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An Ounce of Prevention - QVHD Newsletter
Our weekly news column bringing the most current, non-biased health information to the consumer.


October 21, 2008

A Publication of QVHD

Preventing Falls

By: V. Deborah Culligan, RN, MPH,
Deputy Director QVHD

How many “trips or falls” have you had over the years? For younger people, most falls result in little more than a few moments of embarrassment. But for older persons, falls can be much more serious and can lead to a drastic change in lifestyle. Statistically, it is rather common for persons over 65 to fall at least once a year. Three quarters of all falls occur in and around the home. Yet most of these falls are preventable .

There are several actions that can be taken to minimize the risk of falling:

• Study shoes! Soles that grip and shoes that provide adequate support are very important. Many falls occur simply because the sole slides, or the shoe doesn't provide enough support to keep the gait steady. Other falls are caused by the shoe falling off the foot. A research study published in the Journal of the American Geriatrics Society (reported on in Health After 50 , Dec. 2004) showed that going barefoot (or stocking feet) around the house is associated with a higher rate of falls in the elderly. The lowest risk of falls occurred in the group that wore sneakers.

• Simple exercises can greatly improve balance, gait, range of motion, and strength, which can help in preventing falls. These exercises can be done standing at the sink and sitting in a chair.

• Learning how to change positions (like from sitting to standing) can prevent dizziness (which is a common reason for falling.) Quick changes in position can cause orthostatic hypertension, which means that the blood pressure drops quickly. This is what causes the dizziness.

• Household assessment! Believe it or not, many falls result from easily remedied situations in and around the home. Some carpet tape to secure a corner or mat can prevent a fractured hip. Common household contributors to falls include: scatter rugs, unsecured carpet edges, electrical cords, leaving belongings on floor or stairs, slipping on spilled liquids, and reaching for items stored in difficult places to reach. Poor lighting in hallways or stairwells can also contribute to falls.

• Your personal health status can be a factor in falls. Have your vision checked. If you are supposed to wear glasses, do so. If your gait is unsteady, use a walker or a cane. Review your medications with your doctor or pharmacist to see if any of them could cause dizziness.

Falls in the winter are a common occurrence. Consumer Reports on Health (Jan. 2005) recommends: Face the railing on icy stairs, grasp with both hands and go up and down sideways, with one foot then the other; Shuffle on icy grounds, taking one tiny step at a time; If the ice you need to cross seems really bad, sit down and scoot across, using your hands to push you along.

For a free copy of the “Doable, Renewable Home”, focusing on prevention in the home and other information on fall prevention, District residents may call QVHD, 248-4528 or request online, www.qvhd.org.    

 

An Ounce of Prevention is a publication of the Quinnipiack Valley Health District, located at 1151 Hartford Turnpike, North Haven, CT 06473. Telephone: 248-4528. An Ounce of Prevention is written by V. Deborah Culligan. The articles are published in the following local newspapers, The Advisor & Beth-Wood News.

The content is provided as health education and information to help you make health decisions. It is not intended to be legal or medical advice, or substitute for recommendations made by your health care provider. Address all comments to the district office.

 


Quinnipiack Valley Health District
1151 Hartford Turnpike
North Haven, CT 06473

Phone. (203) 248-4528
Fax. (203) 248-6671
E-Mail. info@qvhd.org


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