I go to the gym three to four times a week. Sorry to hear of your recent falls. I would recommend a comprehensive evaluation to assess why you might be falling. There is often more than one issue putting an older person at risk for falls. Your health provider can also discuss your gym routine and whether adding different types of exercises might help. At 65 and 2 hip fractures I seem to be starting on this trip we call geriactric and all the things you will need to know to make life some what normal.
I have read all the comments written and sometimes am overwhelmed at all the problems and concerns I need to have. Since I am just starting on this journey I have a lot to think about as well as doing my best to find the correct way to handle the issues I seem to have at this point in my life. Thank you for your support and ways to look at problems in a solving frame of mind.
Prospective Validation of a Screening Tool to Identify Older Adults in Need of a Driving Evaluation
Also…where do I find a geriactric doctor? Yes, unfortunately there can be a lot to do and research and keep track of, to optimize health as one ages. I can certainly see how it would be overwhelming, especially at the beginning, where the more you learn, the more you realize you need to learn.
A good primary care provider or team can make a big difference. I have suggestions on finding geriatrics care here: How to find geriatric care — or a medication review — near you. Prozac is an antidepressant and Byetta is a diabetes drug. Both these types of medications are associated with increased fall risk, so they should be used judiciously. As far as I know, the research on estrogen maintaining balance or otherwise preventing falls is inconclusive.
Estrogen does help maintain bone strength, and so people taking estrogen do have a reduced risk of fractures if they fall. But estrogen therapy is also associated with an increased risk of cardiovascular events, blood clots, breast cancer, and more. So…I would not recommend taking estrogen just to reduce fall risk or fall injury risk, and if you are already on it, I would say the main benefit is probably reduced risk of fracture if you fall. I think I now know why many elderly people fall when moving about.
They need to be taught to look down to see where their feet are about to go next. Wonderful that you are doing well at age 90 and walking every day. My father is 96 and has fallen several times recently while doing yard work, to include a face plant using a leaf blower in a tight space.
He fell on the running leafblower. I found him unresponsive. He still drives. He is secretive about his health issues. He says he falls due to a leg giving out or losing his equilibtium.
Should he be driving? Thanks for your help. Oh wow, that is a tough situation. The ideal would be for him to be evaluated, and for him to let a family member accompany him. Particular issues you raise: — Why is he falling?
PDF The Young Driver Safety Institute Workbook Train More - Crash Less (Adults over 65 Version)
What could be done to reduce or prevent his falls? For this, he needs a good evaluation for falls. Well, you can still call over his objections, you will just have to weigh whether the likely benefits outweigh the stress this puts on your relationship with him he will be mad at you. An elderlaw attorney would be able to advise you of your options. Although again, you have to consider the impact this could have on your relationship with your dad.
Your local Area Agency on Aging can help direct you. Your state may also have a mechanism for you to report a potentially unsafe older driver. Still another option is to hire a professional to help you talk with your father, such as an aging life care professional formerly known as geriatric care managers , or other expert with experience helping people in your situation.
This does cost money, but it can be a very worthwhile investment if you find a good person to work with.
She has starting falling occasionally. It is usually related to her not wanting to use her walker. She also refuses to leave her door open while she is in her room. She has Dementia and advance stage Alzheimer. Short of removing her door or putting cameras in her room, what are my options? She also spends much of her time talking to her dead sister and brother. This can be when behavior is the most difficult to manage, because the person is still physically able to do quite a lot.
Families have used bed alarms and motion sensors. None of these have been rigorously studied to my knowledge. Again, a support group is a good place to get practical suggestions. Otherwise, in terms of reducing fall risk: — antidepressants and antipsychotics both increase fall risk. You may want to look into whether there might be other ways to manage her difficult behaviors. Sometimes treating pain or constipation helps an older person with dementia become less reactive. Good luck and take care! There are many many reasons that a person can fall. I explain the most common things that doctors check for in this article: 8 Things.
A careful evaluation can usually determine why the person fell, and what other risk factors they might have for falling. I would highly recommend you have your mother see a health professional for further evaluation.
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Sounds like you are referring to some of the fall prevention initiatives going on in hospitals. In many hospitals, they have attempted to reduce falls by identifying people at higher fall risk. If nothing else, when they are in the hospital is when they are sicker and weaker than usual. Thank you very much for your article.
It jumps out at me as potentially problematic when I read your article. Thanks so much. Alka-seltzer contains aspirin, so I suppose a heavy Alka Seltzer user would be at risk for side-effects and adverse events associated with aspirin, such as developing bleeding somewhere in the bowel. This could cause anemia, which can increase fall risk. Alka-seltzer can also interact with a variety of medications, which could be problematic and depending on the interaction, increase fall risk. Really, Alka-seltzer is not meant to be taken more than occasionally, as far as I know, so if you or someone in your family is using it more than occasionally, I would certainly recommend discussing it with your healthcare providers.
My mother kept falling over a period of 3 years.
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The doctor worked on each thing, adjusted BP meds, and she responded well and was only falling once every 3 or 4 months, vice several times a month as in the beginning.
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