Is “slowing down” inevitable in aged care? Physiotherapist Jessie Snowdon (Director, On the Go Physio) says no. We unpack the biggest myths around mobility, why daily movement is non-negotiable, and how structured strength + balance programs cut falls and lift independence. We also explore consent and assessment in cognitive impairment, the role of nutrition, and how documentation (with tools like VCare) turns progress into continuity of care.

Key takeaways:

• Falls aren’t “just aging.” With the right exercise, nutrition and support, many residents regain meaningful function.

• Start with the person’s goal. Mobility plans should reflect what the resident actually wants (independence, energy for family, comfort, safety).

• Assess functionally. Simple checks (trunk control, leg push, sit-to-stand, observed walking) reveal strength, endurance and cueing needs.

• Cognitive impairment ≠ no mobility. Use notes, family input, and behavioral consent (e.g., taking a hand to stand); tailor supports accordingly.

• Daily movement matters. On the frailty continuum, recovery is harder—consistency prevents irreversible decline (a COVID-era lesson).

• Strength + balance work reduces falls. Evidence-based, progressive programs (~2 hrs/week, often 45–60 min sessions) deliver real risk reduction.

• Make it challenging and individualised. You can’t improve balance sitting down; progress resistance/complexity over time.

• Pair exercise with protein. Nutrition (e.g., yoghurt, cheese) post-session supports rehab; together, exercise + nutrition amplify benefits.

• Build movement into the day. “Walking trains,” room-to-activity walks, and culture shifts beat default wheelchairs.

• Language sells it. Promote “Strength & Balance” classes (not “falls prevention”) to boost engagement.

• Plan for 12 weeks—and beyond. Benefits fade if you stop; schedule, resource and progress groups long-term.

• Whole-team education works. Train all staff (nurses, carers, housekeeping, kitchen, gardeners) to spot risk and act early.

• Do multifactorial risk assessments. Address meds, footwear, vestibular issues, environment, fatigue and nutrition—then care-plan clearly.

• Document to sustain gains. Track goals and progress; systems like VCare help ensure continuity across shifts and disciplines.