An Unfortunate Epidemic of Falls this Year
In the past year, four of my close friends or relatives have
fallen in their home or at work. Two of them suffered broken bones. In the
first instance, a friend of mine was getting ready for a trip to California and
rushing around her apartment when she tripped over a pile of papers. She broke
her wrist and needed surgery. She’s on the mend and doing well, but it could
have been worse.
Another friend was busy at work, and in her haste to get
things done, she tripped on some steps and broke her foot. It’s been a long and
difficult recovery.
A relative who had back surgery about a year ago became
distracted and fell in her walk-in closet. Luckily, she was OK.
Finally, someone I know was adjusting her bath mat and
slipped in the bathtub. Fortunately, she fell in such a way that she only
sustained a bruise and some soreness.
They all had something in common: they were either
distracted or in a hurry. I can’t stress enough how dangerous a fall can be,
especially for older folks whose bones may be more fragile. As we age, our
balance may not be what it used to be, so it’s more important than ever to be
mindful of our movements, especially when we’re in a hurry.
Medications that cause drowsiness also put us at greater
risk of falling. Check with your doctor or read the label about the side
effects of all your prescription and over-the-counter medications, and be extra
careful when moving around the house.
Shoes and slippers make a difference, too. They should
always fit properly, and nonskid soles are advised for people who may be
susceptible to a fall.
Ever watch those home improvement shows? It never ceases to
amaze me when I see a steep staircase leading to a basement with no handrail.
Not only is it against building codes, it’s an accident waiting to happen.
Holding on to the wall for support doesn’t cut it. Every staircase in a home
should have at least one sturdy handrail. The entire area should be well-lit,
with light switches at both the top and bottom of the stairs.
Here are some additional recommendations for home safety and
fall prevention:
- Ensure that the home is free
of hazards such as slippery floors, rugs that are not secured and poorly
lit areas. Do not leave piles of paper or random items on the floor. If
there is a spill, clean it up immediately.
- Keep flashlights nearby in case of a
power outage.
- Consider installing motion detector lights which turn on automatically and light your stairway.
- Put nonslip treads on each bare-wood step.
- Do not use patterned, dark or deep-pile
carpeting. Solid colors show the edges of steps more clearly.
- Do not place loose area rugs at the
bottom or top of stairs.
- Repair loose stairway carpeting or
boards immediately.
Bathroom
- Install grab bars on the bathroom walls
near the toilet and along the bathtub or shower.
- Place a slip-resistant rug adjacent to
the bathtub for safe exit and entry.
- Mount a liquid soap dispenser on the
bathtub/shower wall.
- Place nonskid adhesive textured strips
on the bathtub/shower floor.
- Use a sturdy, plastic seat in the bathtub
if you are unsteady or if you cannot lower yourself to the floor of the
tub.
- Stabilize yourself on the toilet by
using either a raised seat or a special toilet seat with armrests.
- Replace glass shower enclosures with
non-shattering material.
Bedroom
- Clear clutter from the floor.
- Place a lamp and flashlight near your
bed.
- Install night-lights along the route
between the bedroom and the bathroom.
- Sleep on a bed that is easy to get into
and out of.
- Keep a telephone near your bed.
Living areas
- Arrange furniture to create clear
pathways between rooms.
- Remove low coffee tables, magazine
racks, footrests and plants from pathways in rooms.
- Install easy-access light switches at
entrances to rooms so you won’t have to walk into a dark room to turn on the
light. Glow-in-the-dark switches may be helpful.
- Secure loose area rugs with double-faced
tape or slip-resistant backing. Recheck these rugs periodically.
- Keep electric, appliance and telephone
cords out of your pathways, but don’t put cords under a rug.
- Eliminate wobbly chairs, ladders and
tables.
- Do not sit in a chair or on a sofa that
is so low it is difficult to stand up.
- Place carpeting over concrete, ceramic
and marble floors to lessen the severity of injury if you fall.
- Repair loose wooden floorboards immediately.
- Remove throw rugs that are not secured
to the floor.
- Immediately clean up any liquid, grease
or food spilled on the floor.
- Store food, dishes and cooking equipment
at easy-to-reach waist-high level.
- Don’t stand on chairs or boxes to reach
upper cabinets. Use only a step stool with an attached handrail so you are
supported.
- Repair loose flooring.
- Use nonskid floor wax.
© 2016 Geoffrey Westrich, MD. All rights reserved.
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