Navigating Life After a Fall: Experiences of Older Adults and Family Members Following Emergency Care

Introduction
Falls are a leading cause of morbidity among older adults and a common reason for emergency department (ED) attendance. Older adults presenting after a fall are at increased risk of recurrent falls; however, fall prevention and follow-up care after ED discharge are often fragmented. Understanding the experiences of both older adults and their relatives is essential to identify unmet needs and inform improvements in post-fall care. This study aimed to explore experiences of older adults and family members following an ED visit after a fall.

Method
A qualitative study design was used, involving semi-structured interviews with older adults aged 75 years and over and their relatives. Participants had attended the ED after a fall but were discharged without hospital admission. Seventeen participants (11 older adults and 6 relatives) were recruited. Data were analysed using qualitative content analysis according to Graneheim and Lundman.

Results
Experiencing a fall led to substantial changes in everyday life for both older adults and their relatives, irrespective of the cause or severity of the fall. Participants described difficulties navigating between healthcare services to access follow-up care and rehabilitation, contributing to feelings of insecurity, financial strain and increased responsibility. A persistent fear of falling affected daily activities and required adaptations and new roles for both older adults and relatives. Despite these challenges, many participants demonstrated resilience and an ability to manage daily life, even after sustaining injuries. Individual coping strategies and support from relatives were described as central to managing everyday life and healthcare contacts.

Conclusions
The findings highlight the need for more coordinated, person-centred follow-up after ED attendance for falls. A holistic approach that recognises individual resources and support needs, and actively involves family members, may strengthen continuity of care and support fall prevention in older adults.