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get a fall risk assessment COMMEntaRY By Dr. David Sullivan Falls and fall-related injuries are the leading cause of injury deaths among older adults. Fallrelated hip fractures account for approximately 25 percent of injury deaths among those over age 65. Among adults 70 years and older in the United States, falls are the cause of 16 percent of all emergency department visits. Risk factors associated with falls include neuropathy, ankle instability, and weakness along with other specific acute and chronic diseases that can impact sensory and musculoskeletal systems. Other risks include: 1. Gait/ankle instability, weakness, unstable gait, osteoarthritis 2. Taking four or more medications 3. Foot problems or unsafe footwear 4. Blood pressure abnormalities 5. Visual impairments 6. Obstacles and hazards at home Research has shown that treating and correcting these specific risk factors reduces the rate of falling by more than 30 percent. Postural control is a modifiable factor in fall prevention. Postural control can be described as the ability of a person to maintain their center of gravity over their legs, ankles and feet. The ability to main-
tain a stable upright posture is an important factor involving our sensory system, not only in the initiation and the control of voluntary movement, but also in the prevention of injury. Decreased postural control or increased postural sway can occur because of ankle instability and when there is a loss of normal sensation, such as in diabetes and other causes of peripheral neuropathy, then the risk for falls increases. Fortunately, there are many devices that assist the fall-prone with walking. Other than canes and walkers, there is now a new brace, when worn on both lower extremities improves postural control and improves the time it takes these individuals in certain timed tests aimed at evaluating fall risk. Its design allows for the elderly to easily apply and remove it and fit it into shoes without difficulty. It is custom made and cushioned for comfort, yet provides stability at the ankle joint and increased sensation by the patient which improves balance. Get your fall risk assessment today. A preliminary questionnaire is available at westfieldfoot.com under New Patients then Patient Forms - Fall Risk Assessment Form.
CHRIS AND GAIL HIP REPLACEMENT SURGERY
Dr. David Sullivan is with Westfield Foot and Ankle, 16411 Southpark Dr., Suite B. E-mail him at drs@ westfieldfoot.com.
We’re giving the North Side freedom to move.
keeping your loved ones’ houses their homes COMMEntaRY By John Mcnichols According to the National Aging in place Council, “an overwhelming majority of older Americans want to remain in their homes for as long as possible, but lack awareness of home and community-based services that make independent living possible.” The first area of consideration of modifications can increase independence and mobility. While multi-stage ramps are one solution, sloping walkways and raised surfaces are more aesthetic options. Inside, widening doorways, hallways and stairways may become necessary to allow adequate room for moving from one space to another. Perhaps moving the master bedroom to the main would enhance the ease of daily life. Handrails, grab rails and other permanent aides become essential to getting around independently. Stair lifts, chair lifts, and even elevators are now available and more economical for residential use. Kitchens and bathrooms are often two problem areas for the aging population. A little remodeling in these rooms can extend a person’s stay in their home. Installing low steps for rolling into showers with adequate seating and lower toilets can majorly improve independent mobility. Existing kitchens can be improved by providing places for food preparation and storage at a comfortable height. Subtle changes
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As members of Indiana’s #1 ranked joint replacement team at the Center for Hip and Knee Surgery, Dr. Jeff Pierson and Dr. Philip Faris provide nationally recognized orthopedic care to help put North Side residents on the path to pain-free movement.
in lighting and use of color can also help in making living space more pleasant and easier to navigate. Modern monitoring technology help protect loved ones from unattended operation, and alert loved caregivers of emergency or assistance when needed. Video communications with adult children and grandchildren can improve regular connectivity without leaving the residence’s comfort. In addition to home improvements, in-home community based services are making independent living more attainable. Every day new in-home services are being offered including nursing, companion care and doctors who make house calls. Even assistants to help with pet care and daily tasks. Whatever the situation, consider the value of making necessary changes to an existing home to maximize independence and enhance daily lifestyle for years to come. About the Author: John McNichols is the founder of Heritage Independent Lifestyles, a licensed General Contractor specializing in ‘independence remodeling’ for those who want to remain in their homes as long as possible. As a Certified Age in Place Specialist, he can help you determine your unique needs and design and implement solutions that enhance your lifestyle and independence. John resides in Fishers with his wife and younger two daughters and is active with several non-profit, charitable and service organizations.
Embracing the future.
Dr. Jeff Pierson
Dr. Philip Faris
12188-A North Meridian Street, Suite 325, Carmel, IN (317) 706-2361 · CenterForHipAndKneeSurgery.org
CENTER FOR HIP & KNEE SURGERY RANKED #1 FOR JOINT REPLACEMENT SURGERY IN INDIANA BY HEALTHGRADES® — 5 YEARS AND COUNTING
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