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What to do if an elderly person falls and hits their head?

Stéphanie van Rosmalen ·
Verpleegkundige onderzoekt oudere patiënt met zaklamp in ziekenhuiskamer met natuurlijk licht

A fall with a head injury in an elderly person can have serious consequences and requires immediate attention. Older adults are more vulnerable to fall incidents due to factors such as reduced balance, medication use, and fragile bones. At Kepler Vision Technologies, we understand how important fall prevention for seniors is and how crucial it is to act quickly and appropriately when a fall does occur.

In this article, we discuss step by step what you should do if an elderly person falls and hits their head, when professional help is necessary, and how you can prevent future fall incidents.

What are the first steps if an elderly person falls and hits their head?

Stay calm and first check if the person is conscious. Do not move the fallen person unless there is immediate danger, and call 911 immediately if there are signs of serious injury, such as unconsciousness, bleeding from ears or nose, or vomiting.

Start by assessing the situation from a distance. Speak to the person to check if they respond. If the person is conscious and can talk, ask where any pain is located and if they feel dizzy.

Next, check for visible injuries to the head. Look for bleeding, swelling, or dents in the skull. If there is bleeding, apply gentle pressure with a clean cloth, but do not press directly on a possible skull fracture.

Keep the person warm with a blanket and stay with them until help arrives. Monitor breathing and consciousness continuously and note any changes in behavior or speech.

When should you call 911 after a fall with head injury?

Call 911 immediately if the person is unconscious, responds confusedly, loses blood from ears or nose, vomits repeatedly, or has severe headache that won’t go away. Also with visible skull injuries or if the person cannot get up, emergency help is necessary.

Other warning signs that require immediate medical attention are speech problems, sudden confusion or memory loss, and unusual pupil reactions. If one pupil is larger than the other, or if both pupils don’t react to light, this may indicate serious brain injury.

Even if the person initially seems fine, symptoms of concussion or internal bleeding may only appear hours later. Therefore, it’s important to remain extra alert for changes in behavior or physical complaints during the first 24 hours after the fall.

Are you unsure about the severity of the situation? Always call 911 or your doctor’s office. With head injuries in elderly people, it’s better to be cautious than sorry.

How do you recognize a concussion in elderly people after a fall?

A concussion in elderly people often manifests as headache, dizziness, confusion, memory loss, or nausea. Elderly people may also develop sleep problems, irritability, or concentration problems that can persist for days after the fall.

Physical symptoms of a concussion are worsening headache, repeated vomiting, balance problems, and sensitivity to light or sound. The person may also have trouble finding words or following conversations.

Emotional and cognitive changes are sometimes harder to recognize in elderly people. Watch for sudden mood swings, increased confusion above the normal level, or problems with daily activities that previously posed no problem.

Sleep patterns can also be disrupted after a concussion. The person may sleep much more than normal or much less, and may be restless at night or have nightmares.

What complications can arise after a head injury in elderly people?

Elderly people have an increased risk of internal brain bleeding, even after seemingly minor falls, due to blood-thinning medication and vulnerable blood vessels. A subdural hematoma, where blood accumulates between brain tissue and skull, can cause symptoms days or weeks after the fall.

Skull fractures occur more frequently in elderly people due to reduced bone density. These can be accompanied by damage to cranial nerves, which can lead to problems with hearing, smell, or vision.

Cognitive decline is a serious complication that can occur months after the accident. Elderly people who already had mild cognitive problems may develop dementia symptoms more quickly after a head injury.

Post-concussion syndrome can cause long-lasting symptoms such as chronic headache, concentration problems, and fatigue. In elderly people, recovery often takes longer than in younger individuals, and complete healing is not always guaranteed.

How can you prevent fall incidents in elderly people at home?

Fall prevention for elderly people begins with making the living environment safe by removing obstacles, installing adequate lighting, and placing non-slip mats in the bathroom and kitchen. Regular medication review and eye examinations also contribute to fall prevention.

Make the home safer by removing loose rugs, taking cords out of walkways, and placing sturdy furniture that the person can hold onto. Install handrails at stairs and in the bathroom.

Ensure adequate lighting in all rooms and hallways, especially at transitions between different lighting levels. Night lights in the bedroom and bathroom help with nighttime bathroom visits.

Encourage regular physical exercise to maintain muscle strength and balance. Simple exercises like walking, tai chi, or physical therapy can significantly reduce fall risk.

How we help with fall prevention for elderly people

We at Kepler Vision Technologies offer advanced AI solutions that watch over elderly people 24/7 and detect fall incidents immediately. Our technology helps care organizations and families through:

  • Immediate fall detection with alerts within seconds
  • Fall prevention by recognizing risky situations
  • Privacy-friendly monitoring without human observation
  • Only one false alarm per 92 days, 1,000 times more accurate than traditional systems

Our Kepler Night Nurse software not only detects falls but also recognizes unsafe movements and positions that can lead to fall incidents. By intervening proactively, we can help prevent elderly people from falling and suffering head injuries.

Would you like to know more about how our fall prevention technology can help your care organization? Contact us for a personal consultation about our AI solutions for fall prevention in elderly people.

Frequently Asked Questions

How long should I observe an elderly person after a fall with head injury?

Observe the person intensively for at least 24-48 hours after the fall. Symptoms of concussion or internal bleeding may appear delayed. Check consciousness, speech, and behavior every 2-3 hours, including at night. If in doubt about changes, contact a doctor immediately.

May I give painkillers to an elderly person after a head injury?

Do not give painkillers without medical advice, especially no aspirin or other blood thinners. These can worsen internal bleeding. Acetaminophen is only allowed on doctor's advice and in adjusted dosage. Always call your doctor or 911 first for advice about pain management after head injury.

When may an elderly person resume normal activities after a fall?

Wait with normal activities until a doctor gives the green light. With a concussion, rest is crucial - avoid physical exertion, driving, and complex mental tasks for at least 24-48 hours. Gradual resumption of activities happens step by step under medical supervision, depending on recovery.

How can I distinguish between normal aging and symptoms after head injury?

Watch for sudden changes compared to normal functioning. New confusion, sudden memory problems, changed personality, or worsened balance after a fall are warning signs. Keep a diary of behavior and symptoms to objectively assess changes.

What are the costs of fall detection technology for home care?

Costs vary per system and health insurer. Some insurers reimburse fall detection systems as part of home care packages. Ask your health insurer about possibilities and subsidies. The investment often outweighs the costs of hospital admissions after fall incidents.

Can blood-thinning medications increase the risk of complications after a fall?

Yes, blood thinners like warfarin, apixaban, or aspirin significantly increase the risk of internal brain bleeding after head injury. Even with minor falls, medical examination is essential. Never stop blood thinners yourself - this can cause other life-threatening complications. Always seek immediate medical help.

How do I prepare family and caregivers for fall incidents?

Make an emergency plan with contact details of doctors, hospital, and family. Train all caregivers in first aid for head injuries and fall detection. Ensure everyone knows where medication lists and medical information are located. Practice emergency situations regularly and keep all contact details current and accessible.

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