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| October 21, 2025

Fall prevention for seniors

Medically reviewed by Angelina Thompson, BSN RN

senior woman and daughter walking through the garden

Falls are a real concern for seniors, especially as they get older. Older adults may tend to lose balance or trip suddenly. Falling can lead to injuries, reduced mobility, and a decline in overall quality of life. However, falls don’t have to be an inevitable part of aging. By understanding the risk factors and taking proactive steps, seniors can significantly reduce their risk of falling and keep their independence.

 

What are the fall risk factors?

 

Families, seniors, and caregivers need to be aware of the potential consequences of falls. Falls are a leading cause of injury and hospitalization among older adults, but raising your awareness and learning the facts about falls can help you or a loved one avoid risks.

 

Several factors can increase a senior’s risk of falling, including:

 

  • Medical conditions: Certain medical conditions, such as arthritis, osteoporosis, Parkinson's disease, and diabetic neuropathy, can affect balance and coordination.
  • Medications: Some medications can cause side effects like dizziness, drowsiness, and lightheadedness, increasing the risk of falls.
  • Vision and hearing impairments: Changes in vision and hearing can make it difficult to navigate surroundings safely.
  • Muscle weakness: Weak muscles, particularly in the legs and core, can impair balance and stability.
  • Balance problems: Balance disorders can make it challenging to hold an upright posture.
  • Environmental hazards: Hazards in the home and community, such as clutter, poor lighting, and uneven surfaces, can contribute to falls.
  • Footwear: Improper footwear, such as high heels or loose-fitting shoes, can increase the risk of tripping.

 

What are the best ways to avoid falls?

 

Fortunately, there are ways seniors can decrease their risk of falling by planning ahead and making lifestyle changes. Here are a few ideas to consider for yourself or the senior in your life.

 

Work with a healthcare team

Consult with your CenterWell primary care doctor to figure out your personal fall risk and address any underlying medical conditions. Your healthcare provider can review medications, recommend proper exercises, and provide guidance on fall prevention strategies.

 

Be prepared to talk about:

 

  • Medicines: Your provider can help you learn about side effects and drug interactions.
  • Fall history: Share details about any falls (or close calls) you've experienced since your last check-up.
  • Health status: Some conditions, like the ones mentioned above, affect your balance and raise your risk of falling.

 

Stay physically active

 

Regular exercise can improve strength, balance, coordination, and flexibility. Activities like walking, tai chi, and water aerobics are particularly beneficial. Some activities may slow bone loss from osteoporosis. Talk to your doctor about the best exercise program for you. Also, tell your provider if your fear of falling is preventing you from being active.

 

Make your home safer

 

Conduct a thorough assessment of your home to find and fix potential fall hazards.

 

Begin by looking for hazards—like poor lighting and clutter—in and around your house. Remove or repair hazards and consider added safety measures like assistive devices or grab bars.

 

Wear functional footwear

 

Choose shoes that provide good support and traction. Avoid high heels, loose-fitting shoes, and walking in socks or slippers. Shoes should have nonskid, rubber soles that aren't too thick or too thin. Never walk in slippery footwear, including socks and slippers.

 

Check your shoes often and try to replace them when the tread begins to wear out.

 

Get your eyes and ears checked

 

Regular vision and hearing checkups are essential for navigating your surroundings. Ensure your eyeglasses are up-to-date and hearing aids are properly fitted. Even small changes in your vision and hearing may cause a fall. If you need glasses or contacts, be sure to wear them when needed. If you have a hearing aid, wear it.

 

Be mindful when outside

 

Pay attention to your surroundings when walking outdoors. Be aware of uneven surfaces, curbs, and slippery conditions.

 

  • Always look at the path ahead
  • Navigate uneven surfaces slowly
  • Be extra careful in inclement weather
  • Look for the curb cut
  • Only walk in well-lit areas in the evening

 

What should I do if I fall?

 

Despite best efforts and being aware, falls can still happen. Seniors who live alone may not have the support to keep them safe, or maybe someone is just weak after surgery or illness. Whatever the circumstances, if you or someone you love takes an accidental tumble because of a loose rug or slick floor, keep the following in mind:

 

  • Stay in communication: Carrying a phone or emergency alert system on your body can help in case you need help at once.
  • Stay calm: Try to remain calm and look for any injuries. Falls can be startling, but it's important to take a moment and regain your composure. Take some deep breaths and try to relax. Remain on the ground for a few moments to help you get over the shock of falling.
  • Assess injuries: Decide if there are any obvious injuries, such as broken bones or head trauma. If you think you can get up without help, roll over onto your side and rest again until your body and blood pressure regulate.
  • Get help: If injured or unable to get up, call for help immediately.
  • Position yourself: Crawl to a sturdy chair to help you rise and sit down.


Falls pose a significant risk for seniors, but there are steps you can take to prevent them. By understanding the risk factors, taking preventative measures, and creating safe environments, you can significantly reduce the fall risk for yourself or a loved one.

 

Content contained on this page is for informational purposes only and does not constitute medical advice. Always consult with your healthcare provider before starting any new fitness or dietary plans. References are provided for informational purposes only and do not imply endorsement of any website or other sources. For any health-related questions, contact your healthcare provider.

 

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