During a home health visit for an elderly client, which finding increases fall risk?

• A. Non-slip shoes on the client
• B. Numerous scatter rugs throughout the house
• C. Adequate lighting in hallways
• D. Clear walkways free of clutter

Answer: (B)

Environmental safety in the home is crucial for older adults because small hazards can lead to a fall. Scatter rugs are a particular risk because they can shift, bunch, or curl underfoot, creating an unexpected obstacle that can cause a misstep or a loss of balance. Even a minor stumble on a rug can lead to a fall, especially for someone with limited mobility, slower reaction times, or balance impairments. In contrast, wearing non-slip shoes, having adequate lighting, and keeping walkways clear of clutter all support stable movement and reduce the chance of tripping. Therefore, the presence of numerous scatter rugs throughout the house stands out as a factor that increases fall risk. To improve safety, remove excess rugs or secure them with non-slip padding or tape, ensure edges lie flat, and combine with other safety measures like good lighting, clutter-free pathways, grab bars where appropriate, and appropriate footwear.