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10 Ways to Keep Senior Citizens Steady on Their Feet at Home

Writer's picture: Ben ProctorBen Proctor

A recent article I wrote for publication


By Ben Proctor, Physiotherapist


Falls are a silent epidemic among senior citizens, often overlooked until they happen. As a physiotherapist, I’ve seen firsthand how a simple stumble can change lives—not just for the person who falls, but for their families and the healthcare system too. The good news? Many falls are preventable with practical, everyday steps. Here are 10 ways to reduce the risk of falls at home for older adults, along with some eye-opening facts about the toll falls take on the NHS and hospital system.


The Cost of Falls: A Heavy Burden


Before we dive in, let’s talk numbers. Falls cost the NHS over £2.3 billion annually—that’s more than £6 million every single day. A third of people over 65 fall at least once a year, and for those over 80, it’s half. When these falls lead to hospitalization—often for fractures or head injuries—the financial and emotional costs skyrocket. Hip fractures alone account for around £2 billion of that NHS bill, not to mention the bed days and rehabilitation that follow. Prevention, as they say, is worth a pound of cure—especially when the cure is so pricey.


1. Boost Strength and Balance with Exercise


Exercise isn’t just for the young! Tailored strength and balance programs can cut fall risk by up to 55%. Simple moves like standing on one leg (with support nearby) or heel-to-toe walking build stability. As a physiotherapist, I recommend 150 minutes of activity weekly—think chair-based exercises or a gentle stroll. Check with your GP for local classes or online resources.


2. Clear the Clutter


A tidy home is a safer home. Rugs that bunch up, trailing cords, or piles of magazines are tripping hazards waiting to happen. Encourage seniors to keep pathways clear and secure loose rugs with non-slip tape. A quick declutter can make all the difference.


3. Light Up the Night


Poor lighting is a sneaky culprit in falls. Install bright, motion-activated lights near stairs, hallways, and the bedside. Nighttime trips to the bathroom become less of a gamble when you can see where you’re going.


4. Slip into Safe Footwear


“Sloppy” slippers might feel cozy, but they’re a fall risk. Swap them for well-fitted shoes or slippers with good grip and heel support. Some communities even host “slipper swap” events—worth a look!


5. Install Grab Bars and Handrails


Bathrooms and staircases are fall hotspots. Sturdy grab bars by the toilet and tub, plus handrails on both sides of stairs, give seniors something to hold onto. These small upgrades offer big security.


6. Check Medications with a GP


Some medications—like those for blood pressure or anxiety—can cause dizziness or balance issues. A regular review with a doctor can tweak doses or switch prescriptions to keep seniors steadier.


7. Keep Bones Strong


Healthy bones mean less chance of a fracture if a fall does happen. Calcium-rich foods (think dairy or leafy greens) and vitamin D (from sunlight or supplements) are key. Chat with a healthcare provider about what’s right for you.


8. Test Eyes and Ears


Vision and hearing fade with age, upping fall risk. Annual eye exams ensure glasses are up to date, while a hearing check can catch issues that affect balance. Don’t wait—small fixes here can prevent big tumbles.


9. Use Mobility Aids Wisely


A cane or walker can be a game-changer, but only if it fits properly. I often see seniors using aids that are too tall or worn out. A physiotherapist can adjust them and teach safe use—don’t skip this step.


10. Stay Hydrated and Nourished


Dehydration and poor nutrition weaken muscles and muddle thinking, both fall triggers. Aim for 6-8 glasses of fluid daily and small, energy-packed snacks if big meals are tough. A steady body starts with steady fuel.


A Final Word


Falls aren’t an inevitable part of aging—they’re a challenge we can tackle together. These 10 tips empower seniors to stay independent and safe at home, while easing the strain on our NHS. If you’re worried about a loved one, start small: a chat about footwear or a quick home scan for hazards. As a physiotherapist, I’ve seen how proactive steps transform lives—let’s keep our seniors standing tall.


More reading or print outs for loved ones:

 
 
 

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