Card #012 · The Question That Matters Card
    Question That Matters · #012

    Mom has worn the same backless slippers since 1987. When you suggest new shoes, she says  .

    The Real Question from the Book · Staying Steady — Mobility, Falls & Physical Safety

    Have I had my vision, footwear, and medications reviewed for fall risk?

    The Answer

    Falls are rarely caused by one dramatic factor. They are usually the result of small, cumulative ones converging at the wrong moment. Vision that has shifted slightly affects depth perception. Footwear that is comfortable but worn. Medications can cause dizziness, delayed reaction time, or blood pressure drops that happen faster than the body can compensate. Each one simply shifts the margin a little narrower — and at some point, the margins run out. **The honest questions to ask yourself.** When did you last have your vision checked? Not your glasses prescription — your actual visual acuity, depth perception, and peripheral vision. These are the components that matter most for navigating physical space safely. Look at the shoes you wear most often at home. Are they supportive? Do they have non-slip soles? Soft, backless slippers are among the most common footwear-related fall risks in older adults. Do not forget to check your medications. Do you know which of yours carry dizziness, drowsiness, or blood pressure changes as side effects? Have you ever had a pharmacist or physician review your full list — including over-the-counter and supplements — with fall risk specifically in mind? Many people have not. Many people should.

    What This Looks Like in Real Life

    Your mother has worn the same pair of backless slippers since 1987. The soles are worn smooth. The backs flop down when she walks, so her heels slide in and out with every step. You buy her a pair of supportive slip-ons with grippy soles for her birthday. She thanks you politely and puts them in the closet. The old slippers are by the back door the next morning. The instinct is to throw the old ones away. The better move is to ask why the new ones do not feel right. "Are they too tight? Too hot? Do they look like something you would not want to be seen in?" The answer is almost never "I want to fall." It is usually about comfort, ritual, or how something feels on the body after thirty-eight years of muscle memory. While you are at it, ask if she would be willing to bring her full medication list — prescriptions, over-the-counter, and supplements — to her next doctor's appointment for a fall-risk review. Offer to come with her. The combination of better shoes, an updated vision check, and a medication review is the trifecta most likely to actually move the needle.

    What to Do Next

    1. Schedule a full eye exam — not just a glasses check. Ask specifically about depth perception, peripheral vision, and cataract progression if applicable.
    2. Replace soft backless slippers with supportive shoes that have non-slip soles and a closed back. Wear them inside the house, not just outside.
    3. Bring every medication — prescriptions, over-the-counter, and supplements — to the next primary care or pharmacist visit and ask for a fall-risk review focused on dizziness, drowsiness, and orthostatic blood pressure changes.
    4. Bring a loved one to the appointment. A second set of ears catches what gets said, what gets asked, and what gets missed.
    5. Frame the conversation as routine optimization: "Vision, shoes, and meds — three things worth checking once a year." That lands very differently than worry.

    Sources & references

    The Questions That Matter — A Family Guide to Aging, Care, and Planning
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