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10 Steps to avoid falls
Home safety checklist
Medication Management
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Useful Information
The purpose of this checklist is to check your home for hazards that could result in a fall. If you answer “no” to the questions, you have already taken action to reduce your risk of falling. If you answer “yes” to the questions, you may want to consider making the recommended change or adaptation to reduce your risk of falling.
Bathroom No Yes Tips
Is the path from the bedroom to the
bathroom dark?
Are towel racks used to balance or grab onto while getting in or out of the bathtub/shower?
Is it difficult to stand during a shower?
Is it difficult to adjust faucets?
Are the shower floor and/or bathtub slippery?
Is there any water on the floor after a bath/shower? Are there leaks from the tub/shower
Is it necessary to reach far or turn around to get towels, shampoo, or soap?
Is it difficult to get on and off the toilet?
Top
Bedroom No Yes Tips
Is there a long reach from the bed to a light?
Is it necessary to get our of bed or reach far to use the telephone?
Is it necessary to get out of bed or reach far to get eyeglasses?
Is there telephone, light, or television cords running along the floor on the walkway?
Is there clutter (clothes, shoes, books, etc.) on the floor?
Is it common to get up many times during the night to use the bathroom?
Are your sheets, blankets, or dust ruffle lying on the floor?
Top
Kitchen No Yes Tips
Are there floor mats or rugs in the kitchen?
Is it necessary to reach for, bend over, or climb on a stool to get commonly used items or foods?
Is there liquid, food, or clutter on the floor?
Top
Living Areas No Yes Tips
Do carpets, rugs, and floor coverings have frayed corners or rolled up edges?
Are there throw rugs in walkways?
Are chairs and couches low to the ground?
Is it necessary to get up to answer the phone?
Do you have to walk over or around cords/wires?
Are there newspapers, boxes, or shoes on the floor?
Do you need to walk around furniture to get through the living area?
Do you have to reach up to pull cords on lights or ceiling fans?
Top
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