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mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman",serif;} </style> <![endif]--> <meta content="IE=5.0000" http-equiv="X-UA-Compatible"> <meta name="CREATED" content="20060723;3450100"> <meta name="CHANGED" content="20060723;19112100"><!--[if gte mso 9]><xml> <u1:DocumentProperties> <u1:Author>Daniel Leffingwell</u1:Author> <u1:LastAuthor>Daniel Leffingwell</u1:LastAuthor> <u1:Revision>3</u1:Revision> <u1:TotalTime>1</u1:TotalTime> <u1:Created>2005-11-13T12:08:00Z</u1:Created> <u1:LastSaved>2005-11-13T12:11:00Z</u1:LastSaved> <u1:Pages>1</u1:Pages> <u1:Words>862</u1:Words> <u1:Characters>4919</u1:Characters> <u1:Lines>40</u1:Lines> <u1:Paragraphs>11</u1:Paragraphs> <u1:CharactersWithSpaces>5770</u1:CharactersWithSpaces> <u1:Version>10.2625</u1:Version> </u1:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <u2:WordDocument> <u2:SpellingState>Clean</u2:SpellingState> <u2:GrammarState>Clean</u2:GrammarState> <u2:Compatibility> <u2:BreakWrappedTables/> <u2:SnapToGridInCell/> <u2:WrapTextWithPunct/> <u2:UseAsianBreakRules/> </u2:Compatibility> <u2:BrowserLevel>MicrosoftInternetExplorer4</u2:BrowserLevel> </u2:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="1026"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--></head><body style="" lang="EN-US" link="blue" vlink="purple"> <div class="WordSection1"> <p style="text-align: center;" align="center"><span style="font-size: 18pt;">Safety in the Home &amp; Beyond</span></p> <p><i><span style="font-size: 13.5pt;">Prepared by Daniel <span class="SpellE">Leffingwell</span> RN, MS</span></i></p> <p><span style="font-size: 13.5pt;">Updated: 3/22/15</span></p> <p><b><span style="font-size: 13.5pt;">Introduction</span>:<o:p></o:p></b></p> <p>The elderly face a double whammy, the need to adapt to the changes in their bodies as well as the resulting need to adapt their home environment to accommodate limitations in mobility and sensory function.<br> <br> According to www.homemods.org, more than 60% of elderly persons living at home are staying in structures built more than 20 years ago. Most likely those homes were not designed for safety of the aging. Hallways may not accommodate wheelchairs. Ground floors may not have a bedroom or bathing facilities. Stairways to upper floors may be narrow and steep with inadequate lighting.<br> <br> Describe Renee's stairs to the bedroom.</p> <p><b><span style="font-size: 13.5pt;">Statistics</span>:<o:p></o:p></b></p> <p>According to the National Security Council, in 2001 there were 33,200 fatalities and 8 million disabling injuries in the home. In fact, there is a disabling injury every 4 seconds. </p> <p>In the United States, one of every three adults aged 65 or older falls each year. The majority of falls happen in the home.</p> <p>In 2013, 2.5 million nonfatal falls among older adults were treated in emergency departments and more than 734,000 of these patients were hospitalized.</p> <p>Among older adults, falls are the leading cause of both fatal and nonfatal injuries.</p> <p><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">Older adults are hospitalized for fall-related injuries five times more often than they are for injuries from other causes.</span></p> <p><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">Of those who fall, 20% to 30% suffer moderate to severe injuries that reduce mobility and independence, and increase the risk of premature death.<o:p></o:p></span></p> <p><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">In 2013, the direct medical costs of falls, adjusted for inflation, were $34 billion.<o:p></o:p></span></p> <p><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">Rates of fall-related fractures among older women are more than twice those for men.<o:p></o:p></span></p> <p><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">People age 75 and older who fall are four to five times more likely than those age 65 to 74 to be admitted to a long-term care facility for a year or longer.13<o:p></o:p></span></p> <p><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">Describe Deb's grandmother's fall and "walking" hip fracture.</span></p> <p><b><span style="font-size: 13.5pt;"><o:p>&nbsp;</o:p></span></b></p> <p><b><span style="font-size: 13.5pt;">Physical Changes</span>:<o:p></o:p></b></p> <p style="margin-bottom: 12pt;">As the body ages, the spine shortens and bones lose calcium, thus putting a person at risk for fractures. The skin becomes thinner and dry and can be abraded or injured more easily. Short-term memory loss can result in the person forgetting if she took her medication. Visual acuity, depth perception and color recognition decline. A person can't hear as well, especially high frequencies. The person has a decreased sensitivity to temperatures, pressure, and pain. Because these changes occur, the elderly, especially the frail elderly in the 85+ age bracket, are at a safety risk for many accidental injuries, including falls, accidental poisoning, and burns.<br> <br> Other sensory changes that can occur as one ages, such as vision and hearing loss, decreased &nbsp;pain sensation and altered balance control can increase the risk for injury. <br> <br> Describe the parachute effect and balance.<br> <br> Decreased sense of smell.<br> <br> Medication Relates Issues: Describe orthostatic hypotension and the need to rise slowly from a sitting or lying position.</p> <p style="margin-bottom: 12pt;">Exercise!!!!!</p> <p><b><span style="font-size: 13.5pt;"><o:p>&nbsp;</o:p></span></b></p> <p><b><span style="font-size: 13.5pt;">Home Environment</span>:</b></p> <p>What can I do?<br> <br> Identify potential hazards.<br> <br> Unsecured floor coverings and throw rugs: These should be removed unless they are attached firmly to the floor. Make sure any cracked or peeled linoleum is tacked down or removed </p> <p>Remove all Clutter, especially in hallways leading to the kitchen and bathroom.&nbsp;</p> <p>Repair&nbsp;cracked or peeled linoleum. Use <span class="SpellE"><span class="GramE">mimi's</span></span> money story. </p> <p>These should be removed unless they are attached firmly to the floor. Make sure any cracked or peeled linoleum is tacked down or removed.</p> <p>Use the example of newspapers saved and newspapers on the floor for pets.</p> <p>Ensure adequate lighting, especially in stairwells.</p> <p>Use the "clapper" example.</p> <p>Wet floors, especially in bathrooms with incontinent folks.</p> <p>Skid pads in the bathroom.</p> <p>Raised toilet seats. Use Poppy's example.</p> <p>Keep electrical cords out of your walking path. Replaced frayed cords and leads.</p> <p>Kerosene Heaters - do not use them due to risk of fire and carbon monoxide poisoning. Decreased sense of smell. Recent Rotterdam example.</p> <p>Install smoke and carbon monoxide alarms. Test them monthly! Replace them after 10 years.</p> <p>Do not smoke in the evening while watching TV in an easy chair.</p> <p>Door knobs. Consider handles rather than knobs, which can be difficult to open. Use Emily's story. Fire hazard! Can they be unlocked from both sides?</p> <p>When buying a stove, consider one with the controls on the front of the unit. They are easier to reach and prevent the risk of catching cloths on fire.</p> <p><span style="font-size: 13.5pt;">Medications</span>:</p> <p>Make sure medications are properly labeled.&nbsp;</p> <p>Ever try to read medication labels?</p> <p>Get rid of old or improperly labeled medications.</p> <p>Easy open lids and children.</p> <p>Example of medications in dresser drawer.</p> <p>Look for side effects and drug interactions, make sure you are taking them as ordered.</p> <p>Set up a medication box or plastic container.</p> <p style="margin-bottom: 12pt;"><o:p>&nbsp;</o:p></p><b><span style="font-size: 13.5pt;"><o:p></o:p></span></b><b><span style="font-size: 13.5pt;">Personal Safety</span><o:p></o:p></b> <p><o:p>&nbsp;</o:p></p><p style="margin: 5pt 0in 0.0001pt 0.5in; text-indent: -0.25in;"><span style="font-size: 10pt; font-family: Symbol;"><span style=""><span style="font-family: &quot;Times New Roman&quot;; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">Have regular pension or other checks sent directly to the bank.</span> </p> <p style="margin: 5pt 0in 0.0001pt 0.5in; text-indent: -0.25in;"><span style="font-size: 10pt; font-family: Symbol;"><span style=""><span style="font-family: &quot;Times New Roman&quot;; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span>Don't close off or lock fire escapes. Ask the local law enforcement or fire departments about types of locks to use. </p> <p style="margin: 5pt 0in 0.0001pt 0.5in; text-indent: -0.25in;"><span style="font-size: 10pt; font-family: Symbol;"><span style=""><span style="font-family: &quot;Times New Roman&quot;; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">Beware of people who want to share money with you, offer products or services at very low prices, or who ask you to withdraw money from your bank. </span></p> <p style="margin: 5pt 0in 0.0001pt 0.5in; text-indent: -0.25in;"><span style="font-size: 10pt; font-family: Symbol;"><span style=""><span style="font-family: &quot;Times New Roman&quot;; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">Invest in a touch-tone phone with large, easy-to-read numbers. Put a 9-1-1</span> <span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">reminder near or on the phone. </span></p> <p style="margin-left: 0.5in; text-indent: -0.25in;"><span style="font-size: 10pt; font-family: Symbol;"><span style=""><span style="font-family: &quot;Times New Roman&quot;; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-size: 10pt; font-family: &quot;Verdana&quot;,sans-serif;">Keep your medical history taped to the refrigerator in an envelope clearly marked with your doctor's phone number(s)</span> </p> <p style="margin: 5pt 0in 12pt 27.35pt; text-indent: -0.25in;"><o:p>&nbsp;</o:p></p> <p> <span style="font-size: 13.5pt; font-weight: bold;">Where to get help</span>:</p> <p>1. Local Senior Center</p> <p>2. Local Fire Department.</p> <p>3. Your local&nbsp;gas company</p> <p>&nbsp;4. Local Police Department</p> <p><span style="font-size: 13.5pt;">References</span>:</p> <p>1.&nbsp;<a href="http://www.nsc.org/learn/safety-knowledge/Pages/safety-at-home-falls.aspx">Falls in the Home</a> National Safety Council </p> <p>2. <a href="http://www.ces.ncsu.edu/depts/fcs/pdfs/FCS-461.pdf">A Housing Safety Checklist</a> &nbsp;Published by the North Carolina Cooperative Extension Service. Prepared by Sara Kirby,<span class="GramE">&nbsp; Extension</span> Housing Specialist&nbsp;&nbsp;</p> <p>3. <a href="http://www.redcross.org/services/hss/tips/elderlyfalls.html"><span class="SpellE">Heath</span>&amp; Safety Tips: Preventing Falls <span class="GramE">Among</span> the Elderly</a> American Red Cross</p> <p>4. <a href="http://www.cdc.gov/Features/OlderAmericans/">Preventing Falls Among Older Adults</a> &nbsp;Center for Disease Control and <span class="GramE">Prevention &nbsp;National</span> Center for Injury Prevention and Control.&nbsp;</p> <p>5. <a href="http://www.lexingtonky.gov/index.aspx?page=89">SPECIAL TIPS FOR SENIORS</a>&nbsp; Division of Police, <span class="GramE">Lexington ,</span> KY</p> <p>6. <a href="http://www.aplaceformom.com/senior-care-resources/articles/home-safety-tips-for-seniors">Home Safety Tips for Seniors</a> A Place for Mom, last updated February 5 2015.</p> <p>7. <a href="http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html">Falls <span class="GramE">Among</span> Older Adults: An Overview</a></p> </div> </body></html>