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Falls

NSW Health management policy to reduce fall injury among older people, 2003-2007

A statewide policy for the management of fall injuries among older people has been developed as part of Healthy People 2005 and was prepared following extensive consultation across all areas of the health sector, including having input from non-government organisations.

The policy focuses on a coherent approach to fall injury reduction - addressing the risk group of older people before and when they are at greatest risk and in the major settings in whey they spend their time ie. community; supported aged care; and acute care settings. As part of the development of the management policy a number of briefing papers were developed to support this process, which include: Other initiatives we're involved with include:

Falls Prevention for Older People - An Awareness Campaign

The Commonwealth Department of Health and Ageing has provided funding to the Royal Australian College of Physicians to run Falls Prevention for Older People - An Awareness Campaign: A program of national workshops on risk factors and prevention strategies. The financing was allocated through the National Falls Prevention for Older People Initiative. See the Royal Australian College of Physicians website for venues and dates.

Hospitalisation for falls is highest among the elderly

Woman doing tai chiThe elderly are more likely to be hospitalised for falls than any other members of the community. A survey of older people’s health in NSW found that around 27 per cent of people aged 65 years and over reported having a fall in the previous 12 months. Approximately 12 per cent of this age group reported having a fall in the last 12 months that resulted in an injury and 9 per cent reported having at least one fall that required medical attention. See the report Falls by the elderly in Australia: trends and data for 1998.

What are we doing about it?

We have developed best practice guidelines in a document called Preventing injuries from falls in older people. The document details the causes of falls, highlights existing evidence regarding what works in falls prevention, identifies falls prevention strategies for local areas in NSW, and identifies potential roles for Area Health Services in the prevention of falls.

Nine information sheets are available that describe common fall risks associated and possible solutions. Topics include: the environment, medications, vision, home hazards, chronic illness, physical activity, balance and walking style, osteoporosis and footwear. See the information sheets in English and the information sheets in other languages.

We also asked The University of Western Sydney to undertake a mapping exercise for us to identify organisations and the postcode location of their physical activity leaders by Area Health Service. It is possible that some of these physical activity leaders could be trained to conduct physical activity initiatives with older people 65 years and over. See Training, accreditation and insurance, mapping the requirements for Fitness Professionals and other Physical Activity Instructors.

Tips for safety in the home

  • Remove loose mats or ensure they are firmly secured and have non-slip underlays.
  • Always wipe up spills as soon as they occur.
  • Place nightlights in dark passageways or stairs to provide light at night.
  • Lay non-slip flooring in the bathroom.
  • Paint on or stick non-slip strips in the shower and bath.
  • Arrange your kitchen so the most frequently used items are easy to reach.
  • In the lounge room, high chairs and chairs with solid armrests are easier to get in and out of.
  • Do not place fans and heaters in walkways or in the middle of the room.
  • Have a light within reach of your bed. Consider a touch lamp or night lamp, and keep a torch next to your bed at night.
  • Wear shoes and slippers that have non-slip soles, patterned tread, and rounded broad heels.
  • Make sure all outside steps are highly visible by painting the front edge of the step a contrasting colour or by adhering non-skid treads.

You can also download a PDF copy of Stay on your feet: your home safety checklist - PDF.