National Council on Aging presentation by Bonita Lynn Beattie at October 10, 2009 Northern Virginia Fall Prevention Summit.

1. Staying on Our Feet Some strategies to reduce the risk of falling October 10, 2009

2. National Council on Aging NCOA’s Mission To improve the lives of older Americans. Who We Are NCOA is a non-profit service and advocacy organization based in Washington, DC. What We Do NCOA is a national voice for older adults – especially those who are vulnerable and disadvantaged -- and the community organizations that serve them. NCOA brings together non-profit organizations, businesses and government to develop creative solutions that improve the lives of all older adults. NCOA works with thousands of organizations across the country to help seniors live independently, find jobs and benefits, improve their health, live independently and remain active in their communities

3. Falling is not a normal consequence of aging. Most falls are preventable! If you take steps to reduce your individual risk in those areas commonly known to affect your chances of falling

4. First, talk to your doctor IF You have experienced a fall in the last six months You experience light headedness or dizziness You are afraid of falling

7. Physical Inactivity

8. Vision

9. Home safety http://www.cdc.gov/HomeandRecreationalSafety/pubs/English/brochure_Eng_desktop-a.pdf

10. Why does Medication Put us at Risk? Higher volume of medications Mixing prescription medications, over the counter, herbals and alcohol – Some medicines, or combinations of medicines, can make you sleepy or dizzy and can cause you to fall. How medicines work in your body Not following directions for use

11. Reducing Medication Related Risks Strategies Periodic medication review and with every new prescription Using one pharmacy Adhering to prescribed uses and dosing directions Not mixing prescription medications, over the counter, herbals and alcohol - carrying a list of ALL medications you consume

13. Strength

14. Flexibility You can make substantial improvements at ANY AGE

15. Where to Find Physical Activity Programs If you believe falling is not a significant concern - YET! Take steps to become more active: Contact your Area Agency on Aging for information about local physical activity programs and services http://www.eldercare.gov/Eldercare.NET/Public/Home.aspx or call: 800.677.1116 Good sources of age appropriate programs: Area Agencies on Aging Senior Centers YMCA/YWCA Recreation Centers

16. Keys to successful Physical Activity Programs Provides challenging and fun exercises that over time will improve your balance, flexibility and strength Meets your interests and needs, and is easily accessible Bring a friend

17. Are you at higher risk? Feeling unsteady on your feet, concerned about other health conditions, afraid of falling? Experiencing dizziness or lightheadedness? Had a fall within the last six months?

20. Vision If you already have reduced vision enroll in a low vision program

22. Use nightlights and keep a flashlight by the bedside

23. Color contrast stair edges

24. Remove tripping hazards

27. Be sure the stairwell areas are clear of clutter.

28. Improve lighting in the home. Be sure walkways and stairs are well lighted.

30. Ask for help in changing ceiling light bulbs and smoke alarm batteries

31. Install grab bars next to the toilet and in the tub or shower.

33. What about canes and walkers? IF properly fit and properly instructed in the safe use of assistive devices they can enhance safety Do not borrow devices without proper fitting and instruction – See your local physical therapist for assistance http://stopfalls.org/grantees_info/files/AssistiveDevices.pdf

34. Falling is not a normal consequence of aging. Most falls are preventable! If we take steps to reduce your individual risk in those areas commonly known to affect our chances of falling If we partner with our families and health care provider to help you reduce our risk of falling