Posts Tagged ‘balance’

Fall Prevention Series: Hone in on Home Hazards

Homecare Advocate Blog Post: Hone in on Home HazardsIn  4th grade, I thought I was unstoppable at our school Field Day as I tore through the obstacle course going in and out, up and over, and wiggling my way through to the end.  Your home, my friends, should not be that obstacle course .  To minimize your risk of falling, you need to take a look at your environment and hone in on home hazards.  An ill-placed footstool or slippery bathtub are just accidents waiting to happen.   As you assess your home, here are some key areas to focus on:

BATHROOM: 1/3 of all falls occur in the bathroom, so this is an important room! The best way to manage these slippery surfaces is to remove obstacles and add extra support surfaces for you to balance with and hold on to.  For example:

  • Bath mats go in your tub and offer a more slip-resistant surface to stand on than the tub floor.
  • Avoid small throw rugs,  as they are easy to trip over.
  • Shower seats are made to go in your tub while bathing so that you can sit on them instead of having to balance in the tub.
  • Transfer benches are extended shower seats that allow you to sit down outside your tub and slide into your tub along the bench.  This eliminates one of the most dangerous activities in the bathroom–having to step over the tub railing.
  • Grab bars can be installed in the shower or in other places of the bathroom.  Most are screwed into the studs of the wall, so they can hold up to 200+ pounds!  There are some portable alternatives that are suction-based as well.  (These are more for steadying one than fully supporting body weight.)  A benefit of the suction-based grab bars is their portability; you can travel with them and transform any bathroom to become safer and more accessible for you.
  • Raised toilet seats are just as the name indicates, raising the toilet seat anywhere from 2-4 inches.  They are especially helpful for those having difficulty lowering down onto the seat or rising up.  Many now come with optional hand rails as well.
  • Walk-in tubs have increased in popularity over the past several years as people look at ways to make their home safer without sacrificing aesthetic beauty.  Unlike traditional tubs that have a high tub wall that must be stepped over, the walk-in tubs have a doorway that one walks through and shuts before the tub fills with warm water.  These tubs also come with built in seats to allow a deep seated bathing experience.   You can watch this video  to learn more about walk-in tubs available at Lambert’s.

STAIRS: Whether you live in a multi-level home or just have stairs outside your home, this is an accident prone area that can cause serious injuries by falls.  However, some key precautionary measures can be taken to help reduce your risk:

  • Handrails should be installed on each stairwell to provide extra stability and support.  Check to be sure that they are securely mounted and are not loose.  Be sure that the contour of the rail is comfortable and allows you to easily grip it.
  • Avoid clutter on stairs to keep from tripping on it. Though it may seem convenient to put stuff on the stairs meant to be taken up later, you may not see it until it is too late!
  • Extra lighting may be required for your stairs.  If you cannot install additional lighting overhead, try plugging in a nite-light in an outlet or increasing the wattage of your existing lights.
  • Stair lifts are motorized chairs on a track that goes up and down a flight of stairs.  Especially helpful for those who have recently had surgery and those with arthritis, knee pain, or hip replacements, these lifts allow the rider to sit and ride safely and comfortably up/down the stairs.  Lambert’s will soon have a demo in its Broadway store if you’d like to try it in person; in the meantime, you can watch the video on stairlifts.

OTHER ROOMS OF THE HOUSE: Any room that you regularly use should have special attention given to it, be it a living room, bedroom, or even a playroom for the grandkids.  Here are some helpful tips for these rooms:

  • Establish walking paths that are free of clutter, well lit, and in a logical layout so that you can easily walk from room to room.
  • Arrange furniture so that you are able to walk between pieces easily.  Also, furniture can be used as extra support along your walking path to give you something to hold onto if you feel unstable.  Pay attention to sharp corners and furniture that is low to the ground like a footstool.  These may need to be removed to prevent hurting yourself or tripping over.  Many seniors prefer to use a seat lift chair that has both the reclining function to help with circulation in their legs as well as an elevating function to help them rise easily from the chair and reduce their risk of falling.
  • Arrange frequently used items so that they stored in easy to reach places.
  • Provide adequate lighting throughout your home.
  • Be prepared for emergencies by keeping flashlights in each room.  This way, you will still be able to see where you’re going even if there is a power outage.

By fully assessing your home and looking for ways to modify your home to fit your needs, you will greatly reduce your risk of falling.  Be sure to read next week’s final post on our Fall Prevention Series–Nutrition!

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Fall Prevention Series: Exercise

Fall Prevention Series: Exercise (©iStockphoto.com/monkeybusinessimages)We began talking about the importance of exercise in the last blog post on conversations you should have with your physician. Exercise plays an important role in reducing falls as well as keeping you healthy and strong. Proper, regular exercise helps deal with ailments such as arthritis, heart disease, diabetes, high blood pressure, obesity, balancing problems, difficulty walking, and more. Your doctor can help you pick the best exercise routine for your physical needs and capabilities, so speak with him/her before starting an exercise program.

Watch the video below by Dr. Pam Peak, author of Fit to Live, talk about the importance of exercise.

How to strengthen your core

There are four types of exercise that seniors can incorporate into their daily routine that will provide significant long-term benefits.
1. Endurance Exercises
Cardio endurance exercises improve your heart and circulatory system by increasing your heart rate and breathing for an extended period of time. Your body will be better able to deliver and receive oxygen and nutrients as well as remove waste from your system with endurance exercises. They can include activities such as dancing, walking, swimming, cycling, and tennis.
2. Strengthening Exercises

Strengthening exercises focus on your muscle tissue and helps reduce muscle loss, prevent bone loss, and increase balance to keep from falling. As the name suggests, these exercises will help increase your strength to perform activities such as carrying groceries, opening jars, and standing from a seated position (perhaps a chair or your car). Wrist and arm curls, chair dips, and toe stands are types of strengthening exercises you can do from the convenience of home.
3. Stretching & Flexibility Exercises

Increase your freedom of movement with stretching and flexibility exercises. These exercises help you remain limber and flexible by increasing your joints’ range of motions. Activities such as playing with your grandchildren and bathing will be easier as you perform exercises such as shoulder and upper-arm raises and the stretching of your neck, back, chest, shoulder, thigh, and more.
4. Balancing Exercises

Balancing exercises are one of the most important exercise types you can do to prevent falls, though all will contribute to overall health and lessen the likelihood of a fall. They help maintain stability as you stand and move about by improving balance and posture. Tai Chi, yoga,
hip extensions, back leg raises, and proper posture/walking exercises are all types of balancing exercises.

Many of these exercises can be done in your house or in your neighborhood and do not require a gym membership. However, there are group health facilities that offer these exercises and provide a place for fellowship, trained supervisors, and organized classes. In Knoxville, you may want to look at the YMCA, Ft Sanders Health & Fitness, or read the Knoxville-News Sentinel article on senior fitness.

With any exercise, be sure that you have a brief warm-up and cool-down period. Also:
• Drink plenty of water to keep from getting dehydrated
• Wear appropriate garments and safety equipment
• Breathe as you exercise (possible patterns: exhale during exertion and inhale during release; two quick breaths through the nose & two breaths out through the mouth; 3:2 inhale-to-exhale ratio; etc)
• Start with light weights and gradually increase the weights as you become more comfortable
• Pay attention to your body. Stop if you feel dizzy, nauseous, or have joint pain

There are many online videos to demonstrate proper form for the exercises listed above. Visit YouTube for a variety of senior fitness videos such as techniques for a knee press and hamstring stretch, testimonies of tai chi benefits, and more. Have an exercise you enjoy doing? Share your experiences by leaving a comment for other readers!

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