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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsWhy Does America's Falling Epidemic Keep Getting Worse?
More than 1 in 4 people over age 65 fall each year. Earlier this month, the veteran TV host and comedian Jay Leno was one of them. Leno, 74, left his hotel near Pittsburgh looking for a bite to eat. It would have been a long walk to the restaurant, so he took a shortcut down a grassy hill. A tumble on the slope left him with a broken wrist and significant bruises to his face and entire left side.
Leno still managed to do his comedy act that night. He was luckier than many fall victims. Every year, falls among older Americans result in about 3.6 million emergency room visits and 1.2 million hospital stays, at a cost of roughly $80 billion. Nationwide, 41,000 senior citizens die from falls annually, according to the Centers for Disease Control and Prevention. In recent years, prominent figures such as comedian Bob Saget, former Connecticut Sen. Joe Lieberman and Ivana Trump died after a fall.
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The CDC operates a program known as STEADI (Stopping Elderly Accidents, Deaths and Injuries) to assist healthcare providers in screening older patients for fall risk factors, such as a history of falls, vision problems, inadequate vitamin D intake and foot problems. In one common test, the patient must get up from a chair, walk 10 feet, turn around, walk back and sit down. If this takes more than 12 seconds, they are deemed to be at risk for a fall. Earlier this year, Rep. Carol Miller of West Virginia, a Republican, introduced legislation to make fall-risk assessment part of Medicares annual wellness benefit for all seniors. The bill, known as the SAFE Act, would also direct the Department of Health and Human Services to report annual statistics about falls to Congress.
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There has also been research on dual tasks, like doing more than one thing at a time, Vincenzo notes. Its hard for you to focus on movement if youre focusing on doing another task, talking on the phone or texting, so that if you have impaired balance or walking problems, youre not going to pay attention to that and potentially fall.
The National Council on Aging advises older Americans to take a free online risk survey. Seniors should also review medications with regard to possible impact on stability, acquire a medical alert device if affordable, and create a home safety checklist, which can include getting rid of small throw rugs, adding a bathroom night-light, avoiding shelves that are too high to reach safely and installing grab bars.
More..
https://www.wsj.com/health/wellness/why-does-americas-falling-epidemic-keep-getting-worse-8f95909e?st=ysPLt9&reflink=desktopwebshare_permalink
(free)
SheltieLover
(80,466 posts)Stay Active & Independent for Life (SAIL) is one such program which focuses not only on upper & lower body strength for stability, but also cardio & balance. Good stuff!
Seniorplanet.org has numerous free online classes everyday for seniors.
PS - WTAF does the annual Medicare physical not screen for sleep apnea? 87% of seniors with apnea go undiagnosed, whuch causes fatty liver disease, hbp, high cholesterol, osteopenia, osteoporosis & Type 2 Diabetes!
Demovictory9
(37,113 posts)SheltieLover
(80,466 posts)Skittles
(171,716 posts)I thought that was crazy because I can easily stand on one foot for a long time but when I quizzed people I know, they found it very difficult. I have long exercised daily and my rotation does included balancing exercises.
Demovictory9
(37,113 posts)Squatting, lunges..stuff people slowly stop doing until they can't any more
Skittles
(171,716 posts)what killed me is, most of the stuff people could easily do at home - OK well at least I could
BlueWaveNeverEnd
(14,247 posts)Scrivener7
(59,522 posts)travelingthrulife
(5,179 posts)Lots of older people have numbness from arterial disease. Failing vision. Lot's of real reasons to fall.
Will they supply them with the means to signal EMTs? Or just label them a 'fall risk' which they most certainly know already.'
never in my adult life been able to stand on one foot for more than a couple seconds. I developed arthritis in childhood and it took a toll on my feet and it has come back to haunt me in my old age. I can still walk, but have to limit how long I am on my feet at one time. Makes getting housework done in a timely manner difficult.
I believe we are seeing more falls in older people because there are a lot more elderly peoplebaby boomers.
True Dough
(26,667 posts)for you to be able to balance on one foot while you plant your other foot up someone's backside, Skittles!
Native
(7,359 posts)i have always been an accident waiting to happen.
every cat I have had, I have tripped over, but have yet to fall. A friend of mine and I have always said our cats will be the death of us from tripping over them.
Demovictory9
(37,113 posts)They only say "fell at home"
https://www.democraticunderground.com/100219855059
question everything
(52,134 posts)Demovictory9
(37,113 posts)question everything
(52,134 posts)Gore1FL
(22,951 posts)NJCher
(43,165 posts)the constant looking at cell phones and all the hours spent online, like what many of us here do.
Over the past few days, I've been working with a computer consultant to bring back a computer which I was locked out of. Numerous times while working, this younger individual complained about cramps in his neck. Well, these cramps, I learned from my chiro, can irritate the nerves enough that it can affect balance and thus walking.
There are stretching exercises you can periodically do if you're on the computer for a length of time. It's just a matter of setting a timer, doing the exercise, and feeling much better!
doc03
(39,086 posts)help them retain their balance. I am 76 and rode about 2000 miles this summer. I have one friend 70
that put over 7000 miles on his bike this year another 82 that logged over 3000 miles. I do regular group rides
with people 70 plus, I don't know of any of us that has a problem falling. The people I know my age that have that
problem are sedentary. It's going to be 60 degrees tomorrow I will be out riding, and I know that I will see
some of my friends out tomorrow. You have to stay active.
Skittles
(171,716 posts)I don't see a lot of seniors doing that (yes, I exercise every day)
doc03
(39,086 posts)went to Kroger and crossed over from the parking lot then tripped on the curb and went face
first on the sidewalk. My glasses fogged up and I didn't see the curb. RFK Jr should have warned
me about that.
Skittles
(171,716 posts)that would fall under "shit happens!"
Ziggysmom
(4,123 posts)and on oxygen, so I dont get out riding much now. I bought a used Peloton at an estate sale two years ago, and just love it. Even stationary biking helps with strength and balance. I had a hip replacement in 2020 and do everything I did before surgery. Now Im 65 and in better shape than my kid
Diamond_Dog
(40,578 posts)are just a few things that might make seniors not want to go outside and ride a bike. Where I live there isnt a sidewalk or empty lane to ride one nearby unless you heft your bike into your vehicle and drive it somewhere like a dedicated bike path. Its easy to say get some exercise like I do but not everyone can do what you do. Not being critical
. Just realistic.
One recommendation from me would be water exercise. The community pool where I swim laps has an arthritis class. Older people love it. Also right next to the pool building theres a high school track thats available for everyone in the community. Its made out of crushed recycled tires, has a fence around it, and is great for just walking in the open air.
UniqueUserName
(406 posts)I didn't think you were criticizing the other poster ----merely providing additional insight.
I agree people don't have equal opportunity for exercise. Chronic problems can also make things challenging.
I've fallen twice in 7 years. I broke my wrist the first time, and a humerus the second. Now, in my instance, it's me being prideful against senescence. I should have had better sense than to try to step over a baby/dog fence with full hands. Especially when the baby fence is on a concrete patio.
Some cities are not exercise friendly. You can go walking in Pensacola, FL and never be sure of if the sidewalk will exist on your entire chosen path.
Diamond_Dog
(40,578 posts)We do what were able to do.
The other thing, and Im sure this only affects women
..
Being conscious of personal safety if you ride a bike/walk/jog or whatever where youre alone such as on a country road.
A woman was attacked and assaulted on a bike path here several years ago, the path went through some pretty isolated rural areas. I dont think men think of things like that.
Big Blue Marble
(5,691 posts)are on prescription blood thinners and have cerebral hemorrhages after hitting their heads.
Gore1FL
(22,951 posts)While not initially fatal, in both cases the falls lead to steady deterioration and ultimately death.
I'm on blood thinners, myself. So far, I've been pretty lucky, but I've had my shares of bruises from just normal life.
This getting old shit sort of sucks.
question everything
(52,134 posts)Richard D
(10,018 posts)Drugs commonly prescribed for the elderly that increase risk of falls include, but are not limited to:
Central Nervous System (CNS) Medications
Sedatives and Hypnotics
Benzodiazepines (e.g., diazepam, lorazepam, alprazolam)
Z-drugs (e.g., zolpidem, eszopiclone)
Barbiturates (e.g., phenobarbital)
Antidepressants
Tricyclic Antidepressants
(e.g., amitriptyline, nortriptyline)
Selective Serotonin Reuptake Inhibitors (SSRIs) (e.g., sertraline, citalopram)
Antipsychotics
Typical (e.g., haloperidol)
Atypical (e.g., risperidone, olanzapine)
Anticonvulsants
Gabapentin, pregabalin, carbamazepine, valproic acid
Cardiovascular Medications
Antihypertensives
Alpha-blockers (e.g., doxazosin, prazosin)
Beta-blockers (e.g., metoprolol, propranolol)
Calcium channel blockers (e.g., amlodipine, verapamil)
ACE inhibitors (e.g., lisinopril, enalapril)
Diuretics
Loop diuretics (e.g., furosemide, bumetanide)
Thiazide diuretics (e.g., hydrochlorothiazide)
Nitrates
Nitroglycerin (e.g., for angina)
Pain Management Medications
Opioids
Morphine, hydrocodone, oxycodone, fentanyl
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
Ibuprofen, naproxen, celecoxib (may affect balance through dizziness or interactions)
Muscle Relaxants
Cyclobenzaprine, tizanidine, baclofen
Anticholinergic Drugs
(Cognitive and Urinary Effects)
Bladder Control Medications
Oxybutynin, tolterodine
Antihistamines
Diphenhydramine, chlorpheniramine (especially first-generation antihistamines)
Antispasmodics
Dicyclomine, hyoscyamine
Parkinsons Disease Medications
Benztropine, trihexyphenidyl
Diabetes Medications
Insulin (Risk of hypoglycemia-related dizziness and falls)
Sulfonylureas (e.g., glipizide, glyburide)
Miscellaneous
Antihistamines
Meclizine (used for dizziness and vertigo)
Chemotherapy Drugs
Can induce neuropathy and balance issues
Over-the-Counter Sleep Aids
Contain diphenhydramine or doxylamine
James48
(5,215 posts)I think I have multiple ones off that list. At least six.
Im gonna call BINGO!
Diamond_Dog
(40,578 posts)First thing the packet of information says is May Cause Dizziness!
question everything
(52,134 posts)even walking around the living room.
murielm99
(32,988 posts)I had a brain bleed and a huge black eye. They kept me in the hospital for four days.
canetoad
(20,769 posts)When tramping through the sand or the bush with my dog. I've learned how to do commando rolls. Fewer bruises.
JCMach1
(29,202 posts)My severe Covid case.
GreatGazoo
(4,612 posts)The key to getting good , actionable insights is to let the data tell you what is significant, eg. don't approach it looking for meds, BMI, eye sight, lack of exercise, etc to be the cause.
Data like that acquired by the Harvard Nurse Study allows researchers to cluster the types and causes of falls via a process called segmentation. And then the segments can be analyzed to find the most likely causes for each type. In other words, segmentation might show for example that people in cold climates fall in different ways and for different reasons that those in Florida. Data analysis is powerful enough to find connections that aren't obvious or intuitive but it has to have real data, not self-questionaires. It can find that combinations of factors drive increases, for example (random) shag carpet + blood thinners + owner of small dog(s).
Multivariate analysis can find correlations that seem tangental or spurious until researchers look more deeply. Data analysis in the 1990s found that breast cancer correlated strongly with dry cleaning and lawn care. The data set used credit card data -- dry cleaning and lawn care were among the things charged to credit cards. Researchers who know cancer pathology could then theorize that chemicals in dry cleaning and lawn care (glyphosate) were major factors. Then you try to confirm or eliminate the connection. If confirmed then you have actionable insights -- recommend that women avoid dry cleaning and weed killer.
Falls are certainly a problem worth addressing. In the Physical Therapy world they say "those who lay down stay down" meaning that the risk of death increases exponentially after a significant fall, mostly from GI complications. Health of the gut strongly affects health of the mind. It is very common for doctors to test for UTI in older women who present with sudden reductions in mood and memory. Being wheelchair bound or spending long periods in bed correlates strongly with increased GI and UTI issues; all of which increases the chance that the person needs increased assistance or healthcare which on the surface seems unrelated to injuries from the fall.
Anecdotally, I believe that people should be taught how to fall. It was part of our standard training at a ski resort and it makes a huge difference in avoiding injury. IOW if you can't avoid ever falling then the best thing you can do is learn how to fall without injury. It needs to be somewhat automatic because the natural tendency is to tense up, extend your arms, try to catch yourself, try to stop the fall, panic. Better to control the fall. Ball up, Roll with it.
Lots of new studies coming out on blood pressure meds now. Trying to figure if they are over-used or if extended use leads to unpredictable dips. One study theorizes: > ...Because of "stiff" vessels, the elderly often have falsely high BP readings when taken with a cuff. < IOW over treating blood pressure that isn't high or isn't as high as it is measured.
https://jamanetwork.com/journals/jama/article-abstract/2819372#google_vignette
Mosby
(19,491 posts)Sounds like something a lot of people could benefit from.
WVlaserguy
(114 posts)10 weeks ago, I was sweeping the basement steps , and missed a step. I fell all the wat, hit a block wall at the bottom and snapped my humerus. I was knocked unconscious for a bit. Laid in the basement for over an hour until my wife got home. Had surgery on the arm with a rod put in the bone. My doctor said Im lucky to be alive. Now they say Im a fall risk
question everything
(52,134 posts)recovering_democrat
(301 posts)in my younger years of assorted ignoring medical issues overall, I managed to stay alive through heart attacks, (via overweight, smoking, no exercise, etc) and learned to work on staying alive! Have a great combination of doctors in a group function with great information, followup, referral within the system to get checked on anything arising to a question. I have a younger friend who is beginning some of those serious issues that need good attention for the future.
Maybe just fortunate I live in area in Florida with lots of senior specialties, or my own common sense of checking out everything that bothers me, all I can do is advise my friends get anything and everything checked if you aren't sure of what is going on in your own feelings and be cautious of anything that you question. It helps.
bucolic_frolic
(55,140 posts)Lack of exercise, weakened muscles and therefore control, coupled with confusion. Need 20 minute senior exercises every morning for these folks. For many though, exercise is something you watch on TV rather than do.
Also there's no universal agreement on calcium supplements, or natural foods. Spinach, carbonate, boron, strontium, or soy? All are pushed by some for the missing bone density builder.
TheRickles
(3,386 posts)It's much cheaper and has no side-effects, esp. compared to bone density meds like Fosamax, and it should be a first-line practice. Here's a non-technical overview from Harvard: https://www.health.harvard.edu/womens-health/protect-your-bones-with-tai-chi
Lonestarblue
(13,480 posts)Have you noticed how few communities outside of cities now have no sidewalks? Sidewalks make it safe for seniors and others to walk around their neighborhoods. It save money for cities and builders but hurts residents.
Diamond_Dog
(40,578 posts)I really miss having them. I miss just going out my front door and going for a walk. I live on a busy road where people would just as soon run you over if you try to walk along side of the road in the grass.
xmas74
(30,058 posts)And every appointment with my doctors- PCP, oncology and rheumatology- they always ask about falls. For me it's because a fall could signify more than clumsiness. It could be a sign of my neuropathy getting worse or even my cancer coming back and metastasizing.
milestogo
(23,084 posts)I said I would do it at home, but I don't.
This alone has made my balance deteriorate significantly.
Skittles
(171,716 posts)you can stream yoga classes
I should but I don't.
Skittles
(171,716 posts)here's a challenge
just do a short yoga session, say, from youtube
come on, you can do it - you know you need to!
try to make that a start, it's WELL worth it
milestogo
(23,084 posts)till the end of the next administration.
Hey did you see this?
https://www.democraticunderground.com/10182116670
Skittles
(171,716 posts)I have adored Mick since I the 60's, I was a child in England when he came on the scene
I hope to be that spry when I am his age (I am indeed that spry now!)
milestogo
(23,084 posts)I thought I saw a little tree pose in there!
Horse with no Name
(34,239 posts)Years ago, it was thought that putting older adults on daily aspirin therapies helped with their cardiovascular health.
I always recommend if you were one of these patients to have a new discussion with your PCP especially if you are a fall risk.
As stated, most of these deaths from falls occur when there are brain bleeds and aspirin is a blood thinner.
JanMichael
(25,725 posts)This is caused by some medications and sarcopena.
Also dead butt syndrome.
brush
(61,033 posts)find a single-level dwelling. Having to climb up and down stairs several times a day causes many falls.
SWBTATTReg
(26,257 posts)I do, very rarely, get dizzy, and I told my SO, and they immediately put back a stair rail leading up to our 2nd floor, figured that every little bit of help keeps me from falling (and it does, I clutch onto the stair railing all of the time).
Fall-proofing a home might be a good career for some to get into, that is, the more that falls can be eliminated, the better. I wonder if they have such specialists that come in, evaluate one's home for potential dangers such as falls, and then put in more safeguards to avoid such bad things.
Blue Full Moon
(3,485 posts)Runningdawg
(4,664 posts)Blue Full Moon
(3,485 posts)They claimed she fell. Only if she swan dived off her bed. Hospice workers told me that the sheriff doesn't do investigations into murder and a autopsy is on the family. Called the sheriff's department and that statement is true.
hedda_foil
(16,985 posts)Old people are at greater risk of falling. There's now a huge bulge of social security aged baby boomers. Ergo more falls.
JoseBalow
(9,489 posts)
Response to question everything (Original post)
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