a. Exercise Intervention: Strength and balance exercises make the legs stronger and improve balance. Consider exercise programs that include strength training, balance training, lower body strengthening, walking, water workouts, or Tai Chi.

b. Consider Tai Chi, or yoga, which are popular activities that do not require difficult or painful movements that sometimes lead to seniors avoiding regular exercise or bicycling.

c. Ensuring proper footwear: Patients should be encouraged to wear rubber-soled athletic shoes that fit snugly, rather than slip-on shoes. However, patients must be evaluated for problems with gait, such as not being able to lift and clear the floor with each step, which would make treaded shoes more dangerous.

d. Recognizing the desire to move: Patients who are sedentary for long periods may experience pain or other discomfort and have a desire to simply to get up and move around.

e. Other more Individualized measures that may be taken include:

1.Increased staff assistance at specific high-risk times; mornings, evening, or high-traffic periods like mealtimes.

2. More frequent (scheduled) toileting with staff assistance.

3. Protective clothing (helmets, wrist guards, hip protectors)

4. Adjustments to bed and wheelchair-seat heights.

5. Never leave the person alone when the bed is raised.

6. Always lower the bed to its lowest position when you are done giving care.

7. If you raise the bed while giving care, make sure you raise the far bed rail if you are working alone.

8. Make sure that the person who uses bed rails has access to item on the bedside stand and overbed table. The call light, water pitcher and cup, tissues, phone, tv and light controls must all be within the person’s reach.