Protecting Native Elders: Falls Prevention Awareness Week
Each September, the nation observes Falls Prevention Awareness Week, an annual campaign dedicated to reducing the risk of falls—one of the leading causes of injury among older adults. For Native American communities, especially elders living in urban areas like New York City, this awareness is critical. Falls are not just accidents; they are often preventable health events that can lead to loss of independence, disability, or even death.
The Scope of the Problem
According to the Centers for Disease Control and Prevention (CDC), more than 1 in 4 adults aged 65+ falls each year in the U.S.
Falls are the leading cause of injury-related deaths among older adults.
Native American and Alaska Native (AI/AN) elders experience higher fall-related hospitalization rates compared to non-Hispanic whites.
In New York State, falls account for over 136,000 emergency department visits annually among older adults.
For Native elders, who hold key cultural and spiritual roles in their communities, falls can have devastating impacts—not only on health but also on the transmission of traditions and intergenerational knowledge.
A Story from the Community
A Cherokee grandmother living in Queens recalled how a simple fall while carrying groceries led to a fractured hip. Despite being healthy otherwise, the injury left her dependent on her children for months. She said, “I never thought a small slip would change my life so much. Now, I exercise more, wear better shoes, and make sure my home is safe. I want to be strong for my grandchildren.”
Her story mirrors thousands of Native elders across the country—falls are often seen as accidents, but in reality, many can be avoided with prevention strategies.
Common Risk Factors
Physical changes with age – reduced muscle strength, balance issues, slower reflexes.
Chronic conditions – diabetes, arthritis, heart disease, and vision problems increase fall risk.
Medications – certain prescriptions cause dizziness or drowsiness.
Environmental hazards – cluttered walkways, loose rugs, poor lighting, and lack of grab bars.
Footwear issues – ill-fitting or slippery shoes.
Social isolation – elders who are less active are more vulnerable to muscle weakness.
Prevention Strategies
Falls prevention is not about fear—it’s about empowerment. Here are proven ways to lower risks:
Exercise Programs: Tai Chi, yoga, and balance training strengthen muscles and coordination.
Vision and Hearing Checks: Regular eye exams and hearing tests help elders stay alert and aware of surroundings.
Medication Reviews: Pharmacists or doctors can identify drugs that increase fall risks.
Home Safety Modifications: Remove clutter, install grab bars, improve lighting, and use non-slip mats.
Assistive Devices: Canes or walkers help with stability when needed.
Footwear Choices: Supportive shoes with non-slip soles prevent slips.
Importance for Native American Communities
Falls among Native elders carry additional significance:
Elders are keepers of culture, language, and history. Protecting their health ensures traditions continue.
Urban Native elders may face housing challenges such as crowded apartments or unsafe stairways, increasing fall risks.
Healthcare access gaps mean that some injuries go untreated, leading to long-term disability.
By addressing falls prevention proactively, Native communities can support elders in living longer, healthier, and more independent lives.
Role of Family and Community
Falls prevention is a collective responsibility. Families can:
Encourage regular physical activity.
Help elders with home safety upgrades.
Attend health appointments together.
Create supportive networks so elders feel less isolated.
Community organizations can provide culturally appropriate workshops, home safety kits, and exercise groups tailored to Native elders.
Recommendations for Native Elders
Stay Active: Engage in daily walking, stretching, or dancing.
Check Your Health Regularly: Annual vision, hearing, and balance screenings are vital.
Make Your Home Safer: Eliminate tripping hazards and install supportive equipment.
Know Your Medications: Ask if they affect balance or alertness.
Seek Support: Don’t hesitate to ask family or community for help with heavy tasks or unsafe environments.
Conclusion
Falls Prevention Awareness Week is a reminder that falls are not an inevitable part of aging—they are preventable. For Native elders, preventing falls means preserving independence, dignity, and the ability to pass down traditions to future generations. By strengthening bodies, securing homes, and building supportive communities, we can protect the wisdom keepers of Native culture.
With leadership from the New York Indian Council, Native communities in NYC can access the education, services, and cultural support needed to make falls prevention a shared responsibility. Together, we can ensure our elders walk safely and confidently for many years to come.
