Fall Prevention & Medical Emergencies: A Little Preparation Before You Need It

Fall Prevention & Medical Emergencies: A Little Preparation Before You Need It

Nobody plans to fall.

It usually isn't dramatic. It's the edge of a rug, a wet bathroom floor, a dark hallway, a step you didn't see, or that moment when you stand up too quickly and the room decides to move before you do.

But falls deserve our attention. The CDC says falls are the leading cause of injury and injury death among adults 65 and older—and, just as importantly, falls are not an inevitable part of getting older. There are practical things we can do to reduce the risk. (CDC)

The goal isn't to become afraid of falling.

It's to make falling less likely—and to have a plan if a fall or another medical emergency does happen.

Start With the House

You don't have to remodel your home to make it safer.

Walk through it as though you're seeing it for the first time. Look especially at the places you travel when you're tired, distracted or getting up during the night.

Watch for:

  • Loose rugs and electrical cords

  • Clutter in walking paths

  • Poorly lit hallways and stairs

  • Slippery bathroom surfaces

  • Stairs without secure handrails

  • Frequently used items stored where you have to climb or stretch to reach them

The CDC specifically recommends keeping floors free of trip hazards, adding grab bars in bathrooms, and having handrails and adequate lighting on stairways. (CDC Stacks)

That throw rug may be beautiful. But if you've nearly tripped over it three times, the rug has officially lost the argument.

Strength and Balance Matter, Too

Preventing falls isn't only about what's on the floor.

Your own strength and balance are part of the equation.

Regular physical activity that improves leg strength and balance can help reduce fall risk. The CDC specifically identifies activities such as Tai Chi as one option. (CDC Stacks)

That doesn't mean you suddenly need to become an athlete.

Walking, appropriate strength exercises, balance work or a class designed for your ability level can all be worth discussing with your healthcare provider—particularly if you've already fallen or feel unsteady.

Take a Second Look at Your Medications

Sometimes the problem isn't the rug.

Certain medications—or combinations of medications—can contribute to dizziness, drowsiness or other effects that increase fall risk.

Ask your doctor or pharmacist to periodically review everything you take, including prescriptions, over-the-counter medicines and supplements. The CDC includes medication review as an important part of fall prevention. (CDC Stacks)

And if you've started feeling dizzy or unsteady after beginning or changing a medication, tell your healthcare provider.

Don't simply stop a prescribed medicine on your own.

Don't Forget Your Eyes

A step you can't see clearly is harder to avoid.

The CDC also recommends regular eye examinations and keeping your prescription lenses up to date. (CDC Stacks)

Lighting matters as well.

Nightlights between the bedroom and bathroom can be inexpensive. So can brighter bulbs in dim hallways or motion-activated lights near stairs.

These aren't signs that you're "getting old."

They're signs that you've figured out it's much easier to prevent a problem than recover from one.

If You Do Fall

First, don't automatically jump back up.

Take a moment and figure out whether you're hurt.

If you've hit your head, have severe pain, significant bleeding, difficulty breathing, new confusion, weakness, numbness, loss of consciousness, or you simply know something is seriously wrong, call 911 or get emergency medical help.

If you can't get up safely, don't repeatedly force yourself to try.

This is also why having a phone or medical alert device within reach matters. A phone sitting beautifully on the kitchen counter isn't much help when you're on the bedroom floor.

If you live alone, consider how you would call for help from different areas of your home.

Prepare for More Than Falls

The same preparation that helps after a fall can help during almost any medical emergency.

Keep important information somewhere easy to find:

Your name and date of birth
Emergency contacts
Current medications and dosages
Medication allergies
Medical conditions that emergency responders should know about
Doctor's name and phone number
Preferred hospital, when appropriate
Health insurance information

If you have pets, include a simple plan for them too. Knowing someone will take care of your dog or cat can remove one more worry if you're unexpectedly taken to the hospital.

Make Sure Emergency Responders Can Reach You

Think about what happens after you call 911.

Can responders get through the front door?

Is your house number clearly visible from the street, including at night?

If you live in a gated community or secured building, is there a plan for emergency access?

Does someone you trust have a spare key?

These are small details—right up until they're not.

Create Your “What If?” Plan

You don't need a three-ring emergency command center.

You need a simple plan.

Know who you would call, where your medical information is, how emergency responders can enter your home, and how you can summon help if you can't reach your regular phone.

Then tell at least one trusted person where that information is kept.

Preparation works much better when somebody besides you knows about the preparation.

Tell Your Doctor About a Fall

Even if you weren't seriously hurt, don't automatically dismiss a fall as "just one of those things."

Tell your healthcare provider if you've fallen, feel unsteady while standing or walking, or are becoming afraid of falling. Those conversations can uncover things that may be addressed—from medication side effects and vision changes to strength and balance problems. (CDC Stacks)

Fear of falling can also cause people to become less active, which isn't necessarily safer.

The better goal is to identify what can be changed so you can keep doing the things you want to do.

Preparation Protects Independence

Fall prevention isn't about wrapping yourself in bubble wrap.

It's about protecting your ability to move through your own home, go where you want to go and continue living independently.

Move the rug.

Install the grab bar.

Turn on the light.

Keep your phone nearby.

Write down your medical information.

And have a plan for getting help.

None of those things says, "I'm afraid."

They say, "I'm prepared."

CDC Older Adult Fall Prevention

The World U — Helping people over 60 live smarter, safer, and more confidently.

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