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HOW TO AVOID FALLS


John A. Van Houten, M.D.
   
   

Although it is our profession to fix our patients up after an injury from a fall, we are concerned about your health and want to share with you some ways to avoid an injury.

Gravity being as universal as it is, some falls are unavoidable, however, there are ways to reduce the risk. Studies have shown that something as simple as reminding yourself first thing in the morning to be careful will reduce the risk! This can be reinforced by family members reminding each other and family members can also point out behavior that is a bit risky.

You can divide falls into two categories - one caused by external factors and one caused by internal factors. External factors putting you at risk include slippery floors, loose or curled up throw rugs, obstructive furniture, poorly lit areas (or not turning on a light at night), and in a surprising number of cases - pets! These are factors within the home. Outside of the home, changes in elevation (steps or recessed areas in restaurants for example), uneven footing on gravel or sidewalks, and parking lot bumpers will account for some falls. Within the house, it is a good idea to go through and look for obstacles and remove or change them. When outside of your home, be especially careful of your surroundings.

Internal factors are caused by things that you do yourself. As we get older, our balance changes and things as simple as sitting down to put on trousers or a skirt rather than standing is safer. Leaving a nightlight on is good if you get up at night. If you do get up, sit on the bed for a minute to let your blood pressure stabilize as this improves balance. If you are lying down, by all means, do not jump up to answer the doorbell or the phone. Get up slowly even if you miss the call. You are all aware of other precautions such as not standing on chairs to change a light bulb, use a ladder. As your balance changes a bit, have someone help steady you if you must climb on something. Regular exercise, as simple as walking, also helps to keep coordination and muscle balance in better condition.

All things being equal, harder bones do not break as easily as soft bones if you do fall. If you have reached the age of 65 for women and 75 for men and have not had a bone density test, you should speak to us or your primary care physician about one. We do these tests in our office.

Lastly, if you should have an injury, call us. There is always someone from our practice available regardless of which doctor might be listed on call in the local emergency room.

 

 

   
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