Reducing Falls with Injury in Long‑Term Care: Why It Matters
Falls are a leading cause of injury among older adults living in long-term care, and they can have a profound impact on both residents and their families. While some falls may result in minor injuries, others can lead to fractures, head injuries, hospitalization, or a lasting decline in health. Beyond the physical effects, a fall can also affect a resident’s confidence, independence, and overall quality of life.
For families, the thought of a loved one falling can be worrying. Understanding the risks, the causes, and the steps being taken to prevent falls can help provide reassurance and support shared decision-making in care.
Why Do Falls Happen?
Falls are rarely caused by a single factor. Instead, they usually result from a combination of personal health conditions and environmental risks. Some common contributing factors include:
- Changes in balance and strength: As we age, muscles weaken, and balance may decline, increasing the likelihood of falling.
- Medications: Certain medications—or combinations of medications—can cause dizziness, drowsiness, or low blood pressure.
- Vision or hearing changes: Difficulty seeing obstacles or hearing cues can increase risk.
- Chronic health conditions: Conditions such as arthritis, stroke, Parkinson’s disease, or dementia can affect mobility and coordination.
- Footwear and mobility aids: Ill-fitting shoes or improper use of walkers and canes can contribute to instability.
- Environmental hazards: Clutter, poor lighting, wet floors, or uneven surfaces can increase the risk of a fall.
Understanding these factors helps care teams, residents, and families work together to reduce risk.
The Impact of Falls
A fall can affect more than just physical health. Many residents who have experienced a fall develop a fear of falling again, which may lead them to limit movement or activity. This can result in:
- Loss of strength and mobility
- Increased dependence on others
- Social isolation
- Reduced participation in activities they enjoy
For families, this change can be difficult to see. That is why fall prevention is about more than safety—it is about preserving independence, dignity, and quality of life.
How We Work to Prevent Falls
Preventing falls in long-term care is a shared responsibility and a key part of providing safe, high-quality care. Care teams take a proactive and individualized approach, which may include:
1. Personalized Assessments
Each resident is assessed for their unique fall risks. This includes reviewing:
- Mobility and balance
- Health conditions
- Medication use
- Previous falls
Care plans are tailored to reflect individual needs and preferences.
2. Safe and Supportive Environments
Creating a safe living space is essential. This includes:
- Keeping pathways clear and well-lit
- Ensuring call bells are within reach
- Using appropriate bed heights and supports
- Installing grab bars and non-slip surfaces where needed
3. Supporting Safe Mobility
Maintaining movement is important for overall health. Staff support residents by:
- Encouraging regular activity and exercise
- Assisting with transfers and walking when needed
- Ensuring mobility aids are properly fitted and used correctly
4. Medication Reviews
Healthcare providers regularly review medications to identify any that may increase fall risk and make adjustments when possible.
5. Proper Footwear
Residents are encouraged to wear well-fitting, non-slip footwear to improve stability.
6. Ongoing Monitoring and Communication
Staff continuously observe for changes in a resident’s condition and communicate with families about any concerns, incidents, or plan updates.
How Families Can Help
Families play an important role in fall prevention. You can support your loved one by:
- Sharing information about their history, preferences, or past falls
- Encouraging participation in mobility and exercise programs
- Providing proper clothing and footwear
- Talking openly with staff about concerns or changes you’ve noticed
- Reinforcing safety measures in a positive and supportive way
Your involvement helps ensure care plans remain meaningful and effective.
Working Together for Safer Care
Reducing falls with injury is a priority for long-term care homes because it directly impacts resident health, independence, and well-being. By combining staff expertise with resident input and family involvement, we can create a safer, more supportive environment.
Every step taken—from improving lighting to reviewing medications—helps reduce risk. Most importantly, it allows residents to continue living with confidence, dignity, and as much independence as possible.
Together, we can make a meaningful difference in keeping residents safe and supported every day.
If you have any questions or concerns about falls, please speak with or contact a member of the nursing team.
