With climate change, summer heatwaves are becoming the new seasonal norm. It is imperative to prepare for them and adopt the right practices to protect our elders from dehydration.
Why are seniors at higher risk of dehydration during heatwaves?
High temperatures pose more risks to older individuals for various reasons. The primary danger is dehydration. It's essential to understand that the body continually regulates its temperature. When it exceeds 37°C (98.6°F), the body produces more sweat to preserve natural bodily functions and dissipate heat through water evaporation. Sweating is a protective mechanism, but it must be compensated for by an adequate intake of water. Generally, the sensation of thirst is heightened and encourages increased water consumption. However, older people may not always feel thirsty, and their body's temperature regulation mechanism may not function as effectively. This makes them more vulnerable to heatwaves and extreme heat.
Medications to avoid during high temperatures and dehydration
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The use of certain medications can exacerbate the effects of heat, and a doctor may recommend adjusting the dosage. It is advisable to avoid antipyretic drugs like paracetamol, which are used to reduce fever but are ineffective in cases of heatstroke and can even worsen existing liver issues. Aspirin and non-steroidal anti-inflammatory drugs (NSAIDs), including ibuprofen, can be particularly harmful to a dehydrated person. In all cases, the treating physician should reevaluate medications during periods of high heat. Never stop a medication without consulting a doctor. They can decide to temporarily discontinue a non-essential medication or replace it. Such decisions should only be made by a healthcare professional.
What are the warning signs of dehydration?
Dehydration results from a lack of water and minerals in the body. The initial signs that should alert families to possible dehydration include thirst, dry lips, slight weight loss, unusual fatigue, and a decrease in strength. Older individuals may not necessarily feel thirsty, even when dehydrated, often leading to a worsening situation. If dehydration is not promptly compensated with adequate water intake, it can become much more severe. A weight loss exceeding 5% of a person's total weight indicates a severe state, and beyond 10%, vital organs are at risk. Signs of severe dehydration include intense thirst, dry mouth and tongue, dull eyes, sunken eyes, the appearance of skin folds, dry, cold, and pale skin, fever, reduced urine output, headaches, dizziness, disorientation, fainting, altered consciousness, and behavioral changes.
How to prevent dehydration in older individuals?
Prevention is the safest way to protect our elders. Given that they may not remember to drink water because they don't feel discomfort or thirst, family members and caregivers must be particularly vigilant. Frequent visits or regular phone calls are essential to ensure everything is alright. People with dementia, such as Alzheimer's patients, are especially vulnerable. They may forget to drink and may not realize the severity of the situation. Similarly, individuals with psychiatric and neurological conditions, as well as those with Parkinson's disease, should be closely monitored, especially since they often take medications that increase the risk of dehydration.
Precautions to take during heatwaves and heatwaves
Since older individuals may not feel thirsty when their bodies need hydration, they should drink water without waiting to feel thirsty. Doctors recommend consuming about 1.5 liters of water daily, not too cold to avoid quenching thirst too quickly. It is also advisable to avoid alcohol, which can lead to dehydration. Fluid intake can be diversified with teas, soups, highly diluted syrups, fruit compotes, sorbets, fruit juices, or water-rich fruits like watermelon and melon, as well as vegetables like tomatoes and cucumbers. This diversity ensures an adequate intake of water throughout the day. For example, a yogurt hydrates as much as a glass of water. Increased sweating due to heat results in water and mineral loss that must be compensated for.
During a heatwave, it is also advisable to moisten the skin with a damp cloth, use a mister to stay cool, take frequent showers without drying off, if mobility allows, and cool the room. If the outside temperature exceeds that inside, it is recommended to close windows and draw curtains where the sun shines. In nursing homes (EHPAD), healthcare teams are prepared for heatwave episodes and trained to handle them optimally.
What to do in case of dehydration?
If dehydration is mild and weight loss is less than 5% of the body weight, some simple and effective steps can be taken. It is advisable to lay the person down, undress them, cool them down, and compensate for their water and mineral losses by giving them more to drink than usual, including drinks containing sufficient sugar and salt, vegetable broths, or other suitable beverages. Monitor the progress of dehydration and ensure the person's condition improves.
Daily Hydration Recommendations for Seniors
| Activity Level | Water Intake Recommendation |
|---|---|
| Sedentary | 6-8 glasses (1.5-2 liters) per day |
| Moderately Active | 8-10 glasses (2-2.5 liters) per day |
| Active | 10-12 glasses (2.5-3 liters) per day |
However, if dehydration has reached a more severe stage, and any of the signs listed above are observed, it is then an emergency situation. This requires immediate and specific medical intervention.
Call emergency services immediately and provide as precise answers as possible to their questions. The person will be treated at home or transported to the hospital. Water and mineral losses will be compensated for by intravenous infusion if necessary. Afterward, consult the person's regular doctor for follow-up.
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FAQ:
What are the signs of dehydration in seniors?
Signs include dry mouth, fatigue, dizziness, confusion, and dark-colored urine. If these symptoms appear, it's important to rehydrate immediately.
How much water should seniors drink daily?
Seniors should aim for 6-8 glasses (1.5-2 liters) of water daily, depending on their activity level and overall health.
What are the best ways to encourage seniors to drink more water?
Offer water regularly, include hydration-rich foods like cucumbers and watermelon in their diet, and use flavored or infused water to make it more appealing.
Can dehydration affect cognitive function in seniors?
Yes, dehydration can lead to confusion, difficulty concentrating, and even memory issues. Proper hydration is essential for maintaining cognitive health.
What foods can help prevent dehydration in seniors?
Hydration-rich foods such as watermelon, cucumbers, strawberries, and lettuce are excellent options to maintain hydration levels.
Are there beverages seniors should avoid to stay hydrated?
Yes, seniors should limit drinks like alcohol and caffeinated beverages, as these can lead to dehydration.
How can caregivers monitor a senior's hydration?
Caregivers can keep track of daily water intake, monitor for signs of dehydration, and ensure seniors have easy access to fluids throughout the day.
Can dehydration worsen existing health conditions in seniors?
Absolutely. Conditions such as kidney disease, diabetes, and cardiovascular problems can be exacerbated by dehydration.
What should I do if a senior shows severe signs of dehydration?
Seek medical attention immediately. Severe dehydration may require intravenous fluids and professional care.
Why is dehydration more common in seniors?
As we age, the body's ability to conserve water diminishes, and the sense of thirst may become less noticeable, making seniors more prone to dehydration.
