A friend of mine recently confided that her 91 year old father had broken one of his ribs falling off a ladder, and was now incapacitated in his home. This accident was a major blow to a robust senior who had just recently passed his drivers exam with ease.
You might think that such accidents “just happen” to seniors and that nothing can really be done to prevent them. Not so, because many occur in predicable and avoidable ways. By taking some simple, preventative measures, her father could have considerably reduced his chances of being injured. Read that again to absorb it, because the following information is literally life changing.
Falls are by far the leading cause of unintentional injuries for seniors in Canada, with over 87 percent resulting in hospitalization for those 71 years of age or over. They also account for 75 percent of deaths resulting from injury.
In particular, falls have a grave impact on independence. According to a 1996 New England Journal of Medicine study, 40 percent of seniors’ falls result in hip fractures, half of these will never walk unassisted again; with about 20 percent being moved from private residences to institutionalized care.
Sadly, a further 20 percent will die within 12 months of this injury. Others may face an irreversible decline in function and undermined health, causing unrelated diseases or illnesses to prove fatal. (BC Ministry of Health Planning report, 2004)
Findings from studies show that these incidents occur as a result from a combination of physical, behavioural, social and economic conditions, in conjunction with environmental hazards. However, risk factors can be modified when preventative strategies are put in place.
A good start is by installing brighter lights, uncluttering and cleaning your home, having your vision checked, and getting your doctor to review high risk or multiple medications which may lead to balance problems. And NEVER balance on ladders or unstable stools for objects out of reach. Though you may still feel young, the body often betrays the mind.
As your daily routine becomes less demanding, maintaining or regaining physical fitness is the single most effective fall prevention measure available. It can improve balance, mobility and reaction time, as well as bone mineral density.
A 2004 British Medical Journal study concluded that exercise reduces fall risk among seniors by 15 percent and the number of falls by 22 percent. Walking, cycling, mild aerobics, or other activities are great in such a situation, but consult your health professional if in doubt about a new exercise program.
Nutrition is also important, as regular healthy meals keep up strength and vitality. If unable to make your own meals, services such as “Meals on Wheels,” (250-439-7461), “Better Meals” (604-299-1877) or Interior Health’s “Dinners at Home” (250-492-4000) are alternatives to look into.
If still unsure of your safety, emergency response systems, installed and monitored for a small cost, will get help for you in case of an emergency. Look in the Yellow Pages under “Medical Alarms.”
Knowing how to grow old safely is the height of wisdom and a delicate step in the art of living. Every change you make to adapt your home or health will keep you from falls or injury. I recommend you request the “Safe Living Guide,” from the Public Health Agency of Canada. It contains tips for just about every situation where accidents can occur.