Falls

Falls are a common, but often overlooked, cause of injury. Around 1 in 3 adults over 65 who live at home will have at least one fall a year, and about half of these will have more frequent falls.

Most falls do not result in serious injury. But there’s always a risk that a fall could lead to broken bones, loss of confidence and independence.

Falls in older people should be taken very seriously because of the huge consequences they can have for the health and wellbeing of this group.

Find out more about our Don’t fall down after lock down campaign.

 

Osteoporosis

Osteoporosis is a condition that weakens bones, it is a fairly common problem and can make falls problematic due to the increased chance of breaking bones.

It can develop in both men and women, particularly in people who smoke, drink excessive amounts of alcohol, take steroid medication, have a family history of hip fractures or women who have completed menopause.

Why do we fall?

Ageing

The natural ageing process means that older people have an increased risk of falling, particularly the over 75s. This is mainly due to;

Hazards

  • Wet floors in bathrooms, or recently polished floors.
  • Poor or low lighting
  • Loose rugs or carpets or thresholds between rooms
  • Cluttered walkways or excessive furniture
  • Poor footwear, loose slippers or smooth soled shoes.
  • Reaching for items in high or low storage areas
  • Completing DIY on step ladders
  • Going up or down stairs without support.
  • Rushing to the toilet during the day or at night

Fear of falling

Having a fear of falling, particularly in later life is very common and often distressing. It can be very limiting, preventing you from having an active and fulfilling life, avoiding daily tasks and resulting in further immobility, loss of confidence and further health conditions.

Being anxious about falling can increase your risk due to the way it affects your body such as feeling dizzy or lightheaded, racing heartbeat, shortness of breath, shaky legs and pain or tightness in your muscles. This is completely normal reaction and you should not be embarrassed but should speak to your GP or local therapy team about this.

What should I do if I fall?

Stay calm. It is important to stay calm and assess if you are hurt. If you are not hurt, you can get up if you are strong enough:
How to get up: Roll onto your knees and use a stable piece of furniture, such as a chair, and slowly bring yourself back to your feet. Ensure you sit for a short time before returning to normal activities. This booklet has some useful information.

Always call to inform someone you have fallen. what to do after an incident

If you are in pain or cannot get up:

Call for Help.  Call 111 or 999

Call out for attention, bang on the wall/floor, press your call aid button if you have one.
Crawl to a phone, call 999 for an ambulance.

Stay warm & comfortable. Cover yourself in a blanket or dressing gown. Try and keep changing position until help arrives.

Telecare

Telecare is the use of discreet equipment used in an emergency or if you are having difficulties in your home. As well as peace of mind for you, your family and your carers, telecare may give you more freedom to live independently knowing you can call for help by simply pressing a button when needed.

How do you know if you are at risk of falling?

Take this simple test to identify if you are at risk.

The test can help uncover any health issues that might make you more likely to fall, which you can discuss with your GP.

Fall risk test

FALLS RISK TEST
QUESTION ANSWER COMMENTS/ADVICE
1.      Have you had a fall in the last 12 months?

 

Yes / No You are more likely to have another fall if you have fallen in the last year.
2.     Are you on 4 or more medications a day?

 

Yes / No Taking 4 or more medications significantly increases the risk for falling because of the side effects associated with multiple medication use.
3.      Do you have Parkinson’s disease or have you had a stroke?

 

Yes / No Falls are common after a stroke mainly because of leg weakness, sensory loss, and foot, eyesight and balance problems. If you have Parkinson’s, you may have poor balance, take small steps or walk too fast, or have involuntary movements affecting your balance.
4.     Do you feel unsteady or have problems with balance?

Can you walk while talking?

 

Do you sway significantly while standing still? Get someone to observe you standing upright.

 

Can you stand on one leg?

Yes / No

 

Yes / No

 

 

 

 

 

Yes / No

 

 

 

 

 

Yes / No

 

 

If you stop walking either immediately or as soon as you start to answer a question, you should answer “Yes” to question 4.

 

If you raise your arms or adjust your foot placement for balance, you should answer “Yes” to question 4.

 

 

If you struggle you should answer “Yes” to question 4.

5.      Do you struggle to get up from a chair?

 

Yes / No You should be able to stand up from a chair of knee height without using your arms. If you cannot, or you feel dizzy or unsteady, answer “Yes”.

 

6.     The “Timed Up and Go” test:

Does it take you more than 12 seconds to do the following?

1.      Stand up from the chair

1.      Walk 3 metres (10 feet) at your normal pace

2.     Turn

3.      Walk back to the chair at your normal pace

4.     Sit down again

 

Yes / No
Score: If you have had a fall in the last 12 months or answered “Yes” to two or more questions then you should contact your GP or single point of access teams for further support – number at the bottom of the page.

Score: If you have had a fall in the last 12 months or answered “Yes” to two or more questions then you should contact your GP or single point of access teams for further support – number at the bottom of the page.

Preventing a fall

Education around falls risk and prevention

  • Where to seek further advice and support
  • What to do if you have a fall; how to summon help and avoid a long lie

Reducing environmental hazards

  • Having a home / environmental assessment by a health care professional
  • Clear clutter, reduce furniture and clear walkways
  • Ensure rooms, passages and staircases are well lit
  • Remove rugs and mats or use non-slip matting

Vision assessment

  • You should have your eyes tested every 2 years (or more if advised by an opthalmic professional) to ensure your vision is optimised. Find your nearest NHS optician.

Exercise

  • Physical activity and exercise is important for older adults to maintain muscle strength, balance and co-ordination
  • You should aim to complete 150 minutes of moderate exercise per week
  • Strength exercises; (weights, yoga) 2-3 times per week
  • Balance exercises; watch this video to find out more

  • Balance exercises need to be challenging and progressive. Chair based exercises will not improve your balance.
  • Our community therapy team, can create a program suited to your needs
  • Learning how to get up and down from the floor is an important skill to have

Continence Assessment

  • Reducing your need to rush to the toilet due to urgency, improving your mobility to the toilet, or wearing pads to reduce your worries about incontinence can help to reduce falls.

Medication review

  • Your GP can review your medications to see if there are any that can be reduced or any side effects that may increase your risk of falling

What to do now

For further advice or support doing any of the above visit your GP or contact our Single Point of Access on 01429 522500.

The charity Age UK has more advice about how to make tasks easier around the home. Read more about preventing falls.

Visit Steady On Your Feet for more advice on exercises and falls prevention.