A client at risk for falls is being discharged home. Which home safety instruction is most important for fall prevention?

Home fall prevention:

Environmental modifications: Remove throw rugs (major trip hazard) or secure with non-slip backing; Adequate lighting throughout, especially night lights from bed to bathroom (most home falls happen at night going to the bathroom); Install grab bars in bathroom (near toilet and in shower/tub); non-slip mats in tub/shower; Keep walkways clear of clutter, cords, and furniture; Handrails on both sides of stairs; Keep frequently used items within easy reach.

Personal measures: Non-slip footwear (not socks alone, not loose slippers); rise slowly (orthostatic hypotension); use assistive devices as prescribed (cane, walker); medication review (sedatives, antihypertensives, diuretics increase fall risk).

Fall statistics: Falls are the leading cause of injury death in adults 65+; hip fractures from falls carry high morbidity and mortality; LPN role: provide home safety teaching, identify fall risk factors, recommend modifications and PT/OT referral.