The article discusses the common health issue of falls among older adults, focusing on community-living individuals. It highlights the consequences and causes of falls, summarizes evidence on predisposing factors and effective interventions, and explores strategies for translating this evidence into patient care. Key risk factors for falling include previous falls, strength, gait, and balance impairments, and specific medications. Effective interventions include exercise, physical therapy, cataract surgery, and medication reduction. The most effective strategy may be addressing multiple risk factors simultaneously. Vitamin D is particularly beneficial for preventing fractures in older men. The article also addresses the trade-offs involved in managing older patients at risk of falling and the challenges in incorporating fall prevention strategies into clinical practice. It emphasizes the importance of coordinated care among healthcare professionals and the need to balance safety and independence for patients.The article discusses the common health issue of falls among older adults, focusing on community-living individuals. It highlights the consequences and causes of falls, summarizes evidence on predisposing factors and effective interventions, and explores strategies for translating this evidence into patient care. Key risk factors for falling include previous falls, strength, gait, and balance impairments, and specific medications. Effective interventions include exercise, physical therapy, cataract surgery, and medication reduction. The most effective strategy may be addressing multiple risk factors simultaneously. Vitamin D is particularly beneficial for preventing fractures in older men. The article also addresses the trade-offs involved in managing older patients at risk of falling and the challenges in incorporating fall prevention strategies into clinical practice. It emphasizes the importance of coordinated care among healthcare professionals and the need to balance safety and independence for patients.