The statistic data from Department of Health, Executive Yuan, showed the accident injury of the elder was in the one of the top ten, and the falls was the third of accident. Falls is the accident which caused injury, disabilities, fear of falling, decreased mobility, increased dependent, even then death. This article from literature review described the risk factors of falls by the elder with or without dementia, the contains have: the elder falls, the injury status of falls, the risk factors of falls, dementia and falls, hip protectors. The risk factors of falls from literature review were demographic factor, highly dependence of daily activity function, cognitive impairment, diabetics, having hypertension, having cardiac vascular disease, taking antidepressants, taking sedatives, sleeping pills, have more then four medicine, no handrail, and dim light; those risk factors will increased the incidence of the elderly falls. The elder with dementia carried multiple impairment that characteristics made dementia patient become a highly risk fall group, and the incidence of fall higher then the elder without dementia. Therefore, the strategies of prevent falls are multiple interventions; if the falls can not avoid, to think about the hip protectors may be can prevent the hip fracture when fall happen, which may we strive for the goal.