Tuesday, September 30, 2014

Hydration for Health, Water for Life

Drinking water is a key element in
 maintaining health for the elderly

Wise up on water
Water is often overlooked as one of the six basic nutrients (along with carbohydrates, fats, vitamins, proteins and minerals) needed for positive well-being and better quality of life for the elderly. Water can make a valuable contribution to health in old age. As we get older our body’s receptor for thirst decreases. To stay hydrated do not depend on feeling thirsty. Thirst may not be a reliable guide to tell you when you're becoming dehydrated, especially for older adults.

Evidence for drinking water
Medical evidence shows that good hydration can assist in the management of diabetes, urinary tract infections, incontinence, constipation, kidney stones, heart disease, low blood pressure, cognitive impairment, falls, poor oral health, skin conditions, help prevent pressure ulcers, and many other illnesses.

Proper hydration will increase blood circulation to all vital organs including skin which will prevent and help heal pressure ulcers.  Drinking water will stimulate urination and help the body flush out bacteria. Drinking extra water will help stimulate the bladder for healthy bladder function; experiencing fewer incontinent episodes is one effective way to prevent urinary tract infections.  

Dehydration lowers blood pressure which causes confusion and dizziness. Dehydration is the leading cause of falls.  Balanced hydration is essential for the safety and efficacy of some medications. One class of medications affected by hydration status is the non-steroidal anti-inflammatory drugs NSAIDs (Aspirin, Ibuprofen, Ketoprofen, and Naproxen) which has the potential to cause kidney damage in response to dehydration.

Tips for Water Consumption
  • A glass of water five minutes before standing will help stabilize blood pressure and prevent fainting.
  • Drink a glass of fresh water when you get up in the morning.
  • Have a jug of water readily available with thinly sliced oranges,  limes, lemons, and ice cubes. 
  • Drink small quantities throughout the day. Drink water at mealtimes and also between meals.
  • Eat  foods high in water content, such as fruits and vegetables
  • Substitute hot caffeinated beverages for hot water with pieces of  fruit in it.

Is tap water safe to drink?
Yes. The United States water supply is completely safe to drink and of high quality.

Do I need to filter or treat my tap water before I serve it to drink?
No. The tap water you receive is carefully monitored, tested and is supplied ready to drink straight from the tap. Sometimes filters will polish the taste slightly, but the same effect can normally be achieved by leaving the water to chill in the fridge this will help take away any chlorine taste.

If I drink more water, will I have increased bladder function?
Yes, for a while, and that’s a very positive change. People will use the toilet more often if they drink more, and while there are perceived problems in the extra effort of more frequent visits, people also need to be aware of the serious ill-effects of not drinking enough and not going to the toilet often enough. Evidence shows, however, that the restriction of overall fluid intake does not reduce urinary incontinence frequency or severity.           

Start drinking early with a fresh glass of water. Promote the fact that water ‘flushes through’ the system and helps to prevent kidney stones, UTIs and constipation. Increased bladder function may also help reduce the need for additional medication.

What are the immediate benefits of hydration? 
Water is an essential nutrient and dehydration is a common problem for the elderly population. There is evidence that improving water intake:
  • Reduces constipation and subsequent medication
  •  Reduces confusion (with reduced risks of falls and fractures)
  • Reduces headaches
  • Reduces urinary tract infections
  • Improves skin integrity and reduces the risk of pressure sores
  • Improves blood pressure
  • Reduces consumption of unhealthy caffeine, alcohol, soft drinks and sparkling drinks
  • Reduces the cost of providing other commercial beverages. 

Susan Sherriff, CNA and an Occupational Therapy Assistant student, is a contributing writer to Elder Topics as part of a Marketing Internship.  As a member of the HomeAid Health Care team, Susan uses over 10 years of Caregiver experience to assist our elderly and disabled Clients who wish to remain safe and independent at home.  HomeAid is a sister company to Prairie Home Assisted Living which has served the physical, spiritual, mental and health needs of their Residents since 1999.  Together the two companies provide comprehensive care that meets the needs of the elderly and disabled in the Fox Valley of Wisconsin.


Thursday, September 18, 2014

Driving Options As We Age

There are many transportation options 
available for seniors.

Nearly 50 years ago Baby boomers were dancing to the sounds of the Beach Boys singing about a little old lady from Pasadena racing around town in her shiny red hot rod.  Now those same people are facing some challenging decisions about their own ability to drive

There are over 33 million older drivers in the USA and within 15 years that number will double. Older drivers have a higher risk factor of being involved in traffic accidents.  In fact, over 500 elderly drivers are injured and 15 are killed in car crashes daily.  Most accidents are due to poor judgment in timing, most often while turning left, drifting within traffic lanes and a decreased ability to respond to sudden changes on the road.

There is no set age that mandates when an older driver should hang up their keys.  Safety and performance on the road are far more important than a person’s date of birth and there are many things mature drivers can do to increase safety, decrease risks and remain on the road longer.

 Be proactive about health
Annual vision and hearing checks are very important.  Plus know if current medications affect driving abilities.  Being in good health prolongs enjoyment of many activities, including driving.

Drive defensively
Avoid using distracting cell phones in the car and take extra steps to watch out for the other guy.  Also leave adequate space from other drivers, pay extra attention at intersections, allow enough time for braking and drive at an appropriate speed for the flow of traffic. 

Use new technology
Crash warning systems alert the driver of an impending accident or will automatically apply the brakes if necessary. New parking features hands-free parallel parking.  Night vision systems used infrared to mark people and objects on the road in the dark.  These new technological breakthroughs help older drivers stay behind the wheel longer.  In addition, simple tricks like turning up the brightness on the gauges, adding a strap over the door to help getting in and out of the car, and keeping the headlights, mirrors and windscreen clean can all make a substantial difference in driving safety for mature drivers.

Set limits
Many older drivers voluntarily make changes in their driving practices such as driving only during the day, staying off high speed roads or avoiding driving in bad weather.  Adopting “a better safe than sorry” attitude can prevent serious problems.
Unfortunately, retaining the ability and the privilege to drive is not something that lasts a lifetime. There are some signs to look for which indicate it may be time to seek alternative transportation.

Physical Issues  
Sensitivity to light, difficulties seeing in the dark and blurred vision are all significant hindrances to driving. Also inability to hear sirens, horns or another driver accelerating nearby could mean a mature driver is missing important clues necessary for safe driving.

Reflex and Range of Motion Issues
Generally older drivers are less able to judge distances and speed and may become confused in situations requiring quick reflex responses.  Also inability to turn to look quickly can cause problems on the road.
Memory Issues  
Losing one’s way happens to everyone one, but a pattern of being lost on once familiar roads means it may be time to consider finding alternative means of transport.

Close Call Issues  
Dents and scrapes on the car, frequent near misses and an increase in traffic tickets or warnings from the police are all signs that continued driving is risky.

On the Road Issues
The basics of driving like lane changes, braking, accelerating and use of turn signals which were once second nature become increasingly difficult with age and can be a signal it is time to get off the road.

Hanging up the car keys does not necessarily mean loss of independence.  There are alternative means of getting around available for seniors. Family and friends are usually willing to lend a hand.  In addition there are some transportation programs in the Fox Cities area of Wisconsin that cater to the needs of the elderly.  

Making a Ride Happen serves seniors in Outagamie, Winnebago and Calumet Counties. A team of volunteer drivers provide transport throughout the Fox Cities area for a suggested price of $3.60 one way or $8.00 round trip. Availability is limited. Call (920) 225-1719 to learn more.

Neenah-Menasha Dial-a-Ride serves seniors living in the city limits of Neenah and Menasha. Dial-a-Ride tickets allow seniors to use Fox Valley Cabs for $3.50 one way.  Some limitations apply. Call (920) 886-6125 or (920) 720-7106 for more information.

Fox Valley Transit II provides transportation for seniors in Outagamie, Calumet Counties. Advanced scheduling and some limitations apply.  Call (920) 832-5789 to hear more details.

Home care agencies – Most home health care agencies offer driving services which increase the independence of seniors by providing transportation for appointments, outings and trips.  In addition to door to door service, most agency drivers will escort the passenger, assist with walkers or wheelchairs, and devote full a day to accommodate a passenger with a list of errands.

Kate McCarthy is Director of Operations for HomeAid Health Care which provides non-medical home services for the elderly who wish to remain safe and independent at home.  HomeAid is a sister company to Prairie Home Assisted Living which has served the  physical, spiritual, mental and health needs of their residents since 1999.  Together the two companies provide comprehensive care that meets the needs of the elderly in the Fox Valley.