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NFPA.ORG | © National Fire Protection Association. All rights reserved.
Preventing a fall….
• 1 in 3 older adults will have a
fall, sending 1 in 17 to the
Emergency Room
• The first fall doubles your
chances of a second fall
1
Fear of
Falling
Decreased
Activity
Decrease in
muscle tone,
coordination
Increased
risk for fall
First Fall
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Exercise Regularly.
• Exercise builds strength and improves your
coordination and balance.
• Tai Chi is an exercise that has been proven
to help reduce fall risk.
• Ask your doctor about the best physical
exercise for you.
Fall Message #1
What are some things you’ve heard regarding exercise and what
it does for older adults?
2
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Take your time.
• Get out of chairs slowly.
• Sit a moment before you get out of your
bed.
• Stand and get your balance before you
walk.
• Be aware of your surroundings.
Fall Message #2
What’s the strangest thing you’ve ever tripped over in your home?
If you haven’t tripped, what have you heard about tripping?
3
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Keep stairs, pathways, and walking areas clear
Be sure to remove:
• electrical cords
• shoes
• clothing
• books & magazines
• plants & tables that stick out
What can you do to keep the stairs clean?
Who can help you with this?
Fall Message #3
4
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Keep at least one hand on the railing
• Best to have handrails on
BOTH sides of the stairs
• Use the handrail UP and
DOWN
• Make more trips with lighter
loads
5
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Improve the lighting in and outside your home
• Use night lights to light the path
between your bedroom and bathroom.
• Stairways should be well lit from both
top and bottom.
• Have easy-to-grip handrails installed
along the full length of both sides of
the stairs
• See an eye specialist once a year.
Fall Message #4
For those of you who
have motion sensors,
please share some things
you like about it.
6
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Use non-slip mats and grab
bars in the bathroom
• Use non-slip mats on shower floors and
outside of the tub/shower.
• Have grab bars installed on the wall in
the tub and shower and next to the toilet.
• Wipe up spills immediately.
Fall Message #5
What kinds of things have you already
done to improve the safety of your
bathroom?
7
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Be aware of uneven surfaces around the home
• Throw rugs must have rubber, non-
skid backing.
• Smooth out wrinkles and folds in
carpeting.
• Be aware of uneven sidewalks and
pavement outdoors.
• Ask a friend to clear ice and snow
from stairs and walkways.
Fall Message #6
What have you heard about making your flooring
safer at home?
8
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Wear sturdy, well-fitting shoes
• Low-heeled shoes with non-slip soles are the best
even indoors
• These are safer than high heels, thick-soled
athletic shoes, slippers, bare, or stocking feet.
Fall Message #7
What are some
things you can do to
keep yourself safe
while walking?
What’s the worst
thing that could
happen if you don’t
wear safe footwear?
9
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Have a list of your current medications
• Update the list as your medications/dosages
change
• Put a copy on your refrigerator
• Give a copy to a caregiver, family member or
friend.
• Add your emergency contacts and health care
provider information
Fall Message #7
10
NFPA.ORG | © National Fire Protection Association. All rights reserved.
• Some medications can make you sleepy
• Some medications impact your balance
• Some medications interact negatively with alcohol and
other drugs
• Take your medications as directed
11
Review your medications with your doctor
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Consider a medical alert device
• Monthly subscription
• Wearable device
• Push button in emergency
12
If you live alone or are alone for long periods of time
NFPA.ORG | © National Fire Protection Association. All rights reserved.
Let’s Review:
• Name one change you can make in your own home to reduce your risk of falling.
• Why does regular exercise reduce one’s risk of being injured in a fall?
Resources for Education and Awareness
• STEPSTOSAFETY__1-pager_FALLS.ashx (nfpa.org)
• Clinical Resources | STEADI - Older Adult Fall Prevention | CDC Injury Center
• CDC-AdultMobilityTool-9.27.pdf
• www.whitneywellness.org , www.yourjuniper.org, for Fall Prevention Workshops In MN
Questions about the Falls Messages?
13

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Fall Prevention for Older Adults in the community

  • 1. NFPA.ORG | © National Fire Protection Association. All rights reserved. Preventing a fall…. • 1 in 3 older adults will have a fall, sending 1 in 17 to the Emergency Room • The first fall doubles your chances of a second fall 1 Fear of Falling Decreased Activity Decrease in muscle tone, coordination Increased risk for fall First Fall
  • 2. NFPA.ORG | © National Fire Protection Association. All rights reserved. Exercise Regularly. • Exercise builds strength and improves your coordination and balance. • Tai Chi is an exercise that has been proven to help reduce fall risk. • Ask your doctor about the best physical exercise for you. Fall Message #1 What are some things you’ve heard regarding exercise and what it does for older adults? 2
  • 3. NFPA.ORG | © National Fire Protection Association. All rights reserved. Take your time. • Get out of chairs slowly. • Sit a moment before you get out of your bed. • Stand and get your balance before you walk. • Be aware of your surroundings. Fall Message #2 What’s the strangest thing you’ve ever tripped over in your home? If you haven’t tripped, what have you heard about tripping? 3
  • 4. NFPA.ORG | © National Fire Protection Association. All rights reserved. Keep stairs, pathways, and walking areas clear Be sure to remove: • electrical cords • shoes • clothing • books & magazines • plants & tables that stick out What can you do to keep the stairs clean? Who can help you with this? Fall Message #3 4
  • 5. NFPA.ORG | © National Fire Protection Association. All rights reserved. Keep at least one hand on the railing • Best to have handrails on BOTH sides of the stairs • Use the handrail UP and DOWN • Make more trips with lighter loads 5
  • 6. NFPA.ORG | © National Fire Protection Association. All rights reserved. Improve the lighting in and outside your home • Use night lights to light the path between your bedroom and bathroom. • Stairways should be well lit from both top and bottom. • Have easy-to-grip handrails installed along the full length of both sides of the stairs • See an eye specialist once a year. Fall Message #4 For those of you who have motion sensors, please share some things you like about it. 6
  • 7. NFPA.ORG | © National Fire Protection Association. All rights reserved. Use non-slip mats and grab bars in the bathroom • Use non-slip mats on shower floors and outside of the tub/shower. • Have grab bars installed on the wall in the tub and shower and next to the toilet. • Wipe up spills immediately. Fall Message #5 What kinds of things have you already done to improve the safety of your bathroom? 7
  • 8. NFPA.ORG | © National Fire Protection Association. All rights reserved. Be aware of uneven surfaces around the home • Throw rugs must have rubber, non- skid backing. • Smooth out wrinkles and folds in carpeting. • Be aware of uneven sidewalks and pavement outdoors. • Ask a friend to clear ice and snow from stairs and walkways. Fall Message #6 What have you heard about making your flooring safer at home? 8
  • 9. NFPA.ORG | © National Fire Protection Association. All rights reserved. Wear sturdy, well-fitting shoes • Low-heeled shoes with non-slip soles are the best even indoors • These are safer than high heels, thick-soled athletic shoes, slippers, bare, or stocking feet. Fall Message #7 What are some things you can do to keep yourself safe while walking? What’s the worst thing that could happen if you don’t wear safe footwear? 9
  • 10. NFPA.ORG | © National Fire Protection Association. All rights reserved. Have a list of your current medications • Update the list as your medications/dosages change • Put a copy on your refrigerator • Give a copy to a caregiver, family member or friend. • Add your emergency contacts and health care provider information Fall Message #7 10
  • 11. NFPA.ORG | © National Fire Protection Association. All rights reserved. • Some medications can make you sleepy • Some medications impact your balance • Some medications interact negatively with alcohol and other drugs • Take your medications as directed 11 Review your medications with your doctor
  • 12. NFPA.ORG | © National Fire Protection Association. All rights reserved. Consider a medical alert device • Monthly subscription • Wearable device • Push button in emergency 12 If you live alone or are alone for long periods of time
  • 13. NFPA.ORG | © National Fire Protection Association. All rights reserved. Let’s Review: • Name one change you can make in your own home to reduce your risk of falling. • Why does regular exercise reduce one’s risk of being injured in a fall? Resources for Education and Awareness • STEPSTOSAFETY__1-pager_FALLS.ashx (nfpa.org) • Clinical Resources | STEADI - Older Adult Fall Prevention | CDC Injury Center • CDC-AdultMobilityTool-9.27.pdf • www.whitneywellness.org , www.yourjuniper.org, for Fall Prevention Workshops In MN Questions about the Falls Messages? 13

Editor's Notes

  1. Falls are unfortunately common, but they don’t have to happen. Many people who fall, even if they are not injured, develop a fear of falling. This fear may cause them to limit their activities, which leads to reduced mobility and loss of physical fitness, and in turn increases their actual risk of falling. (CDC) Provide a reminder that Falls are an example of “Preventable” injuries….usually they are not truly “accidents”. This program is about sharing information and skills that can help older adults reduce the risk of experiencing injury related to falls. Possible questions to ask to enhance engagement: If you could take action to reduce your risk of falling, would you? Do you know anyone who had a fall? What happened?
  2. You’ve heard use it or lose it? Movement keeps your muscle tone, balance, endurance. Speaking Points: Group exercise can also help you maintain your social health. Walking is good- balance/strength exercises are a must! Your “core” is a big piece of your balance. Your local YMCA or Recreation Center may have low cost /free classes. Free Resource: Exercise : A Guide from the National Institute on Aging Free Exercise Guide: \ (800) 222-2225 http://go4life.nia.nih.gov/exercise-guide-video Possible questions to ask to enhance engagement: What types of exercise do you enjoy? Has anyone tried the video game fitness programs such as Wii fit?
  3. Additonal Comments: If you are in a deep chair or couch, slide forward, then hold the arm and get up slowly. Fall hazards might be electrical cords, magazines or newspapers, or even pets. Look for possible hazards (Be aware of surroundings). Possible questions to ask to enhance engagement: What are the benefits of taking a moment to sit before rising when you get out of bed? What’s the strangest thing you’ve ever tripped over in your home? Could that incident have been prevented?
  4. How else can we prevent trips and falls? Additional comments: Be CAREFUL where clearing stairs of clutter – Don’t get hurt trying to be safer! Possible questions to ask to enhance engagement: What could you say to other members of your household to let them know how important it is to you to keep the stairs clear?
  5. ADDITIONAL MESSAGING: Poor vision can increase your chance of falling. Keep flashlights or battery-operated lanterns close by. Camping head lanterns are a good idea, as well. Make sure outdoor walkways are brightly lit at night. Possible questions to ask to enhance engagement: Raise your hand if you have any motion sensor lighting outside your home…. What prompted this? Discuss multiple benefits… (theft deterrent, easy lighting, efficiency…) Why do some people opt to wander around the house in the dark at night rather than using appropriate lighting? Is this a good idea?
  6. Non-slip mats increase safety in the bathtub and on shower floors. Non slip mat outside the tub too - wet feet and tile are not a good combination. Have grab bars installed on the wall next to the bathtub, shower, and toilet. Do not use suction cup style grab bar. Wipe up spilled liquids immediately. ADDITIONAL MESSAGING: Wipe up spilled liquids immediately Keep bathroom floor dry Possible questions to ask to enhance engagement: Has anyone recently remodeled a bathroom at home? Did you install grab bars?
  7. Did you know that as we get older we tend to “drop” our toe down when we walk? This makes is easier to trip on even the slightest of uneven surfaces. ADDITIONAL MESSAGING: Make sure indoor flooring is safe. Consider non-skid pads under rugs. Ask a family member, a friend, or a neighbor to clear ice and snow from outdoor stairs and walkways. Always use hand rails, if available, and step carefully. Don’t assume an outdoor path is safe just because you use it frequently. Be aware of cracks, bumps, or holes around footing. Possible questions to ask to enhance engagement: Has anyone ever slid on a throw rug in the home? How can you prevent this in the future?
  8. Additional Comments: Sturdy shoes can help make it easier to walk on less-than-ideal ground. Choose safety over fashion. Possible questions to ask to enhance engagement: Do we have to give up style for safety? Who has a pair of shoes on that are both sturdy and stylish? Show them off!
  9. Sometimes its hard to keep track of all the medications you are on. By keeping a list, and keeping it in a visible location, you can help yourself and your caregivers in case of an emergency. Update the list when a medicine changes or a dosage changes. This way you wont have to remember when you are under stress. Keep all your medications in the same location too.
  10. You need to tell your doctor all the medications you are taking, and if you use other drugs like alcohol or marijuana b/c these can interact and change the way your medications work. You should review your list of all Rx and OTC medications with your doctor at least yearly. Use a pill organizer or use a service that packages your pills to help you remember to take your medications, and remember that you took your medications!
  11. A medical alert device is useful for many people for many reasons!