Archive for the ‘Senior Health’ Category

Did you know that older adults need up to 10 percent more fluids than that of their younger counterparts? It’s true that as people get older, they get drier.

Dehydration is one of the most frequent causes for hospitalization for seniors. It can occur quickly, often without notice. But most likely the process of mild, chronic dehydration may have taken hold years or decades earlier.

According to Seniorslist.com, an elderly person should drink a minimum of at least six, eight-ounce glasses of water per day. More would be better.

Interestingly, the process of physical dehydration begins in the fetus. It accelerates at birth, childhood and throughout adulthood. A fetus is over 93% water. Dehydration gradually continues into old age when a person’s water content reaches only 60%. Most of this is water lost from the inside of cells.

What is clear is that many elderly simply do not drink enough fluids especially water, and adequate hydration is a chronic problem for many seniors.

Why don’t older adults drink enough?

• A major contributing factor for dehydration in the elderly includes a lowered thirst response. “But I’m not thirsty,” is a common response to being asked to drink more. The thirst sensation decreases with age, so basically, it is not reliable.
• Some medications such as anti-depressants or for high blood pressure are diuretic and may affect a body’s ability to regulate fluid balance.
• Dry mouth becomes something the elderly get used to. However, drinking more water brings back some sensation.
• The perceptions of thirst and hunger come from the same part of the brain. Thirst and hunger could become confused in the minds of many seniors. They drink when they should be eating or vice versa.
• Frail seniors have a harder time getting up to get a drink when they’re thirsty.
• The loss of thirst is the body’s way of dealing with the information that water is not going to be consumed. Years of drinking less water for our body weight leads the mouth-brain connection to minimize the thirst sensation.
• When thirst is perceived, too many elderly settle for a few ounces of water or sugary and/or caffeinated drinks instead of water.
• As we age our bodies lose kidney function and are less able to conserve fluid. This is progressive from around the age of 50, but becomes more acute and noticeable over the age of 70.
• Illness, especially one that causes vomiting and/or diarrhea, also can cause elderly dehydration.

Some of the signs and symptoms of dehydration include dry mouth, fatigue, flushed skin, irritability, anxiety, depressed mood, insomnia, concentration problems, light-headedness or dizziness, darkening of urine, increased weight loss and muscle weakness. Severe dehydration can lead to kidney failure and even death if not recognized and treated.

To prevent dehydration, fluids need to be easily available. Set up a hydration schedule offering fluids every couple of hours. A reminder could include to drink every time urination takes place. Another reminder could be to fill up a bottle of water, place it in the refrigerator with the goal to drink it all by 3 hours before bedtime. The bottle could gradually get bigger as weeks pass.

It is also wise that older adults eat fruits and vegetables that are rich in water such as broccoli, tomatoes, and oranges.
Drink first thing in the morning. Drink two hours after meals. Drink with meals.

Dehydration in seniors can be managed. As people drink more water, some improvements may be experienced immediately. However, it could take weeks for cells to become hydrated, so…

…be patient and keep drinking.

Yoga: a young person twisted up like a pretzel with apparent ease. That image is not necessarily the complete story. In fact, yoga is for all ages; no one is too old or too young for yoga.

One of the great things about yoga is that it is so adaptable to different populations with various physical abilities and needs. Most seniors are doing what they can to maintain and improve a sense of health and wellness. Many of the 36 million or so Americans who are 65 or older (stat provided by: about.com) are turning to yoga to keep them stay agile and in shape.

Although the trend is to become more sedentary, retirement is actually the perfect time to pick up healthy habits that will promote longevity. Yoga is well-suited for seniors, because it is low-impact, and risk of injury is minimal because the discipline does not require any contact with anyone or anything. In addition, yoga’s weight-bearing postures help build or maintain lean muscle mass, and its focus on balance develops coordination.

Yoga also helps combat many of the health conditions that come with age such as high blood pressure, arthritis and incontinence, because it keeps the body toned, strong and flexible..

An added benefit (and an important one) is the sense of community seniors find at yoga classes. As many elders live in isolation, the group setting of a yoga class offers seniors a way to connect.

According to dietsinreview.com, there are many yoga postures that can be safely performed by seniors. Such postures have both a restorative and therapeutic benefit to them. Of course, adaptations and adjustments should be made according to the person’s health status and their physical ability.

• Easy Pose (Sukhasana): The simple act of sitting down and breathing deeply and fully has an enormous capacity to tone the cardiovascular and pulmonary systems while also lengthening the spine, resting the mind, and cultivating a sense of peace. The beginner can do this posture for a minimum of 10 breaths and gradually work up to maintaining this posture for five to 10 minutes.
• Cat Pose (Bidalasana): This grounding posture helps tone the arm muscles while also strengthening the core and alleviating tightness in the low and upper back and neck. The beginner can do this posture for a minimum of five breath cycles and gradually work their way to doing more.

Older adults should get clearance from their doctor before starting a yoga practice. This is especially relevant for those who take medications or have a prior or current history of cardiovascular or pulmonary conditions. In addition, individuals should also seek out classes specifically designed for seniors, as they will take into account the unique health issues affecting them

Yoga classes especially for seniors are becoming increasingly available: check local senior centers, retirement communities, religious organizations and even health clubs.

Sniff, sniff. Imagine the smell of a stargazer lily or of fresh baked bread. Imagine throwing open the window on one of spring’s first warm days and smelling the sweet air. These are some of life’s free gifts.

But also imagine if smell was missing. None of us really notice all the smells around us, but for those whose sense of smell is diminished or missing, it can be a significant loss.

Olfaction is the sense of smell. It’s part of a person’s chemical sensing system, along with the sense of taste. Normal smell occurs when odors around a person, like the fragrance of flowers or the smell of baking bread, stimulate specialized sensory cells, called olfactory sensory cells which are located in a small patch of tissue high inside the nose.

Odors reach the olfactory sensory cells via two pathways. The first pathway is by inhaling, or sniffing, through the nose. When people think about smell, they generally think of this pathway.

The second pathway is less familiar. It is a channel that connects the roof of the throat region to the nose. When chewing food, aromas are released that access olfactory sensory cells through this channel. Congestion due to a head cold or sinus infection can block this channel, which temporarily affects the ability to enjoy the flavors of food.

But what are odors? They are small molecules that are easily evaporated and released into the environment and that stimulate these sensory cells. Once the olfactory sensory cells detect the odor molecules, they send signals to the brain, where the person can identify the smell and its source.

For most people, a problem with smell is a minor irritation, but for others it may be a sign of a more serious disease or long-term health condition. According to the National Institute of Health, problems with smell become more common as people get older.

Consider:

• 24.5 percent (15 million) of Americans 55 years old or older have a smell problem.
• 30 percent of older Americans between the ages of 70 and 80 have a problem with the sense of smell.
• Two out of three people over 80 have a problem with their sense of smell.
• A person’s sense of smell generally declines when he or she is over 60.
• Only one to two percent of people under the age of 65 will experience some problem with their sense of smell.
• Women of all ages are generally better at detecting odors than men.

There are five types of smell loss:

• Presbyosmia – Smell that declines with age. It is not preventable.
• Hyposmia – The ability to detect certain odors is reduced. This smell disorder is common in people who have upper respiratory infections or nasal congestion. This is usually temporary and goes away when the infection clears up.
• Anosmia – This is when someone can’t detect odor at all. This type of smell disorder is sometimes the result of head trauma in the nose region, usually from an automobile accident or chronic nasal or sinus infections.
• Dysosmia – This is a change in the perception of odors. Familiar odors may become distorted, or an odor that usually smells pleasant instead smells foul. Sometimes people with this type of smell disorder also experience headaches, dizziness, shortness of breath, or anxiety.
• Phantosmia – This is when someone perceives a smell that isn’t present at all.

If someone thinks they have a smell disorder, it’s time to visit the doctor. Diagnosis is important because once the cause is found, the doctor may be able to treat it. Many types of smell problems are reversible, but if they are not, counseling and self-help techniques may help the person cope.

On my way to our retirement community this morning I was flipping through the channels on my radio and landed on NPR. I heard a report about the common cold that I thought I would pass on. The findings of the report said one thing you might expect – Get more than eight hours of sleep a night.

The other finding was to exercise on a daily basis. Researchers recruited about 1,000 volunteers between age 18 and 85 to complete a daily log of symptoms throughout cold and flu season.

At the end of the three-month study, the researchers found that the more the participants exercised, the less they reported getting sick. Those who exercised five days a week for 20 minutes or more experienced about 40 percent fewer days of illness compared with those putting in less than one day a week of activity.

For those seniors who live in the Oak Park area, (River Forest, Forest Park, Berwyn, Elmwood Park, Chicago, Riverside, North Riverside, Cicero, Brookfield, Maywood, Melrose Park, Broadview, Lyons, Galewood, River Grove) feel free to come to the Oak Park Arms to get your daily exercise. We have free classes almost every day for our residents and seniors in the Western suburbs. Classes include Sit and Be Fit, Chair Yoga, Tai Chi for Seniors, monthly ballroom dances with a live orchestra, and more. Check our calendar of events for seniors.

Here is the full report from NPR. Or click here to listen to the story.

Whether it’s shoulder, knee or hip joint replacement, aftercare is vitally important. Early motion after joint replacement helps achieve the best possible function. And motion is typically started 48 hours post surgery.

According to University of Washington, arthritic joints are stiff. One of the major goals of total joint replacement surgery is to relieve much of this stiffness. However, following surgery, scar tissue will tend to recur and limit movement unless motion is started immediately. This early motion is facilitated by the complete surgical release of the tight tissues so that after surgery the patient has only to maintain the range of motion achieved at the operation.

All new joint patients need to have a regular exercise program to maintain their fitness and the health of the muscles around their joints. With both their orthopedic and primary care physicians’ permission, they should be on a regular exercise program 3 to 4 times per week lasting 20 to 30 minutes.

General Tips from Texas Health Resources

• Patients should take antibiotics one hour before having dental work or other invasive procedures for their lifetime. Patients are recommended to take antibiotics before, during, and immediately after any elective procedures in order to prevent infection of the replaced joint
• Although the risks are very low for postoperative infections, it is important to realize that the risk remains. A prosthetic join could possibly attract the bacteria from an infection located in another part of the patient’s body. A fever is reason to call the doctor.
• Occasionally, antibiotics may be needed. Superficial scratches may be treated with topical antibiotic ointment. Patients should notify their doctor if the area becomes painful or reddened.
• Patients are given an implant card by their surgeon that states they had a joint replacement. They should carry the card with them, as they may set off security alarms at airports, malls, etc. Also when traveling, patients should stop and change positions hourly to prevent the joint from tightening.
• Patients should visit their surgeon yearly unless otherwise recommended. Routine initial, mid-term and long-term follow up is a valuable part of joint replacement care.

According to the Mayo Clinic, patients usually require some assistance with self-care, activities of daily living, shopping and driving for approximately six weeks after surgery. Patients usually go home after this surgery, especially if there are people at home who can provide the necessary assistance, or if such assistance can be arranged through an agency. In the absence of home support, a convalescent facility may provide a safe environment for recovery.

Recovery of comfort and function after joint replacement continues for many months after the surgery. Improvement in some activities may be evident as early as six weeks. With persistent effort, patients make progress for as long as a year after surgery.

Future activities are generally limited to those that do not risk injuring the replaced joint. Sports that involve running or contact are avoided, in favor of leisure sports, such as golf, and swimming.

Swimming is the ideal form of exercise, since the sport improves muscle strength and endurance without exerting any pressure or stress on the replaced joint.

See you at the pool!

Although the fall weather has been gloriously moderate, one can be certain that cold weather is on the way. It is important to remember that the cold temperatures of winter are especially dangerous for older adults. Seniors may not be able to feel that they are getting too cold, or they may set their thermostats low to save on heating costs.

A drop in body temperature is called hypothermia (hi-po-ther-mee-uh), and it can be deadly if not treated quickly. Hypothermia can happen anywhere, not just outside and not just in northern states. In fact, some older people can have a mild form of hypothermia if the temperature in their home is too cool.

When you think about being cold, you probably think of shivering. That is one way the body stays warm when it gets cold. But, shivering alone does not mean you have hypothermia.

So how do you know if someone has hypothermia? According to the National Institute on Aging, look for the “umbles” – stumbles, mumbles, fumbles, and grumbles. These may be clues that the cold is a problem.

Check for:

• Confusion or sleepiness
• Slowed, slurred speech, or shallow breathing
• Weak pulse
• Change in behavior or in the way a person looks
• A lot of shivering or no shivering; stiffness in the arms or legs
• Poor control over body movements or slow reactions

According to gericarefinder.com, during each cold weather month, many seniors die from hypothermia.

Wearing more clothes and proper cold-weather attire are necessary for aging adults. Indoors, many seniors may require an extra blanket or thicker socks.

To prevent hypothermia (very low body temperature), a dangerous and potentially life-threatening condition, ), read these tips offered by the National Institute on Aging:

• Ask your doctor if you have any health conditions or take any medications that make it hard for your body to stay warm. At increased risk are older people who take certain medications, drink alcohol, lack proper nutrition and have conditions such as arthritis, stroke, Alzheimer’s disease and Parkinson’s disease.
• Set your thermostat above 65 degrees; older people are at higher risk of becoming ill during the cold winter months.
• Try to stay away from cold places. Changes in your body that come with aging can make it harder to feel when you are getting cold. It also may be harder for your body to warm itself.
• Wear several layers of loose clothing indoors and out. The layers will trap warm air between them. Tight clothing can keep your blood from flowing freely, which can lead to loss of body heat. Hypothermia can occur in bed, so wear warm clothing to bed and use blankets.
• Ask friends or neighbors to look in once or twice a day if you live alone. Your area may offer a telephone check-in or personal visit service.
• Use alcohol moderately, if at all. Avoid alcohol altogether near bedtime.
• Eat hot foods and drink hot liquids to raise your body temperature and keep warm.
• Keep aware of the daily weather forecast and be sure to dress warmly enough, with hat and gloves, if you must go out. In extremely low temperatures with wind-chill factors, weather forecasters may suggest staying inside.
• Make sure you eat enough food to keep up your weight. If you don’t eat well, you might have less fat under your skin, and fat can help protect you by keeping heat in your body. Also, drink 10 glasses of water or other non-alcoholic liquids daily.

And remember, spring will eventually come. Promise.

Visiting a doctor’s office can make a senior nervous, impatient, or even scared. He or she may have only a few minutes with the health care provider, and later the patient may remember unasked questions. And it’s hard to remember what was said.

Before the visit, take a list of specific questions to the appointment, making sure to list the most important ones first. It’s a good idea, too, to review your health history, so you can convey it concisely to your doctor. Writing out a brief synopsis to give a new doctor can be helpful and save time.

A list of medications and dosages is essential. Make copies of this list for all doctors.

During Your Visit:

• Tape-record the visit or bring a pencil and notebook to take notes or bring a trusted friend or relative to take notes.
• Keep the discussion focused, making sure to cover the main questions and concerns, symptoms and how symptoms impact your life.
• Ask for clarification if you don’t understand what you have been told or if you still have questions.
• Ask for explanations of treatment goals and side effects.
• Let your doctor know if you are seeing other doctors or health care providers.
• Share information about any recent medical tests.
• Let your doctor know how much information you want and if you have religious or cultural beliefs that affect your treatment.
• Stand up for yourself or have a friend or family member advocate for you if your concerns are not addressed.
• Balance assertiveness with friendliness and understanding.

Hopefully these tips will help seniors understand their diagnosis and any recommended treatments.

Ah-choo! With cooler weather on the way, the cold season revs up, and there’s nothing as miserable as a bad head cold. How about this statistic from healthline.com: Americans “catch” an estimated one billion colds every year. Most adults suffer from two to four colds per year.

The common cold causes a runny nose, nasal congestion, sneezing, coughing, and, in some cases, coughing and a sore throat. Colds can occur at any time during the year but are most common in the fall and winter months.

A head cold really is a viral infection which settles in the mucus membranes of the nose. A cold is usually harmless, although it can be quite uncomfortable. Typically it resolves on its own after around ten days. Some people experience a mild fever and watery eyes, and people may complain of feeling unwell.

The mucus which drains from the nose is typically clear in color. Some people with a head cold find that they cough and experience hoarseness because of mucus dripping down their throats.

No vaccine has been developed for the common cold which can be caused by many different viruses, but there are some common-sense precautions to slow the spread of autumn viruses:

• Wash your hands. Clean your hands thoroughly and often. Carry a bottle of alcohol-based hand rub containing at least 60 percent alcohol for times when soap and water aren’t available. These gels kill most germs.
• Scrub your stuff. Keep kitchen and bathroom countertops clean, especially when someone nearby has a cold.
• Use tissues. Always sneeze and cough into tissues. Discard used tissues right away, and then wash your hands thoroughly.
• Don’t share. Use your own glass or disposable cups when you or someone else is sick.
• Steer clear of colds. Avoid close contact with anyone who has a cold.

Drinking lots of fluids, especially warm fluids, can help as can staying in a warm and slightly humid environment. Avoiding dairy is advised, because this tends to increase mucus production. Rest, many people think, helps a cold resolve more quickly.

If a head cold is persistent, a doctor can prescribe decongestants and pain management medications. Saline rinses or sprays in the nose can also help to flush out the mucus and increase comfort. However, patients should be aware that prolonged use of decongestant sprays can lead to an inflammation of the mucus membranes in the nose.

Sometimes a head cold can become a sinus infection. A head cold can also lead to an ear infection. While these infections sometimes can resolve on their own, medical treatment may be necessary especially if the condition becomes especially painful.

Web MD mentions more worrisome situations and complications when it comes to colds. It’s a good idea to consult the doctor for any of these conditions:

• Asthma and Colds – Living with asthma is no easy task, and a cold can make breathing more difficult.
• Heart Disease and Colds – Catching a cold for someone with heart disease poses a greater danger, because the cold makes it difficult to take in oxygen efficiently.
• Diabetes and Colds – For those with diabetes, a common cold makes it difficult to keep blood glucose levels balanced.

It’s sneaky and it’s subtle. It’s referred to as “…the silent thief of sight.” “It” is glaucoma. Most types of glaucoma cause no pain and produce no symptoms. What glaucoma does do, however, is cause damage to the optic nerve. The main function of the optic nerve is sending electrical transmissions to the brain. Damage to it can lead to serious problems with vision that eventually lead to blindness.

Glaucoma is caused by increased pressure in the eye. This pressure is from a buildup of fluid, called aqueous humor, in the front of the eye. The elevated pressure is often extremely subtle with no symptoms until the disease has already caused significant damage.

In the U.S., approximately 2.2 million people age 40 and older have glaucoma, and of these, as many as 120,000 are blind, according to the American Health Assistance Foundation. An estimated 3.3 million of Americans could have glaucoma by the year 2020.

Glaucoma is a leading cause of blindness among African Americans and Hispanics in the U.S. Three times as many African Americans have glaucoma than Caucasians, and four times as many are blind. Between the ages of 45 and 64, glaucoma is fifteen times more likely to cause blindness in African Americans than in Caucasians.

Because people may not know they have glaucoma, a simple and painless glaucoma test, performed by an ophthalmologist, is vital. These tests allow the doctor to measure pressure in the eye, examine the optic nerve, check the visual field and determine the fluid drainage angle in the eye.

According to seniormag.com, there are actually two major types of glaucoma – open angle and closed angle. Typically open angle glaucoma has no symptoms in its early stages and vision remains normal. As the optic nerve becomes more damaged, blank spots begin to appear in one’s vision, but such spots can be unnoticeable at first. If the optic nerve is significantly damaged, these spots become large. If all the optic nerve fibers die, blindness results.

Some eyes are formed with the iris too close to the drainage angle. In these eyes, which are often small and farsighted, the iris can be sucked into the drainage angle and block it completely. This is called closed-angle glaucoma. Since the fluid cannot exit the eye, pressure inside the eye builds rapidly and causes an acute closed-angle attack. Symptoms that occur suddenly can include blurry vision, halos around lights, eye pain, nausea and vomiting. Medical attention should be immediate.

Early detection is key

Early detection through eye exams, visual field tests and optic nerve imaging, and management through medications and laser treatments (to relieve eye pressure) are keys to preventing optic nerve damage and blindness from glaucoma.

Be aware

• Everyone older than age 60 is at increased risk.
• For certain population groups such as African-Americans, the risk is much higher, and they should have eye pressure monitored before age 30. Hispanic, Asian and Japanese Americans also face an increased risk. The reasons for these differences aren’t clear.
• If there’s a family history of glaucoma, there is a much greater risk of developing it. A form of juvenile open-angle glaucoma has been clearly linked to genetic abnormalities.
• Diabetes increases the risk of developing glaucoma. A history of high blood pressure, heart disease, or hypothyroidism can increase risk as well.
• Severe eye injuries can result in increased eye pressure. Injury can also dislocate the lens, closing the drainage angle. Other risk factors include retinal detachment, eye tumors or eye inflammations.
• Being nearsighted, which generally means that objects in the distance look fuzzy without glasses or contacts, increases the risk of developing glaucoma.
• Using corticosteroids for prolonged periods of time appears to increase the risk of getting secondary glaucoma. This is especially true if someone uses corticosteroid eye drops.

Heat and humidity are a given in mid-summer, but if you’re a senior citizen, hot weather can be much more than just a nuisance. The body’s natural defenses against heat can break down with age, putting seniors at risk for heat stroke, heat exhaustion, and other serious disorders.

According to ahealthyme.com, several factors make senior citizens especially vulnerable to hot weather, according to. Older bodies can be slow to sense and respond to changes in heat, so seniors often don’t start sweating until their temperature has already soared. Even when the body’s cooling devices kick in, they probably don’t work as well as they used to. Sweat glands can grow less efficient with age, and other normal changes in the skin slow down the release of heat.

In addition, many common conditions can hamper an older person’s ability to regulate temperature, including diseases of the heart, lung, and kidneys; high blood pressure; diabetes; and other conditions that cause poor circulation. Finally, several medications commonly prescribed to seniors can affect the body’s ability to cool down. These include antidepressants, motion sickness drugs, and blood pressure medications.

For all of these reasons, it’s essential for seniors and their loved ones to understand the signs of dehydration, heat stroke and heat exhaustion, the most common forms of heat-related problems.

Dehydration occurs when a person loses more fluid than he or she takes in, and the body doesn’t have enough water and other fluids to carry out its normal functions. There are serious consequences if the lost fluids are not replaced.

Common causes of dehydration include diarrhea, vomiting, fever or excessive sweating. Inadequate intake of water during hot weather also may cause dehydration. Anyone can become dehydrated, but young children, older adults and people with chronic illnesses are most at risk.

A person can usually reverse mild to moderate dehydration by increasing the intake of fluids, but severe dehydration needs immediate medical treatment. Of course, the safest approach is prevention. Monitor fluid loss during hot weather, illness or exercise, and drink enough liquids to replace what’s lost.

Heat exhaustion is a condition with symptoms that may include heavy sweating and a rapid pulse, a result of the body overheating. A cause of heat exhaustion includes exposure to high temperatures, particularly when combined with high humidity. Without prompt treatment, heat exhaustion can progress to heatstroke.

Heatstroke is a life-threatening condition that occurs when a person’s body temperature reaches 104 F (40 C) or higher. Heatstroke can be brought on by high environmental temperatures, by strenuous physical activity or by other conditions that raise the body temperature. Whatever the cause, immediate medical attention is required in order to prevent brain damage, organ failure or death.

Heatstroke is the escalation of two other heat-related health problems: heat cramps and heat exhaustion. In these conditions, a person develops signs and symptoms that are milder than those of heatstroke. Heatstroke can be prevented with medical attention or by taking self-care steps as soon as problems are noticed.

Heat waves are often deadly for seniors. Older people living in homes without air conditioning need to be checked at least twice a day when the temperature reaches 90 and above, according to ahealthyme.com.

The best way to stay cool during a heat wave is to stay indoors with the air conditioner on high. If there is no air conditioner, consider taking a trip to a cooling center, an indoor mall, library, or movies. A fan can help, but it can’t take the place of an air conditioner. If the temperature reaches the 90s, even the best fan may not protect a person from heat exhaustion or heat stroke.

Seniors, when you do go outside on a hot day, use common sense. Drink more than you need to quench your thirst, and if you’re sweating heavily, choose fruit drinks or sports beverages to replace lost minerals.

Like the song from Kiss Me Kate says, “It’s Too Darn Hot.”