Posts Tagged ‘njaging’

Preventing Falls at Home

Tuesday, April 5th, 2016

Preventing Falls at Home

Falls are not inevitable; it isn’t something that just happens as you get older. Falls are linked to a specific cause.  It could be that more than one underlying cause or risk factor is involved in a fall.

Falls can be linked to a person’s physical condition or a medical problem, such as a chronic disease. Other causes could be safety hazards in the person’s home or community environment.

What are some Risk Factors for falls?

  • Muscle weakness, especially in the legs, is one of the most important risk factors. People with weak muscles are more likely to fall than are those who maintain their muscle strength, as well as their flexibility and endurance.
  • Your balance and your gait — how you walk — are other key factors. Older adults who have poor balance or difficulty walking are more likely than others to fall. These problems may be linked to a lack of exercise or to a neurological cause, arthritis, or other medical conditions and their treatments.
  • Blood pressure that drops after you have been lying down or sitting can increase your chance of falling. This condition — called postural hypotension — might result from dehydration, or certain medications. It might also be linked to diabetes, neurological conditions such as Parkinson’s disease, or an infection.
  • Your reflexes may also be slower than when you were younger. The increased amount of time it takes you to react may make it harder to catch your balance if you start to fall.
  • Foot problems that cause painful feet, and wearing unsafe footwear can increase your chance of falling. Backless shoes and slippers, high-heeled shoes, and shoes with smooth leather soles are examples of unsafe footwear that could cause a fall.
  • Sensory problems can cause falls, too. If your senses don’t work well, you might be less aware of your environment. For instance, having numbness in your feet may mean you don’t sense where you are stepping.
  • Not seeing well or other vision problems can also result in falls. It may take a while for your eyes to adjust to see clearly when you move between darkness and light. Other vision problems contributing to falls include poor depth perception, cataracts, and glaucoma. Having poor lighting around your home can also lead to falls.
  • Confusion, even for a short while, can sometimes lead to falls. For example, if you wake up in an unfamiliar environment, you might feel unsure of where you are. If you feel confused, wait for your mind to clear or until someone comes to help you before trying to get up and walk around.
  • Some medications can increase a person’s risk of falling because they cause side effects like dizziness or confusion. The health problems for which the person takes the medications may also contribute to the risk of falls.

Most Falls Happen at Home

Although falls can happen anywhere, well over half of all falls happen at home. Falls at home often happen while a person is doing normal daily activities. Some of these falls are caused by factors in the person’s living environment. For instance, a slick floor or a poorly lit stairway may lead to a fall.

Other factors that can lead to falls at home include

  • loose rugs
  • clutter on the floor or stairs
  • carrying heavy or bulky things up or down stairs
  • not having stair railings
  • not having grab bars in the bathroom

Simple changes can help make your home safer.

If you do fall, what should you do?

Well, be sure to talk with your doctor if you fall. A fall could be a sign of a new medical problem that needs attention, such as an infection or a cardiovascular disorder. It could also suggest that a treatment for a chronic ailment, such as Parkinson’s disease or dementia, needs to be changed.

For the time immediately after a fall, here are some tips:

While you are still on the ground:

  1. Take several deep breaths to try to relax.
  2. Remain still on the floor or ground for a few moments. This will help you get over the shock of falling.
  3. Decide if you’re hurt before getting up. Getting up too quickly or in the wrong way could make an injury worse.

Once you are ready to get up:

  1. If you think you can get up safely without help, roll over onto your side.
  2. Rest again while your body and blood pressure adjust. Slowly get up on your hands and knees, and crawl to a sturdy chair.
  3. Put your hands on the chair seat and slide one foot forward so that it is flat on the floor. Keep the other leg bent so the knee is on the floor.
  4. From this kneeling position, slowly rise and turn your body to sit in the chair.

If you’re hurt or can’t get up, ask someone for help or call 911. If you’re alone, try to get into a comfortable position and wait for help to arrive.

For more information and resources, visit the NJ Dept of Human Services website: http://www.state.nj.us/humanservices/doas/services/fallprev/

 

 

NJ Elder Economic Security Index

Tuesday, September 24th, 2013

In 2009 NJFA released the first NJ Elder Economic Security Index Report. This report provided the cost of living for people over 65 in NJ. Not only did it determine how much seniors need to meet their basic needs in NJ, but also broke down the data for all 21 counties in NJ.

 If you are not familiar with the Index, it breaks down the cost of living for NJ seniors in several categories- Housing, Transportation, Food, Healthcare and Misc. It also looks at these costs for both single elders and those living in a two person household. The Index goes even further to differentiate the costs for renters, homeowners with a mortgage and homeowners without a mortgage. With the release of the report in 2009 this opened the eyes of many policymakers and advocates as to the high cost of living for seniors. It also highlighted the issue of what senior’s income was compared to their cost of living. The accompanying Policy Brief also looked at the benefit programs and public supports that are available

In 2012 NJFA released an Index update. Not only did NJFA update the numbers but the new report also included a demographics study. The demographics study told us how many seniors in NJ were living below the Elder Index, not just in the state of NJ, but in each county as well.

Of single and two person households over 65 in NJ, 42.6% of them live below the Elder Index. Because the Elder Index is based on the costs for either a single elder or an elder living in a two person household, the demographic study misses those who are living in a household with 3 or more people.

If in 2012 42.6% of elderly single and two person households were living below the Index in NJ, what does that mean for 2013 and beyond? If we look at the change from 2009 (the first NJ Elder Index) and 2013, some seniors have seen more than a 30% increase in their cost of living. In 2009 the cost of living for a single senior renter in NJ was estimated to be $25,941. In 2013 its $28,860, that’s an 11.25% increase in costs without an increase in income. Some seniors may find it necessary to seek employment in retirement.

Not all seniors will be able to find employment or may not even be able to work. This is where benefit programs enter the picture. Programs like PAAD or Senior Gold can help cut the cost of prescription medications. Lifeline and LIHEAP can help them to pay their utilities bills. SNAP (formerly food stamps), Farmers Market Coupons and other nutrition programs will make it easier to access healthy foods. The highest cost for seniors is their housing. So naturally affordable housing would make the biggest impact for a senior who is below the index. However, affordable housing is difficult to come by. Many seniors are on multiple waiting lists, each kept separately without a way of sharing the information.

This is why NJFA continues to advocate for all services that may benefit seniors. In order to ensure that all of NJ’s seniors can live in the community of their choice, with independence and dignity.

To view the full Elder Index Report, please visit our website at www.njfoundationforaging.org/issues.html