Talking to a loved one about the risk of falling at home can be sensitive, but approaching the conversation with empathy, honesty, and a focus on shared goals is most effective. Here’s a step-by-step guide based on expert recommendations

Start by Expressing Care and Concern

Begin by letting your loved one know you care about their well-being and want to help them stay safe and independent. For example:

“You’re important to me, and I don’t want you to fall and get hurt. I know you want to be independent and stay in your home. Let’s talk about how we can keep you safe.”

2. Use Facts and Observations

Share relevant facts to frame the discussion:

“More than 1 in 4 older adults fall each year, and some of those falls lead to serious injuries. There are lots of things you can do to prevent a fall. I want to help.”

If you’ve noticed changes in their mobility or confidence, mention these gently:

“I’ve noticed you seem a bit unsteady lately. I’m concerned you might be afraid of falling. Can we talk about what’s been happening?”

3. Listen and Validate Their Feelings

Give your loved one space to share their thoughts and concerns. Listen actively and acknowledge their feelings:

“Take time to listen and understand what your loved one’s priorities are. They might feel uncomfortable at first, but it’s likely something they have been thinking about.”

Validate their desire for independence and reassure them that falls are not an inevitable part of aging:

“Falling is not a normal part of aging and most falls can be prevented.”

4. Focus on Shared Goals and Collaboration

Identify and emphasize shared goals, such as staying at home or maintaining independence:

“We both want you to stay in your home and feel safe. Let’s work together to make that happen.”

Invite your loved one to be part of the solution:

“What changes do you think would make you feel safer at home?”

5. Suggest Concrete Steps

Offer specific, manageable actions to reduce fall risk:

· Encourage physical activity: “Being active will help you feel better and stay independent. Physical activity improves balance and strength.”

· Review medications: “Ask your doctor or pharmacist to review your medicines. Some can make you sleepy or dizzy and increase your risk of falling.”

· Check vision: “Get your vision checked by an eye doctor every year. You might need new glasses or contacts.”

· Make home modifications: “We can put non-slip mats and grab bars in the bathtub or shower to make your home safer, consider a patient lift and transfer system such as HelpR.”

· Consider emergency response systems: “Installing an emergency response system can help you get help if you fall.”

6. Be Persistent and Respectful

If your loved one is reluctant to talk, be patient and bring up the topic again later. Respect their pace and decisions, but continue to offer support and information.

7. Agree on Next Steps

End the conversation by agreeing on one or two actionable steps, such as scheduling a doctor’s visit or making a small home modification.

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