A: First, it's important to determine why you've fallen. Do you have trouble walking? Do you have a problem with your equilibrium? Do your shoes fit poorly or provide poor traction? Is your home in poor repair? Get help from proper professionals and see a doctor NOW.

Second, realistically assess your condition, prognosis, and options. Consider your physical status and that of your loved ones. Assess your mental well-being. Consider your finances. Evaluate your home and your neighborhood. Then don't beat around the bush. Report the results of your assessment to your geriatric social worker or geriatric physician, then ask if a nursing home might be the best option after all. Generally, it won't be. The vast majority of older people live in the community, not in nursing homes. (Many who do live in nursing homes are there only for short rehabilitative stays.) Nevertheless, many good nursing homes today provide round-the-clock medical care in a pleasant and sometimes even elegant setting. The long-term care field isn't what it used to be.

Of course, there are many other options that may be better for you than a nursing home. These include

• Assisted living, with various levels of available assistance;
• Adult day programs, enabling you to enjoy stimulating activities and socialize with others during the day but return to your own residence at the end of the day;
• Medical and non-medical in-home care; and
• Continuing care retirement communities that combine many of these amenities.

By taking charge of your situation, you'll go a long way towards putting your daughter at ease, helping to ensure your own safety, and taking control of your life.

JCA's offers "All About Aging" guidebooks on Housing and Home Care on the Publications page of this Website.