Falls are one of the most common—and most preventable—health risks facing older adults today. In this educational session, occupational therapist Erin Morley-Zehr, owner of Rural Therapy Solutions, shares practical insights, real-life strategies, and simple exercises that can make a meaningful difference in staying safe and independent at home.

Why Fall Prevention Matters

Think about how often young children fall—they bounce right back up without a second thought. But as we age, falls become more serious. Recovery is harder, injuries are more likely, and confidence can take a hit.

According to the CDC:

• 1 in 10 falls results in an injury that requires medical attention
• Around 3 million emergency room visits each year are due to falls
• Falls are the leading cause of hip fractures and traumatic brain injuries in older adults

A fall isn’t just a moment—it can change how someone lives day to day.

What Increases the Risk of Falling?

Falls are rarely caused by just one thing. More often, it’s a combination of factors working together. Some of the most common include:

• Balance and mobility challenges
• Lower body weakness
• Medication side effects (especially those causing dizziness or drowsiness)
• Vision issues
• Foot pain or improper footwear
• Home hazards like clutter, loose rugs, or poor lighting
• Vitamin D deficiency

Even something as simple as wearing backless shoes or taking a new medication can increase risk.

The Hidden Impact of Falls

Even when a fall doesn’t cause a serious injury, it can still have lasting effects.

Many people develop a fear of falling, which can lead to:

• Avoiding activities
• Reduced mobility
• Social isolation
• Increased risk of future falls

In fact, avoiding movement can actually make falls more likely over time.

Practical Ways to Prevent Falls

The good news? There’s a lot you can do to reduce your risk.

1. Stay Active with the Right Exercises

Focus on exercises that improve:

• Balance
• Strength
• Coordination

Even simple movements like sit-to-stand exercises can build strength and confidence.

2. Review Medications Regularly

Some medications (even over-the-counter ones) can affect balance or cause dizziness.

Talk with your doctor or pharmacist about:

• Side effects
• Drug interactions
• Whether all current medications are still necessary

3. Prioritize Vision and Hearing Checks

Changes in vision or depth perception can sneak up over time. Annual checkups can catch issues early and help prevent falls.

4. Make Your Home Safer

Small changes can make a big difference:

• Remove clutter and secure rugs
• Improve lighting (especially at night)
• Install grab bars in bathrooms
• Use non-slip strips in tubs and on stairs
• Consider motion-activated lights for nighttime movement

Interestingly, many older adults are more open to home modifications than using mobility aids like walkers .

5. Use the Right Support

If needed, mobility aids like canes or walkers can help—but they should be properly fitted by a professional.

Technology can also help:

• Medical alert systems
• Smartwatches or phones with fall detection

What To Do If a Fall Happens

Even with prevention, falls can still occur. Knowing what to do next is key.

First: Stay Calm

You’re already on the floor—you can’t fall any further.

Then:

• Take a moment to assess for injury
• Roll onto your side
• Use a sturdy object (like a chair or couch) to help you get up
• Call for help if needed

Learning how to safely get up from the floor can make a huge difference in confidence and independence.

A Final Thought

Fall prevention isn’t about limiting independence—it’s about protecting it.

With the right strategies, support, and awareness, older adults can continue living safely and confidently in their own homes.

If you or a loved one has concerns about balance, mobility, or safety at home, working with an occupational therapist can provide personalized solutions that truly fit your life.