Fall Prevention Awareness Week: Add Your Steps to Meet the Challenge!

September is a month of back to school, crisp morning air, changing colors, and the time of year we dedicate to raising awareness about Fall Prevention. This year’s Fall Prevention Awareness week will take place September 21-25, and LifePath is excited to announce that we will once again be participating in the 8th Annual Step Challenge by the Executive Office of Aging & Independence (AGE).
Last year, as one of the smallest Aging Services Access Points (ASAPs) in the Commonwealth, LifePath earned an honorable mention from AGE for reporting a total of 7,258,580 steps! We are so grateful for the enthusiastic participation of our staff, volunteers, family, friends, and community members.
This year, AGE is stepping up their goal from 75 million to 100 million cumulative steps for the month of September, and we hope to generate motivation throughout our community to contribute to that goal.
Impact
In Massachusetts, falls are the number one cause of injury-related hospitalizations and emergency room visits for residents 65 and older. A fall can negatively impact an older adult’s quality of life and ability to live independently in the community. Prevention is the best strategy available, as having a fall can double your risk of falling again. While there are a multitude of factors that can lead to a fall, most falls can be prevented by assessing individual risk factors and using evidence-based interventions.
Risk Factors
The following are individual risk factors:
- Environmental factors such as poor lighting, throw rugs, cluttered spaces, and unmet assistive equipment needs (i.e. grab bars, shower chairs).
- Chronic conditions: Diabetes, chronic heart failure, and arthritis are among some of the conditions that can increase the risk of falls due to neuropathy, pain, and other complications that affect walking and balance.
- Medications: Certain medications and/or medication combinations can affect your balance and ease of mobility.
- Poor vision: Adults with vision impairment are at almost double the risk of falling as those without vision concerns.
- Lack of physical activity: A sedentary lifestyle can lead to muscle weakness and bone loss. Weight-bearing exercise stimulates bone building, which increases bone density.
- Low bone density/osteoporosis: Bone density diminishes as you age, making bones weaker and more susceptible to fracture. Common osteoporosis-related breaks occur in the hips, wrists, and spine.
- Drinking alcohol and/or smoking cigarettes: Alcohol can increase your risk of bleeding and may also impair your balance and judgment, leading to an increased chance of falling. Smoking reduces the blood supply to your bones and impairs production of bone-building cells.
- Being a female over age 50, or a man over age 70: Osteoporosis is four times more likely to develop in women than men. Women lose up to 25% of their bone mass as their estrogen levels drop during menopause. Men begin losing testosterone around age 70, which also leads to a loss of bone mass. After age 50, 1 in 2 women and 1 in 4 men will have a fracture related to osteoporosis.
Aging in a Rural Community
As those of us who live in Franklin County and North Quabbin know, living in a rural area can come with unique challenges. According to a 2024 study, rural older adults are at higher risk for falls than urban older adults. Contributing factors may include physical environment, lifestyle activities, social issues, and limited access to health-related services and resources.
Access to care becomes far more sparse in rural areas, and many vendors and providers do not travel to remote areas. Resources like public transportation are limited, which can make it difficult for older adults to leave their house for appointments and basic needs, leading to increased isolation and feelings of helplessness. Living in a remote location can also present challenges with home repairs, cell phone and internet service, and ability to access services such as snow removal and heating maintenance. As we age, these limitations become more significant, threatening our autonomy and desire to stay in our homes as long as possible.
Home Care Support in Rural Communities
The Home Care program at LifePath provides support for helping to prevent falls. At least twice a year, your Case Manager or a Home Care Nurse will ask you during a home visit about how many recent falls you’ve had and if you were injured. The CM/RN will also discuss fall interventions and prevention strategies with you based on the reasons you are falling.
Common interventions include getting set up with a Personal Emergency Response button (PERS), ordering safety equipment for your bathroom or other areas of your house, recommending you talk with your doctor about your medications, and encouraging the use of your Personal Care or Homemaking Aide to do tasks for you that may increase your risk of falling.
All of these interventions are included in your Home Care copay if you have one. If you are not enrolled in the Home Care program, you can call LifePath to discuss your eligibility. Support around falls is one of the benefits of being a Home Care consumer.
Where Can I Get More Information and Resources?
The National Council on Aging’s Falls Free CheckUp is a tool that can be used to calculate fall risk based on a 13-question questionnaire. Links to resources are made available to those who may benefit from them. If you have trouble navigating the internet, many senior centers offer technical assistance. Call your local senior center for more information. If you choose to, you can share your results with your primary healthcare provider at your next appointment. Your results can serve as a useful source of information for your primary health care provider to consider when directing and planning your care to meet your long-term goals.
The American Bone Health Fracture Risk Calculator is a tool offered by the Bone Health and Osteoporosis Foundation that calculates your risk for fracture based on the answers to an 18-question questionnaire. This tool is designed for those over 45. An alternate quiz is also available on this site for those under 45 years old. You will need to enter your name, email, and zip code to view results.
The CDC Fall Prevention Checklist for Older Adults is a printable brochure that is organized by category and has check boxes next to common household hazards. Categories include: stairs and steps, floors, bedrooms, bathrooms, and kitchens. Checklist items under the category headings ask questions like “When you walk through a room, do you have to walk around furniture?” and offers suggestions such as “Ask someone to move the furniture so your path is clear.” This is an excellent tool for older adults and their families who want to identify and eliminate preventable environmental hazards that can lead to falls.
I hope this information helps you to prevent falls. Remember to log your steps for the month of September at LifePath Falls Prevention Awareness Week 2026!

















