10 Critical Things to Know - Colleen Wages, Jenks Nurse 

1. Hydration, hydration, hydration! We have heard it all our lives, but drinking water is so important and even more so as we age. Even slight dehydration can cause physical symptoms in the older adult very quickly, including low blood pressure, dizziness, confusion, and more. 

2. Be Aware UTIs - Sudden confusion, erratic behavior, and agitation can frequently signal a possible urinary tract infection (UTI) in the older adult. Often, we might assume these symptoms to be a worsening of their cognitive disorder or a medication issue. Although that may be possible, a “UTI” must be considered and ruled out. Contact the doctor immediately for any new and unusual symptoms observed. 

3. Don’t Avoid the Delusionary State - It is very important that we realize that the person living with dementia, or any cognitive impairment can have delusions or even live in a delusionary state. Although our natural tendency is to reorient them to reality, it’s mostly recommended to go along with their delusions as long as they pose no risk of harm. This helps them to feel more comfortable and decreases agitation. For example, if your loved one is looking out the window, waiting for their “mom to come”, rather than explaining to them that their mom passed away many years ago, tell them “She phoned and is running late”. Then try redirecting them with an activity, like sorting the laundry, matching up socks, etc. 

4. Music tends to touch everyone in wonderful ways. Those with memory issues who may not even be able to recall what they had for lunch, will often still remember songs they loved. Playing music, going to concerts, making a playlist of some of their favorite tunes, can perk up their mood and bring a smile to their face. 

5. Annual Physician Visits - Being seen annually by your physician not only keeps you up to date on routine tests and bloodwork and medication management, but it also fosters the doctor/client relationship. If an illness or adverse complication occurs, you are already familiar with your doctor and staff, which can ease your anxiety in a potentially stressful situation. 

6. Knowing where to get resources before you need them is crucial in navigating health care issues as well as health care crises. Your local Council on Aging is a great first stop for referrals and can point you in the right direction. Stop by at your leisure and see what programs they offer as well as resources that may benefit you in the future. 

7. Exercise is so important in every stage of life. Even if you have never or are currently not routinely exercising, it is never too late. We naturally lose muscle mass as we age. This contributes to weakness, poor balance, and an increased risk of falls and fractures. Being active, such as walking, weight-bearing exercises, and taking the stairs can make a big impact in your overall health and longevity. It is important to discuss with your doctor before initiating any new exercise routine. 

8. Falls Decrease Independence - Preventing falls is imperative as they are a major cause of injury and can lead to decreased independence. Many falls can be prevented by taking some simple steps to modify your lifestyle and your home, such as installing grab bars in bathroom and shower, balance classes, and using a can or walker if needed. Many medications can interact with one another and cause unsteadiness. Review with your doctor to make sure you are not at risk from any medication side effects/interactions. 

9. Social isolation has been found to have more than a 25% increased risk of significant health issues. Making an effort to connect with family, friends, and your local COA or community can make a big difference in mood and feelings of loneliness. Volunteering in your community is also a great way to stay connected and provides a sense of purpose and belonging. Be patient! Making connections and friendships takes time and effort. 

10. Caregivers Need to Take Time for Their Own Wellbeing - Take time for yourself. If you are a caregiver, remember that it is difficult and draining “to fill another’s tank if yours is empty”. Seek out caregivers support groups, make set times for walks, relaxation techniques, dance, exercise. Anything healthy that “feeds” you and brings you joy should be a priority.