Managing Falls Among the Elderly

Welcome to this edition of the First Aid Show. Today, we explore why falls are more prevalent among the elderly and how to effectively manage and treat falls to ensure timely assistance.

Why Do the Elderly Fall?

Falls are a common issue among the elderly due to several interlinked factors:

• Polypharmacy: Managing multiple medications can affect balance and cognition, increasing fall risk.
• Chronic Conditions: Diseases such as arthritis or diabetes impair mobility and stability.
• Frailty: Reduced muscle strength and bone density make falls more likely and more dangerous.
• Reduced Confidence: Fear of falling can lead to decreased activity, which further reduces physical fitness and increases fall risk.

First Response to Falls

If you encounter an elderly person who has fallen:

1. Assess the Situation: Check if they can move without pain, whether they’re bleeding, or if they’re in shock.
2. Help Them Up Safely: If they are not in severe pain and it is safe to do so, help them to a seated or stable position. Otherwise, do not move them.
3. Call for Help: If the person is in pain or cannot be moved safely, call emergency services immediately.

Preventing Prolonged Ground Time

The longer an elderly person remains on the ground after a fall, the higher the risk of hospitalisation. To prevent this:

• Keep the person warm and comfortable using blankets and cushions.
• Alert emergency services or a community health provider promptly.

Utilising Emergency Alert Systems

Encourage the use of personal emergency response systems, commonly known as pendant alarms. These devices:

• Enable the elderly to alert emergency services at the push of a button.
• Are invaluable in getting quick help, reducing the time spent incapacitated.

Conclusion: Creating a Safer Environment

Understanding the risks and proper responses to falls and the elderly can significantly improve their safety and quality of life. Regularly check in on elderly friends and relatives and consider investing in preventative measures to reduce their risk of falling.