Older people in hospital - Preventing falls

Falls in hospital#

Hospitals are unfamiliar places, which can be a challenge when you are also unwell or injured. You may feel dizzy, weak or less steady than you expect when you get up from bed. When you feel like this, you may be at risk of falling, and a fall in hospital can lengthen your stay.

Everyone is vulnerable to falls regardless of age, but as you get older the risk of falling, and of being injured by a fall, is often higher. A fall in any situation can cause injury, and many people end up in hospital because of one.

Falls can contribute to an older person’s decline and loss of independence. There may also be psychological effects, such as a fear of falling, which can lead someone to limit their activity. It is important to maintain your ability to move around and to look after yourself, as this can speed up your recovery and reduce your time in hospital.

What to bring to hospital#

Items that can help you stay mobile include:

• comfortable, well-fitting, flat, non-slip shoes or slippers
• a walking aid, glasses and hearing aids if you use them
• comfortable clothing that is not too long, too loose or too tight

When you arrive in hospital#

Become familiar with your surroundings. Get to know your bed controls and how to use the nursing call bell. Keep the call bell, your glasses, footwear and walking aid within easy reach, and use them.

Always follow hospital staff advice about what you can do safely on your own. It is recommended that you:

• talk to staff about what you can do safely by yourself and which activities you may need help with
• take part in the physical and rehabilitation activities provided, as these can help you recover faster

Stay mobile#

If you are safe and feel confident about your movement and balance, try to do as much as you can for yourself. It is important to be as independent as possible.

If staff have asked you to have a nurse or another person with you when you walk, always use the call bell and wait for a staff member to assist you before getting out of bed. Ask for help if you need it or feel unsafe.

Some simple actions can help prevent falls:

• Don’t rush. Take your time to move slowly from lying to sitting, and then from sitting to standing.
• Get your balance before moving away from the bed or chair.
• Be aware of your surroundings, and watch for spills or objects in the way.
• Ask staff to move furniture or other items that could cause a trip or fall.
• Report any concerns to staff.

Tips for preventing falls#

• Be careful walking in the dark, especially when going to the toilet at night.
• Always use your walking frame, walking stick or other mobility aid if one has been recommended.
• Always apply the brakes on wheelchairs, walking frames and beds, as they can move without warning.
• If you cannot easily get in and out of your bed or chair because it is too low or too high, ask staff to adjust the bed or find a more suitable chair. Some chairs can be adjusted.

Talk to hospital staff about other ways you can prevent falls and injuries. This may include equipment that reduces the risk of injury. If you do fall, keep calm and call for help.

Key points#

• If you feel dizzy, weak or unsteady when getting up, you may be at risk of falling.
• A fall in any situation can cause injury, and many people end up in hospital because of a fall.
• Everyone is vulnerable to falls regardless of age, but the risk is often higher as you get older.
• It is important to maintain your ability to move around and to look after yourself.
• It is important to be as independent as possible.

Where to get help#