Editorial
Dangers elderly face after a fall
With increasing longevity in the Western world, Malta too is facing up to the reality of more and more people living well past their 70s. This healthy development is a reflection of improved living standards and the great strides in medical services available. Despite living longer, the aged face various problems in having a good quality of life and end up being unduly dependent on others.
Many of these problems are avoidable. It is of paramount importance that the elderly are made more aware of the importance of adopting a healthy lifestyle. Lack of regular and moderate exercise coupled with a poor diet will impact very negatively on their general health. Another threat to their well-being is the risk of falling. A fall for an elderly person is particularly harmful and quite often reduces their freedom and independence of movement for a prolonged period with all the complications, very often irreversible, that are set in train.
The health authorities are very aware of the devastating effects a fall has on the life of an independent elderly person and, in fact, a Falls Prevention Task Force has been set up to raise awareness about the serious difficulties elderly people are faced with following a fall and to launch initiatives that prevent elderly people from falling. This exercise necessitates the support of the wider community and involves not only health professionals in the community but also local councils and parishes.
There are very sound reasons for this increased commitment by the health authorities. For the elderly a fall can be an irreversible blow to their morale, to the extent that their sense of vulnerability and helplessness leads them to the point of giving up on life.
Very often, falls in one's home are the result of carelessness. The task force is therefore aiming to teach people how to minimise risks and be more alert to the possible avoidable dangers that would not have been the case in their younger years. The elderly are handicapped with slower reflexes and poorer eyesight and agility. Simple precautions, such as reduced clutter and better lighting at home, can make all the difference.
Matters get more complicated outside the home and are usually beyond their responsibility. Too often, inconveniences to the public, such as broken pavements, rubbish in the street and reckless driving, are infinitely more hazardous for the elderly who no longer have the physical ability and quickness to tackle these unacceptable situations.
The task force is determined to foster one's civic duty into being more aware of the unacceptable status of our surroundings that place the well-being of ourselves and our neighbour at risk. It wants to instil a sense of co-responsibility and motivate people to report hazards such as potholes and broken pavements and insist with the local authorities that these are repaired forthwith. Society hardly needs convincing to cooperate in such a cause.
The task force also expects that medical professionals will not just address the physical injuries of elderly that fall but also look into the causes so as to help the authorities in listing which are the major causes of falls and, thus, be in a better position to devise strategies to reduce this avoidable menace to the welfare of our elderly.
One hopes that the enthusiasm of the newly set up task force will be sustained and that the public will cooperate fully with this much-needed initiative.
4 Comments
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myriam Warrington
Sep 1st 2009, 18:26
A fall for the elderly can be particularly harmful and quite often reduces their freedom and independence of movement for a prolonged period with all the complications,very often irreversible.' Well said Mr. Editor. A close elderly relative of mine who lives in Sliema has had a number of falls of the bad state of the pavements there. She is now terrified to go out and have her daily exercise exactly because of that. So I think that the first thing local councils must see to, is the smoothing of pavements. I was walking in Old College Street, Depiro Street and Dingli Street in Sliema yesterday and it was impossible to walk on the pavement unless I looked at every step I was taking. Right in front of me in DIngli Street, were two elderly ladies walking and one was telling the other where each hole was, not to mention the lack of lights in the street. I think it is better for the local councils to see to this important issue,(which will probably not cost much) rather than issue discriminating parking laws which, in the end, will only make the some elderly relatives more lonely.
wally vella-zarb
Aug 31st 2009, 12:54
The bones of elderly persons deteriorate to the extent that, quite often, people fall over because their bones, especially hip joints, collapse. That is, the breakage causes the fall and not the other way round. Facilities for keeping track of bone density ought to be more readily accessible - and affordable - so as to reduce the risk of possible injury and the consequent increased expenses for aftercare.
victor caruana
Aug 31st 2009, 11:27
One cause of a fall in elederly is osteoporois or the weakending of the bones. Tests are carried out for this disease at Mater Dei. this was not mentioned in the leader.
You mentioned increased commitment by the health authorities in preventing falls and consequent bone fracture.
One of the current commitments is for the patient to wait 8 months for the doctor just to interpret the result of bone density tests!! some commitment!!!
May Bezzina
Aug 31st 2009, 10:55
This Task Force is a very good idea indeed, however how on earth are we going to protect the disabled and the elderly from the potholes on our roads, the uneven pavements - one minute you are walking on a flat pavement the next thing there is a dip. I have been reporting a pothole in a narrow road in Siggiewi for months and nothing has been done about it. The pothole gets larger and larger by the day and is now as wide as the road. Back in June the Siggiewi by-pass was re-surfaced and chippings have been left there to this very day. The Siggiewi Local Council has done nothing about the problems. I now gave up. Similar situations are prevalent all around Malta. Unless workers use their conscience and do their work properly, nothing is going to improve in this Island of ours.