What to know about a falls prevention programme in older adults

Falls can reflect several interacting issues, including reduced leg strength, slower reactions, dizziness, vision changes, unsuitable footwear, medication effects, or hazards at home. A physiotherapist may observe walking, transfers, turning, and balance, then tailor activities such as sit-to-stand practice, stepping, and supported balance work. The wider review may also consider blood pressure symptoms, eyesight, walking aids, and bathroom or stair safety.

Share any previous falls, near-falls, dizziness, pain, and fear of falling at the first assessment. Use the prescribed support and perform exercises near a stable surface, with another person present when advised. Wear secure shoes, keep pathways clear, improve lighting, and place frequently used items within easy reach. Do not stop or change medicines independently; ask the prescribing clinician to review medicines that may cause drowsiness or light-headedness. Progress should follow your balance and strength, not a generic routine.

After a fall, seek urgent medical help for severe pain, a limb that looks shortened or oddly positioned, inability to stand, head injury, loss of consciousness, new confusion, or weakness or numbness. Arrange medical review for repeated falls, fainting, new spinning sensations, chest symptoms, or dizziness that begins after a medicine change. Pause an exercise and contact the programme team if it causes chest pain, marked breathlessness, or unusual neurological symptoms.

Ask which risks are most relevant to you, whether a walking aid should be adjusted, how to practise safely alone, and which symptoms require medical review before continuing exercises.