Preventing falls
Learn 10 practical ways to prevent falls, make your home safer, stay active and independent, and know what to do if a fall happens.
On this page
✓ Steps you can take today
✓ What to do if someone falls
✓ What the numbers say
Download this page as a PDF to save, print, or share.
Download printable PDFOriginally published:
March 2024 by the Pacific Regional Centre for Healthy Aging (PRCHA)
Disclaimer
This article was originally developed for the Pacific Regional Centre for Healthy Aging. Health information and recommendations can change as new research becomes available. Some statistics, recommendations, and external resources may have been updated since this article was first published.
This information is for general education purposes only and does not replace advice from a healthcare professional.
What you need to know
Falls are a leading cause of injury among older Canadians. The good news is that many falls can be prevented.
Learning how to prevent falls is one of the most important things you can do to stay healthy, active, and independent as you age. It can also help you support an older family member, friend, or someone you care for.
Preventing falls involves more than installing railings or grab bars. It works best when you consider different aspects of your health, daily habits, and environment.
Look after your health
Physical activity, good nutrition, adequate sleep, and regular healthcare can help maintain your strength and balance.
Make your surroundings safer
Removing hazards, improving lighting, and using appropriate equipment can make everyday activities safer.
Some health conditions and medications can also increase the risk of falling. For example, dizziness, changes in blood pressure, poor balance, or reduced mobility may make falls more likely.
Fall prevention is an ongoing process. You can reduce your risk by making small changes, learning new habits, and seeking support when needed.
The following sections explain practical ways to prevent falls, what to do if someone falls, and where to find additional information and support.
Steps you can take today
There are many ways to lower your risk of falling. These 10 tips can help you build healthy habits, make your surroundings safer, and maintain your independence.
Stay socially connected
Spending time with others can help you stay active, engaged, and connected to your community.
Look for opportunities to visit friends and family, participate in community activities, or join a group that interests you.
Social activities that involve movement can also help you maintain your strength and confidence.
Be physically active
Regular physical activity helps maintain the strength, balance, flexibility, and coordination you need to move safely.
Choose activities that suit your abilities, such as walking, swimming, dancing, or exercises that improve strength and balance.
Start at a comfortable level. If you are unsure which activities are safe for you, speak with a healthcare provider or physiotherapist.
Get a good night's sleep
Poor sleep can affect your alertness, concentration, and balance.
Try to keep a regular sleep schedule and create a comfortable sleeping environment.
If you regularly have difficulty sleeping or feel unusually sleepy during the day, speak with your healthcare provider.
Take care of your vision and hearing
Changes in vision and hearing can make it harder to notice obstacles and stay aware of your surroundings.
- Have your vision checked regularly.
- Wear prescribed glasses or contact lenses.
- Speak with a healthcare provider about changes in your hearing.
- Use prescribed hearing aids when needed.
Get your medications checked
Some medications can cause dizziness, drowsiness, or changes in blood pressure, which may increase your risk of falling.
Ask your doctor or pharmacist to review all the medications you take, including prescription drugs, over-the-counter products, and supplements.
Do not stop or change your medications without medical advice.
Make your home safer
Everyday hazards around the home can increase the risk of falling. Small changes can make a big difference.
- Keep walkways and stairs free of clutter.
- Remove or secure loose rugs and electrical cords.
- Make sure rooms, hallways, and stairways are well lit.
- Install secure handrails and bathroom grab bars where needed.
- Wear supportive, well-fitting footwear with non-slip soles.
Use the right walking aid if you need one
A cane, walker, or other mobility aid can help you move more safely and maintain your independence.
A healthcare provider or physiotherapist can help you choose the right aid and show you how to use it correctly.
Once you have an appropriate walking aid, use it consistently.
Take a fall prevention class
Fall prevention programs can help improve your strength, balance, mobility, and confidence.
Ask your local community centre, seniors' centre, or healthcare provider about programs available in your area.
Look for programs that are appropriate for your abilities and offer guidance from qualified instructors.
Choose equipment that makes daily activities safer
Assistive equipment can help reduce the need to stretch, bend, or move in ways that may put you at risk.
Useful equipment may include:
- Reaching tools for picking up objects
- Shower chairs and grab bars
- Non-slip footwear
- Hip protectors for people at higher risk of injury
Ask a healthcare provider or occupational therapist which equipment would be most useful for your needs.
Eat well and stay hydrated
Good nutrition helps support muscle strength, energy, and overall health.
Eat a variety of nutritious foods, including sources of protein, and make sure you get enough calcium and vitamin D to support bone health.
Drink enough fluids throughout the day. Dehydration can contribute to dizziness and weakness.
Limit alcohol, which can affect balance and coordination.
Start with one or two changes. You do not need to do everything at once. Small, consistent steps can help you feel safer and more confident in everyday life.
What to do if someone falls
Knowing what to do after a fall can help prevent further injury and make a stressful situation easier to manage.
The right response depends on whether the person is injured, whether they can move safely, and whether they can get up on their own.
When to call 911
Call 911 immediately if the person is unconscious, has difficulty breathing, has severe bleeding, or shows signs of a stroke or other serious medical emergency.
Seek emergency help if you suspect a serious head, neck, back, or hip injury, or if the person has severe pain or cannot move safely.
Do not try to lift or move someone with a suspected serious injury unless they are in immediate danger. Follow the emergency dispatcher's instructions.
If you fall and can get up
- Pause and assess. Take a moment to check for pain, dizziness, or injury before moving.
- Move slowly. If you feel able and have no signs of serious injury, roll onto your side and gradually move onto your hands and knees.
- Find sturdy support. Crawl toward a stable chair or another secure piece of furniture.
- Rise gradually. Use the support to help yourself into a kneeling position, bring one foot forward, and slowly push yourself up.
- Rest before walking. Sit down and take time to recover. Check for injuries before continuing your activities.
If you cannot get up
- Do not force yourself to stand. Trying to get up when injured may make the injury worse.
- Call for help. Use your phone, personal emergency response device, or call out to someone nearby.
- Stay as comfortable as possible. If you can move safely, adjust your position to reduce discomfort.
- Keep warm. If possible, cover yourself with a blanket or clothing while waiting for assistance.
- Get medical assistance. If you cannot get up safely, cannot reach help, or may be injured, call 911.
What to do after a fall
Even if you feel fine afterward, a fall is worth discussing with your healthcare provider.
Some injuries or symptoms may not be immediately noticeable. A healthcare provider can also help identify why the fall happened and whether changes to medications, mobility, or your surroundings could reduce future risks.
If you hit your head, especially if you take blood-thinning medication, seek prompt medical advice even if you initially feel well.
Regaining confidence after a fall
A fall can affect more than your physical health. You may feel worried about falling again or become less confident about moving around.
Avoiding activity altogether can weaken your muscles and make future falls more likely.
Talk with your healthcare provider about safe ways to stay active. Balance training, physiotherapy, or a fall prevention program may help rebuild confidence.
Learn more about responding to falls
The Public Health Agency of Canada provides an illustrated guide with advice on preventing falls and responding when they happen.
What the numbers say
Falls are a major health concern for older adults in Canada. The following figures from the original Preventing Falls resource show why prevention matters.
Falls are the leading cause of injury among older Canadians.
The original resource reports that falls are associated with more than one-third of admissions to long-term care following hospitalization.
The original resource estimates the annual financial cost of injuries among older Canadians at approximately $20 billion.
Historical estimate from the original resource; not a current cost estimate.Historical trends in falls
The original resource also highlights increases in fall-related injuries and deaths between 2003 and 2008.
Reported increase in injuries due to falls between 2003 and 2008.
Reported increase in deaths due to falls between 2003 and 2008.
About these figures: These statistics are reproduced from the original Pacific Regional Centre for Healthy Aging article. Some are historical and should not be interpreted as current Canadian estimates.
Prevention matters. Staying active, addressing health risks, and making everyday environments safer can help reduce the likelihood of falls and fall-related injuries.
Resources
These resources provide additional information about preventing falls, making your home safer, choosing assistive devices, and finding support in British Columbia.
Websites and online guides
HealthLinkBC: Preventing Falls
Information about fall prevention for older adults, including ways to reduce risks around the home.
Visit HealthLinkBCThe Safe Living Guide
A Government of Canada guide to home safety for older adults. Covers home hazards, healthy eating, physical activity, medications, and safety aids.
Read The Safe Living GuideAvoiding Falls — Canadian Frailty Network
Information and additional resources about understanding and reducing the risk of falls.
Explore Avoiding FallsFinding Balance
A fall prevention initiative offering educational videos, factsheets, activity information, and resources for older adults.
Visit Finding BalanceNeed health advice? Call 8-1-1
8-1-1HealthLinkBC provides health information and navigation services for people in British Columbia.
Health service navigators can help you:
- Find appropriate healthcare services
- Navigate the healthcare system
- Access health advice from qualified healthcare professionals
Health navigation services are available 24 hours a day, seven days a week. Translation services are available.
For people who are deaf or hard of hearing, dial 7-1-1.
For non-emergency situations only. In a medical emergency, call 9-1-1.
Booklets and factsheets
You CAN Prevent Falls
A short Public Health Agency of Canada pamphlet covering practical fall prevention strategies, including ways to make your home safer.
Read the pamphlet (PDF)Guide to Assistive Devices
A Government of Canada guide explaining equipment that can make daily activities safer, including canes, walkers, shower seats, grab bars, and other helpful devices.
Read the assistive devices guide (PDF)Programs and community support
Osteofit and Get Up & Go
Fall prevention exercise programs offered through participating community and recreation centres in British Columbia.
These programs focus on helping older adults maintain strength, balance, and mobility.
Financial support for assistive devices
Some programs may help cover the cost of mobility aids and other assistive equipment.
Explore assistive device resourcesLearn about your fall risk
Finding Balance: Fall Risk Quiz
A short, 10-question self-assessment designed to help you recognize factors that may increase your risk of falling.
This quiz is an educational tool and does not replace an assessment by a healthcare professional.
Take the fall risk quizLooking for support close to home? Your healthcare provider, local community centre, or HealthLinkBC can help you explore fall prevention programs and services available in your area.
Need more help?
🟦 HealthLink BC
📞 Call 811 (24/7)
Health information and advice from registered nurses, dietitians, pharmacists, exercise professionals, and health service navigators.
🟩 BC 211
📞 Call 211 (24/7)
Community programs, financial assistance, housing, transportation, caregiving, resources, and more.
Available in over 240 languages