Fear of falling in the elderly

When an elderly loved one experiences a devastating fall, the emotional toll can be as traumatic as the physical effect. This intense fear can cause angst and distress, threaten their independence, and induce bouts of depression.

Even a minor accident can trigger psychological strain for the elderly. Falls that cause injury and require hospitalization can be more distressing.

Research shows that seniors who fall once double their risk of falling again. The thought of a repeat accident may cause unrealistic anxiety and prevent them from engaging in normal activities and reaching their full recovery.

What are the signs and risks of fear of falling?

If your senior avoids activities or has trouble completing tasks after a fall without a medical explanation, they may have chronic fear. Signs to monitor include:

• Staying home and not going outdoors

• Reduced activity levels

• Withdrawal from social activities

• Mood, behavior or functional changes

When these signs are present, their self-isolation and loss of independence can lead to severe depression. A self-imposed sedentary lifestyle also increases the risk of another fall due to:

• Joint pain and stiffness

• Bone loss

• Muscle weakness

• Loss of coordination

• Weight gain

A sedentary lifestyle can also lead to an overall decline in health by placing the elderly at higher risk of diabetes, heart disease, stroke, and arthritis, which can.

How can you help a senior who has a fear of falling?

• Encourage your senior to comfortably discuss their concerns and apprehensions.

• Rule out medical issues

Take your senior for a medical check-up to ensure if any medical issues — such as dementia, pain, poor eyesight, or balance problems — are causing them to avoid everyday activities.

• Restore confidence

Help your loved one get past their fear by restoring their confidence. Consider escorting them to a physical therapy session or a trip to the grocery store with their new walker or cane. Your companionship and positive support may be what they need to get back to their normal routines.

• Create a fall prevention plan

Develop a plan to reduce the risk of future falls. This should include assessing internal fall risks, such as poor eyesight, medications, nutrition, muscle weakness, and history of falls as well as external hazards, such as clutter, poor lighting, and other threats around the home.

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Visiting Angels provides non-medical assistance in the Lakes Region and can assist with transportation to eye appointments. Contact us at 603-366-1993 for more information.