Falls Risk

People are living longer and want to stay independent! As we age we become much more susceptible to falling. A simple fall for an elderly person can be devastating often leading to a hip fracture, severe concussion or even death!! Here at the Family Foot Care Center we can provide thorough falls risk screenings for our elderly patients and then implement protocol such as special braces, physical therapy, canes or walkers and education to help our elderly patients stay active and maintain their independence!

Each year, one in every three adults age 65 and older falls. Falls can cause moderate to severe injuries, such as hip fractures and head injuries, and can increase the risk of early death. Fortunately, falls are a public health problem that is largely preventable.

How big is the problem?

• One out of three adults age 65 and older falls each year, but less than half talk to their healthcare providers about it.
• Among older adults (those 65 or older), falls are the leading cause of injury death. They are also the most common cause of nonfatal injuries and hospital admissions for trauma.
• In 2010, 2.3 million nonfatal fall injuries among older adults were treated in emergency departments and more than 662,000 of these patients were hospitalized.
• In 2010, the direct medical costs of falls, adjusted for inflation, was $30.0 billion.

What outcomes are linked to falls?

• Twenty to thirty percent of people who fall suffer moderate to severe injuries such as lacerations, hip fractures, or head traumas. These injuries can make it hard to get around or live independently, and increase the risk of early death.
• Falls are the most common cause of traumatic brain injuries (TBI).  In 2000, TBIs accounted for 46% of fatal falls among older adults.
• Most fractures among older adults are caused by falls. The most common are fractures of the spine, hip, forearm, leg, ankle, pelvis, upper arm, and hand.
• Many people who fall, even if they are not injured, develop a fear of falling. This fear may cause them to limit their activities, which leads to reduced mobility and loss of physical fitness, and in turn increases their actual risk of falling.

Who is at risk?

Fall-related Deaths

• The death rates from falls among older men and women have risen sharply over the past decade.
• In 2009, about 20,400 older adults died from unintentional fall injuries.
• Men are more likely than women to die from a fall.  After taking age into account, the fall death rate in 2009 was 34% higher for men than for women.
• Older whites are 2.4 times more likely to die from falls as their black counterparts.
• Rates also differ by ethnicity. Older non-Hispanics have higher fatal fall rates than Hispanics.

Fall Injuries

• People age 75 and older who fall are four to five times more likely than those age 65 to 74 to be admitted to a long-term care facility for a year or longer.
• Rates of fall-related fractures among older women are more than twice those for men.
• Over 95% of hip fractures are caused by falls. In 2009, there were 271,000 hip fractures and the rate for women was almost three times the rate for men.
• White women have significantly higher hip fracture rates than black women.

How can older adults prevent falls?

Older adults can remain independent and reduce their chances of falling.  They can:

• Exercise regularly. It is important that the exercises focus on increasing leg strength and improving balance, and that they get more challenging over time. Tai Chi programs are especially good.
• Ask their doctor or pharmacist to review their medicines—both prescription and over-the counter—to identify medicines that may cause side effects or interactions such as dizziness or drowsiness.
• Have their eyes checked by an eye doctor at least once a year and update their eyeglasses to maximize their vision. Consider getting a pair with single vision distance lenses for some activities such as walking outside.
• Make their homes safer by reducing tripping hazards, adding grab bars inside and outside the tub or shower and next to the toilet, adding railings on both sides of stairways and improving the lighting in their homes.

To lower their hip fracture risk, older adults can:

• Get adequate calcium and vitamin D—from food and/or from supplements.
• Do weight bearing exercise.
• Get screened and, if needed, treated for osteoporosis.

Among adults 70 years and older:

• 3 in 10 fall each year
• 2 in 10 who need home health care after being in the hospital will fall during the first month after coming home
• 1 in 10 suffer a serious fall injury such as a broken bone or head injury
• 5 in 10 have problems getting up without help after they have fallen
• Falls cause over 90% of broken hips; only half of those who break their hip will get around like they did before their broken hip
• In the United States, 16 percent of all Emergency Department visits and almost 7 percent of all hospitalizations are for fall-related injuries

PREVENTABLE

• Many of the health problems that increase the chance of falling are known and are treatable.
• Common, treatable health problems and hazards include problems with walking or moving around, medications, foot problems or unsafe footwear, blood pressure dropping too much on getting up, problems seeing, and tripping hazards at home.
• As shown in the figure below, the more of these problems an older adult has, the greater the chance of falling.
• The good news is that you can decrease the chance of falling by improving these problems. A study conducted in Connecticut, funded by the National Institute on Aging , found that treating as many of these problems as possible decreased the likelihood of falling.

The common health problems for falling are:

• Problems walking or moving around
• 4 or more medications
• foot problems, unsafe footwear
• blood pressure drops too much on standing up/dizzy
• problems with seeing
• tripping hazards in your home