Falls Prevention Fortnight

Falls Prevention Fortnight

16-29^th September 2024

We have combined Falls Prevention week with an additional week to talk about all things Falls Prevention. On our Live Stronger for Longer Facebook page, we'll be sharing something new every day to spread awareness and provide tips on how everyone can reduce their risk of falling: https://www.facebook.com/LSFLDerbyshire

Anyone can experience a fall, but older adults are particularly vulnerable, especially if they have a long-term health condition. Falls are a common but often underestimated cause of injury. In fact, around 1 in 3 adults over 65, and half of those over 80, will experience at least one fall each year.

While most falls don’t result in serious harm, there is always the risk of broken bones, and falling can also have emotional impacts. Many people lose confidence, become more withdrawn, and feel as though they’ve lost some independence after a fall.

What should I do if I fall?

If you fall, try to remain calm. If you’re unhurt and feel strong enough to get up, don’t rush. First, roll onto your hands and knees and find a sturdy piece of furniture, like a chair, bed or the stairs. Hold onto it with both hands, and when you feel stable, slowly rise. Once up, sit down and rest for a few minutes before continuing with your day.

If you’re hurt or unable to stand, try to get help by calling out, banging on the wall or floor, or using a personal alarm, security system or mobile phone, if you have one. If possible, crawl to a phone and call 999 for emergency assistance. Try to stay warm by covering yourself with a blanket or dressing gown, especially around your legs and feet. Change your position every 30 minutes if you can to stay as comfortable as possible.

It’s a good idea to consider getting a personal alarm system to signal for help in case of a fall, or keep a mobile phone in your pocket at all times.

If you’re caring for an older person, it’s important to know what steps to take following a fall.

What causes a fall?

As we age, the risk of falling increases due to a number of factors, such as:

• Balance issues and muscle weakness
• Vision impairment
• Long-term health conditions like heart disease, dementia, or low blood pressure, which can cause dizziness or brief fainting spells
• Medication

Falls are more likely to happen in situations like:

• Wet or freshly polished floors (e.g., in the bathroom)
• Dim lighting
• Unsecured rugs or carpets
• Reaching for high storage areas or going down stairs
• Rushing to the bathroom, especially at night
• Falls from ladders during home maintenance are another frequent cause, particularly for older men.

In older adults, falls can be more serious because of conditions like osteoporosis, which weakens bones and increases the risk of fractures. Osteoporosis is common in both men and women, particularly those who smoke, consume excessive alcohol, take steroid medications, or have a family history of hip fractures. However, older women are at greater risk due to hormonal changes after menopause. A good diet can help to keep bones strong and healthy.

Preventing falls

There are several easy ways to reduce the risk of falls in your home:

• Use non-slip mats in the bathroom
• Quickly mop up spills to prevent slippery floors
• Ensure all rooms, hallways, and staircases are well-lit
• Remove clutter from the floor and stairs
• Wear fitted footwear and look after your feet and toenails
• Ask for help when lifting or moving heavy items

Age UK provides further advice on making home adaptations to improve safety.

Live Stronger for Longer is the falls prevention service for Derbyshire, funded by Derbyshire County Council supporting the falls prevention pathway.
The service supports older people at risk of falls or seeking to improve and maintain their strength and balance.

"The help and support I have had through the Live Stronger for Longer community classes has given me my independence back. We have fun at the classes and the exercises have helped me walk with just my walking stick." (Testimonial from one of our users).

Older people, carers, health and social care professionals, voluntary sector staff and wellbeing services staff can all refer to the Live Stronger for Longer service. Referrals receive individual triage and support to access the most appropriate element of the service.

Healthcare professionals take falls very seriously due to the significant impact they can have on the health and wellbeing of older adults. If you’re concerned, it’s worth speaking to your GP, who can provide support and guidance. Your GP may perform simple tests to check your balance and review any medications you’re taking to see if they could increase your risk of falling.

Your GP may also suggest:

• Regular eye exams to address any vision problems, even if you already wear glasses
• An electrocardiogram (ECG) and blood pressure checks when lying down and standing
• A home hazard assessment, where a healthcare professional identifies potential risks and offers advice
• Referral to the Live Stronger for Longer service, to provide exercises designed to improve strength and balance