation and home-based recovery.Unique Hospitalization Challenges for Parkinsons PatientsParkinsons disease complicates hospital care in several critical ways: Medication Management: Parkinsons medications must be administered on a strict schedule to manage symptoms effectively. Delays or missed doses can lead to severe motor symptoms, confusion, and even hospitalization complications. Mobility and Fall Risks: Hospital environments are unfamiliar, and Parkinsons patients face an increased risk of falls due to balance issues and muscle rigidity. Cognitive Changes: Hospitalization can sometimes trigger or worsen confusion, memory problems, or delirium, especially in older adults with Parkinsons. Communication Difficulties: Some patients experience soft speech (hypophonia) or facial masking, making it difficult to express needs clearly to hospital staff unfamiliar with Parkinsons care. Being aware of these risks allows families to take a proactive role during the hospital stay, minimizing complications and ensuring the best possible outcome.Preparing for a Hospital Stay: Advocacy and PlanningIf hospitalization is scheduled (for surgery or planned treatments), preparation can make a significant difference:1. Create a Hospital Parkinsons PlanPrepare a simple one-page document outlining your loved ones: Current medications and exact times for administration Mobility limitations and fall risk status Communication needs Cognitive changes or dementia symptoms Preferences for therapy, rehabilitation, and home care after discharge Provide this information to the hospital staff immediately upon admission.2. Bring Medications to the HospitalBring a full list and ideally the actual medications in their original containers. In some hospitals, families can administer Parkinsons medications if theres a risk of delays.3. Assign an AdvocateDesignate a family member or professional caregiver to be present as much as possible, especially during medication times, shift changes, and physician rounds. Having a consistent advocate can prevent critical mistakes and advocate for the patients specialized needs.The Importance of Medication TimingOne of the biggest risks for Parkinsons patients in the hospital is missed or mistimed medications. Parkinsons medications like carbidopa-levodopa must be administered exactly as prescribed, sometimes multiple times a day, to prevent a sudden worsening of motor and non-motor symptoms.Tips for ensuring proper medication administration: Clearly document the medication schedule and insist it be incorporated into the hospitals care orders. Politely but firmly remind nursing staff of the critical importance of on-time dosing. Advocate for medication self-administration if allowed by hospital policy. Watch for any substitutions generic or alternate medications can sometimes affect symptom control. Families should feel empowered to respectfully advocate for their loved ones medical needs. Delay in Parkinsons medication can lead to avoidable setbacks in recovery.Understanding Rehabilitation OptionsAfter hospitalization, rehabilitation is essential for helping Parkinsons patients regain strength, balance, and function. Depending on the situation, rehabilitation may occur in: Inpatient Rehabilitation Facilities (IRFs): Specialized centers offering intensive physical, occupational, and speech therapy. Skilled Nursing Facilities (SNFs): Short-term stays focused on medical monitoring and therapy. Home-Based Rehabilitation: Therapy provided at home, which may be the best option for patients with significant mobility challenges or those at high risk of hospital-acquired infections. At Your Home Caregiving of Texas partners with rehabilitation therapists to support continuity of care at home, ensuring that exercises, safety measures, and care plans are followed consistently.Key Rehabilitation Goals for Parkinsons Patients Improving strength and flexibility Reducing fall risk through balance and gait training Enhancing fine motor skills (handwriting, eating, dressing) Improving swallowing and speech if affected Maintaining independence as much as possible Early rehabilitation after hospitalization is crucial for Parkinsons patients. Without it, the risk of decline, injury, and readmission significantly increases.Transitioning Safely Back HomeThe transition from hospital to home is a vulnerable time. Planning ahead is critical to prevent setbacks.Steps for a Successful Transition: Arrange Home Care Services Early: Schedule in-home caregiving services to assist with mobility, medication reminders, and personal care. Conduct a Home Safety Evaluation: Adapt the home environment to minimize fall risks remove tripping hazards, install grab bars, ensure proper lighting, and use assistive devices. Coordinate Medication Management: Update prescriptions, confirm medication supply, and create a clear medication schedule. Schedule Follow-Up Appointments: Ensure post-discharge physician and therapy visits are scheduled before leaving the hospital. Implement a Rehabilitation Plan: Continue physical therapy and exercise routines at home, guided by professional caregivers and therapists. At Your Home Caregiving of Texas specializes in providing comprehensive transitional care for Parkinsons patients. Our caregivers work alongside families and healthcare professionals to ensure that recovery continues safely and effectively at home.How At Your Home Caregiving of Texas Supports RecoveryFamilies managing Parkinsons care dont have to do it alone. Our services are designed to ease the burden of post-hospitalization recovery by providing: Personalized Care Plans: Tailored to the individuals stage of Parkinsons and rehabilitation needs. Medication Reminders and Assistance: Helping maintain the critical medication schedule. Mobility Support: Assisting with walking, transferring, and exercises to rebuild strength and prevent falls. Nutrition and Meal Support: Preparing nutritious meals that support energy and healing. Companionship and Emotional Support: Reducing anxiety, confusion, and isolation during the recovery process. Coordination with Healthcare Providers: Keeping families informed and ensuring therapy recommendations are carried out at home. We work hard to create an environment where patients can heal comfortably, maintain dignity, and reduce the risk of hospital readmission.Final ThoughtsHospital stays are never easy, especially when Parkinsons disease adds another layer of complexity. But with the right preparation, strong advocacy, and a smooth rehabilitation plan, families can help their loved ones achieve the best possible recovery.At Your Home Caregiving of Texas stands beside you every step of the way from hospital bedside to a safe and healing home environment. Our specialized Parkinsons care services ensure that patients get the compassionate, expert support they need to regain strength, confidence, and independence.When its time to transition home after hospitalization, trust At Your Home Caregiving of Texas to be your partner in care and recovery. At Your Home Caregiving of Texas is proud to support families living with Parkinsons disease through compassionate, expert care. For more resources and personalized caregiving solutions, explore the full Parkinsons Care Compass series or contact us today at 469-830-8414. Together, we can create a safer, stronger path to recovery one step at a time.  If someone you care about is facing the challenges of Parkinson's, know that you're not alonewe're always here to help.                                          

Staying Steady: Fall Prevention Strategies for Older Adults

A simple accident, like tripping on a rug or slipping on a patch of ice, can change your life. Every year, more than one in four adults 65 years or older experience a fall contributing to over three million emergency department visits across the country.1 In 2023, Good Samaritan Hospital treated 787 trauma patients due to fall-related injuries, making falls the number one trauma injury seen in Good Samaritans Emergency Department. Simply stated, the risk of falling and fall-related problems increases as we age.Why do falls happen?Falls can result from a range of personal and environmental factors. Hazards like dimly lit rooms, steep stairs, and hard-to-reach shelves or storage areas present tripping risks. Additionally, as we age, changes in our vision, hearing, and overall health can raise the risk of falls.How to prevent fallsFall prevention is about identifying and mitigating as many risk factors for falling as possible. Take some time to do an inventory of your home and your physical health to see if there are any risks present. Once youve identified potential risk factors, you can take steps to address them. Remove home hazards. Remove clutter and items on the floor and in areas where you walk. Secure electrical cords so they dont block walkways, and secure or remove any area rugs that bunch or slip. Make home modifications. Install grab bars near the toilet and in your shower, install handrails along your stairs, have lightbulbs replaced or install new lights in dark hallways and rooms, and use non-slip mats in your shower or bathtub. Stay active. Regular physical activity and exercise keeps your muscles strong, prevents bone loss, and can improve your balance. Walking, water workouts, or Tai Chi are great activities that improve strength, balance, coordination, and flexibility. Be sure to consult your physician before beginning any new exercise program. Taking care of your overall health and acknowledging your risk factors for falling is extremely important as we age. If youre not sure where to start, schedule time with your primary care physician to discuss a plan for you or your loved one to keep you healthy, happy, and safe in your home and community. 1 About STEADI. (2024, April 22). Center for Disease Control. https://www.cdc.gov/steadi/about/index.html  Editors Note: This article was submitted by Lindsay Reinert, PMP, Marketing Specialist with Intermountain Health. She may be reached by email at lindsay.reinert@imail.org.

Stay Safe with These Essential Fall Precautions: Falls Can Happen to Anyone, Anywhere, Anytime

What do Richard Simmons and Bob Saget have in common? The curly-haired fitness advocate and comedian, actor, TV host were both household names and they both died as a result of a fall.Over 1 in 4 adults over the age of 65 fall every year, resulting in 3 million annual emergency department admissions. Every 11 seconds an older adult is admitted to the ER, and every 19 minutes an older adult dies from a fall.The reality is that falls can strike anyone, anywhere, at any time. Here are some essential fall precautions to help you stay safe and reduce your risk.Assess Your Health FactorsIn order to prevent falls, first you need to evaluate how likely you are to suffer one. Older adults are particularly susceptible due to impaired vision, chronic conditions that affect mobility, weakened muscles or certain medications. If you or a loved one fall into any of these categories, that puts you more at risk for a fall, speak with a care provider to see if they can address any of these conditions to reduce your risk.Address Your Mobility ConcernsIf you or a loved one struggles to move around freely, dont hesitate to utilize assistive devices. Walkers and canes are affordable solutions to mobility impairment, while shower chairs or bed rails can help you with some of the most routine parts of the day. Appropriate footwear can be another easy solution to mobility concerns. Buy socks with grip on the bottom or shoes that can be easily slipped on and worn around the house to avoid the possibility of slipping and sliding on hardwood floors.Accident-Proof Your HomeAccident-proofing is the most easily controllable method of fall prevention. While falls can happen anywhere, theyre most likely to occur where you spend the most timeat home. With that in mind, you can make your home safer by doing the following: Clearing clutter on the floor and stairs Making sure hallways and stairways are well-lit Securing rugs and other floor coverings with non-slip adhesives Keeping everyday items in easily accessible places that dont require much bending or climbingAsk for HelpYou dont have to tackle fall precautions alone. Numerous professional organizations and experts are ready to provide you with all the additional resources you need. The National Council on Aging and local Area Agencies on Aging, for instance, are great resources for fall prevention. SYNERGY HomeCare also offers a comprehensive Fall Prevention Guide and can provide a free in-home assessment with a professional caregiver who can come to your home and identify its biggest risks. SYNERGY HomeCare can also provide you with an around-the-clock team of professional caregivers who are trained to provide much-needed respite care when aging-related difficulties arise. If you have any questions, please contact us at 720-204-5788.

Local Services By This Author

BrightStar Care of Port Charlotte

Non-Medical 1777 Tamiami Trail #408, Port Charlotte, Florida, 33948

BrightStar Home Care's commitment to providing high-quality, person-centered care shines through their dedication to improving the lives of individuals in need. Their focus on delivering a higher standard of care ensures that each client receives the personalized support they deserve, tailored to their unique needs and preferences.The recognition BrightStar Home Care Port Charlotte has received, including Joint Commission accreditation, speaks volumes about their commitment to excellence and adherence to rigorous healthcare quality standards. Achieving and maintaining this accreditation demonstrates their dedication to ensuring the highest level of care and safety for their clients.By adhering to BrightStar Care policies and procedures, state licensure requirements, and Joint Commission standards, they provide peace of mind to clients and their families, knowing that their loved ones are receiving care of the highest caliber.Furthermore, BrightStar Home Care's emphasis on clinical quality not only ensures the safety and well-being of clients but also plays a crucial role in preventing hospital readmissions. This proactive approach to care underscores their commitment to promoting positive health outcomes and enhancing the overall quality of life for those they serve.Overall, BrightStar Home Care's dedication to excellence, person-centered care, and clinical quality sets a commendable standard in the home care industry, providing invaluable support and peace of mind to individuals and families during challenging times.

BrightStar Care of Port Charlotte

Home Health 1777 Tamiami Trail #408, Port Charlotte, Florida, 33948

BrightStar Care of Venice and Port Charlotte is dedicated to providing the best in-home care for you or a loved one. We are a Nurse Owned and Family Operated Private Duty Home Care Agency offering Companion Services (meal prep, transportation, light housekeeping), Personal Care (bathing, dressing, transfers), and Skilled Care (assessments, medication management, med box fills). We also provide Medical Staffing. BrightStar Care is Joint Commission Accredited and Awarded Leader in Excellence, Provider of Choice and Employer of Choice 2016 - 2020 by Home Care Pulse. All caregivers are background checked, drug tested, bonded and insured. We are available 24/7...Just a phone call away!

Brightstar Care Manatee

Non-Medical 1023 Manatee Avenue West, Bradenton, Florida, 34205

BrightStar Care of Bradenton offers a wide array of in-home care services tailored to meet the individual needs of clients. Known for their commitment to providing high-quality, compassionate care, BrightStar Care delivers both medical and non-medical services, including skilled nursing, personal care, and companionship. Their team of professional caregivers is dedicated to enhancing the health, safety, and quality of life for clients in the comfort of their own homes. With a focus on personalized care plans and a commitment to excellence, BrightStar Care of Bradenton is a trusted resource for families seeking reliable and comprehensive home care solutions.