Falls,footcare and footwear


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A short presentation to help prevent falls in the elderly

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Falls,footcare and footwear

  1. 1. Falls, foot care and footwear Cameron Kippen toeslayer2000@yahoo.com.au
  2. 2. Falls: Why do we fall? Aging changes the way we walk making tripping and slipping all the more likely. This is made more obvious with arthritis and painful joints, unsteady balance and blood pressure problems, as well as failing eyesight and sore feet.
  3. 3. Falls: Changes in walking patterns  Slower walking cycle  Increased sway  Problems in controlling balance  Reduced toe clearance
  4. 4. Falls: What makes things worse  Arthritis or painful knees, hips, neck and spine.  Balance and blood pressure problems.  Failing eyesight and sore feet.
  5. 5. Falls: Pattern of Falls  Men slip,  fall more in cold weather & usually out doors.  Men change their behaviour to avoid further incidents  Women trip,  no seasonal pattern and fall indoors.  Reluctant to change their habits
  6. 6. Falls: People most likely to fall  Those living with long term conditions such as heart conditions, diabetes, Parkinson’s Disease, arthritis, osteoporosis, high/low blood pressure, depression and dementia do have an increase the risk of falling.  Sore feet can also lead to unsteadiness, poor posture and imbalance. Things which contribute include: muscle or joint stiffness, poor vision, pain and lack of energy and or concentration.
  7. 7. Falls: How do we prevent them?  Keep active with regular exercise  Take care to avoid obstacles  Wear comfortable shoes  Enjoy good foot health
  8. 8. Falls: How do we prevent them?  Reducing falls risk  Stay mobile  Be active  Improve walking patterns and balance  Monitor your medications  Check with your doctor
  9. 9. Falls: What is the best exercise ?  Exercise all parts of the body: – walking, swimming and dancing. So too is active gardening, housekeeping and walking the dog.  Focus activities on balance: – tai chi, yoga, pilates  Strength training and fitness – try aerobics or aqua-aerobics.
  10. 10. Falls: Get prepared  Check out the feet – Trim the nails – Pamper the skin – See a podiatrist
  11. 11. Footcare: Monitoring and maintenance  Check the feet daily  Keep them clean and the skin, soft  Avoid self harm with razors and sharp cutting tools  Pamper the feet  See the podiatrist
  12. 12. Footcare: Common Problems See the podiatrist
  13. 13. Footwear: How safe are your shoes?  Inappropriate footwear can excite foot problems  The wrong style of shoe can increase the risk of slipping and tripping
  14. 14. Footwear: The Facts  Shoes have never been made to fitShoes have never been made to fit human feet.human feet.  People have preferred shoe stylesPeople have preferred shoe styles and are resistant to changeand are resistant to change  People avoid changing their shoesPeople avoid changing their shoes during the dayduring the day  Most reported falls do not involveMost reported falls do not involve footwear.footwear.
  15. 15. Footwear: Assessment Good FitGood Fit  Comfort is the key.  Shoes need to give support and match physical conditions.
  16. 16. Footwear: Assessment Ideally feet should be fitted to shoes, with attention to length, breadth, volume and depth
  17. 17. Footwear: Assessment Width Shoe shape should match foot shape. The outsole is narrower than the foot. Volume The bulk of the foot is accommodated within the upper.
  18. 18. Footwear: Assessment  Depth The shoe should cradle the arch A shallow shoe across the mid foot restricts natural movement. Appropriate depth should be available at the toe box
  19. 19. Footwear: Assessment Firm fastening and flexibility
  20. 20. Footwear: Assessment  Toplines The ankle bones must lie clear of the topline The topline should comfortable nestle against the foot
  21. 21. Footwear: Assessment Heel support
  22. 22. Footwear: Assessment Clean Treads Hidden dangers
  23. 23. Footwear: The Right Shoe  Best fit  Accommodate width and depth  Restrain the foot in the shoe  Snug heel fit  Appropriate heel height  Avoid pressure points and have cushioned insole
  24. 24. Footwear: Assessment Heel Support Firm heel counter stabilises the rearfoot Shoe should fit snugly around the heel sufficient to avoid heel slippage
  25. 25. Footwear: Assessment Heel Designs A graded heel prevents jarring at heel strike Broader heels reduce peak pressures Lower heels make the shoe more stable
  26. 26. Copyright Commonwealth of Australia Copyright Regulations 1969 WARNING This material has been copied and communicated to you by or on behalf of Cameron Kippen pursuant to Part VB of the Copyright Act 1968 (the Act). The material in this communication may be subject to copyright under the Act. Any further copying or communication of this material by you may be the subject of copyright protection under the Act. Do not remove this notice