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SENIORS

AS WE AGE Celebra Seniors ting

Take steps to prevent falls in your home

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Margaret Coates

Contributor

Have you ever been afraid of falling, and I do not mean in love?

I mean the fear of physical falls which might result in you becoming inactive and isolated?

Falling is a serious issue for seniors because, as experts have said, falls are the leading cause of injury for older adults. According to HealthLink BC, “one in three British Columbians over the age of 65 will fall once every year, and falls are the main reason why older adults lose their independence.” Falls are also the principal reason for injury-related hospitalizations among Canadian older adults.

Because of the seriousness of falling for older adults, it is important that we raise the profile of falls prevention.That is one of the reasons that the Canadian government has designated November as fall prevention month.

Falling can be a consequence of a number of factors for older people. For instance, older people may develop poor balance and decreased muscle and bone strength, and they are susceptible to reduced vision or hearing. Seniors may develop symptoms of dizziness and weakness, perhaps related to their medications. Also, older people may not be taking the steps to keep their homes safe, to eat well and stay fit.

Most importantly, the fear of falling can have a profound effect on a person as they may curtail their activities which might lead to other health issues such as depression, anxiety, isolation, and physical decline.

But the good news is that falls are preventable. The McMaster Optimal Aging Portal, a comprehensive web resource from McMaster University, notes three strategies you can adopt that will go a long way to preventing falls. These include “adjusting your home environment, engaging in exercises that promote strength and balance, and being mindful of your foot health.”

The Optimal Age Portal notes that research has shown that modifying your home environment has resulted in fewer falls for older people. There are steps you can take in adjusting your home environment that may help. You could remove trip hazards inside and out and make sure you have good handrails and lighting on your staircases.You could also add non-slip treads for bare wooden steps. In your bathroom, install shower and tub grab bars, and place non-slip mats on the shower floor and bathtub.

Make sure to secure loose rugs with double-faced tape, tacks, or slip-resistant backing. Lastly, clear away clutter, which can include loose wires and cords, furniture, and junk.

Make sure that you use footwear with good traction, keep your eyes trained on what is before you and, if necessary, use a walking stick for balance. Be careful getting out of your car, avoid taking shortcuts, take extra time, pay attention, and do not get distracted while outdoors. Keep your driveway and walkways salted and clear.

Exercising and improving your strength are not only terrific ways to improve health outcomes, but they are also positively linked to a reduction in falling for seniors. Regular exercise which combines strength, resistance, and balance will improve flexibility and prevent falls.You could take a class such as tai chi, strength and balance training or dance (which combines focus, movement, and balance). Most classes are available at seniors centres or a centre which has seniors programming. Some classes which were started during the worst of COVID-19 are still being offered virtually – my personal choice.

The Optimal Aging Portal’s last strategy is taking care of your feet. According to the Public Health Agency of Canada, healthy and pain-free feet help you keep your balance, which is essential for preventing falls. The portal says that foot issues may contribute to a greater risk of falling.They suggest that “if you are worried about your foot health, you may want to consider seeing a podiatrist who can assess, diagnose, and treat you, and ultimately help to improve your ability to move safely.”

Other strategies for falls prevention include having regular vision checkups.

Wishing yo u t he joy of family, t he gi ft of fr ie nd s, th e b le ssing of h ealt h, and mu ch happ in es s in t he Ne w Year. Happy New Ye ar !

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AS WE AGE Celebra Seniors ting

Newapproachneededonelderabuse:advocate

British Columbia needs a provincewide approach for reporting seniors abuse amid complaints that are “significantly rising,” says the provincial advocate for seniors.

Isobel Mackenzie says there is a clear five-year pattern of increasing reports of seniors abuse and neglect, but the fragmented reporting system suggests the problem could be more widespread.

“The challenge is that the system is not reliably effective, and many vulnerable seniors may be falling through the cracks,” she says in her report released Wednesday.

Over the past three to five years, the report says there has been a 49 per cent increase in reports of abuse, neglect and self-neglect to designated agencies, or health authorities.

Complaints to RCMP of violent crime rose 69 per cent, while reports to Vancouver police of physical abuse was up 87 per cent and financial abuse up by 49 per cent, it says.

Among her recommendations, Mackenzie says a review of the Adult Guardianship Act should consider the need to legally report suspected abuse of vulnerable adults, similar to an existing legal requirement to report child abuse.

The report also calls for the implementation of a central contact with one phone number to call about concerns, to be managed by professionals trained in adult protection.

“We know that seniors abuse and neglect exists in our communities and there is growing concern that it’s increasing yet remains hidden and invisible to most of us,” Mackenzie said during a news conference.

MINISTRY RESPONSE

The Health Ministry thanked the Office of the Seniors Advocate for the report in a statement.

“This report shows there is more that needs to be done to make it easier for people to report abuse and neglect and to make people more aware of the importance of it,” the statement says.

The ministry says it is working with federal, provincial and territorial partners on a newly established elder abuse working group to ensure B.C. is implementing the most current and effective approaches.

In the coming weeks and months, it will also work with B.C. partners like the provincial guardian and trustee, health authorities and service providers to find solutions. It will use the advocate’s report as a source, the ministry says.

RCMP and theVancouver Police Department did not immediately respond to requests for comment.

It’s not clear exactly why reports of senior abuse are rising, and whether that indicates increases in abuse or simply more reporting, Mackenzie said.

However, she added that there are many potential contributing factors, such as the isolation and stress created by COVID-19, poverty and an aging population.

The fragmented reporting system means data is unreliable and it’s difficult to assess patterns, identify gaps, make improvements and measure progress, the report says.

Mackenzie said a centralized reporting system would harness the strengths of agencies and the people already working on the issue.

“What we need is a cohesive system that brings that group together and communicates to the public with one voice: ‘This is what seniors abuse and neglect looks like. If you see it, report it. And here’s the number you should report it to,’” she said.

Once a centralized repository for reports is created, RCMP and municipal police would align their reporting and coding so that emergency calls that reach them first could be fed into the unified tracking system, she added.

The Adult Guardianship Act is largely responsible for protecting vulnerable seniors beyond the police protection offered under the Criminal Code.

The report says when the legislation was introduced 20 years ago, there were no provincial guidelines or standards followed, leaving a patchwork of implementation across health authorities and other organizations. It recommends that provincial standards and front-line training be developed, that there be a provincewide public awareness campaign, consistent data collection, and that methods and definitions be developed to monitor cases.

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