I HATE FALLING: Helpful acronym to keep in mind with regards to a number of factors involved in risk for a fall.
I Inflammation of joints (or joint deformity)
H Hypotension (orthostatic blood pressure changes)
A Auditory and visual abnormalities
T Tremor (Parkinson’s Disease or other causes of tremor)
E Equilibrium (balance) problem
F Foot problems
A Arrhythmia, heart block, or valvular disease
L Leg-length discrepancy
L Lack of conditioning (generalized weakness)
N Nutrition (poor; weight loss)
G Gait disturbance
What is a fall?
The World Health Organization defines it as a person coming to rest inadvertently on the ground or other lower level
Are you at risk for a fall?
Increase your stability, strength and awareness of what factors can lead to a fall and how to eliminate or decrease those risk factors.
As per the Centers for Disease Control 33% of people 65 or older fall and 50% of people 85 or older fall at some point.
Women have 3x the amount of fractures due to fall in comparison to men.
- 60% of falls occur within the home
- 50% of falls within the home involve steps
Intrinsic factors relating to falls:
- Medical/surgical history
- Aging (reaction time, muscle mass decrease)
- Blood pressure changes
- Prior falls
- Walking speed
- Balance deficits
Extrinsic factors relating to falls, naming a few:
- Adaptive equipment (proper usage)
- Environmental barriers and or design within home/surrounding area
Main components of a fall risk assessment:
Chang et al, performed a systematic review in the British Medical Journal focusing on interventions for falls in older adults looked at these key elements:
- Blood pressure changes
- Balance and gait/ambulation
- Medication review
- Activities of daily living or activities that elect or want to participate in (instrumental)
- Environmental hazards (examples: doorway width, doorway saddles, floor, ceiling, lighting, stairways, hallway, furniture, clutter)
- Range of motion around specific joints, strength, activity level ( overall health)
Outreach will assess these components along with any other evidenced based measures needed depending on how one presents (individually-based.)
CALL or EMAIL for evaluation/consultation:
Outreach can evaluate your home environment and risk for fall in one visit/consultation with measures designed by Rehabilitation professionals that are evidence-based. We will suggest and recommend strategies to decrease this fall risk resulting in increased physical stability and independence. Please call 212-842-0080 or email us at firstname.lastname@example.org to inquire and or set up assessment.