Orthopedics and Sports Medicine

With the official start of autumn or “fall,” comes a time to be aware of another kind of fall. Falls Prevention Week uses this play on words as an important reminder to be aware of the serious impact of falls and to be proactive in avoiding them.

A fall is any unintentional coming to rest on the floor or ground and anyone can be at risk, especially older people. The negative health impacts of falls increase dramatically at or above the age of 80, when a substantial number of fractures and spinal cord injuries can occur.

Statewide, statistics show the unfortunate impact of falls on North Carolina residents. Sarah Taylor, marketing manager for Vidant Health Home & Hospice and co-chair of The Eastern NC Falls Coalition, said many members of our community may not realize how serious falls can be.

Falls are the second leading cause of unintentional injury death for North Carolinians of all ages, and in every year from 1999 to 2019 it was the number one cause of injury death for individuals 65 and older. According to the National Institute on Aging, ever year 30 percent of people over the age of 65 will sustain a fall, of which 10 percent will result in serious injury.

However, there is good news. Falls are preventable and there are several proactive steps community members can take to avoid falls and their impact.

“There are several classes of medications that can cause an increased risk of falls, and though they can have an effect on patients of all ages, they can especially impact seniors age 65 and older,” Conrad Kirby, adult nurse practitioner with Vidant Internal Medicine said.

It is important to talk to your provider about the medications you take and what side effects could impact your balance and awareness.

As risks of falls increase with age, there are recommended ways to avoid them. Make sure your home is as safe as possible and create an environment that is conducive for your daily household activities. Some of the recommended steps to creating a safer home include the following:

  • Have adequate lighting at night (nightlight in bathrooms)
  • Have handrails/grab bars in bathrooms
  • Clear pathways
  • Maintain proper footwear
  • Remove loose rugs
  • Account for proper toilet seat height

“Pets are part of the family, but in terms of falls, pets can also be a danger to the safety of humans,” said Taylor. “It is crucial to keep them from getting entangled in your legs and causing a fall.”

According to the Center for Disease Control, it is estimated that more than 86,000 fall injuries are caused by pets. There are certain tasks you can perform that can protect both pets and the people who love them:

  • Before hauling in groceries put your pet in a different room to eliminate trips and falls
  • Leave a light on at night so pets can be seen when walking to the bathroom
  • Teach the pet to sit when someone knocks or rings the doorbell.
  • Purchase a reflective collar for the pet
  • Discourage pets from lingering in the kitchen during meal preparation
  • Teach the pet to stay at the top or bottom of the steps until everyone is off the stair case

“Keeping up with vision checks with your eye doctor is one of most important ways of staying ahead of potential falling risks,” Kirby said. “Also, regular physical activity, proper diet and avoidance of excessive alcohol use can help you stay safe and reduce your risk for injury.”

Glen Newman, a physical therapist for Vidant Health added, “Preventative measures like exercise can help strengthen the body. Certain exercises which help build strength and balance can help you avoid falls.”

It is recommended to do some strengthening exercises as least twice a week to maintain independence and coordination.

For more information about resources regarding falls prevention visit https://ncfallsprevention.org/ and to learn more about exercise and wellness services, visit https://www.vidanthealth.com/services/wellness-prevention/