Paying attention to how our loved ones respond to changing temperatures is vital. Caregivers must actively monitor temperature to prevent heat-related illnesses (heat stroke, dehydration) and hypothermia in our seniors. Maintaining indoor temperatures and mindfulness when outdoors is more important than one realizes. As we age, skin thins, and temperature fluctuations can cause serious problems, especially when chronic health conditions are present.
Monitoring signs of temperature stressors requires caregivers to understand what can trigger concerns. The types of clothing worn can make a difference. Dressing in layers can be both good and bad. Why, because overheating an older person is dangerous. Confusion is often the first sign of overheating. The body tries to regulate temperatures, but when faced with conditions like heart disease, respiratory issues, renal disease, vascular conditions, medications like diuretics(water pills), and poor hydration, it can create life-threatening problems, like heat stroke. Heat stroke is a medical emergency, and medical attention is required.
Why Concern Yourself with Temperature as a Caregiver
Physiological reactions to temperature lessen with age. The ability to sweat, which helps the body cool down, is diminished, causing heat to rise. Consider this when putting your loved one in a hot car. Do not! Cool the vehicle down before putting your loved one in the car.
I mentioned health conditions because they can be the culprit for overheating in our elderly loved ones. Any medical condition that compromises temperature should be known. Chronic illnesses make it harder for the body to regulate its temperature.
Medication taken by our loved ones, while helpful for the chronic disease, can be dangerous in hot weather. Loved ones taking water pills, medications for hypertension, and medications for heart problems need special attention to make sure they do not miss any symptoms created by temperature changes. Many elderly do not realize they are dehydrated. If they complain of thirst or if you notice poor skin turgor, these are signs of a response to temperature changes. You may need to consult their healthcare team for more instructions.
Stay out of the sun. Plan events during mornings or evenings. Sunscreen, hats, and sunshades can help when outdoors. Keep the home’s temperatures consistent.
Recap for Safe Temperature Management
· Awareness of physiological reactions to temperature goes down with age
· Do not overdress or underdress your loved ones
· Health conditions can be the culprit for overheating
· Know the medications taken by our loved ones
· Cool the vehicle down before putting your loved one inside
· Stay out of the sun and plan activities in the mornings or evenings
As Your Proactive Caregiver Advocate, family or caregivers should check on loved ones during heatwaves. Hydrate, even if not feeling thirsty. As you care for others, don’t forget to care for yourself. Your own health and safety are just as important as the loved ones you care for. Be Safe! Be Well!
Dr. Cynthia J. Hickman is a retired registered nurse and case manager who serves as the CEO of Your Proactive Caregiver Advocate. She is excited to share her latest book, The Essential Caregiver Training Course for Corporations and Community. Her previous work, From the Lens of a Daughter, Nurse, and Caregiver: A Journey of Duty and Honor, and The Black Book of Important Information for Caregivers, reflects her experiences and insights from her heartfelt caregiving journey.