What do you say if your patient says “I’m careful”…

but their Tinetti is a 12/28, it takes them 10 seconds and several attempts to get out of a chair, and they demonstrate unsafe behaviors? The CDC’s STEADI program (Stopping Elderly Accidents, Deaths, and Injuries) website has a great handout about talking to patients depending on their stage of change. I have an interest in exercise adherence, and last week I heard the “I’m careful” and the “bad luck” reasoning. Unfortunately it seems an uphill battle for educating the public that just because you are older it doesn’t mean you can’t get stronger or improve your balance. I want my patients (and family!) to live a full, active and independent life. Adherence to exercise is important, but we have to meet our patients where they are at.

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