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What Causes Falls Among Elderly Parents?

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Falls are the leading cause of death, injury and hospital admissions among the elderly population. In fact, last year alone, more than 1.6 million seniors were treated in emergency rooms for fall-related injuries.

Several factors contribute to the fact that seniors fall so much more frequently than younger people:

Lack of physical activity. Failure to exercise regularly results in poor muscle tone, decreased bone mass, loss of balance, and reduced flexibility.

Impaired vision. This includes age-related vision diseases, as well as not wearing glasses that have been prescribed.

Medications. Sedatives, anti-depressants, and anti-psychotic drugs, plus taking multiple medications are all implicated in increasing risk of falling.

Diseases. Health conditions such as Parkinson’s disease, Alzheimer’s disease and arthritis cause weakness in the extremities, poor grip strength, balance disorders and cognitive impairment.

Surgeries. Hip replacements and other surgeries leave an elderly person weak, in pain and discomfort and less mobile than they were before the surgery.

Environmental hazards. One third of all falls in the elderly population involve hazards at home. Factors include: poor lighting, loose carpets and lack of safety equipment.

However, falls are not an inevitable part of growing older. Many falls can be prevented, by making the home safer and using products that help keep seniors more stable and less likely to fall.

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NAUSEATED said
May 27, 2009

How do you know exactly when it's time to get a can or walker for your loved one? In my father's case, at the moment, these things would be more dangerous to him, than helpful. He has a gait problem with balance being the issue. His biggest problem is the stairs. He has poor coordination, and motor skills, and would probably have to be taught to use a cane, that is why the cane would be more dangerous at the moment.

BGOETHE said
May 28, 2009

Marlo, these are great guidelines. In The Gerontologist this month, there are two articles supporting the idea that altering the environment helps elderly persons to be less disabled and show less physical decline over time.

One other issue, though, is the effect of dementia on physical mobility. Due to visual perceptual problems ("Is this a stpe up or a step down?" "Is this a rug or a hole?") and visual recognition problems ("What is this object?"), the person with dementia is at increased risk of falls.

Thanks for the newsletter - I always enjoy it.

Beth

lonken said
May 28, 2009

Nauseated... By your post, I can only deduct that your father is not currently using anything to aide him in walking. If he is having trouble enough walking that you believe he may need an aid, then I would suggest discussing it with his doctor. If you think a regular cane will be more of a hinderance, there are canes that attach to the arm which act as an extension of the arm. As for walkers and stairs, it is difficult. My grandmother has come up with her own way of getting up and down the three steps to our house with her walker, but I wouldn't want her to have to try and negotiate flights of steps with it. She uses both a quad cane and a walker depending on how she feels at that time. Whenever we go anywhere, she uses her walker. Good luck.

NAUSEATED said
May 29, 2009

Dear lonken, thanks for your post. Dad seems to do better with walking when he does it more often. Problem is, he just sits most of the time lately. I told him, he needs to walk more, he says no he doesn't. He says he has never walked like that in his life. I say dad, you have been walking this way for a long time now. The more excercise you get by walking, the better you will feel. He's not quite ready for a cane yet. I took him to the doctor, his regular physician was out. The replacement said he needed physical therapy, and a walking assesment. His regular physician already did one, and said nothing about needing physical therapy. Not going to be able to pay for therapy until I get his medical in place, which is a whole other long story. Dad goes into assisted living next week, so we will see how he does there. There are more activities provided there, so that will hopefully keep him active. Thanks I need the luck.

lovingdaughter said
Jun 18, 2009

lonken,
Can you get physical therapy and occupation therapy for your dad? Sometimes it is helpful to exercised the hip muscles. My mom had the same problem and the physical therapy was a big help. The side to side rocking was caused by her hip muscles needing to be strengthened. We started with visiting nurse and got the help we needed. Good luck
Linda

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Lynn Harrelson

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