Friday, September 25, 2009

Helping older people Not fall down

Every year, about a third of Americans 65 and older fall, and about a third of those who lose their footing require medical treatment, according to the federal Centers for Disease Control and Prevention.

More than 1.8 million older adults are treated annually in emergency departments for injuries from falls, 433,000 are admitted to hospitals and 16,000 die because of their injuries, the agency reports.

"The good news is that we can reduce the risk of falling. It doesn't have to be an inevitable part of growing old," said Lynn Beattie, vice president of injury prevention at the National Council on Aging.

Aside from promoting longer lives and greater independence, the new efforts to prevent falls may help control health care costs as the oldest boomers qualify for Medicare in about a year, she said.

More than $19 billion is spent annually on treating seniors who fall. Without better prevention, that cost is projected to escalate to $43.8 billion a year by 2020, and Medicare will pay for most of it.

At the University of Texas at Arlington, researchers are putting older adults through a battery of tests to determine their risk of falling and to teach them to maintain their balance.

In one exercise, the seniors climb into a booth where the floor rocks, the walls shake and a video screen flashes words and colors to distract them. A harness protects them from slipping.

Patricia Elder, a 63-year-old Grand Prairie resident who worries about tripping because of her poor eyesight, held her ground by shifting her weight when she took the test.

"It reminded me of going through a carnival funhouse as a child," she said. "I guess this old gal still has it in her."

Christopher Ray, an assistant professor of kinesiology, said he hoped the research project will lead to programs and products to help older adults become more sure-footed.

"When seniors regain their strength and balance, they also regain their confidence," he said. "As long as people fear falling, they limit their activities, and that only makes them more vulnerable to accidents."

Dallas-based AT&T Inc. and eight LLC of New York are working on a high-tech monitoring system that will signal caregivers when it detects someone is at risk of falling.

The system will use a shoe insole with built-in sensors that track changes in the wearer's gait, said Bob Miller, executive director of AT&T's communications technology research department.

"If, for example, someone becomes dizzy because of a bad reaction to medication, we should be able to detect the unsteady walk and alert caregivers in time to head off trouble," he said.

Texas Tech University will begin testing the monitoring system at a geriatric care center in Lubbock in about a month, Miller said. He expects the technology to be on the market within two years.

Lower tech

Low-tech approaches are also reducing older adults' risk of tumbling, Beattie said. Many home health care agencies are creating services tailored to fall victims.

Gentiva Health Services, a national home health care company, aggressively markets its "Safe Strides" program.

"Our typical patient has already fallen but doesn't want to move into an assisted-living facility or nursing home," said Keith Gray, rehabilitation director for Gentiva's branch in Bedford, Texas.

A therapist evaluates each patient and designs an in-home exercise program to improve balance, he said. The home is also checked for hazards, and medications are reviewed for possible side effects.

Medicare covers the cost of the four- or five-week program if a doctor orders it, Gray said.

Older adults can significantly lower their risk of falling if they make better use of "old technology" such as walkers and canes, said Candy Wade, who teaches "Matter of Balance" classes to Dallas area seniors.

Seniors sometimes borrow walkers or canes from friends, Wade said, which can be dangerous because a walking aid needs to be fitted to each person.

Tom Polston, who owns Specialty Medical Sales in Lewisville, Texas, said he and his employees routinely measure customers for walkers and canes and give a short course on how to use the aids.

"This isn't a one-size-fits-all business," he said.

The industry that's done the most to prevent falls is the one with the most to gain -- long-term care providers such as nursing homes, assisted-living facilities and senior independent-living communities.

Because it cares for the frailest seniors, a nursing home with 100 beds averages from 100 to 200 falls a year, the Centers for Disease Control and Prevention reports. About 1,800 residents die each year from falls.

At Christian Care Centers in Mesquite, Texas, staff members are trained to guard against falls and frequently rely on lifts to help nursing home patients out of chairs and onto their feet.

The community's "Senior Body Balance" class -- with its mix of Pilates, tai chi and yoga exercises -- also helps put residents on surer footing, said Martha Fiddes, assistant vice president of therapy and wellness services.

"I've had fall-prone seniors who haven't had a single accident since taking the course," she said.

Experts see interest in fall-related products and programs headed no way but up.

The people most vulnerable to falling and injuring themselves -- those 85 and older -- also make up the fastest-growing age group in this country, said Beattie of the National Council on Aging.

"Preventing falls has to become a booming enterprise," she said. "Otherwise, we won't have enough surgeons to treat all the hip fractures." The original article can be found here


To reduce your risks of falls, follow these tips:

  • Review your medication with your doctor every 6 months.
  • Ask your doctor or pharmacist about the side effects of your medication.
  • Tell your doctor if your medication makes you dizzy or lightheaded.
  • Never take someone else's medication.
  • Talk to your doctor if insomnia persists.
Using A Cane
  • Make sure your cane is the correct height for you.
  • Standing with your arms at you sides, turn the cane upside down and put the handle on the floor. The tip of the cane should be at the level of your wrist.
  • Aluminum canes can be easily adjusted on the shaft.
  • For wooden canes, remove the rubber tip. Mark the cane at wrist level and deduct ½ inch. Cut the cane and replace the rubber tip.
More reading about dangers to seniors and falling accidents, click these links

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