The Lifetime Risk for Osteoporotic Fracture is 50% for Women Over Fifty

At the March 4, Osteoporosis Update at Washington Hospital, I learned a few important things about how to protect my bones. The first presenter, Dr. Barry Shibuya, clarified the difference for me between osteoporosis and joint pain. Osteoporosis is painless, (unless you have a fracture), while osteoarthritis hurts. Also, osteoporosis medication does not relieve joint pain; it only helps protect the body against future bone loss.

Dr. Shibuya alerted the audience to the harmful effect of steroid medication such as Prednisone on bone loss, saying, “If you take 5 mg of Prednisone for three months or longer, you will lose 25% of your bone density within one year.” To protect against osteoporosis he recommended exercise to build bones (bones are like muscles, they become stronger through resistive exercises), increasing your intake of calcium and Vitamin D, ending bad habits such as smoking and enrolling in a Fall Prevention program.

Maureen Parent, Coordinator of LIFE ElderCare’s Fall Prevention program, spoke after Dr. Shibuya and reiterated the importance of exercise in preventing falls. She pointed out that falls are the number one reason why seniors lose their independence. After a fall, the fear of falling again restricts a person’s willingness to engage in normal activities. And, the more sedentary and homebound they become, the more likely they are to fall again. People who have completed the 12-week, in-home, Fall Prevention class have reported a significant decrease (up to 70%) in their fear of falling again.

The major risk factors for falls are balance impairments, weak muscles, impaired vision, medications, and home environmental hazards such as inadequate lighting, clutter, throw rugs, as well as the incorrect use of assisted devices such as canes and walkers. The Fall Prevention program at LIFE ElderCare addresses all of the risk factors through a personalized exercise program, assistance with medication management and assistance with reducing hazards in the home. Enrollment is continuous so if you are age 60 and older, and are predominately homebound, this is a great way to keep you free from falls.

Rachael Vander Martin, Communications Specialist

See links for more information:

LIFE ElderCare Fall Prevention
Assess your Future Fracture Risk
Dr. Barry Shibuya

LIFE ElderCare can help older adults meet the new 2010 Dietary Guidelines.

Meals On Wheels

Meals On Wheels provides one nutritionally balanced, healthy meal a day.

The 2010 Dietary Guidelines for Americans, issued yesterday by the US Department of Agriculture, focuses on balancing calories with physical activity, and encourages Americans to consume more healthy foods like vegetables, fruits, whole grains, fat-free and low-fat dairy products, and seafood, and to consume less sodium, saturated and trans fats, added sugars, and refined grains. LIFE ElderCare’s Meals On Wheels program, along with the Fall Prevention program, can help get older Tri-City residents get on track to meet these goals.

Meals delivered through our Meals On Wheels program are specifically designed to meet the nutritional parameters set by the Older Americans Act and the Alameda Area Agency on Aging. Every fresh cooked meal provides one-third of the minimum daily requirements for older adults and includes food that is high in Vitamin A and Vitamin C. The entrees are low fat, contain no added salt, and are delivered with a pint of milk and fresh fruit.

Our Fall Prevention program helps seniors by enrolling them in a 12-week, personalized, in-home exercise program that includes a weekly support visit from students enrolled in Unitek College’s LVN program. Through the use of resistance bands, gentle stretching and strengthening exercises, participants are able to gradually improve their muscle strength, balance and gait. This leads to greater mobility, enhanced functioning and less fear about falling in the future.

Here are some of the tips that will be provided to help consumers translate the Dietary Guidelines into their everyday lives:

  • Enjoy your food, but eat less.
  • Avoid oversized portions.
  • Make half your plate fruits and vegetables.
  • Switch to fat-free or low-fat (1%) milk.
  • Compare sodium in foods like soup, bread, and frozen meals – and
  • choose the foods with lower numbers.
  • Drink water instead of sugary drinks.

Seniors who could benefit from Fall Prevention programs often fall between two worlds.

Fall Prevention programs abound for fit seniors who are able to get to community centers and other group venues where the routines are designed to help those who are healthy, mobile and have a relatively low risk of falling. But what happens to seniors who don’t meet these minimum requirements; the forgotten seniors who are out of sight from others in their community, who live alone and who are often isolated? Living independently, with multiple ailments, they are at great risk for a fall. Perhaps they are recovering from a recent surgery and have exhausted their Medicare benefits for physical therapy. Or, they may have completed the recommended course of action after a fall — hospitalization, release to a skilled nursing facility and perhaps a few in-home physical therapy sessions, but their risk of falling again is still high.

These seniors fall between two worlds. Where services abound for others, they may find themselves too strong for medical care in a skilled nursing facility, yet too frail for a congregate workout. How do they address the multiple factors that can potentially cause a fall? Who will inspire, coach and motivate them to build muscle strength to improve their balance and gait, and ultimately reduce their risk of falling?

LIFE ElderCare’s Fall Prevention program addresses each of the leading predictors of a fall:

  • Balance and gait are improved through a personalized exercise routine that is approved by the client’s primary care physician and monitored over a twelve week period, in the participant’s home.
  • Home hazard assessments are completed and minor modifications are provided.
  • Medication management. An in-depth assessment by a Touro University licensed pharmacist is included with medication cards provided to the client and their primary care physician.

Post assessment data of seniors who complete a 12-week session show an average improvement of 50% on the following factors: balance, strength, flexibility, energy, stamina, mobility and ability to prevent a fall. A stunning 71% of participants report an improvement in their mood.

Think for a moment about the older adults you know. Is there someone who could benefit by participating in a Fall Prevention program? Please help us spread the word. Additional information is available on our website, by mail, or simply give us a call at 510-574-2088. Enrollment is continuous so anytime is the perfect time to get started.

Maureen Parent
Fall Prevention Coordinator

Spread the word, falling is not inevitable.

The Fall Prevention program at LIFE ElderCare is starting a new 12-week session in mid-November. Past participants have reported the following improvements in activities of daily living.

  • Balance 52%
  • Strength 64%
  • Flexibility 54%
  • Energy 60%
  • Stamina 54%
  • Mobility 56%
  • Mood 71%
  • Ability to prevent a fall 63%


What is included in the program, and how it works:

- Personalized in-home exercises.

- Home safety check, minor home modifications (such as grab bars, hand held shower assists, commode rails).

- Medication review for possible drug interactions (which are a significant risk factor in falls).

After you enroll, a Certified Fitness Trainer will come to your home to assess your level of mobility and create a personalized exercise routine that you will be expected to practice over a 10-12 week period. During this time an LVN nursing student from Unitek College will come by every week to answer questions, provide additional instruction and assess your progress.

If you know someone who is age 60 or older and who lives in Fremont, Newark or Union City, call Sandy at 510-574-2087 or send her an email and we’ll get you started. The program is offered at no charge to Tri-City residents.

Watch video testimonials from two of our participants:
Enis, age 93 and Steve, age 93.

LIFE ElderCare has been providing the basics of life to frail, homebound seniors for the past 35 years.

Walkers and canes can cause falls if they are not fitted and used properly.

Older people sometimes borrow walking aids from friends and family without realizing the danger this can pose. Using borrowed canes, walkers, and crutches, without adjusting the fit and height appropriately, can cause discomfort and result in injury.

Here are some general tips for those using a cane or walker as a walking aid:

  • The walker or cane should be about the height of your wrists when your arms are at your sides.
  • When using a walker, your arms should be slightly bent when holding on, but you shouldn’t have to bend forward at the waist to reach it.
  • Periodically check the rubber tips at the bottom of the cane or walker. Be sure to replace them if they are uneven or worn through.
  • If you decide to use a walker or cane, or if your doctor suggests that you use one, ask for a referral to a Physical Therapist.
  • Avoid hurrying or walking too fast.
  • Make sure you pick up your feet when you’re walking - avoid shuffling - walk heel-toe.

Irvington High School seniors “strike out falls” for LIFE ElderCare’s Fall Prevention program

Jessica Hsi, Maureen Parent, Annie Lou

Back in December 2009, Jessica Hsi and Annie Lou, students at Irvington High School, started working on identifying topics for their QUEST project. QUEST is a five-component project that is designed and completed by all Irvington seniors. It starts with formulating a question and ends with the student organizing an activity in which their knowledge is shared with the community. Jessica and Annie identified senior citizens as the group they most wanted to help because they wanted to “give back to those who gave to them first.”

After researching senior centers and organizations in the area they chose LIFE ElderCare’s Fall Prevention program. “We chose the Fall Prevention program because we ourselves are healthy and we want others to stay healthy as well,” said Jessica. The next step was to meet with Maureen Parent, Coordinator of the program. During the meeting Maureen identified three goals she thought the students could help her with, 1) enlist financial support, 2) build awareness of the program, and 3) participate in direct community outreach.

Because Jessica and Annie wanted their project to engage young people in helping older people through their own physical fitness, they decided to organize and promote a Bowl-A-Thon. The event was publicized through flyers and door-to-door outreach. People who were interested in the project were asked if they wanted to make a financial contribution to the Fall Prevention program.

The event took place on February 27, 2010 at Cloverleaf Bowl in Fremont with 12 young bowlers participating. When any of the bowlers hit a strike the entire group would yell, “strike out falls.” In addition to building awareness in the community, the event brought in a $395 donation.

We extend our thanks to Jessica and Annie and encourage other students in the Tri-City area to consider LIFE ElderCare for future charitable projects.

Tips to prevent falls in your home.

Here are some simple tips that can reduce the risk of falling in your home from an article called: “You Can Keep Yourself from Falling.” Read the full article at Yale Medical Group website. As you age, you may face a higher risk of falling. That doesn’t mean you’re going to fall. In fact, you can do a lot to keep yourself from falling.

  • Keep your home well lit. Make sure light switches are easy to get to. Keep a nightlight on or turn on a light before you get out of bed if it is dark when you get up.
  • Get rid of uneven or slippery surfaces and clutter, such as throw rugs or power cords where you often walk.
  • Keep small pets out of the way.
  • Leave clear paths between rooms. You shouldn’t have to walk around furniture to get from one place to another.
  • Repair or discard broken furniture.
  • In the bathroom, have secure grab rails put in by the toilet and next to and inside the shower or tub. Put down sticky surfaces in the shower or tub floor. Use non-slip rugs on the floor.
  • Wear shoes or slippers with non-slip soles.
  • Fix broken steps and install handrails firmly on both sides.
  • Wear glasses if you need them.

    The best way to reduce your risk of falling is to improve your overall level of fitness and flexibility. Consider joining our Falls Prevention Program. It’s free and enrollment is continuous. Call Maureen at 510-574-2088 to sign up today.

Large numbers of elderly people who injure themselves after a fall at home are failing to seek medical help

Read full story, “Pride comes after a fall for elderly who won’t seek help,” by Leanne Gordon in the Herald Scotland.

Large numbers of elderly people who injure themselves after a fall at home are failing to seek medical help. In fact, some wait until they have fallen several times before seeking medical advice, because they believe they are experiencing an inevitable part of growing older.

The consistent failure of many pensioners to report their accidents and seek help is one of the issues being tackled in a two-year falls initiative in the health service.

Since 2007 NHS Quality Improvement Scotland (QIS) has been developing a national programme to raise the profile of falls and fracture issues among the people at risk and those responsible for their care.

Falls can make a dramatic difference to the quality of life of the elderly, and preventing them is likely to become even more important in the context of an ageing population.

Though the danger of suffering a debilitating fall is not limited to the elderly, the programme has focused its efforts with them, as they are generally more at risk and the effects can be more severe.

“As you get older falls become more frequent and the consequences of falls become more serious,” said programme manager Ann Murray.

More than a third of people aged 65 and over will fall at least once every year. That figure climbs to more than 50% of people aged above 80 years.
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To learn more about how to prevent falls in the Tri-City area go to LIFE ElderCare’s Falls Prevention Program.

LIFE ElderCare’s Falls Prevention Program has started a new 12-week session. Free in-home exercise and safety program available to homebound seniors and non-seniors with disabilities.

FallsPreventionBrochure_blog_2There are still some open spaces available in the new session so now would be the perfect time to make a referral. Can you think of someone who would benefit from improved balance and gait? Past participants have reported a significant decrease in their fear of falling, and are able to move around in their homes with greater mobility and independence. Call us today with your referral’s name and phone number. It’s that simple.

We will contact them to explain the program and ask if they are interested in participating. If they agree to enroll, our certified fitness trainer will create an in-home, personalized exercise routine just for them. After their primary care physician approves the routine, the participants are expected to do the exercises on their own during the week, as well as meet once a week with a Unitek College student nurse who will both coach and monitor their activity level.

I hope that you’ll find one or two people that can benefit from this program - we love to bring new at-risk elders into the LIFE ElderCare family. Please give your referral a call or send their name and phone number to Sandy Hallgren at 510-574-2087 or Maureen Parent at 510-574-2088.

Thanks for your help.

Read more about the Falls Prevention Program at lifeeldercare.org or download our brochure.

Elderly falls can lead to chronic pain, depression, hopelessness and strained family relationships. LIFE ElderCare’s Falls Prevention Program can help.

A recent Canadian study has demonstrated that, among participants aged 50 and older, those with hip and vertebral fractures were more likely to die during a 5-year follow-up than those without these fractures. In addition, the results showed that hip fractures might have long-lasting effects that result in eventual death by signaling or actually inducing a progressive decline in health. The research was part of the Canadian Multicentre Osteoporosis Study and included 2,187 men and 5,566 women.

The progressive decline in health has been linked to a lack of mobility and a loss of strength and muscle mass, which results in increased disability and other negative health consequences. After a fracture, many people suffer from chronic back pain, immobility and changes in posture that can lead to depression, hopelessness and strained family relationships.

Physical therapy can help restore normal functioning, but only if the patient commits to following through on the treatment plan. “Because of other medical complications, or a lack of compliance, some patients miss out on the benefits of therapy,” says Barbara Hauser, Certified Fitness Trainer/Physical Therapist Assistant at LIFE ElderCare. “Rehabilitation requires constant work and if depression or adverse lifestyle changes enter in, the patient may never fully recover.”

LIFE ElderCare’s Falls Prevention Program has been successful in helping seniors overcome resistance to therapy by enrolling them in a 12-week personalized, in-home exercise program that includes a weekly support visit from students enrolled in Unitek College’s Licensed Vocational Nursing Program. Through the use of resistance bands, gentle stretching and strengthening exercises, participants are able to gradually improve their muscle strength, balance and gait. This leads to greater mobility, enhanced functioning and less fear about falling in the future.

Anne, a 69-year old woman living in Fremont, enrolled in the program because of repeated falls caused by a painful back condition. Because of her chronic health problems she had given up on ever feeling better. At the beginning of the program she was resistant but after four weeks of support and encouragement she is now exercising daily and reaping the benefits. “I had to start out slowly,” she says, “but now I am doing the exercises 30 minutes every day and am confident I will reach my goal of 40 minutes per day.”

The program is offered at no cost to people, aged 60 years and older (and a bit younger for those with disabilities) living in Fremont, Union City and Newark, and includes a home safety assessment, minor home modifications, and a medication review. During the past four years the program has helped over 1,200 seniors and is recommended to patients by physicians, physical therapists and case managers from Washington Hospital, Kaiser Permanente and the Palo Alto Medical Foundation.

“LIFE ElderCare’s Falls Prevention Program has been a wonderful addition to my overall treatment program for my patients with osteoporosis,” says rheumatologist Barry Shibuya, M.D. “Despite our best drug therapy, which includes calcium, vitamin D and a bisphosphonate, if a patient is prone to falling, they may still sustain a fracture. By preventing falls, we can dramatically reduce the number of fractures sustained by patients with osteoporosis.”

A recent analysis of LIFE ElderCare’s Falls Prevention program post assessment data by the Stanford Alumni Consulting Team found that the program significantly lowers the risk of falling. Client post-program surveys also showed marked improvement in the seniors’ balance, strength, energy, mood and confidence.

For more information call Maureen Parent at 510-574-2088 or visit our website at lifeeldercare.org. It’s never too late to begin, the average participant is 87 years old. Five people who recently signed up are over the age of 90 and one person began the program at 100!

This program is partially funded by a GSAA Kaiser Permanente Community Benefit Grant.

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