{"id":707805,"date":"2026-06-18T03:29:09","date_gmt":"2026-06-18T01:29:09","guid":{"rendered":"https:\/\/www.dynseo.com\/amenager-lenvironnement-pour-prevenir-les-chutes-guide-pratique-pour-ehpad-et-domicile-dynseo\/"},"modified":"2026-06-18T03:30:09","modified_gmt":"2026-06-18T01:30:09","slug":"arranging-the-environment-to-prevent-falls-practical-guide-for-nursing-homes-and-home-care-dynseo","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/arranging-the-environment-to-prevent-falls-practical-guide-for-nursing-homes-and-home-care-dynseo\/","title":{"rendered":"Arranging the Environment to Prevent Falls: Practical Guide for Nursing Homes and Home Care | DYNSEO"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Contenu&#8221; _builder_version=&#8221;4.16&#8243; 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{width:100%;text-align:center;}\n.dbi-art-044d17 .internal-link {flex-direction:column;text-align:center;gap:12px;}\n.dbi-art-044d17 .zone-card-header {gap:10px;}\n}<\/p>\n<\/style>\n<p><script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"Article\",\"headline\":\"Am\u00e9nager l'environnement pour pr\u00e9venir les chutes : guide pratique EHPAD et domicile\",\"image\":\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/prevenir-chute.jpp\",\"description\":\"Guide pratique sur l'am\u00e9nagement de l'environnement pour pr\u00e9venir les chutes \u2014 chambre, salle de bains, couloirs, \u00e9clairage, sol, chaussage, audit environnemental.\",\"author\":{\"@type\":\"Organization\",\"name\":\"DYNSEO\",\"url\":\"https:\/\/www.dynseo.com\"},\"publisher\":{\"@type\":\"Organization\",\"name\":\"DYNSEO\"},\"datePublished\":\"2026-03-06\",\"dateModified\":\"2026-03-06\"}<\/script><\/p>\n<div class=\"dbi-art-044d17\">\n<header class=\"article-hero\">\n<div class=\"article-hero-inner\">\n<nav class=\"article-breadcrumb\">\n      <a href=\"https:\/\/www.dynseo.com\/en\/\">Home<\/a> &rsaquo;<br \/>\n      <a href=\"https:\/\/www.dynseo.com\/en\/healthcare-professionals\/\">Professionals<\/a> &rsaquo;<br \/>\n      Setting up a fall prevention environment<br \/>\n    <\/nav>\n<p>    <span class=\"article-category\">\ud83e\uddba FALL PREVENTION<\/span><\/p>\n<h1>Setting up the environment to prevent falls: <span class=\"hl\">practical guide<\/span> Nursing home and home<\/h1>\n<div class=\"article-meta\">\n      <span>\ud83d\udcc5 March 2026<\/span><br \/>\n      <span>\u23f1 18 min read<\/span><br \/>\n      <span>\ud83e\uddd1\u200d\u2695\ufe0f By the DYNSEO team<\/span>\n    <\/div>\n<\/p><\/div>\n<div class=\"article-hero-curve\"><\/div>\n<\/header>\n<div class=\"container\">\n<article class=\"article-body\">\n<div class=\"toc\">\n<h4>\ud83d\udccb Table of contents<\/h4>\n<ol>\n<li><a href=\"#environnement-levier\">The environment: a powerful and often underutilized lever<\/a><\/li>\n<li><a href=\"#chambre\">The bedroom: area to prioritize securing<\/a><\/li>\n<li><a href=\"#salle-de-bains\">The bathroom and toilets: very high-risk area<\/a><\/li>\n<li><a href=\"#couloirs\">Hallways and common areas<\/a><\/li>\n<li><a href=\"#eclairage\">Lighting: a priority often neglected<\/a><\/li>\n<li><a href=\"#sol\">Floors: identify and correct hazards<\/a><\/li>\n<li><a href=\"#chaussage\">Footwear: protection at the end of the feet<\/a><\/li>\n<li><a href=\"#lit\">Bed height: an important adjustment<\/a><\/li>\n<li><a href=\"#domicile\">At home: what families can do<\/a><\/li>\n<li><a href=\"#audit\">Environmental audit: methodical walkthrough<\/a><\/li>\n<\/ol>\n<\/div>\n<pee>If we had to isolate the most accessible, least expensive, and quickest to achieve fall prevention lever \u2014 it would be the environment. Unlike medical factors or exercise programs that require time, coordination, and resident compliance, the environment can be modified quickly, without the active consent of the person, and with immediate effects on their risk level.<\/pee>\n<pee>Yet, environmental audits regularly reveal risky situations in establishments that believe they are compliant. A rug in a hallway. A missing bathroom grab bar. Insufficient night light. Slippers that are too soft. Details that seem minimal \u2014 and are enough to create the conditions for a fall.<\/pee>\n<h2 id=\"environnement-levier\">1. The environment: a powerful and often underutilized lever<\/h2>\n<pee>The environment contributes to about <strong>30 to 50% of falls<\/strong> in elderly people \u2014 either alone or in combination with personal factors. This proportion means that a significant share of falls could be avoided by simple modifications to the living space.<\/pee>\n<pee>The difficulty is that environmental risks are often invisible to the accustomed eye \u2014 caregivers who have worked in the same space for months or years no longer see the dangers it presents. Hence the importance of regular external oversight, a structured audit method, and a culture that values reporting observed risks rather than minimizing them.<\/pee>\n<h2 id=\"chambre\">2. The bedroom: area to prioritize securing<\/h2>\n<div class=\"zone-card\">\n<div class=\"zone-card-header\">\n<div class=\"zone-card-icon\">\ud83d\udecf\ufe0f<\/div>\n<h3>The bedroom \u2014 security checklist<\/h3>\n<\/p><\/div>\n<ul>\n<li>Bed adjusted to the right height \u2014 feet flat on the floor when the resident is sitting on the edge of the bed (see dedicated section)<\/li>\n<li>Call bell accessible without the resident having to get up or stretch dangerously<\/li>\n<li>Clear path between the bed and the bathroom \u2014 no obstacles, even at night<\/li>\n<li>Night light sufficiently bright on the path bed \u2192 bathroom, automatic if possible (motion detector)<\/li>\n<li>Chair or armchair with firm armrests to facilitate standing up<\/li>\n<li>Phone or call device easily accessible from the bed<\/li>\n<li>No rugs, cables, or objects on the floor that could create an obstacle<\/li>\n<li>Hip protectors available and worn if residents are at high risk and have documented osteoporosis<\/li>\n<\/ul>\n<\/div>\n<h2 id=\"salle-de-bains\">3. The bathroom and toilets: very high-risk area<\/h2>\n<pee>The bathroom concentrates several major risk factors: often wet floor, smooth surfaces, repeated sit-to-stand transitions, and dressing\/undressing that temporarily shifts the center of gravity. It is the room where the highest number of falls occur in nursing homes as well as at home.<\/pee>\n<div class=\"zone-card\">\n<div class=\"zone-card-header\">\n<div class=\"zone-card-icon\">\ud83d\udebf<\/div>\n<h3>Bathroom and toilets \u2014 security checklist<\/h3>\n<\/p><\/div>\n<ul>\n<li>Grab bars installed on the dominant side \u2014 at the shower, toilet, sink<\/li>\n<li>Non-slip mat in the shower AND at the shower exit<\/li>\n<li>Shower seat available and systematically used for at-risk residents<\/li>\n<li>Flush-mounted floor drain (no shower tray edge to step over)<\/li>\n<li>Toilet at appropriate height \u2014 toilet riser if the toilet is too low (high risk when standing up)<\/li>\n<li>Non-slip floor or anti-slip treatment of existing floor<\/li>\n<li>Call bell accessible from the shower and toilets \u2014 while seated<\/li>\n<li>Sufficient lighting \u2014 no shadow areas in the bathroom<\/li>\n<\/ul>\n<\/div>\n<div class=\"article-quote\">\n  <pee>\u201c&nbsp;We installed a grab bar at the toilet for Mrs. R. It seems simple. But it changed her autonomy dramatically \u2014 she could get up alone again, without calling the caregiver. And her fall risk score dropped by 15 points on the next Morse.&nbsp;\u201d<\/pee>\n<div class=\"quote-author\">\u2014 Occupational therapist, Rh\u00f4ne-Alpes nursing home<\/div>\n<\/div>\n<h2 id=\"couloirs\">4. Hallways and common areas<\/h2>\n<div class=\"zone-card\">\n<div class=\"zone-card-header\">\n<div class=\"zone-card-icon\">\ud83d\udeb6<\/div>\n<h3>Hallways and common areas \u2014 points of vigilance<\/h3>\n<\/p><\/div>\n<ul>\n<li>Continuous handrails on both sides of the hallways \u2014 at the right height (90\u201395 cm)<\/li>\n<li>Absence of rugs, raised thresholds, cables crossing pathways<\/li>\n<li>Visual contrasts on the floor at direction changes and thresholds (colored strips)<\/li>\n<li>Stable and heavy furniture in the hallways \u2014 no lightweight furniture on wheels<\/li>\n<li>Dining room: stable chairs with armrests, tables at appropriate height, non-slip floor<\/li>\n<li>Living spaces: armchairs and sofas at appropriate seat height (not too low), firm, with armrests<\/li>\n<li>Care trolley passage organized to avoid obstructing hallways during walking hours<\/li>\n<\/ul>\n<\/div>\n<h2 id=\"eclairage\">5. Lighting: a priority often neglected<\/h2>\n<pee>Insufficient lighting is involved in a significant proportion of nighttime falls \u2014 which are among the most serious falls, as the person is often alone, in a state of drowsiness, and experiencing orthostatic hypotension after a long period lying down.<\/pee>\n<div class=\"key-points\">\n<h3>\u2726 Good anti-fall lighting practices<\/h3>\n<ul>\n<li><strong>Night light<\/strong> on the path bed \u2192 bathroom, automatic (presence detector) or permanently on at night<\/li>\n<li><strong>Switch within reach<\/strong> from the bed \u2014 without having to get up<\/li>\n<li><strong>Progressive lighting<\/strong> \u2014 avoid sudden transitions from total darkness to bright light that cause slow visual adaptation in elderly people<\/li>\n<li><strong>Sufficient lighting in risk areas<\/strong> \u2014 thresholds, stairs, areas of flooring change<\/li>\n<li><strong>Bedside lamps easily accessible<\/strong> \u2014 with a button or remote control in bed<\/li>\n<li><strong>Regular bulb checks<\/strong> \u2014 a bulb that has gradually dimmed is often not noticed by accustomed caregivers<\/li>\n<\/ul>\n<\/div>\n<h2 id=\"sol\">6. Floors: identify and correct hazards<\/h2>\n<pee>The flooring is one of the first elements to evaluate during an environmental audit. A slippery floor (waxed parquet, smooth tiles, shiny vinyl) is a major risk factor \u2014 particularly when combined with inappropriate footwear.<\/pee>\n<div class=\"soft-box\">\n  <pee><strong>What can be done to secure floors without major work:<\/strong> Application of anti-slip products on tiles and parquet (chemical treatment, renewable, without altering appearance). Installation of anti-slip strips at stair edges and thresholds. Systematic removal of all unsecured rugs. Replacement of existing rugs with models that have non-slip backing and beveled edges. Ground marking (contrasting strips) at flooring changes and risk areas. Rigorous maintenance \u2014 wet floor reported and dried immediately.<\/pee>\n<\/div>\n<h2 id=\"chaussage\">7. Footwear: protection at the end of the feet<\/h2>\n<pee>Footwear is a fall risk factor often underestimated \u2014 while it is one of the easiest to modify. Inappropriate footwear significantly increases the risk of falling.<\/pee>\n<div class=\"famille-box\">\n<div class=\"famille-box-label\">\ud83d\udc68\u200d\ud83d\udc69\u200d\ud83d\udc67 What families can check<\/div>\n<div class=\"famille-box-title\">The right footwear \u2014 to check at every visit<\/div>\n<pee>The ideal shoe for an elderly person at risk of falling: non-slip sole, low and wide heel, velcro closure (no laces or elastic that come undone), support for the foot and ankle, appropriate size (neither too tight nor too loose). Lightweight slippers and socks without grip on smooth floors are among the top modifiable causes of falls.<\/pee>\n<div class=\"soignant-box\">\n<div class=\"soignant-box-title\">\u2726 What caregivers can observe<\/div>\n<pee>Report to the family if the resident regularly wears inappropriate shoes. Refuse to let a resident walk in socks on smooth floors. Ensure that the resident has appropriate shoes in their room and that they are actually wearing them during movements.<\/pee>\n  <\/div>\n<\/div>\n<h2 id=\"lit\">8. Bed height: an important adjustment<\/h2>\n<pee>Bed height is a modifiable risk factor often overlooked. A bed that is too high forces the person to jump to touch the ground \u2014 unstable and dangerous. A bed that is too low forces them to get up with more effort and imbalance. The ideal height is one that allows <strong>the feet to be flat on the ground<\/strong> when the person is sitting on the edge of the bed, with hips slightly above the knees.<\/pee>\n<pee>In nursing homes, medical beds allow for this adjustment. But someone needs to do it \u2014 and check it regularly, as the weight and physical condition of the resident can change. The optimal height for care (high) is different from the optimal height for independent standing (low) \u2014 and this management must be conscious and documented in the care plan.<\/pee>\n<h2 id=\"domicile\">9. At home: what families can do<\/h2>\n<pee>For families supporting an elderly relative at home, evaluating and modifying the environment are concrete and often very effective actions they can initiate themselves \u2014 with the help of an occupational therapist if needed, who can visit the home for a safety assessment.<\/pee>\n<div class=\"key-points\">\n<h3>\u2726 Home setup priorities<\/h3>\n<ul>\n<li>Remove all non-essential rugs \u2014 especially in walkways and at the foot of the bed<\/li>\n<li>Install a grab bar at the toilet and in the shower (simple intervention, achievable in a few hours)<\/li>\n<li>Install an automatic night light on the path bedroom \u2192 bathroom<\/li>\n<li>Ensure the phone is accessible from the bed and that the relative knows how to use it<\/li>\n<li>Clear pathways \u2014 move furniture, tidy cables, pick up objects on the floor<\/li>\n<li>Check and adapt footwear \u2014 suggest velcro shoes and non-slip soles<\/li>\n<li>Request a visit from an occupational therapist for a complete assessment (coverage possible by health insurance)<\/li>\n<\/ul>\n<\/div>\n<h2 id=\"audit\">10. Environmental audit: methodical walkthrough<\/h2>\n<pee>The environmental audit is a systematic and structured visit of a living space to identify fall risk factors. It can be carried out by the occupational therapist, coordinating nurse, physiotherapist, or any caregiver trained for this purpose. Ideally, it is conducted upon admission for each new resident and renewed annually or after any fall.<\/pee>\n<pee>A well-conducted audit takes 20 to 30 minutes per room. It uses a standardized checklist that covers all spaces used by the resident \u2014 bedroom, bathroom, hallways, common areas. It results in a concrete action plan, with priorities, responsibilities, and deadlines \u2014 not just an observation.<\/pee>\n<p><a href=\"https:\/\/www.dynseo.com\/en\/courses\/preventing-falls-identifying-risks-taking-daily-action-and-reorganizing-the-environment-en\/\" class=\"internal-link\"><\/p>\n<div class=\"internal-link-icon\">\ud83c\udf93<\/div>\n<div class=\"internal-link-content\">\n<div class=\"internal-link-label\">Certified training<\/div>\n<div class=\"internal-link-title\">Preventing falls: identifying risks, acting daily, and reorganizing the environment<\/div>\n<div class=\"internal-link-desc\">DYNSEO Qualiopi training \u2014 environmental audit, space layout, footwear, lighting. For the entire nursing home team.<\/div>\n<\/p><\/div>\n<div class=\"internal-link-arrow\">\u2192<\/div>\n<p><\/a><\/p>\n<div class=\"cta-box\">\n<h3>\ud83c\udf93 Train your team in fall prevention setup<\/h3>\n<pee>The DYNSEO training \u201cPreventing falls\u201d trains your teams to conduct environmental audits and implement modifications that effectively reduce risk. Qualiopi certified.<\/pee>\n<div class=\"cta-buttons\">\n    <a href=\"https:\/\/www.dynseo.com\/en\/courses\/preventing-falls-identifying-risks-taking-daily-action-and-reorganizing-the-environment-en\/\" class=\"btn-cta-white\">\ud83d\udccb View the program<\/a><br \/>\n    <a href=\"https:\/\/www.dynseo.com\/formations\/\" class=\"btn-cta-outline\">All training \u2192<\/a>\n  <\/div>\n<\/div>\n<div class=\"article-tags\">\n  <a href=\"#\" class=\"article-tag\">environment setup falls<\/a><br \/>\n  <a href=\"#\" class=\"article-tag\">senior bathroom safety<\/a><br \/>\n  <a href=\"#\" class=\"article-tag\">grab bars nursing home<\/a><br \/>\n  <a href=\"#\" class=\"article-tag\">lighting fall prevention<\/a><br \/>\n  <a href=\"#\" class=\"article-tag\">elderly footwear<\/a><br \/>\n  <a href=\"#\" class=\"article-tag\">environmental audit nursing home<\/a><br \/>\n  <a href=\"#\" class=\"article-tag\">DYNSEO training<\/a>\n<\/div>\n<\/article>\n<\/div>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":150367,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" admin_label=\"Article HTML\" _builder_version=\"4.16\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_row admin_label=\"Contenu\" _builder_version=\"4.16\" width=\"100%\" max_width=\"100%\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.16\" global_colors_info=\"{}\"][et_pb_code admin_label=\"HTML import\u00e9\" _builder_version=\"4.16\" global_colors_info=\"{}\"]<style 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{color:var(--bleu);font-weight:600;border-bottom:1px solid transparent;}\n@media(max-width:600px) {\n.dbi-art-044d17 .article-hero {padding:50px 16px 0;}\n.dbi-art-044d17 .container {padding:0 16px;}\n.dbi-art-044d17 .article-body p {font-size:14px;}\n.dbi-art-044d17 .cta-box {padding:30px 20px;}\n.dbi-art-044d17 .cta-box .cta-buttons {flex-direction:column;max-width:260px;margin:0 auto;}\n.dbi-art-044d17 .btn-cta-white, .dbi-art-044d17 .btn-cta-outline {width:100%;text-align:center;}\n.dbi-art-044d17 .internal-link {flex-direction:column;text-align:center;gap:12px;}\n.dbi-art-044d17 .zone-card-header {gap:10px;}\n}\n\n<\/style>\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"Article\",\"headline\":\"Am\u00e9nager l'environnement pour pr\u00e9venir les chutes : guide pratique EHPAD et domicile\",\"image\":\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/prevenir-chute.jpp\",\"description\":\"Guide pratique sur l'am\u00e9nagement de l'environnement pour pr\u00e9venir les chutes \u2014 chambre, salle de bains, couloirs, \u00e9clairage, sol, chaussage, audit environnemental.\",\"author\":{\"@type\":\"Organization\",\"name\":\"DYNSEO\",\"url\":\"https:\/\/www.dynseo.com\"},\"publisher\":{\"@type\":\"Organization\",\"name\":\"DYNSEO\"},\"datePublished\":\"2026-03-06\",\"dateModified\":\"2026-03-06\"}<\/script>\n<div class=\"dbi-art-044d17\">\n<header class=\"article-hero\">\n  <div class=\"article-hero-inner\">\n    <nav class=\"article-breadcrumb\">\n      <a href=\"https:\/\/www.dynseo.com\/\">Home<\/a> &rsaquo;\n      <a href=\"https:\/\/www.dynseo.com\/professionnels-de-sante\/\">Professionals<\/a> &rsaquo;\n      Setting up a fall prevention environment\n    <\/nav>\n    <span class=\"article-category\">\ud83e\uddba FALL PREVENTION<\/span>\n    <h1>Setting up the environment to prevent falls: <span class=\"hl\">practical guide<\/span> Nursing home and home<\/h1>\n    <div class=\"article-meta\">\n      <span>\ud83d\udcc5 March 2026<\/span>\n      <span>\u23f1 18 min read<\/span>\n      <span>\ud83e\uddd1\u200d\u2695\ufe0f By the DYNSEO team<\/span>\n    <\/div>\n  <\/div>\n  <div class=\"article-hero-curve\"><\/div>\n<\/header>\n\n<div class=\"container\">\n<article class=\"article-body\">\n\n<div class=\"toc\">\n  <h4>\ud83d\udccb Table of contents<\/h4>\n  <ol>\n    <li><a href=\"#environnement-levier\">The environment: a powerful and often underutilized lever<\/a><\/li>\n    <li><a href=\"#chambre\">The bedroom: area to prioritize securing<\/a><\/li>\n    <li><a href=\"#salle-de-bains\">The bathroom and toilets: very high-risk area<\/a><\/li>\n    <li><a href=\"#couloirs\">Hallways and common areas<\/a><\/li>\n    <li><a href=\"#eclairage\">Lighting: a priority often neglected<\/a><\/li>\n    <li><a href=\"#sol\">Floors: identify and correct hazards<\/a><\/li>\n    <li><a href=\"#chaussage\">Footwear: protection at the end of the feet<\/a><\/li>\n    <li><a href=\"#lit\">Bed height: an important adjustment<\/a><\/li>\n    <li><a href=\"#domicile\">At home: what families can do<\/a><\/li>\n    <li><a href=\"#audit\">Environmental audit: methodical walkthrough<\/a><\/li>\n  <\/ol>\n<\/div>\n\n<p>If we had to isolate the most accessible, least expensive, and quickest to achieve fall prevention lever \u2014 it would be the environment. Unlike medical factors or exercise programs that require time, coordination, and resident compliance, the environment can be modified quickly, without the active consent of the person, and with immediate effects on their risk level.<\/p>\n\n<p>Yet, environmental audits regularly reveal risky situations in establishments that believe they are compliant. A rug in a hallway. A missing bathroom grab bar. Insufficient night light. Slippers that are too soft. Details that seem minimal \u2014 and are enough to create the conditions for a fall.<\/p>\n\n<h2 id=\"environnement-levier\">1. The environment: a powerful and often underutilized lever<\/h2>\n\n<p>The environment contributes to about <strong>30 to 50% of falls<\/strong> in elderly people \u2014 either alone or in combination with personal factors. This proportion means that a significant share of falls could be avoided by simple modifications to the living space.<\/p>\n\n<p>The difficulty is that environmental risks are often invisible to the accustomed eye \u2014 caregivers who have worked in the same space for months or years no longer see the dangers it presents. Hence the importance of regular external oversight, a structured audit method, and a culture that values reporting observed risks rather than minimizing them.<\/p>\n\n<h2 id=\"chambre\">2. The bedroom: area to prioritize securing<\/h2>\n\n<div class=\"zone-card\">\n  <div class=\"zone-card-header\">\n    <div class=\"zone-card-icon\">\ud83d\udecf\ufe0f<\/div>\n    <h3>The bedroom \u2014 security checklist<\/h3>\n  <\/div>\n  <ul>\n    <li>Bed adjusted to the right height \u2014 feet flat on the floor when the resident is sitting on the edge of the bed (see dedicated section)<\/li>\n    <li>Call bell accessible without the resident having to get up or stretch dangerously<\/li>\n    <li>Clear path between the bed and the bathroom \u2014 no obstacles, even at night<\/li>\n    <li>Night light sufficiently bright on the path bed \u2192 bathroom, automatic if possible (motion detector)<\/li>\n    <li>Chair or armchair with firm armrests to facilitate standing up<\/li>\n    <li>Phone or call device easily accessible from the bed<\/li>\n    <li>No rugs, cables, or objects on the floor that could create an obstacle<\/li>\n    <li>Hip protectors available and worn if residents are at high risk and have documented osteoporosis<\/li>\n  <\/ul>\n<\/div>\n\n<h2 id=\"salle-de-bains\">3. The bathroom and toilets: very high-risk area<\/h2>\n\n<p>The bathroom concentrates several major risk factors: often wet floor, smooth surfaces, repeated sit-to-stand transitions, and dressing\/undressing that temporarily shifts the center of gravity. It is the room where the highest number of falls occur in nursing homes as well as at home.<\/p>\n\n<div class=\"zone-card\">\n  <div class=\"zone-card-header\">\n    <div class=\"zone-card-icon\">\ud83d\udebf<\/div>\n    <h3>Bathroom and toilets \u2014 security checklist<\/h3>\n  <\/div>\n  <ul>\n    <li>Grab bars installed on the dominant side \u2014 at the shower, toilet, sink<\/li>\n    <li>Non-slip mat in the shower AND at the shower exit<\/li>\n    <li>Shower seat available and systematically used for at-risk residents<\/li>\n    <li>Flush-mounted floor drain (no shower tray edge to step over)<\/li>\n    <li>Toilet at appropriate height \u2014 toilet riser if the toilet is too low (high risk when standing up)<\/li>\n    <li>Non-slip floor or anti-slip treatment of existing floor<\/li>\n    <li>Call bell accessible from the shower and toilets \u2014 while seated<\/li>\n    <li>Sufficient lighting \u2014 no shadow areas in the bathroom<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"article-quote\">\n  <p>\u201c&nbsp;We installed a grab bar at the toilet for Mrs. R. It seems simple. But it changed her autonomy dramatically \u2014 she could get up alone again, without calling the caregiver. And her fall risk score dropped by 15 points on the next Morse.&nbsp;\u201d<\/p>\n  <div class=\"quote-author\">\u2014 Occupational therapist, Rh\u00f4ne-Alpes nursing home<\/div>\n<\/div>\n\n<h2 id=\"couloirs\">4. Hallways and common areas<\/h2>\n\n<div class=\"zone-card\">\n  <div class=\"zone-card-header\">\n    <div class=\"zone-card-icon\">\ud83d\udeb6<\/div>\n    <h3>Hallways and common areas \u2014 points of vigilance<\/h3>\n  <\/div>\n  <ul>\n    <li>Continuous handrails on both sides of the hallways \u2014 at the right height (90\u201395 cm)<\/li>\n    <li>Absence of rugs, raised thresholds, cables crossing pathways<\/li>\n    <li>Visual contrasts on the floor at direction changes and thresholds (colored strips)<\/li>\n    <li>Stable and heavy furniture in the hallways \u2014 no lightweight furniture on wheels<\/li>\n    <li>Dining room: stable chairs with armrests, tables at appropriate height, non-slip floor<\/li>\n    <li>Living spaces: armchairs and sofas at appropriate seat height (not too low), firm, with armrests<\/li>\n    <li>Care trolley passage organized to avoid obstructing hallways during walking hours<\/li>\n  <\/ul>\n<\/div>\n\n<h2 id=\"eclairage\">5. Lighting: a priority often neglected<\/h2>\n\n<p>Insufficient lighting is involved in a significant proportion of nighttime falls \u2014 which are among the most serious falls, as the person is often alone, in a state of drowsiness, and experiencing orthostatic hypotension after a long period lying down.<\/p>\n\n<div class=\"key-points\">\n  <h3>\u2726 Good anti-fall lighting practices<\/h3>\n  <ul>\n    <li><strong>Night light<\/strong> on the path bed \u2192 bathroom, automatic (presence detector) or permanently on at night<\/li>\n    <li><strong>Switch within reach<\/strong> from the bed \u2014 without having to get up<\/li>\n    <li><strong>Progressive lighting<\/strong> \u2014 avoid sudden transitions from total darkness to bright light that cause slow visual adaptation in elderly people<\/li>\n    <li><strong>Sufficient lighting in risk areas<\/strong> \u2014 thresholds, stairs, areas of flooring change<\/li>\n    <li><strong>Bedside lamps easily accessible<\/strong> \u2014 with a button or remote control in bed<\/li>\n    <li><strong>Regular bulb checks<\/strong> \u2014 a bulb that has gradually dimmed is often not noticed by accustomed caregivers<\/li>\n  <\/ul>\n<\/div>\n\n<h2 id=\"sol\">6. Floors: identify and correct hazards<\/h2>\n\n<p>The flooring is one of the first elements to evaluate during an environmental audit. A slippery floor (waxed parquet, smooth tiles, shiny vinyl) is a major risk factor \u2014 particularly when combined with inappropriate footwear.<\/p>\n\n<div class=\"soft-box\">\n  <p><strong>What can be done to secure floors without major work:<\/strong> Application of anti-slip products on tiles and parquet (chemical treatment, renewable, without altering appearance). Installation of anti-slip strips at stair edges and thresholds. Systematic removal of all unsecured rugs. Replacement of existing rugs with models that have non-slip backing and beveled edges. Ground marking (contrasting strips) at flooring changes and risk areas. Rigorous maintenance \u2014 wet floor reported and dried immediately.<\/p>\n<\/div>\n\n<h2 id=\"chaussage\">7. Footwear: protection at the end of the feet<\/h2>\n\n<p>Footwear is a fall risk factor often underestimated \u2014 while it is one of the easiest to modify. Inappropriate footwear significantly increases the risk of falling.<\/p>\n\n<div class=\"famille-box\">\n  <div class=\"famille-box-label\">\ud83d\udc68\u200d\ud83d\udc69\u200d\ud83d\udc67 What families can check<\/div>\n  <div class=\"famille-box-title\">The right footwear \u2014 to check at every visit<\/div>\n  <p>The ideal shoe for an elderly person at risk of falling: non-slip sole, low and wide heel, velcro closure (no laces or elastic that come undone), support for the foot and ankle, appropriate size (neither too tight nor too loose). Lightweight slippers and socks without grip on smooth floors are among the top modifiable causes of falls.<\/p>\n  <div class=\"soignant-box\">\n    <div class=\"soignant-box-title\">\u2726 What caregivers can observe<\/div>\n    <p>Report to the family if the resident regularly wears inappropriate shoes. Refuse to let a resident walk in socks on smooth floors. Ensure that the resident has appropriate shoes in their room and that they are actually wearing them during movements.<\/p>\n  <\/div>\n<\/div>\n\n<h2 id=\"lit\">8. Bed height: an important adjustment<\/h2>\n\n<p>Bed height is a modifiable risk factor often overlooked. A bed that is too high forces the person to jump to touch the ground \u2014 unstable and dangerous. A bed that is too low forces them to get up with more effort and imbalance. The ideal height is one that allows <strong>the feet to be flat on the ground<\/strong> when the person is sitting on the edge of the bed, with hips slightly above the knees.<\/p>\n\n<p>In nursing homes, medical beds allow for this adjustment. But someone needs to do it \u2014 and check it regularly, as the weight and physical condition of the resident can change. The optimal height for care (high) is different from the optimal height for independent standing (low) \u2014 and this management must be conscious and documented in the care plan.<\/p>\n\n<h2 id=\"domicile\">9. At home: what families can do<\/h2>\n\n<p>For families supporting an elderly relative at home, evaluating and modifying the environment are concrete and often very effective actions they can initiate themselves \u2014 with the help of an occupational therapist if needed, who can visit the home for a safety assessment.<\/p>\n\n<div class=\"key-points\">\n  <h3>\u2726 Home setup priorities<\/h3>\n  <ul>\n    <li>Remove all non-essential rugs \u2014 especially in walkways and at the foot of the bed<\/li>\n    <li>Install a grab bar at the toilet and in the shower (simple intervention, achievable in a few hours)<\/li>\n    <li>Install an automatic night light on the path bedroom \u2192 bathroom<\/li>\n    <li>Ensure the phone is accessible from the bed and that the relative knows how to use it<\/li>\n    <li>Clear pathways \u2014 move furniture, tidy cables, pick up objects on the floor<\/li>\n    <li>Check and adapt footwear \u2014 suggest velcro shoes and non-slip soles<\/li>\n    <li>Request a visit from an occupational therapist for a complete assessment (coverage possible by health insurance)<\/li>\n  <\/ul>\n<\/div>\n\n<h2 id=\"audit\">10. Environmental audit: methodical walkthrough<\/h2>\n\n<p>The environmental audit is a systematic and structured visit of a living space to identify fall risk factors. It can be carried out by the occupational therapist, coordinating nurse, physiotherapist, or any caregiver trained for this purpose. Ideally, it is conducted upon admission for each new resident and renewed annually or after any fall.<\/p>\n\n<p>A well-conducted audit takes 20 to 30 minutes per room. It uses a standardized checklist that covers all spaces used by the resident \u2014 bedroom, bathroom, hallways, common areas. It results in a concrete action plan, with priorities, responsibilities, and deadlines \u2014 not just an observation.<\/p>\n\n<a href=\"https:\/\/www.dynseo.com\/courses\/prevenir-les-chutes-reperer-les-risques-agir-au-quotidien-et-reorganiser-lenvironnement\/\" class=\"internal-link\">\n  <div class=\"internal-link-icon\">\ud83c\udf93<\/div>\n  <div class=\"internal-link-content\">\n    <div class=\"internal-link-label\">Certified training<\/div>\n    <div class=\"internal-link-title\">Preventing falls: identifying risks, acting daily, and reorganizing the environment<\/div>\n    <div class=\"internal-link-desc\">DYNSEO Qualiopi training \u2014 environmental audit, space layout, footwear, lighting. For the entire nursing home team.<\/div>\n  <\/div>\n  <div class=\"internal-link-arrow\">\u2192<\/div>\n<\/a>\n\n<div class=\"cta-box\">\n  <h3>\ud83c\udf93 Train your team in fall prevention setup<\/h3>\n  <p>The DYNSEO training \u201cPreventing falls\u201d trains your teams to conduct environmental audits and implement modifications that effectively reduce risk. Qualiopi certified.<\/p>\n  <div class=\"cta-buttons\">\n    <a href=\"https:\/\/www.dynseo.com\/courses\/prevenir-les-chutes-reperer-les-risques-agir-au-quotidien-et-reorganiser-lenvironnement\/\" class=\"btn-cta-white\">\ud83d\udccb View the program<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/formations\/\" class=\"btn-cta-outline\">All training \u2192<\/a>\n  <\/div>\n<\/div>\n\n<div class=\"article-tags\">\n  <a href=\"#\" class=\"article-tag\">environment setup falls<\/a>\n  <a href=\"#\" class=\"article-tag\">senior bathroom safety<\/a>\n  <a href=\"#\" class=\"article-tag\">grab bars nursing home<\/a>\n  <a href=\"#\" class=\"article-tag\">lighting fall prevention<\/a>\n  <a href=\"#\" class=\"article-tag\">elderly footwear<\/a>\n  <a href=\"#\" class=\"article-tag\">environmental audit nursing home<\/a>\n  <a href=\"#\" class=\"article-tag\">DYNSEO training<\/a>\n<\/div>\n<\/article>\n<\/div>\n\n<\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[2118],"tags":[],"class_list":["post-707805","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Arranging the Environment to Prevent Falls: Practical Guide for Nursing Homes and Home Care | DYNSEO - DYNSEO - Educational apps &amp; 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