Senior must beware of heat, humidity

Published in Pawtucket Times on August 13, 2001

Temperatures reaching the mid-90s, combined with high humidity represent a serious health hazard for seniors.  But many seniors are heeding the advice of experts, gleaned from radio and newspaper articles, about how to cope with the scorching summer heat.

As to the heat wave, “we can’t control it but we certainly can deal with it,” says Pawtucket resident Paul Audette, who notes he has learned how to cope by listening to health experts.

The 71-year old senior staff manager at Pawtucket-based Providence Metalizing has consciously slowed down his activities, is drinking plenty of liquids and is staying out of the hot sun.

During the heat wave, Audette relaxed in the afternoon and goes out later in the evening when it becomes cooler.

Rep. Mabel Anderson, (District 77) also heeds the advice of health experts on radio programs and is coping well with the intense summer heat.

“I stay quiet, avoid going outside to run errands,” says the Pawtucket resident, noting that she drinks plenty of water to keep from becoming dehydrated. 

Anderson’s son, Jon, has also installed an air conditioner in her bedroom.  With three overhead fans in other rooms, Anderson keeps cool and comfortable.

Seniors, small children and the mentally ill are the most susceptible to health problems from the searing summer heat wavers, according to Dr. Patricia Nolan, director of Rhode Island’s Department of Health.

According the Nolan, the early systems of heat-related illnesses include muscle cramps in arms, hands, abdomen and legs.  Muscle cramps are a result of dehydration and salt loss, this being one of the primary problems associated with heat stress.

Additionally, Nolan says that fainting in the heat is another early symptom.

A person who has fainted due to heat should be taken to a cool place and refreshed using a wet cool cloth.  Nolan recommends, “You want to sponge people down and fan them to reduce their body heat,” she says.

Heat exhaustion or heat stroke is a more serious problem related to dehydration caused from high temperatures, Nolan stated.  Feelings of complete exhaustion, confusion, nausea or vomiting are real danger signs, she said.  Treatment involves bringing down the victim’s body temperature by adding fluids through intravenous methods.

To successfully beat the heat, Nola recommends that seniors cut back on outside physical activity and drink plenty of water.

While water is the best fluid to drink on a hot day fruit juice can be considered a viable substitute.  “Cooling off with a cold beer is not the best plan, “Nolan says, because alcohol, coffee tea and soda, loaded with caffeine, can dehydrate you.

Nolan warns that with temperatures in the mid-90s, staying indoors in an uncooled house or apartment is not the best thing for seniors to do.

“Go to an air-conditioned shopping mall, see a movie, visit a restaurant, or get yourself into an air-conditioned space.” She recommends. “If you can do this for an hour on a really hot day you can protect yourself from serious heat-related problems”.

Sometimes seniors get into trouble during days with high temperatures because they just don’t realize the danger, Nolan notes.

During these days it becomes important to monitor your elderly parent or older friends, she says, “Call on them every day to make sure they are coping with the heat.  Take them out to a cool place, like shopping mall, a library or a restaurant to let them cool off.”

Study Seeks Seniors Wanting Healthier Lifestyle

Published in Pawtucket Times on June 4, 2001

A University of Rhode Island research study that is currently under way is seeking seniors looking for a healthier lifestyle. The unique East Providence-based health promotion program plans to expand into nearby Pawtucket, Seekonk, Barrington, and the East Side of Providence and seeks 300 additional senior volunteers to participate.

At the SENIOR Project, URI researchers are investigating whether physical activity and nutrition are being elixirs to better health.

According to Director Phillip Clark, Sc.D., at URI’s Program in Gerontology, the National Institute on Aging-funded study takes a look at the effectiveness of a health promotion program geared at reaching people are at different stages of readiness to change their health-related behavior. “One size fit all” describes most health promotion programs, Clark tells The Times, but the SENIOR’s Project’s 12-month health promotion approach is “highly individualized.”

Currently, more than 1,000 enrollees age 65 and over have randomly been assigned to four health promotion interventions. All enrollees received material with large-print type for ease in reading.

The first intervention group receives a 20-page manual that explains the process of changing behaviors and the importance of physical exercise.  The second group is provided with a similar manual that also explains the change process but focuses on the nutritional benefits of eating fruits and vegetables.  A third group receives both sets of informational health promotion materials while the fourth group receives a manual on fall prevention.

Based on the results of quarterly questionnaire, an individualized report is generated and provided to each enrollee about their specific attitudes and behaviors, providing them with suggestions as to what they can do to make positive health and nutritional changes.

There are 16,000 possible variations of the computer-generated reports based on how the individualized questionnaires are filled out notes, Geoffrey Greene, Ph.D. RD, LDN, a URI professor in the Department of Nutrition and Food Sciences who also staffs the URI research team.

Greene adds that quarterly telephone counseling is offered too, by trained counselors. Using individualized reports, the counselor effectively coaches each older enrollee. “The counselors might focus on either the person’s attitudes or behaviors, depending on the person’s readiness to change,” he stated.

In between the quarterly reports. Greene notes that each enrollee will receive eight newsletters. Depending on the intervention group, the senior will be mailed a newsletter focusing on either nutrition, physical exercise, or both. Those seniors receiving the manuals about fall prevention will receive no newsletter. The URI nutritionist states that one of 40 variations of newsletters could be mailed to enrollees, linked to their level of readiness to change.


What specific nutritional lessons do people learn? Seniors receiving nutritional information on fruit and vegetables learn the importance of eating at least five servings of fruits and vegetables, Greene says. “It can help to reduce your high blood pressure, prevent certain types of cancers, reduce the risks of heart disease. Those who eat even more servings seem to have lower risks of diabetes, too,” Greene adds.

Greene states that seniors receiving nutritional intervention who already eat a lot of fruits and vegetables are told by the trained counselors to increase their variety. “A person is steered toward specific types of vegetables and fruits that are richer in nutrients and protective against certain types of diseases,” he adds.

As to physical fitness, Clark says that exercise is properly the most important health behavior for older adults. “It benefits body, mind and spirit,” he adds, noting that people of any age can benefit from a regular exercise program. Before beginning any exercise program, one needs to check with a physician, warns Clark.

Clark believes that “It’s never too late to begin to increase your physical activity.”

Estelle Tetreault, 78, a former public health nurse who had cardiac surgery last March, is a believer in the SENIOR Project and is pleased with her positive lifestyle changes. “The program really gets us off our butts,” she quipped, noting that her interest in health promotion influenced her to enroll.

For a while, Tetreault admits, she was a couch potato. “Exercise and nutrition have become a regular and more important part of my life,” the former Pawtucket and now East Providence resident says. “The upshot is I joined the SENIOR Project to support them but the project has become a source of support for me.

Tetreault’s longtime friend, Fran Robertson, also an East Providence resident and participant in the research study sees the tangible benefits, too. “Everyday Fran reminds herself to eat five fruits and vegetables,” Tetreault says, noting that her friend now regularly reminds herself to exercise daily.

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Aging gracefully depends mostly on a positive attitude

Published in Pawtucket Times on March 2001

Years ago, my father gave ma a book, “Life’s Little Instruction Book”.  This book, listed as a best seller by the The New York Times, gave readers 511 suggestions, observations and reminders on how to live a happy, fulfilling and rewarding life.  I give you my version of the book, which can hopefully provide you with a rewarding life slanted toward how to age gracefully.

If I could offer you one tip on how to face the downside of growing older, I say practice looking on the bright side of things.  Every day you have a choice when you get up – the glass must be half-full rather than half-empty.  Attitudes become everything as you get older.

It seems that at the snap of a finger, we find ourselves past the prime of youth.   It is so easy to continually reflect on our successes and especially the bad hands we are dealt in life.  Savor your personal and professional victories but forgive yourself for your defeats.

View your past as a canceled check.  Let go of our past regrets and mistakes made in your youth and middle ages.  But also forgive yourself for your weaknesses.  Even for losing those long ago opportunities that passed right through your fingers, like sand in a clasped hand.  But don’t forget to forgive others too, those who hurt you personally or professionally.  You cannot live or end your life peacefully if you are still holding on to anger, bitterness and grudges, all tied to your past.

You must live in the present with an eye toward the future.  There is not enough time left for any one of us to live with past guilt or grudges.  Let go of the past.  Focus on the future, but live the present.

Don’t be afraid to “tell your life story.”  You have a huge reserve of untapped wisdom about living to share with others, especially the young, who can benefit from it.  Insights you have learned throughout the cyclical ups and downs of your life should be shared with your children and their children.  Younger generations will be at a serious loss if you choose to be silent and not share your knowledge.

Life is not a spectator sport.  Go for the gusto and stay as physically active as you can.  Research tells us “if you rest, you rust.”  Physical exercise elevates your mood and benefits your cardiovascular system.

Research tells us that you must also exercise your brain.  Take time to read daily newspapers, magazines or a local senior publication.  Spend your time working on a challenging crossword puzzle or even playing chess, or possibly mahjong.

Find meaningful things in your life that are bigger than you.  Engage in acts of loving kindness to others.  Research indicates that volunteer work can be a protective buffer from the curve balls that life may throw at us as we get older – or is that as we grow more mature?

Don’t be afraid of asking for help or support.  No one is an island, and we need to become more interdependent as we get older.  Research tells us the more types of relationships we have, from family members, friends, belonging to groups, the healthier you will be.  So, strive to keep up your social contact and personal connection with others.

Finally, no matter what your physical condition, there are always opportunities every day in your environment to help care for somebody.  Take advantage of every opportunity.