Fall Prevention
The leading causes of TBI are:
- Falls (28%);
- Motor vehicle-traffic crashes (20%);
- Struck by/against events (19%); and
- Assaults (11%).
Guideline for the Prevention of Falls in Older Adults
Preventing Falls Among Seniors
Brain Injury: The Golden Years (PDF)
Stay Ahead of Head Injuries Experts offer tips onkeeping homes safe
By Robert Preidt
Saturday, October 27, 2007
SATURDAY, Oct. 27 (HealthDay News) -- In 2006, an estimated 1.1 million people were treated at U.S. hospital emergency departments for head injuries related to common household products and settings such as ladders, steps, and showers, the federal Consumer Product Safety Commission reports.
The actual number of head injuries suffered by people in their homes is likely greater, since many injuries are treated at doctor's offices and immediate-care centers, or people don't seek any medical treatment, says the American Association of Neurological Surgeons (AANS).
Many head injuries are caused by falls, which are the leading cause of death and serious injury among Americans 65 and older. Among older adults, falls are the most common cause of traumatic brain injury, which account for 46 percent of fatal falls among older adults.
In addition, traumatic brain injury is the leading cause of death and severe injury in children who suffer falls.
Simple precautions can help prevent falls and serious or deadly head injuries, says the AANS, which offers the following safety tips:
- Secure loose electrical cords and put away toys and other items that are lying around on floors, stairs, etc.
- Use safety gates and install window guards to protect young children.
- Secure rugs and lift them periodically to inspect the backing for wear.
- Don't walk on slippery, freshly washed floors and avoid floor waxes.
- Install grab bars and handrails if you are frail or elderly.
- Improve the lighting in your home; dim lighting can increase the risk of falls.
- Install night lights in halls and bathrooms and keep a flashlight near your bed.
- Store items in easy-to-reach places; use stepstools or ladders only when absolutely necessary.
- Check all stair railings and steps.
- Don't wear any clothing that interferes with your vision.
- Wear proper shoes with slip-resistant soles.
- Inspect and remove debris from walkways, driveways, porches and yards.
- In winter, remove ice and snow from areas where people walk.
- Inspect and remove debris from lawns before mowing or gardening.
- Store outdoor equipment properly.
- Make sure ladders are stable and secure before you use them.
Heads Up! Seniors:
A Guide to Preventing Falls Brochure
Falls are one of the most common problems faced by elderly residing in the community, hospital or nursing home.
- Approximately one quarter of community-based persons aged 65-74, and one third of persons 75 and older fall annually; about half experience multiple falls. The incidence of falls rises steadily after middle age and tends to be highest among elders 80 years of age and older. Older women are more apt to fall than older men.
- Falls within the acute hospital setting represent a leading cause of adverse events, accounting for up to 38 percent of all reported incidents. The rate of falls in patients 65 years of age and older averages 1.5 falls per bed annually; as many as 25 percent of inpatients fall repeatedly. Some hospital units, such as rehabilitation, oncology, geriatrics, and psychiatry experience a higher than normal rate of patient falls.
- In nursing homes, up to 75 percent of residents fall each year, and over 40 percent experience recurrent episodes. Each year, a typical 100-bed nursing home reports from100 to 200 falls annually. About 20 percent of residents experience recurrent falls.