By Winnie Suen, MD, board-certified geriatrician
The short answer: Most falls in older adults happen at home, and many can be prevented. Good lighting, clear walkways, grab bars in the bathroom, sturdy shoes, and a medication review lower the risk. So does staying active to keep legs and balance strong.
Entryways and walkways
Clear clutter, cords and loose rugs from paths you use every day.
Add railings on both sides of steps, including outdoor steps.
Make sure outdoor paths are well lit and not slippery after rain.
Bathroom
Install grab bars by the toilet and in the shower. Towel racks aren't built to hold your weight.
Use a non-slip mat or strips in the tub or shower.
A shower chair and a hand-held shower head make bathing safer and easier.
Bedroom
Keep a lamp or night-light within reach of the bed, and light the path to the bathroom.
Sit on the edge of the bed for a moment before standing, especially at night.
Kitchen
Keep everyday items between waist and shoulder height.
Skip the step stool. If you need one, use a sturdy one with a handle.
Your body
Shoes: closed-back shoes with non-slip soles are safer than slippers or rubber slippers.
Strength and balance: walking, tai chi and simple chair exercises help.
Eyes and feet: get your vision checked yearly, and see someone about foot pain or numbness.
Medications: some medicines cause dizziness or sleepiness. Ask whether any could be adjusted.
If a fall happens
Tell your doctor about any fall, even without an injury. A fall is often a sign that something else needs attention.
How Discover Health can help: a geriatric consultation looks at the whole picture, including medications, balance, vision, blood pressure and your home setup, to lower your risk of falling. Learn about Geriatric Consultation or call (202) 670-8838.

