Tips to Beat the Heat for Older Adults

Summer is here! It is finally time to say goodbye to cool days and head outdoors to enjoy activities in the fresh air and sunshine. While the summer brings with it warm and pleasant weather, it can also introduce high temperatures and humidity that stress the body’s ability to cool itself, leading to dangerous and in some cases deadly illnesses.

“As people grow older, their bodies are less responsive to long-term heat exposure. As a result, they can experience the painful and sometimes fatal consequences of heat stress,” says Paul Dell’Aquila, MD, Vice President of Medical Affairs for the Saint Barnabas Health Care System Nursing and Rehabilitation Centers and Assisted Living Residences which support eight nursing and rehabilitation centers and two assisted living residences in New Jersey. “This is why it is essential that older adults understand heat-related illnesses, their early warning signs and how to prevent them from occurring.”

There are three major forms of heat illness: heat cramps, heat exhaustion and heat stroke.

• Heat Cramps
Heat cramps are muscle spasms which usually affect the arms, legs or stomach. They occur when fluid and salt lost by heavy sweating are not replenished. Although heat cramps can be very painful, they usually do not result in permanent damage. Drinking plenty of fluids can prevent this uncomfortable condition.

• Heat Exhaustion
Heat exhaustion is more serious than heat cramps. It occurs when sweating causes the body to lose water and salt (electrolytes), resulting in a reduction of blood volume. The symptoms of heat exhaustion often include headache, heavy sweating, intense thirst, dizziness, fatigue, loss of coordination and appetite, nausea, cool moist skin and weak and rapid pulse. According to Dr. Dell’Aquila, victims of heat exhaustion should make an appointment to be examined by a healthcare professional and should avoid strenuous activity for at least one day.

• Heat Stroke
The most dangerous heat illness is heat stroke. Sweating is the body’s most effective means of heat removal. As heat stroke begins, sweating stops and body temperature can rise to critical levels. Heat stroke is more likely to occur in older adults and can cause death if it is not immediately treated by a healthcare professional.

The early symptoms of heatstroke may include high body temperature; distinct absence of sweating; hot, red or flushed dry skin; rapid pulse; difficulty breathing; dizziness; headache; nausea; vomiting; and/or high blood pressure. Advanced symptoms may include seizures or convulsions or loss of consciousness. If you suspect someone is suffering from heat stroke, it is essential to immediately seek medical attention.

Heat illnesses can be serious and in some cases deadly but there are ways to protect yourself. To avoid heat-related illnesses, Dr. Dell’Aquila offers these tips for older adults:

• Drink plenty of liquids. Don’t wait until you are thirsty to drink, by then there is a good chance you are already on your way to being dehydrated. Electrolyte drinks are good for replacing both water and minerals lost through sweating. Also, avoid alcoholic and caffinated beverages when spending a day in the sun.

• Wear sunscreen. A sunburn will inhibit your skin’s ability to sweat.

• Watch the news. Your local news station will alert you on days when hot weather has the potential to pose a danger to older adults.

• Take cool baths or showers. Cool water lowers body heat 25 times faster than cool air.

• Wear light clothing. Loose-fitting clothing allows sweat to evaporate.

• Use salt tablets only with your physician’s approval.

• Avoid hot foods and heavy meals.

• Be alert. Do not ignore the danger signs of heat-related illnesses. If you feel uncomfortable, take a break. If symptoms persist, contact a healthcare professional immediately.

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