Home Accident Prevention for Elderly


PREFACE

When growing old, the physical ability of elderly people gradually wanes, making them prone to accidents. It may result in injury, hospitalization, or even loss of self-care ability owing to disability. This pamphlet aims at providing for the elderly some measures in preventing home accident, first aid measures and how to call for help.

FALL

Cause:            

Environmental factors, gait instability, impaired vision, etc.

Prevention:

First Aid:

  1. Don’t panic. Call for help immediately if necessary.
  2. Examine the patient if the airway is clear (e.g. can talk or not); if breathing is adequate and circulation is normal (observe colour of the face, depth and rate of breathing).
  3. If breathing and circulation are normal, check for any other injuries on the body.
  4. If bleeding occurs, ensure that there is no foreign body in the wound. Apply direct pressure to stop bleeding by covering a clean gauze on it and add pressure on the gauze by your hand. Elevate the injured limb.
  5. If deformity is found on the injured part, do not move it and call for help immediately.

CHOKING

Cause:

Talk or laugh when eating; size or texture of food not suitable for elderly etc.

Prevention:    

First Aid:

  1. Do not panic.
  2. Call for help immediately.
  3. Perform CPR if necessary.

ACCIDENTAL POISONING/DRUG OVERDOSE

Cause

Inadequate knowledge about drugs, non-compliance to prescription, taking other person’s drugs etc.

Precaution:

First Aid:

  1. Do not panic. Call for help immediately.
  2. Examine the patient if the airway is clear (e.g. can talk or not); if breathing is adequate and circulation is normal (observe colour of the face, depth and rate of breathing).
  3. Perform CPR if necessary.
  4. If the patient is unconscious but the airway is clear, breathing & circulation are normal, turn the patient to lateral position.
  5. If the patient is conscious, fed with a large amount of water. But, do not induce vomiting.
  6. Bring along with any vomitus and remains of drugs taken when seeking medical treatment.

BURN AND SCALD

Cause

Carelessness, general disregard of safety, etc.

Prevention

First Aid:

  1. Do not panic. If necessary, call for help immediately.
  2. Examine the patient if the airway is clear (e.g. can talk or not); if breathing is adequate and circulation is normal (observe colour of the face, depth and rate of breathing).
  3. If breathing and circulation are normal, examine the burnt or scalded sites.
  4. Rinse the injury site with tap water for about 10 minutes. If the patient feels chilled, stop rinsing.
  5. Cover the injury site with a sterile gauze. Dress with bandages.
  6. Never apply toothpaste, soysauce or other ointments on the injured sites.
  7. Do not puncture any blister.
  8. Do not tear off any burned clothing that sticks on the injured site.

CALLING FOR HELP

  1. If necessary, call for ambulance service at 999 or the Fire Services Communication Centre at 27353355.
  2. Do not panic.
  3. Tell the call-taker how the injury happens and which part of the patient’s body is injured.
  4. Tell the call-taker if the patient is conscious.
  5. Clearly tell the call-taker the address where the accident happens, the route leading to this address, and your contact telephone number.
  6. Do not hang up the phone until the call-taker had no further question. Do not rush.

CONCLUSION

Accident could not be completely avoided, but its occurrence could be prevented. For the elderly, effective prevention could much reduce the occurrence of accident, thus alleviating the adverse effect on their physiological and psychological health, and also enhancing their self-care ability, leading to a healthy life.

Information provided by the Fire Services Ambulance Command Training School (7/2002)

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