Let’s talk about falls, bladder control and physical activity

"Talk to your doctor about these important health issues," says chief medical officer Dr. Cary B. Shames.

  

You might hesitate to talk about certain health issues with your doctor due to being nervous, feeling discomfort with the subject, or any number of other reasons. If this sounds familiar, you aren’t alone. Research shows that many people with Medicare are not having talks with their doctor about fall risk,1 bladder control or urinary incontinence,2 and physical activity.3

These are common concerns as we get older. However, your doctor can only recommend appropriate evidence-based treatment options based on what you share with them. I encourage you to talk to your doctor about these important health issues, and here’s why.

Falls may be prevented by talking to your doctor early about your risk.

Every year, 1 in 3 older adults experiences a fall.4 A fall is when your body goes to the ground without being pushed. Falls can cause hip fractures and head wounds and increase the risk of early death. Fear of falling is valid, but it can also reduce mobility or cause depression and social isolation.5, 6 Talking about fall risk and practical lifestyle adjustments with your doctor can reduce your risk.

Talking about bladder problems can lead to better treatment recommendations.

Overactive bladder is common in older adults and can make it hard to do the things you enjoy. If you leak urine, even only a little, it can feel embarrassing and disruptive. Be assured that, when you discuss your symptoms, your doctor is better able to recommend options for you. From pelvic exercises to small changes at home, treatment can help. Remember, everyone pees.

Knowing your level of exercise helps your doctor provide the right guidance.

Getting your heart rate up with regular physical activity can help control weight, reduce the risk of chronic disease, strengthen bones and muscles and improve mental health.7 When you exercise, some minor muscle and joint soreness is usually normal. But other signs may point to something more serious. Work with your doctor to know when to stop exercising and when you should give them a call.

References

  1. Fall risk management. NCQA.org. Published January 23, 2023. Accessed March 17, 2023. https://www.ncqa.org/hedis/measures/fall-risk-management/.
  2. Management of urinary incontinence in older adults. NCQA.org. Published January 23, 2023. Accessed March 17, 2023. https://www.ncqa.org/hedis/measures/management-of-urinary-incontinence-in-older-adults/.
  3. Physical activity in older adults. NCQA.org. Published January 23, 2023. Accessed March 17, 2023. https://www.ncqa.org/hedis/measures/physical-activity-in-older-adults/.
  4. Bergen G, Stevens MR, Burns ER. Falls and fall injuries among adults aged ≥65 years — United States, 2014. MMWR Morb Mortal Wkly Rep. 2016;65:993-8. doi: http://dx.doi.org/10.15585/mmwr.mm6537a2.
  5. Preventing falls. MedlinePlus: The Magazine. 2014;8(4):12-17. https://medlineplus.gov/magazine/issues/winter14/articles/winter14pg12-13.html. Accessed March 21, 2023.
  6. Preventing falls: a guide to implementing effective community-based fall prevention programs. 2nd ed. Atlanta, GA: Centers for Disease Control and Prevention, 2015. https://www.cdc.gov/falls/pdf/FallPreventionGuide-2015-a.pdf. Accessed March 21, 2023.
  7. How older adults can get started with exercise. National Institute on Aging. Published April 3, 2020. Accessed March 21, 2023. https://www.nia.nih.gov/health/how-older-adults-can-get-started-exercise.

Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Read the full disclaimer.

H5386_2025_Medicare Website_Rev 1

Page Last Updated: 5/17/2023
  • 1/1/0001 12:00:00 AM
  • 5/17/2023 2:56:52 PM
  • 5/17/2023 2:56:52 PM
  • 1/1/0001 12:00:00 AM