HOSPITAL CORNER

Begin a regular exercise program. Exercise is one of the most important ways to lower your chances of falling. It makes you stronger and keeps you more flexible. Exercises that improve balance and coordination (like Tai Chi) are the most helpful.

Have your health provider review your medications. As you get older, the way medications work in your body can change. Some medications, or combinations or medications, can make you sleepy or dizzy and can cause you to fall.

Have your vision checks regularly. You may be wearing the wrong glasses or have a condition like glaucoma or cataracts that limits your vision and need to be monitored closely.

Make your home safer: Avoid the use of extension cords. Keep all electrical cords out of pathways. Keep pathways clear of furniture and clutter. Make sure bed spread doesn't drag the ground. Use brighter bulbs ("Daylight" vs. "Soft white" bulbs). Use nightlights. Remove all throw rugs. Avoid freshly washed floors. Make sure your sofas and chairs are a good height for you, so, that you can get into and out of easily.

When you go from lying to sitting and when you stand up–wait 3-5 seconds before moving. It allows for any dizziness to pass and to make sure you have your balance. If you have a walker or cane you are supposed to be using, use it at all times. Do not furniture walk. If you are having difficulty getting up from the toilet install grab bars or place a bedside commode over the toilet. Use non-slip mats in the bathtub/shower.

Wear shoes both indoors and out. Avoid going barefoot or wearing slippers or heels. Limit your alcohol. Stay hydrated. Stay hyper-vigilant especially when in unfamiliar environments–uneven surfaces, obstacles.

Keep items you use often in cabinets or on the counter within easy reach. Avoid stepstools and ladders. Consider using a medical alert system like "Lifeline" or "Medical Care Alert."

Submitted by Sonya Taylor OTR/L (Occupational Therapist, Registered and Licensed), Columbia County Health System.