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Fall Risk After Stroke: Warning Signs When to Call Emergency
Summary
After experiencing a stroke, individuals often face an increased risk of falls due to issues like weakness, balance problems, and difficulty walking. Recognizing the signs of a potential fall can prevent further complications, such as fractures or additional neurological damage. Knowing when to seek emergency care is crucial to ensuring safety and health.
What Is This & Why It Matters
This handout is designed to help patients and caregivers understand the increased risk of falling after a stroke. Strokes can leave individuals with physical impairments that affect balance and strength, making everyday activities more challenging. According to the American Stroke Association's 2024 guidelines, recognizing fall risks and knowing when to seek medical help are critical steps in preventing serious injuries. This resource will provide you with actionable steps to reduce fall risks and identify warning signs that require immediate medical attention.
What You Should Do
- Ensure living spaces are well-lit and free of clutter to reduce tripping hazards.
- Use assistive devices like walkers or canes for added support while moving around.
- Wear non-slip footwear that provides good support and grip.
- Practice exercises recommended by your physical therapist to improve strength and balance.
- Keep frequently used items within easy reach to avoid unnecessary stretching or bending.
- Install grab bars in bathrooms near toilets and bathtubs for extra support.
- Encourage regular breaks during activities to prevent fatigue-related falls.
- Stay hydrated and eat balanced meals to maintain overall strength and alertness.
What You Should NOT Do
- Avoid rushing, especially when getting up from a seated or lying position.
- Do not walk on wet or uneven surfaces without assistance.
- Refrain from wearing loose-fitting slippers or socks without non-slip grips.
- Avoid carrying heavy or bulky items that may obstruct your view or balance.
- Do not ignore new symptoms such as sudden weakness or dizziness.
- Avoid walking in dimly lit areas without proper lighting assistance.
- Refrain from using unstable furniture for support when moving around.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Mild fatigue during daily activities.
- Occasional mild dizziness when standing up quickly.
- Slight imbalance while walking on uneven surfaces.
- Temporary weakness on one side of the body.
- Minor coordination difficulties when performing complex tasks.
Call Your Doctor If...
- Sudden inability to stand up or walk without assistance.
- Severe pain rated above 8 out of 10 after a fall.
- Loss of consciousness, even briefly, following a fall.
- New or worsening weakness on one side of the body post-fall.
- Persistent severe dizziness that does not subside after rest.
- Unresponsiveness or difficulty waking up after a fall incident.
- A head injury sustained during a fall, such as a bump or cut on the head.
- Confusion or disorientation following a fall event.
- Bleeding that does not stop with pressure after 10 minutes.
FAQ
Why am I at higher risk of falling after a stroke?
A stroke can impair your balance, strength, and coordination, increasing your likelihood of falls.
How can I make my home safer to prevent falls?
Remove tripping hazards, ensure good lighting, and install grab bars in key areas like bathrooms.
What should I do if I feel dizzy when standing up?
Sit down immediately and wait until the dizziness passes before attempting to move again.
Should I use a walker even if I feel stable?
Yes, using assistive devices like walkers can provide extra stability and prevent unexpected falls.
When should I contact my doctor after a fall?
If you experience severe pain, loss of consciousness, head injury, or new weakness after falling, seek medical attention immediately.