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FACTS
ON FALLS
The National Trauma
Registry has shown that falls are now the leading cause of acute care
hospital injury admissions for people aged 50 or older. In response
to this report, and in recognition of National Physiotherapy Week
(April 9-15, 2000), P.A.T.H. has launched a fall prevention and safety
campaign in our clinics across Ontario. P.A.T.H. clinics will provide
information pamphlets, conduct risk assessments and host balance classes
for those individuals who are identified as at risk.
Falls are not a
normal part of aging, but are the result of preventable accidents that
most often occur at home. The majority of falls occur on stairs going
to the bathroom and/or bedroom, and the most common injuries sustained
are fractures of the forearm and hip. These types of injuries can drastically
change an individual’s quality of life, and result in a significant
increase in health care costs for both the patient and the health care
institutions who treat them.
For practical tips
on potential home hazards, and how to successfully "fall proof" your
home, click below. If you would like more information about the P.A.T.H.
Fall Prevention Campaign, please email us at info@pathphysiotherapy.com,
or contact us at (416) 322-PATH
BATHROOM
Wet
areas are more likely to be slippery and therefore hazardous. Take extra
care when on a wet surface.
-
Non-slip flooring is recommended for bathrooms.
-
Self adhesive non-slip strips are advisable in the shower and the
bath.
-
Handrails are recommended in all positions around the bath and toilet
where you need something to hold on to.
-
Occupational Therapists from your local hospital can advise you on
hand rails and other equipment for modifications to your bathroom
to ensure yourmaximum safety and independence.
BEDROOM
Have
a light within reach of your bed. Consider a touch lamp or night lamp.
-
Keep
a flashlight next to your bed at all times.
-
Keep
floors clear in bedroom.
-
Secure
loose telephone and electrical cords in the bedroom and out of walkways.
-
Ensure
your eyeglasses are easy to reach if you need them when you get out
of bed.
- Beds should be
at a good height for easy movement on or off.
-
A
firm mattress provides support. This willmake getting into and out
of bed easier.
-
Get
out of bed slowly – sit up before you stand up.
-
If
you are having difficulty getting in to or out of your bed, talk with
a physical therapist, or occupational therapist.
CLOTHES
& FOOTWEAR
-
Shoes
and slippers should have non-slip soles with patterned tread and rounded,
broad heels.
-
Avoid
wearing socks only, loose fitting slippers, leather or other slippery
soles and high heels.
-
Clothing
should be short enough to avoid tripping (particularly nighties and
dressing gowns).
-
Sit
down rather than stand on one leg when dressing.
FLOOR
SAFETY
-
You
are less likely to slip on surfaces such as carpet or unglazed tiles.
These surfaces are preferable to polished floors, which can be very
slippery.
-
There
are also non-slip products that can be painted on to a surface.
-
Remove
all loose mats, or ensure they are firmly secured and have non-slip
underlay.
-
Make
sure your carpets are in good condition.
-
Always
wipe up spills as soon as they occur. Some floor surfaces are particularly
slippery when wet.
KITCHEN
-
Arrange
your kitchen so the most frequently used items are easy to reach.
-
A
traymobile allows you to transport more items with increased safety.
-
Counters
and tables should be sturdy enough to support your weight if you lean
on them.
-
Rangehoods,
vents or exhaust fans can be installed to provide better ventilation
when cooking.
-
If
possible, install a wall oven in preference to a low oven.
-
Use
a broad based, sturdy and secure ladder if it is absolutely necessary
to reach high places.
LIGHTING
-
75
watt light bulbs are recommended for all rooms, passageways and stairwells
(Note however, that some light fittings take a maximum of 60 watts).
-
Nightlights
are an inexpensive way to provide light to dark passageways at night.
-
Consider
installing movement activated or photoelectric lights to illuminate
passageways.
-
Place
lamps in dark areas (or have lights installed).
-
Allow
time for your eyes to adjust when going to and from light to dark
areas.

LOUNGE
ROOM
-
Higher
chairs and chairs with solid arm rests make it easier to sit or stand
when using.
-
Keep
telephone and electrical cords clear of hallways.
-
Fans
and heaters should not be placed in walkways, or in the middleof the
room.
-
Remove
loose rugs or apply slip-resistant backing or secure by other means.

OUTSIDE
THE HOUSE
-
Contact
your local council to advise them of problem areas near your home.
-
Paths
need to be even and unbroken.
-
Store
garden tools safely.
-
Use
a hose reel to store your garden hose.
-
Walk
carefully near pets or small animals, as their movement can be unpredictable.
-
Make
sure all outside steps are highly visible by painting the front edge
of the step a contrasting colour, or by putting on non-skid treads.
-
Keep
paths free of moss and leaves, and take extra care in wet conditions.
-
Many
falls result from the use of ladders. Be extremely careful. If you
cannot get someone else to assist you, ensure you comply with all
safety instructions.
STAIRS
& LADDERS 
-
Stairs
may need extra lighting.
-
Lights
which turn on automatically are recommended.
-
Make
sure there are handrails on at least one side of all stairways. Handrails
on both sides of steps are preferable where possible.
-
Move
frequently used items to reduce the need for ladders.
-
Have
someone with you if it is necessary to use a ladder.
-
Ensure
your stepladder is in good condition. Ladders with handrails are recommended.
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