Falls and Older Adults

Pretty much everyone knows at least one personadministration mandated fall risk analysis in 2004.
who has fallen. The fall may have been purelyMy office checks dozens of patients weekly for
accidental, such as a slip and fall, or the fall mayrisk of fall. Most know they have a problem going
have been related to dizziness. More than one ininto the test as that is why they are in my office
three people age 65 years or older falls eachin the first place. Many others however feel
year. The risk of falling and thus fall-related injuriesconfident that they will score high and are
rises proportionally with age. Each year, more thansurprised when they do not.
1.6 million elderly go to US emergencyIf you are worried about falling, our office offers
departments for fall-related injuries. Among oldera simple 20 second test to assess your overall
adults, falls are the number one cause ofstability, and thus your risk of fall. The test is
fractures, hospital admissions for trauma, andaccurate and currently the standard used to
accidental injury deaths. Fractures caused by fallsevaluate fall risk. My office offers this testing free
can lead to hospital stays and oftentimes to longas a community service. We will also send a copy
term disability. With this comes loss ofof the report back to your doctor, so that they
independence. Most often, fall-related fracturesknow both that you have been tested and
are at the arm, hand, ankle, spine, pelvis or hip.whether or not you are high risk. Those who are
Hip fractures are amongst the most serious typehigh risk will be accepted as patients and treated
of fall injury. They are a leading cause of loss ofappropriately. Of those treated, most will have
independence, particularly in the elderly. Only 50%reduced their risk to normal; the remainder will
of the elderly hospitalized for a broken hip returnhave improved by at least one or two categories.
home or are capable of living on their own afterBecause of the human aging process, changes
the injury.occur around the sixth decade that lead to
There is high morbidity associated with hipdiminished balance ability and thus an increased
fractures, mostly from complications.risk of fall. These detrimental changes can be
Most people develop a fear of falling whicheasily fixed with some simple exercises. Since
increase with age. This can become even moremost people don't ever get checked, they don't
overwhelming for those with a previous fall. Asever fix these detrimental changes and fall risk
such, many will avoid activities of daily living suchjust continues to rise with age.
as walking, shopping, or taking part in socialEven though detrimental changes occur as an
activities.inevitable part of human aging, falls are not an
Many individuals have deceived themselves intoinevitable part of human aging. Getting rid of your
thinking that they are not at risk of fall simplyrisk of falling, as well as your fear of falling can
because they have never fallen, or because theyhelp you to stay active, maintain your physical
do not feel imbalanced. This could not be furtherhealth, and prevent future falls. Call our office
from the truth. You see, the problem with risk oftoday for more information on falls, fall risk
fall is that by the time that you can tell that youscreening, or balance/dizziness problems in general.
have a problem; the problem has already gottenMore information can be found on our website
severe. It is for this reason that the hospitalbelow.