Causes and Risk Factors for Falls

Don't let a fear of falling keep you from being active.

Many things can cause a fall. Your eyesight, hearing, and reflexes might not be as sharp as they were when you were younger. Diabetes, heart disease, or problems with your thyroid, nerves, feet, or blood vessels can affect your balance. Some medicines can cause you to feel dizzy or sleepy, making you more likely to fall. Other causes include safety hazards in the home or community environment.

Scientists have linked several personal risk factors to falling, including muscle weakness, problems with balance and gait, and blood pressure that drops too much when you get up from lying down or sitting (called postural hypotension). Foot problems that cause pain and unsafe footwear, like backless shoes or high heels, can also increase your risk of falling.

Confusion can sometimes lead to falls. For example, if you wake up in an unfamiliar environment, you might feel unsure of where you are. If you feel confused, wait for your mind to clear or until someone comes to help you before trying to get up and walk around.

Some medications can increase a person's risk of falling because they cause side effects like dizziness or confusion. The more medications you take, the more likely you are to fall.

Some Questions for Your Health Care Provider:
  • Will my medicines make me sleepy, dizzy, or lightheaded?
  • What exercises should I do to make me stronger and prevent falls?
  • Should I use a cane or a walker?
  • How can I make my bathroom safer?
  • Should I use a shower chair and a raised toilet seat?
  • Do I need help bathing?
  • Should I put a bed on the first floor and quit climbing the stairs altogether?
  • Would a hospital bed be best for me?
  • What should I do if I fall?

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Your Own Medical Alarm

Think about getting a home-monitoring system. Usually, you wear a button on a chain around your neck. If you fall or need emergency help, you push the button to alert the service. You can find local "medical alarm" services in your yellow pages.

Note: Most medical insurance companies and Medicare do not cover home-monitoring systems. Be sure to ask about costs.

The risk of falling, and fall-related problems, rises with age.

What You Should Know

More than one in three people age 65 years or older falls each year.

A simple fall can change your life, like slipping on a wet floor or tripping on a rug.

If you fall, you could break a bone, and for older people, a break can be the start of more serious problems, such as a trip to the hospital, injury, or even disability.

The fear of falling becomes more common as people age, even among those who haven't fallen.

Because of the fear of falling some older people try to avoid activities such as walking, shopping, or taking part in social activities.

Many older adults fear falling, but don't let a fear of falling keep you from being active.

Try to overcome fear of falling and stay active, maintain your physical health, and take steps to prevent future falls.

Doing things like getting together with friends, gardening, walking, or going to the local senior center helps you stay healthy.

The good news is, there are simple ways to prevent most falls.
"Failing to prepare is preparing to fail." ~ John Wooden

"Today is a most unusual day, because we have never lived it before; we will never live it again; it is the only day we have."

William Arthur Ward

American writer

"The man who has no inner life is the slave of his surroundings."

Henri Frédéric Amiel

Swiss moral philosopher, poet, and critic

"Do not let what you cannot do interfere with what you can do." ~ John Wooden