Fall Prevention in Older Adults

Falls in the Elderly
According to a survey conducted by the Department of Provincial Administration, Ministry of Interior, Thailand currently has approximately 14 million older adults (aged over 60 years), representing about 21.58% of the total population. This places Thailand in the category of a complete aged society.One of the most common and serious problems affecting older adults is falls. Falls can lead to injuries, disability, and even death. Statistics show that 28–35% of people aged 65 and older are at risk of falling, making falls the second leading cause of death from accidents, after road traffic accidents.There are many factors that can contribute to falls in older adults, including chronic medical conditions, impaired vision or hearing, certain medications, unsafe environments, numbness in the feet, and other health-related issues.
Tips to Prevent Falls in Older Adults
1. Stay Physically Active
Regular movement and exercise help maintain muscle strength and balance. Simple activities include:
๐ Stretching if sitting or staying still for long periods
๐ Walking instead of driving when possible
๐ Using stairs instead of elevators
๐ Doing household chores or gardening during the day
2. Eat Nutritious Foods
A balanced diet provides sufficient energy to support daily activities and maintain overall health.
3. Drink Enough Water
Drink 6–8 glasses of water per day (approximately 1.5 liters daily) to prevent dehydration or low blood pressure, which can cause dizziness and increase the risk of falls.
4. Have Regular Eye Checkups
Vision plays a crucial role in maintaining balance. Older adults should check their eyesight and update their glasses at least every two years.
5. Monitor Hearing Health
Hearing also affects balance. Regular hearing checkups and proper use of hearing aids are important. If there are noticeable changes in hearing, consult a doctor promptly for evaluation and treatment.
6. Manage Chronic Conditions and Medications
Properly control underlying medical conditions and medications. For example:
๐ Low blood sugar in diabetic patients
๐ Low blood pressure in older adults
Both can cause dizziness or nausea. Additionally, taking too much of certain medications—especially sedatives or drugs that cause drowsiness—may increase the risk of falling.
7. Strengthen Bones Through Exercise
Engage in exercises that promote bone strength, especially weight-bearing activities such as walking or cycling. It is also important to consume foods rich in vitamin D and calcium, such as:
๐ Small fish
๐ Milk
๐ Eggs
8. Take Care of Foot Health
Foot health is especially important for people with diabetes. If there is pain or numbness in the feet, consult a doctor for evaluation and treatment.
Wear properly fitting shoes both indoors and outdoors. Avoid walking barefoot or wearing only socks. High-heeled shoes are not recommended.
9. Make the Home Environment Safe
Creating a safe living environment can significantly reduce fall risk:
๐ Ensure adequate lighting throughout the house
๐ Install handrails on stairs or elevated areas
๐ Keep walkways free of clutter
๐ Secure loose wires, rugs, or objects that could cause tripping
๐ Be cautious of slippery outdoor surfaces
๐ Ask for help when reaching for high objects instead of standing on chairs
๐ Be mindful of pets in the house, and consider attaching bells to their collars so they can be easily noticed
source : Pyong Rehab Group
**Translated and compiled by ArokaGO Content Team
Pyong Rehabilitation Group
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