Monday February 06 , 2012
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Heat Stroke

 

Heat Stroke

Heat stroke occurs when the body is unable to regulate its temperature. The body's temperature rises rapidly, the sweating mechanism fails, and the body is unable to cool down. Body temperature may rise to 106°F or higher within 10 to 15 minutes. Heat stroke can cause death or permanent disability if emergency treatment is not provided.

Recognizing Heat Stroke

Warning signs of heat stroke vary but may include the following:

· An extremely high body temperature (above 103°F, orally)

· Red, hot, and dry skin (no sweating)

· Rapid, strong pulse

· Throbbing headache

· Dizziness

· Nausea

· Confusion

· Unconsciousness

What to Do

If you see any of these signs, you may be dealing with a life-threatening emergency. Have someone call for immediate medical assistance while you begin cooling the victim. Do the following:

· Get the victim to a shady area.

· Cool the victim rapidly using whatever methods you can. For example, immerse the victim in a tub of cool water; place the person in a cool shower; spray the victim with cool water from a garden hose; sponge the person with cool water; or if the humidity is low, wrap the victim in a cool, wet sheet and fan him or her vigorously.

· Monitor body temperature, and continue cooling efforts until the body temperature drops to 101-102°F.

· If emergency medical personnel are delayed, call the hospital emergency room for further instructions.

· Do not give the victim fluids to drink.

· Get medical assistance as soon as possible.

Sometimes a victim's muscles will begin to twitch uncontrollably as a result of heat stroke. If this happens, keep the victim from injuring himself, but do not place any object in the mouth and do not give fluids. If there is vomiting, make sure the airway remains open by turning the victim on his or her side.

 

 

 

Heat Extremes in the Texas Panhandle

 

Heat Extremes in the Texas Panhandle

 

Again the extreme heat is upon us in the Texas Panhandle. Along with the lack of rainfall heat exhaustion is likely for any of us.

 

Check to see that your pilot lights in heaters are turned off completely until the cold winter returns.

 

Check that filters in your air conditioning units are clean and units are working properly.

 

Monitor the temperature in your home to make sure it is a comfortable environment.

 

HIGHLIGHTS

· Elderly people (65 years and older), infants and children and people with chronic medical conditions are more prone to heat stress.

· Air-conditioning is the number one protective factor against heat-related illness and death. During conditions of extreme heat, spend time in locations with air-conditioning such as shopping malls, public libraries, or public health sponsored heat-relief shelters in your area.

· Get informed. Listen to local news and weather channels or contact your local public health department during extreme heat conditions for health and safety updates

· Drink cool, nonalcoholic beverages and increase your fluid intake, regardless of your activity level.

People suffer heat-related illness when their bodies are unable to compensate and properly cool themselves. The body normally cools itself by sweating. But under some conditions, sweating just isn't enough. In such cases, a person's body temperature rises rapidly. Very high body temperatures may damage the brain or other vital organs.

Several factors affect the body's ability to cool itself during extremely hot weather. When the humidity is high, sweat will not evaporate as quickly, preventing the body from releasing heat quickly. Other conditions related to risk include age, obesity, fever, dehydration, heart disease, mental illness, poor circulation, sunburn, and prescription drug and alcohol use.

Because heat-related deaths are preventable, people need to be aware of who is at greatest risk and what actions can be taken to prevent a heat-related illness or death. The elderly, the very young, and people with mental illness and chronic diseases are at highest risk. However, even young and healthy individuals can succumb to heat if they participate in strenuous physical activities during hot weather. Air-conditioning is the number one protective factor against heat-related illness and death. If a home is not air-conditioned, people can reduce their risk for heat-related illness by spending time in public facilities that are air-conditioned.

What Is Extreme Heat?

Conditions of extreme heat are defined as summertime temperatures that are substantially hotter and/or more humid than average for location at that time of year.

Extremely dry and hot conditions can provoke dust storms and low visibility. Droughts occur when a long period passes without substantial rainfall. A heat wave combined with a drought is a very dangerous situation.

During Hot Weather

To protect your health when temperatures are extremely high, remember to keep cool and use common sense. The following tips are important:

Drink Plenty of Fluids

During hot weather you will need to increase your fluid intake, regardless of your activity level. Don't wait until you're thirsty to drink. During heavy exercise in a hot environment, drink two to four glasses (16-32 ounces) of cool fluids each hour.

Warning: If your doctor generally limits the amount of fluid you drink or has you on water pills, ask how much you should drink while the weather is hot.

Don't drink liquids that contain alcohol, or large amounts of sugar—these actually cause you to lose more body fluid. Also avoid very cold drinks, because they can cause stomach cramps.

Replace Salt and Minerals

Heavy sweating removes salt and minerals from the body. These are necessary for your body and must be replaced. If you must exercise, drink two to four glasses of cool, non-alcoholic fluids each hour. A sports beverage can replace the salt and minerals you lose in sweat. However, if you are on a low-salt diet, talk with your doctor before drinking a sports beverage or taking salt tablets.

Wear Appropriate Clothing and Sunscreen

Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. Sunburn affects your body's ability to cool itself and causes a loss of body fluids. It also causes pain and damages the skin. If you must go outdoors, protect yourself from the sun by wearing a wide-brimmed hat (also keeps you cooler) along with sunglasses, and by putting on sunscreen of SPF 15 or higher (the most effective products say "broad spectrum" or "UVA/UVB protection" on their labels) 30 minutes prior to going out. Continue to reapply it according to the package directions.

Stay Cool Indoors

Stay indoors and, if at all possible, stay in an air-conditioned place. If your home does not have air conditioning, go to the shopping mall or public library—even a few hours spent in air conditioning can help your body stay cooler when you go back into the heat. Call your local health department to see if there are any heat-relief shelters in your area. Electric fans may provide comfort, but when the temperature is in the high 90s, fans will not prevent heat-related illness. Taking a cool shower or bath or moving to an air-conditioned place is a much better way to cool off. Use your stove and oven less to maintain a cooler temperature in your home

If you are 65 years of age or older, have a friend or relative call to check on you twice a day during a heat wave. If you know someone in this age group, check on them at least twice a day.

Monitor Those at High Risk

Although anyone at any time can suffer from heat-related illness, some people are at greater risk than others.

· People 65 years of age or older may not compensate for heat stress efficiently and are less likely to sense and respond to change in temperature.

· People who are overweight may be prone to heat sickness because of their tendency to retain more body heat.

· People who are physically ill, especially with heart disease or high blood pressure, or who take certain medications, such as for depression, insomnia, or poor circulation, may be affected by extreme heat.

Visit adults at risk at least twice a day and closely watch them for signs of heat exhaustion or heat stroke.

Use Common Sense

Remember to keep cool and use common sense:

· Avoid hot foods and heavy meals—they add heat to your body.

· Drink plenty of fluids and replace salts and minerals in your body. Do not take salt tablets unless under medical supervision.

· Dress infants and children in cool, loose clothing and shade their heads and faces with hats or an umbrella.

· Limit sun exposure during mid-day hours and in places of potential severe exposure such as beaches.

· Do not leave infants, children, or pets in a parked car.

· Provide plenty of fresh water for your pets, and leave the water in a shady area.

Hot Weather Health Emergencies

Even short periods of high temperatures can cause serious health problems. During hot weather health emergencies, keep informed by listening to local weather and news channels or contact local health departments for health and safety updates. Doing too much on a hot day, spending too much time in the sun or staying too long in an overheated place can cause heat-related illnesses.

 

Heat Exhaustion

 

Heat Exhaustion

Heat exhaustion is a milder form of heat-related illness that can develop after several days of exposure to high temperatures and inadequate or unbalanced replacement of fluids. It is the body's response to an excessive loss of the water and salt contained in sweat. Those most prone to heat exhaustion are elderly people, people with high blood pressure, and people working or exercising in a hot environment.

Recognizing Heat Exhaustion

Warning signs of heat exhaustion include the following:

· Heavy sweating

· Paleness

· Muscle cramps

· Tiredness

· Weakness

· Dizziness

· Headache

· Nausea or vomiting

· Fainting

The skin may be cool and moist. The victim's pulse rate will be fast and weak, and breathing will be fast and shallow. If heat exhaustion is untreated, it may progress to heat stroke. Seek medical attention immediately if any of the following occurs:

· Symptoms are severe

· The victim has heart problems or high blood pressure

Otherwise, help the victim to cool off, and seek medical attention if symptoms worsen or last longer than 1 hour.

What to Do

Cooling measures that may be effective include the following:

· Cool, nonalcoholic beverages

· Rest

· Cool shower, bath, or sponge bath

· An air-conditioned environment

· Lightweight clothing

 

   

Doctor's New Advice for Joint Pain

Wall Street Journal article on Joint Pain ....

This is worth reading.

 

 

Seniors Mental Health & Depression

 

A majority of men and women from the ages of 55-74 report they are satisfied with their lives and are currently in good health. While periods of depression may occur among seniors, it is important to remember that it is not a normal part of aging.

Depression is the most common mental health concern for older adults, affecting between 15 to 20 percent of older adults living in the community. It is not a normal part of aging. Symptoms such as decreased energy, poor sleep and preoccupation with health problems should be viewed as possible symptoms of a treatable illness and are NOT a result of the aging process.

Treatment for depression works, yet too many people remain undiagnosed and untreated because they don't recognize the signs and symptoms of depression.

Mental health specialists generally agree on the following definition of major depression:

  • Symptoms persist for two weeks or longer
  • People either have depressed moods or seem unable to enjoy life.
  • Major depression should be considered if four of the following seven criteria are present:
    • A change in sleeping habits (more or less than usual)
    • A change in eating habits or weigh
    • Low energy or fatigue
    • Trouble concentrating
    • Feeling worthless or excessively guilty
    • Marked restlessness or slowed-down movements
    • Thoughts of death or suicide

Depression can be defined as an imbalance of brain chemicals triggered by stress and life events, including biological, psychological and social factors.

Depression is NOT a character or personality flaw.

Many of the signs of depression may also indicate other problems or medical conditions - It is important to consult with a doctor to determine if your symptoms indicate depression or another medical condition.

Depression is often difficult to recognize among the senior population and it tends to be under diagnosed. Living with depression not only prevents older adult from fully enjoying their lives but it puts a strain upon their health, which can lead to other medical concerns. It is also very difficult for their caregivers and places a strain on their health as well.

What we do know is that there is no one cause for depression- every individual is unique in what may cause their depression, and what may trigger a depressive episode. Some possible causes and risk factors include genetics and family history, brain chemistry, personality, major illness, medications & alcohol, and life events. Risk factors for serious depression, particularly in older adults, may include loss and bereavement, lack of social support, isolation, living in poverty, being a caregiver, and abuse.

Having depression could also increase the risk of suicide among older adults, particularly in older males. According to the CDC, seniors account for more than 16% of all suicide deaths. Older adults who are over the age of 60 are far more likely to have a higher risk rate of suicide than younger people. If you feel that a friend or a loved one is suicidal, encourage them to seek out help either from a doctor, friend, crisis centre or, mental health agency.

Some things to keep in mind:

  • Keep a positive attitude. Remember that slowing down does not mean you have to come to a complete stop. Chances are you will still be able to do almost all the things you used to; you may just need to take a little more time and learn to pace yourself.
  • See your family doctor regularly. He/she can, then, deal with any changes or symptoms that require medical attention.
  • Be careful about your medications. As you get older, they may begin to interact differently with other drugs and to affect you differently than before. Make sure your doctor knows about all your medications, even those prescribed by another doctor.
  • Take responsibility for your own health. Do not hesitate to ask your doctor questions; some do not offer explanations unless asked.

Depression is a serious disorder that is treatable. In addition, dealing with an individual who is suffering from depression or at risk of suicide can be absolutely overwhelming for a caregiver. Although the caregiver is providing care and assistance to their loved ones they must also look after their own emotional, mental, and physical well-being.

While all of us may feel sad from time to time, sadness is not depression and it is important to remember that depression is not a normal part of aging.

   

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