Environmental modifications are a highly recommendable approach that prevents the occurrence of falls and injuries. The main approach of this strategy is to reduce injuries and falls by recognizing and removing environmental risks. Some modifications to reduce risk were to remove extensions from the base, remove loose mats, and put handles on the bastion. Although this approach is recommendable, the effects are not fully established. In this clause, a written report was conducted to provide evidence to clinics, which confirms the effectiveness of environmental modifications. The method of providing evidence was to read literature, which was 15 years old or younger. The documents he used for his research were case studies, trace studies, longitudinal studies and recapitulation. From the study of these documents he separated the data collected into two different classes. These classes were divided into institutional settings and community settings. The effects of institutional contexts were weak because validation tools for the environment, equipment, transfer techniques, and maintenance practices were lacking. However, they could see that those living in institutional settings recommended things like increased lighting, non-slippery floor surfaces, bed stabilizers, and wheelchair safety. Then Friedberg's research found that slipper socks provided the ability to prevent falls from slipping into the water as an environmental modification. They also saw from Healy's research that the type of flooring used in the facility can reduce dangerous conditions. For example, vinyl flooring used for falls and the use of carpets that prevent injuries from falling. The effects of… half of paper… fittings, it is important for an occupational therapist to pay attention to the impact of staffing levels associated with the amount of falls that occur and the ability of staff to implement recommendations. Additionally, they should consider costs, cleanup issues, and the type of changes. In summary, it is important that patients are educated on safety issues when using modifications. From the literature researched, the author believes that environmental modifications along with multifactorial interventions can make a difference to the falls an older adult may experience. However, he believes more research should be done on effective environmental assessment tools, paving and behavioral interventions. In his final thoughts, he believes that strategies should be patient-focused and that environmental modifications should be developed for that individual.