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July 18th 2024

How to Reduce Post-Fall Syndrome: Falls Prevention and Safe Recovery After a Fall

Written by: Kate Sheehan, Occupational Therapist A fall is defined as a unintentional move from a higher to a lower level, typically rapidly and without control, approximately 28-35% of people aged of 65 and over fall each year increasing to 32-42% for those over 70 years of age[1] the evidence also confirms that frequency of falls increases with age and with neurological conditions.

Written by Kate Sheehan, Occupational Therapist

A fall is defined as an unintentional movement from a higher to a lower level, typically occurring rapidly and without control. Falls are one of the leading causes of injury in older adults, with around 28–35% of people aged 65 and over experiencing a fall each year. This increases to 32–42% for people over 70, with the likelihood of falling rising further for those living with neurological conditions such as Parkinson's disease or dementia. Understanding falls prevention and knowing what to do when an elderly person falls are essential for maintaining independence, reducing injuries and supporting long-term wellbeing.

Understanding the Causes of Falls

Effective falls prevention strategies begin with identifying why falls occur. Risk factors generally fall into three categories: Intrinsic Factors These are personal factors that increase the risk of falling, including: Impaired balance or gait Parkinson's disease Dementia Postural hypotension Muscle weakness Extrinsic Factors Environmental hazards can significantly increase fall risk, including: Clutter creating trip hazards Poor lighting Loose rugs or uneven flooring Inappropriate walking aids or mobility equipment Behavioural Factors Everyday habits can also contribute to falls, such as: Wearing poorly fitting footwear Dehydration Reduced physical activity Not using prescribed mobility aids correctly Identifying these risks is an important part of healthcare risk assessment and fall management, helping healthcare professionals and carers reduce future incidents.

The Impact of Long Lies and Post-Fall Syndrome

Following a fall, remaining on the floor for an extended period, often referred to as a "long lie" can have serious physical and psychological consequences. Potential complications include: Pressure ulcers Carpet burns Dehydration Hypothermia Pneumonia Increased risk of hospital admission In severe cases, death Many older adults also develop post-fall syndrome, a condition characterised by: Fear of falling again Reduced confidence Loss of independence Reduced mobility Depression and anxiety Social withdrawal These effects often lead to reduced participation in everyday activities, creating a cycle of inactivity that can increase the likelihood of future falls.

The Role of Occupational Therapy in Falls Management

Occupational therapists play a vital role in falls management by helping individuals safely return to the activities that give their lives meaning and purpose. Following a mobility assessment, an occupational therapist may recommend strategies that enable a person to recover safely after a fall, including: Learning how to get up safely using nearby furniture. Receiving assistance from a family member or carer. Using specialist patient handling equipment or a lifting cushion for falls. Calling emergency services when a serious injury or medical emergency is suspected. Emergency services should always be contacted if there is evidence of significant injury, loss of consciousness or another medical emergency. However, where no serious injury has occurred, appropriate fall recovery equipment can often provide a safe, dignified and efficient alternative.

Choosing the Right Fall Recovery Equipment

For people who experience repeated falls, specialist care home lifting equipment or community-based patient handling equipment can reduce unnecessary ambulance callouts while improving confidence and independence. When selecting an emergency lifting cushion, three key features should be considered. Accessibility Equipment should be lightweight, compact and easy for one person to carry and store. Ease of Use Simple controls, clear instructions and intuitive design help carers respond quickly, reducing the amount of time someone spends on the floor. Comfort and Confidence The equipment should provide stable support, allowing the individual to feel safe and comfortable throughout the lifting process.

How the Mangar Camel Supports Safe Fall Recovery

The Mangar Camel Lifting Cushion from Winncare UK has been designed to meet all of these requirements. As one of the leading Mangar lifting cushions, the Camel is an inflatable fall lifting device that gently raises a person from the floor into a comfortable seated position. Once lifted, the individual can pause, regain their strength and prepare to stand independently or with assistance. Unlike many alternatives, the Camel provides a cushioned, supportive lift that promotes dignity while supporting safe patient handling for both the individual and the caregiver. Whether used in a person's home, by community healthcare teams or as part of falls management in care homes, the Camel offers an effective solution for improving recovery after a fall.

Supporting Falls Prevention and Independence

Successful falls prevention extends beyond preventing falls themselves. Having an effective response plan and access to appropriate fall recovery equipment helps reduce the physical and emotional impact of a fall. By combining professional assessment, education and trusted Mangar lifting equipment from Winncare, healthcare professionals, occupational therapists and carers can help older adults maintain their confidence, independence and quality of life while reducing unnecessary hospital admissions and emergency callouts.