Fall Assessment And Prevention

Falls are the most common cause of injuries, fractures typically that of hip and femur and death among senior citizens.

Unfortunately, when senior citizens fall, it often becomes a medical emergency with all associated ICU expenses and often prolonged hospitalization.

Besides stress to family members,many senior citizens' ability to perform ADL (Activities of Daily Living - grooming, feeding oneself etc ) and IADL (Instrumental Activities of Daily Living - preparing meals, shopping, management of finances etc) are adversely affected reducing their ability to live independently.

This has now become a major issue with senior citizens living alone away from their children and extended families.

Strongly related to falls in the senior citizens, is frailty an important geriatric syndrome. It is now very important to be able to identify patients with frailty.

But how should one make an objective, medically validated assessment of both frailty and fall risk?

Sanctus Rehabilitation Care Foundation (SRCF) along with Armed Forces Medical College (AFMC), conducted a research study, and assessed 802 patients (all > 60 years, 323 males, 479 females) in a Pune locality. 211 patients reported falling in the past 12 months with a total of 396 falls, with some patients reporting multiple falls. This shows that several people have had recurrent falls.

Using a fall risk assessment tool developed and validated internationally by our partner, Kinesis, 609 patients were considered at high risk of falls, and 619 to be at high risk of frailty. This shows a significant portion of the assessed population ~ 75% need some intervention to reduce the risk of fall.

The interventions are often simple and could include better nutrition, core body strengthening, lower limb strengthening, balance training among other things.

Studies across the world have shown that falls prevention and intervention programs can reduce incidence of falls by 30 - 40%. Falls and associated expenses cost USD ~30 bn in the USA and the numbers will be similar for India. Intervention programs As part of its healthy aging program to encourage senior citizens to live happily and healthily at home, Sanctus is starting a fall and frailty risk assessment and risk reduction intervention program.

Our team will come and make the fall risk and frailty assessment at your home and tell you more about our unique program to reduce fall risk.

In case you have any senior citizens at home especially those who are living alone or are a member of a senior citizens' association in Pune,
please call us on +91-8380 087 035 or email us on hello@src.foundation

Fall Risk Factors:

  • Previous history of Falls
  • Taking more than 4 medications daily - Polypharmacy
  • Dizziness/Giddiness - vertigo
  • Drop in BP when you get up or stand - orthostatic hypotension
  • Change in ability to do routine activities
  • Change in walking pattern - gait changes/ gait impairment
  • Fear of Falls
  • Recurrent Falls