Falls are something I think about a lot—not just because a fall once sent me to the hospital for a knee replacement, but because, as a healthcare designer, I’ve seen firsthand how dangerous falls can be for people, especially those with dementia. My professional experience has shown me the importance of creating safe environments that help reduce risks, and my personal experience as a caregiver has only deepened that understanding. What are the best fall prevention strategies for dementia care
For someone living with dementia, the risks of falls are magnified. Aging weakens bones, and dementia affects balance, coordination, and perception. The combination of these factors makes falls more likely and more dangerous. Injuries like fractures or head trauma can have lasting consequences, and there’s the added emotional toll—the fear that can come after a fall, which can lead to less independence and more anxiety.
That’s why preventing falls is such an important issue for me, both as a healthcare designer and as someone who has cared for a loved one with dementia. I want to share what I’ve learned—both from my professional life and my personal experience—to help others create safer homes for their loved ones.
Home Environment Modifications
First things first, clear the clutter. In my own home, I regularly go through rooms to remove any potential tripping hazards like shoes, bags, or small items that could be in the way.
Lighting is another priority. Good lighting can make a huge difference. I’ve added night lights in the bedroom and bathroom, and made sure that staircases, hallways, and other high-traffic areas are brightly lit. In my work, I’ve seen how proper lighting reduces fall risks and improves overall safety.
Handrails and grab bars are must-haves. In my personal space, I’ve installed grab bars in the bathroom near the toilet and shower and added handrails on both sides of the stairs. Non-slip mats in the bathroom and kitchen are small changes that can make a big impact in preventing slips and falls.
Furniture placement is something I think about professionally, but it’s just as important at home. I’ve rearranged furniture to create clear, wide paths, and I’ve made sure that the furniture is sturdy enough to offer support if needed when moving through the house.
Footwear Matters
It might sound simple, but footwear matters a lot. I encourage wearing well-fitted shoes with non-slip soles because they provide better traction. I also make sure that loose slippers and socks, which can easily lead to slipping, are avoided.
Increase Supervision and Support
Supervision is key, especially if your loved one tends to wander or gets confused. In my caregiving experience, just being present and offering a steadying hand can make all the difference in preventing a fall
Assistive devices, like canes or walkers, are incredibly helpful, but only if they’re used properly. I’ve seen how these devices can promote independence and safety, as long as they’re well-maintained and correctly utilized.
Regular Exercise
Physical activity is something I’ve integrated into our routine because it helps improve strength, balance, and flexibility. Gentle exercises, like chair stretches or Tai Chi, are great options and can be adjusted based on ability. I’ve seen this work not only in professional settings but also in my own caregiving experience.
Medication Management
Medications can sometimes contribute to dizziness or balance issues, so reviewing medications with a healthcare provider is critical. I make sure to keep an eye on any potential side effects that could increase fall risks.
Vision and Hearing Checks
Regular vision and hearing assessments are another important step. In my professional work, I’ve learned how sensory impairments can lead to more falls. At home, I make sure prescriptions for glasses are up to date and that they’re consistently worn.
Visual Cues and Labels
I’ve used visual cues like colored tape or signs to mark steps, doorways, and other key areas. This helps with orientation and makes navigating the home much safer for those who might have trouble with spatial awareness.
Health Monitoring
Regular check-ups are a priority in our household. Staying on top of overall health helps us address any issues that could affect mobility or balance. I also ensure that hydration and nutrition are maintained—something that is easy to overlook but crucial for preventing dizziness and fatigue.
Emergency Preparedness
In case of a fall, being prepared can make all the difference. I’ve looked into fall alarm systems that can summon help quickly, and we have an emergency plan in place. Knowing what to do if a fall occurs gives me peace of mind.
Education and Awareness
As a healthcare designer, I’ve made it a point to stay informed about dementia care and fall prevention. I’ve also seen how important it is to share this knowledge with other caregivers and family members. Encouraging our loved ones to be mindful of their surroundings, as much as their cognitive level allows, is another layer of protection.
By implementing these strategies, I’ve been able to create a safer environment for my loved ones and reduce their risk of falls. Whether it’s through environmental modifications or regular check-ins with healthcare providers, there are so many ways we can make life safer for those with dementia. This is more than just a professional concern for me—it’s deeply personal, and I hope these tips help you feel more confident in keeping your loved ones safe.
Action Item: Take a moment to walk through your home and identify any potential fall hazards. Look for clutter on the floor, poorly lit areas, or furniture that might block pathways. Make one simple change today—whether it’s clearing a walkway, adding a night light, or installing a grab bar. Small steps like these can make a big difference in preventing falls and keeping your loved ones safe.
Barbara J. Huelat
Healthcare Design Specialist & Author
Championing compassionate care and innovative solutions for dementia.
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Barbara Huelat,a dynamic force in healthcare design, author, and speaker, shares her expertise in her latest publication,'Taming the Chaos of Dementia.' With her profound understanding and passion for the subject, she offers practical wisdom on navigating dementia care with empathy and skill, transforming this complex challenge into an empowering journey. Explore Barbara's insights at barbarahuelat.com or call 703-795-1743 for an enriching experience.
Clutter seems to be a big hazzard that we often don't see! Where do you find problems?