SLP Role in Fall Prevention and Intervention

By Elyse Matson, MA CCC-SLP, Ensign SLP Resource

As the leaves start to change and we welcome the cool, crisp air of fall, it’s the perfect time for SLPs to turn their focus to fall prevention and intervention. Falls are a major concern in our setting, where our residents face a higher risk. But did you know that SLPs have a key role to play in helping to reduce falls through specialized assessments and therapies?

Why Should SLPs Care About Fall Prevention?

We often think of physical therapists (PTs) and occupational therapists (OTs) when it comes to fall prevention, but SLPs can play a big part, too. According to the CDC, falls are the leading cause of injury-related deaths among people over 65, and one in four older adults will experience a fall each year. That number is even higher for those in SNFs due to underlying medical conditions, cognitive challenges, mobility issues, and side effects from medications.

This is where SLPs step in. By focusing on cognitive and communication skills that affect safe mobility, we can help prevent falls in ways you might not expect.

How Can SLPs Help Prevent Falls?

Here are a few ways SLPs can make an impact.

Cognitive-Communication Support

Patients with cognitive impairments, like those with dementia, are at a higher risk for falls because they may struggle with judgment, safety awareness, and following multi-step instructions. As an SLP, you can help them:

• Stay focused and follow instructions, especially when moving around.

• Improve problem-solving skills to handle obstacles.

• Remember how to use safety equipment like walkers or grab bars.

Executive Function Training

Poor executive functioning can lead to impulsive actions and bad decisions, which increase fall risk. SLPs can help by working on:

• Planning and thinking before making a move.

• Breaking down multi-step tasks, like getting in and out of bed, into manageable steps.

• Encouraging self-control to avoid sudden movements that could cause a fall.

Swallowing and Mealtime Safety

You might not think of swallowing issues (dysphagia) when it comes to fall prevention, but it’s important! Patients who choke or aspirate are at risk for sudden coughing fits, which could cause them to fall — especially during meals. By managing swallowing safety, you reduce that risk. Plus, good nutrition and hydration (both areas SLPs often monitor) are key to keeping patients strong and steady on their feet.

IDT Team Collaboration

Fall prevention is a team effort, and SLPs can provide valuable input during care planning. You can work closely with PTs, OTs, and nursing staff by:

• Sharing insights on how a patient’s cognitive and communication abilities affect their fall risk.

• Teaching staff communication techniques that can help keep patients safe during transfers or while walking.

• Suggesting adjustments to the environment or recommending devices that improve awareness and communication, making the setting safer overall.

This fall, let's remember that preventing falls isn’t just the job of PTs and OTs. SLPs bring unique skills to the table that can make a real difference. By focusing on cognition, communication, executive function, and dysphagia, you can play a key role in reducing falls and keeping patients safe. And by working closely with the whole team, you can help create a safer environment for everyone in your care.

As the season shifts, let’s make sure our patients stay safe, steady, and engaged. Fall prevention is truly a team effort, and SLPs are an important part of that team! More information is available on the One Clinical Page of the Portal.