Every caregiver who wants to prevent falls tomorrow should start tonight by taking a series of practical, thoughtful steps that create a safer environment and promote strength and confidence for the person they care for. Falls often happen suddenly but are usually the result of multiple small risks building up over time. Addressing these risks proactively, especially the night before, can make a huge difference.
First, **conduct a thorough home safety check** before bedtime. Walk through every room with a careful eye for anything that could cause tripping or slipping. Look for loose rugs that might slide, cluttered pathways, electrical cords stretched across walking areas, or furniture placed awkwardly. Remove or secure these hazards immediately. For example, use double-sided tape to anchor rugs or remove them entirely. Make sure hallways, stairs, and entrances have bright, working lights, and add nightlights in bedrooms, bathrooms, and hallways to help navigation during nighttime trips. If any bulbs are dim or flickering, replace them tonight. Clear any objects from stairs and ensure handrails are sturdy and easy to grip.
Next, **check the footwear** of the person you care for. Shoes or slippers should have non-slip soles and fit well—not too loose or tight. Avoid socks alone on slippery floors. If the person wears shoes indoors, make sure they are clean and dry. If they use mobility aids like canes or walkers, inspect these devices for stability and proper height adjustment. The cane or walker should be the right size so that the user’s wrist aligns with the top handle when their arm hangs naturally. If the equipment is worn or damaged, plan to repair or replace it promptly.
Before the person goes to bed, **encourage a brief session of gentle stretching or balance exercises** if they are physically able. Simple movements that improve leg strength, flexibility, and balance can reduce fall risk. This might include seated leg lifts, ankle circles, or standing near a sturdy surface to practice weight shifts. If the person has a physical therapist or exercise routine, help them follow it tonight. Staying active is key to maintaining mobility and confidence.
Review any **medications and their timing** tonight as well. Some medications can cause dizziness, drowsiness, or low blood pressure, increasing fall risk. If you notice side effects or if the person has recently started new medications, make a note to discuss this with their healthcare provider soon. Never adjust medications without professional advice, but being aware of potential risks helps you stay vigilant.
Prepare the bedroom environment for safe nighttime movement. Ensure the bed is at a comfortable height to get in and out of easily. Place a sturdy nightlight within reach of the bed and along the path to the bathroom. Remove any clutter or loose rugs near the bed. If the person uses a bedside commode or walker, make sure it’s positioned so they can reach it without difficulty. If they have a history of nighttime falls, consider installing grab bars near the bed or bathroom entrance.
In the bathroom, which is a common site for falls, check that grab bars near the toilet and in the shower or tub are secure. Place non-slip mats inside and outside the shower or bathtub. If the person uses a shower chair or hand-held showerhead, ensure these are ready and accessible. Before bedtime, confirm that towels and bath mats are dry and not bunched up on the floor.
Make hydration and bathroom trips safer by encouraging the person to use the bathroom before going to bed to reduce the need for nighttime trips. If they do need to get up, remind them to take their time and use mobility aids if necessary. If they feel unsteady, offer assistance or stay nearby.
Consider using technology to enhance safety. If the person has a medical alert system or motion sensors, check that these devices are charged and functioning. Voice-activated assistants can also help by turning on lights or calling for help if needed.
Finally, **prepare a plan for tomorrow** that includes scheduled physical activit