Falls are the leading cause of fatal injury and the most common cause of nonfatal trauma-related hospital admissions among older adults. As more Canadians age, falls will become even more numerous and costly than they are now. As alarming as the statistics are, these documented statistics fall short of the actual numbers since many incidents are unreported by seniors and unrecognized by family members or caregivers. There are potentially millions more unreported falls.
Falls account for 25% of all hospital admissions and 40% of all nursing home admissions. 40% of those admitted will never return to independent living and 25% will die within one year.
The majority, 55 percent, of fall injuries among older people occurs inside the home and an additional 23 percent happen outside, but near the house. More fall injuries are caused by falls on the same level (vs. stairs) and from a standing highlight, i.e. tripping while walking. Many of these falls, and the resulting injuries, can be prevented by taking steps to eliminate or fix potential hazards in and around the home.
Let’s not forget the importance of Fire Safety:
Consider these statistics for older adults compared to the rest of the U.S. population:
- People between 65 and 74 are nearly TWICE as likely to die in a fire.
- People between 75 and 84 are nearly FOUR times as likely to die in a fire.
- People ages 85 and older are more than FIVE times as likely to die in a fire.
- Careless smoking is the LEADING cause of fire deaths and second leading cause of injuries among people ages 65 and older.
- Heating equipment is the SECOND leading cause of fire death and the third leading cause of injury to people ages 65 and older.
- Cooking is the THIRD leading cause of fire deaths and the leading cause of injury among people ages 65 and older.
Here’s why we developed Age Safe Canada. Approximately 90% of older adults say they want to age-in-place (meaning to stay in their own home instead of assisted living), yet 85% have done nothing to prepare their homes for aging. Plus much of the nation’s housing inventory lacks basic accessibility features, preventing older adults and those with disabilities from living safely and comfortably in their homes.
A New England Burden of Disease (BODE) report stated that “home safety assessment and modification” appears to be “a very cost-effective health sector intervention.” And even more cost-effective was targeting this intervention to older people with previous injurious falls. The cost-benefit analysis found a “33 percent reduction in spending to treat fall injuries over three years, and potentially a six-fold savings in ‘social costs’ related to such injuries.” In that study the average cost per home modification was $448. A 2014 report by the Harvard University Joint Center for Housing Studies found that the five most important “universal design” features in the home are: no-step entries, extra-wide hallways, accessible living spaces on the ground floor and accessible light switches and door levers.
Simple changes can make measurable impact.
The overall goal is to make the home safer. Typical changes include the following:
Getting safely and securely into and out of the house.
- Better outdoor lighting to get you from your car to the door.
- Attractive ramps or a zero-step entrance for the home.
- A package shelf by front door.
- Handrails at existing steps and porches.
- A front door with sidelight for security.
- Fewer or no stairs.
Changes in the kitchen for easier meal preparation and eating.
- Lever-handle faucets with pull-out spray.
- Raised dishwasher to avoid back strain (a good idea for front-loading washers and dryers, too).
- Rolling island that can be placed back under the counter.
- Revolving corner shelves and pull-out shelves.
- Lower, side-opening oven.
- Pull-out cutting board.
- Adjustable height sink.
- Side-by side refrigerator with slide-out shelves and a water/ice dispenser.
- Cooktop with controls on front.
- Larger, friendlier cabinet and drawer pulls.
Changes in the bathrooms – the #1 place for accidents in your home.
- Attractive grab bars in the shower.
- Lever handles on faucets.
- Slide-bar-type hand-held shower, for sitting or standing.
- Shampoo nooks inset in the wall.
- Curbless showers so that there is nothing to step over or rolled into with a wheelchair.
- Tub and shower controls moved closer to entry point.
- Anti-scald, temperature and pressure balanced tub shower valves for safer bathing.
- Widened entry doors to at least 32.”
- 32”-36” pocket doors.
- Higher toilets with non-slam seats and lids.
Moving around within the house.
- Improved lighting with recessed fixtures in common areas and hallways.
- Lever handles on doors and windows.
- Lower light switches and thermostats; raised outlets.
- Planning for a future elevator by stacking closets.
- Adding blocking in walls for future chair lift at stairs.
- Wider doors that accommodate wheelchairs and walkers.
These are just a few examples. Virtually all rooms of your house can be improved, even closets and garages.
5 Simple Things You Can Do to Reduce Your Fall Risk:
- Begin a regular exercise program.
- Review your medicines regularly.
- Have your vision checked annually.
- Wear sturdy, nonskid shoes at all times.
- Make your home environment safer.
100% of ER doctors agree that an annual Home Safety Assessment is important to keep seniors safe at home.
A comprehensive Home Safety Assessment can pay for itself by avoiding the high cost of injury or assisted living.
Who is Age Safe Canada?
Age Safe Canada is a national membership, training and advocacy organization dedicated to meet the growing need for Home Safety Assessments and Aging-in-Place Home Modifications. Members are independent advisors, providers, contractors and professionals dedicated to helping seniors and their families determine the steps necessary to maximize both safety and independence.