Six Myths About Falls

Published: Fri, 10/03/14

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Six Myths About Falls
 
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Q. I recently visited my parents, who are in their 70's, and have been worried ever since. My father, Sam, fell three times during the two days I was there. Often, my mother, Elaine, has lunch out and quilts with her friends, leaving dad home by himself. I questioned my mother about it and she said that falls are a normal part of aging and that she isn't concerned. I don't feel comfortable with this explanation. What if something happens to my father and no one is around. How common are falls in older people, and is there anything I can do to keep an eye on my father when no one is around?

A. The Centers for Disease Control (CDC) has reported that one-third of people over the age of 65 experience a fall each year, accounting for roughly 3 million visits to the ER and almost $30 billion in direct medical costs. The CDC is anticipating this number to reach an alarming $67.7 billion by 2020.

One in three residents living in a community who are over the age of 65 falls each year, and this number increases to fifty percent for people over age 80. Fall-related injuries are often serious enough to result in hospitalization and even premature death. Individuals who fall often face significant declines in mobility and independence.

Last week, on the first day of Fall, we celebrated Falls Prevention Awareness Day. This year's theme was "Strong Today, Falls Free Tomorrow" and its purpose was to raise awareness about how to prevent fall-related injuries among older adults. As part of the initiative, the National Council on Aging (NCOA) introduced a list of myths about falls, including the one that you mentioned (that falls are a normal part of aging). Here are six of the myths and the realities to debunk them, provided by NCOA:

Myth 1: Falling happens to other people, not to me.
Reality: The truth is that one in three older adults - about 12 million - fall every year in the United States.

Myth 2: Falling is something normal that happens as you get older.
Reality: Falling is not a normal part of aging. Exercises, medication management, vision checks, and a safer living environmental are all steps you can take to prevent a fall.

Myth 3: If I limit my activity, I won't fall.
Reality: Not necessarily true. Besides, performing physical activities helps seniors stay independent. Social activities are also good for overall health.

Myth 4: As long as I stay home, I can avoid falling.
Reality: Over half of all falls happen at home! Inspect your home for fall risks. Clear clutter and throw rugs and fix poor lighting. Make simple home modifications such as grab bars in the bathroom and nonslip paint on outdoor steps.

Myth 5: Muscle strength and flexibility can't be regained.
Reality: People do lose muscle as they age, but exercise and Physical Therapy can help restore strength and flexibility.

Myth 6: Taking medication doesn't increase my risk of falling.
Reality: Taking any medication may increase your risk of falling. Medications can sometimes make you dizzy or sleepy. Talk to a health care provider about potential side effects or interactions of any medications you take.

The NCOA, which is part of the National Institutes for Health (NIH), offers the free Falls and Fractures page for more tips on preventing falls. NCOA also offers a toolkit with printable materials to educate people about falls. Additionally, the Centers for Disease Control and Prevention (CDC) launched the STEADI (Stopping Elderly Accidents, Deaths & Injuries) Tool Kit for Health Care Providers. In addition, the CDC is coordinating efforts and seeking financial support to launch a falls prevention campaign with the Ad Council. For more details and for CDC fall prevention resources, including older adult falls prevention guides for health care professionals, brochures, posters, podcasts, and more, visit the CDC website.

You asked how you can keep an eye on your father when no one is around. Sensor-based home monitoring systems can alert a family member or caregiver of an emergency or when something unusual has happened. For example, if a senior has not left the bathroom for an extended period of time, it could mean he or she has fallen. Personal emergency response systems, known as PERS, can also contain GPS technology. If in trouble, the wearer can press a button and be connected with a call center that can dispatch help and notify caregivers. Many PERS devices only work at home, but a few allow the wearer to get help wherever they are -- on the golf course, in the car, or around the block. Read our blog post for more technology options for monitoring family members at risk of falling.

When taking preventative measures isn't enough, assisted living or nursing home care may be needed for your loved one. Nursing homes in Washington, D.C., Fairfax, Virginia, and the rest of Northern Virginia can cost as much as $144,000 per year, while Fredericksburg, Virginia nursing homes and nursing homes in and the rest of Virginia can cost as much as $105,000 per year.

The Medicaid Asset Protection Law Firm of Evan H. Farr, P.C. handles Life Care Planning and Medicaid Asset Protection, which is the process of protecting you or your loved ones from having to go broke to pay for nursing home care, while also helping ensure that you or your loved ones get the best possible care and maintain the highest possible quality of life, whether at home, in an assisted living facility, or in a nursing home. Learn more at The Fairfax, Fredericksburg, and Washington, DCMedicaid Asset Protection Law Firm of Evan H. Farr, P.C. website. Call 703-691-1888 in Fairfax, 540-479-1435 in Fredericksburg, or 202-587-2797 in Washington, DC, to make an appointment for a no-cost initial consultation.
 
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Critter Corner: Government "Special Needs" Programs?
 

Dear Saki and Alley,

My four-year old nephew has autism spectrum disorder (ASD). My sister and her husband recently received the diagnosis when they took my nephew to a developmental pediatrician. All of the therapies seem so expensive, and many are not covered by their insurance, but they want to give him all the tools he needs to live a productive life. Do you know of any federal or state programs that assist parents of those with special needs?

Peyton Fordee-Therappe

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Dear Peyton,

Federal and state government leaders have recently seen the need for new programs to address the public health crisis of ASD, and they have responded. Below are some examples of recent federal and state programs to help those with ASD and developmental disabilities:

  • The Achieving a Better Life Experience (ABLE) Act was introduced to allow for the creation of tax-exempt savings accounts for individuals with disabilities. The funds can be used for housing, transportation, job support, education, medical and dental care, community-based support services, employment training, and assistive technology, all without jeopardizing eligibility for SSI or Medicaid benefits.
  • Coverage for Applied Behavior Analysis (ABA) therapy: In response to a July directive from the federal government to step up Medicaid-funded treatment for autism, a number of states are quickly moving forward to add benefits for behavioral health treatment, including ABA therapy.
  • Affordable Care Act (ACA): The ACA gives more Americans access to health coverage and to no-cost preventive services, including autism screening for children at 18 and 24 months. The ACA guarantees coverage even if you or your child has a pre-existing condition, including a diagnosis of ASD, and covers a minimum set of "essential health benefits" - including behavioral health treatment, habilitative services, prescription drugs, and pediatric services.
  • Health Insurance Coverage: A total of 37 states, including Virginia, and the District of Columbia, have laws related to autism and insurance coverage, including requiring insurers to provide coverage for the treatment of autism.
  • Section 1915(i) of the Social Security Act allows states to provide a combination of medical services and long-term services and supports. Services can include adult day health services, habilitation (both day and residential), and respite care.

Understandably, for many families dealing with the day-to-day struggles of caring for a child with special needs, the last thing in their minds is planning for the future.  However, it is vital for parents to take the right steps to ensure their child will be financially secure and well-cared for if something happens to the parent(s).

Special Needs Trusts

A Special Needs Trust (SNT) is an essential tool to protect a disabled individual's financial future. A properly-drafted SNT preserves eligibility for federal and state benefits by keeping assets out of the disabled person's name while still allowing the SNT assets to be used for the full benefit of the disabled individual, preserving the disabled individual's dignity and ongoing quality of life. Read more here. When it comes to special needs planning, the Fairfax, Fredericksburg, and Washington, D.C. Law Firm of Evan H. Farr, P.C. can guide you through this process. If your sister lives in Virginia, DC, or Maryland, please suggest to her that she call us at 703-691-1888 in Fairfax, 540-479-1435 in Fredericksburg, or 202-587-2797 in Washington, D.C. to set up an appointment for her and her husband for a no-cost initial consultation.
 
 
 

In the Media

 
 
Listen to Evan H. Farr, CELA being interviewed on 1500 AM (Federal News Radio) on Sunday, October 5!
 
On Sunday, October 5 at 10:30 p.m, I will be the guest on â€oeOf Consuming Interest” hosted by Shirley Rooker, radio host and President of Call For Action, Inc. On her show, Ms. Rooker typically interviews top government officials, CEOs, and experts in their respective fields about topics that are of interest to consumers.
I  will answer the following questions about probate:
  • What is probate?
  • When does probate happen?
  • How do you avoid lifetime probate?
  • How do you protect your assets from probate after death?
  • How do you protect your assets from probate AND nursing home expenses?
To hear my interview this Sunday at 10:30 p.m., tune your radio to WFED (1500 AM) or listen online.
 
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The Law Firm of Evan H. Farr, P.C. is pleased to announce the opening of a new location in Washington, D.C., conveniently located at 1425 K Street, NW, Suite 350, Washington, DC  20005. Read the press release for more details.
 
 
 

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All Fairfax events are at The Law Firm of Evan H. Farr, P.C., 10640 Main Street, Suite 200, Fairfax, VA 22030, and all Fredericksburg events at at 501 Westwood Office Park, Fredericksburg, VA 22401 from 10 a.m.-12 p.m. RSVP today!  We hope to see you there.
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Note: Our next Living Trust Plus: How to Protect Your Assets from the Expenses of Probate and  Long Term Care seminars are on October 18, November 15 or December 13 in Fairfax and October 15 (FULL) or 21 in Fredericksburg.  
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