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Fall Prevention
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Falls

are prevalent in all ages, but are dangerous and costly in the elderly.

Majority of falls in the elderly result in minor or no injuries. The more serious consequences are head injuries, hip and wrist fractures.

About half the elderly who fall do so repeatedly.

A single fall can lead down an undesirable path:
FALL - FEAR OF FALLING - LOSS OF CONFIDENCE IN ONE’S MOBILITY - RESTRICTION OF ACTIVITIES - SOCIAL ISOLATION AND INCREASED DEPENDENCE ON OTHERS - DECONDITIONING, JOINT STIFFNESS AND MUSCLE WEAKNESS - MORE FALLS!

The US Public Health Service estimates that 70% of falls by the elderly are potentially preventable. Identifying your risk factors is an important step toward fall prevention.

Complete the Questionnaire below to identify your risk factors.

Strategies:
  • Talk to your doctor about the factors you identify
  • Talk to your Sierra Therapy Team – you may not necessarily need long term skilled therapy. An assessment to set up strategies for reducing your risk for falls might be all

Fall Prevention Yes No
Have you had a fall recently?
If Yes, when - -
ENVIRONMENTAL CHECK
Are objects in the path to your bathroom?
Are there loose rugs in your home?
Are your doorways too narrow for you?
And your walker to walk through easily?
Is your home dimly lit?
Do you have dark areas / shadows?
PHYSICAL STATUS
Do you suffer from:
- dizziness
- low or high blood pressure
- any infection currently
- Parkinson's disease
- seizures
- peripheral neuropathies
- Stroke, other brain disorder
- visual impairment
Have you had a debilitating illness recently?
Do you need help to get in/ out of the tub?
Do you have to hold on to rise from a chair?
Do you have to grab to rise from the toilet?
Do you turn in a block pattern?
Do you stagger trying to walk in a straight line?
Do you lose balance when you stop sharply?
Do you lose balance when you turn around?
Do you feel weak/ reduced strength?
Do you have stiff joints?
MEDICATIONS
Are you on:
- sedatives
- anti depressants
- high blood pressure drugs
Please provide your name and a way to contact you with your results.

Name:      Phone:   - -

Email: