Healthy winter A guide to help make sure your older relatives have a warm, healthy and stress free winter. Looking after your older relatives We have put together this guide to help you look out for any signs that all is not well so that you don’t need to panic when your GP practice is closed. We also know that if you haven’t seen someone for a while and they become unwell or behave differently to the way they might have done before it can be quite distressing. Sometimes this could be an early sign of an illness developing but it is unlikely to be something that needs immediate emergency care, it could be worth waiting until you can book an appointment at your loved ones local GP. Remind your loved ones to take their medication correctly If you are looking after loved ones and you know that they have regular medication, for example they may need an asthma inhaler or medicines for their diabetes, it is important that you remind them to take their medicines. It is also worth checking that people are taking their medication as directed to on the label or patient information leaflet that comes with the medicine they are taking. Remember any unused medication should be returned to a pharmacy as they can be a safety risk, and not taking prescribed medicines can sometimes lead to further health issues. If you are worried speak to a pharmacist or book an appointment for your loved one with their GP. If you find out that your loved ones have run out of their medication there are a number of pharmacies that are open out of hours. If you run out of prescription medicines and you don’t have a prescription with you, you may be able to get an emergency supply from a pharmacy. It’s a good idea to take along your medicine’s packaging with you, if you have kept it. Dementia watching out for early signs The early symptoms of dementia are often mild and might get worse only very gradually. If you are worried about the health of one of your loved ones try not to panic just book an appointment for them with their GP. A GP will ask about symptoms and other aspects of their person’s health and may give them a physical examination. The GP might also organise some blood tests and ask about any medication they are taking, as these can sometimes cause symptoms similar to dementia. They will also be asked some questions or given some mental exercises to measure any problems with memory or their ability to think clearly. Here are some signs to look for: • memory loss such as forgetting messages, routes or names and asking questions repetitively • difficulties with tasks and activities that require organisation and planning • becoming confused in unfamiliar environments • difficulty finding the right words • difficulty with numbers and/or handling money in shops • changes in personality and mood • depression Even if any of your family members are showing any of the above signs it is important to remember the information below. • A degree of forgetfulness is normal for everyone, perhaps if we are busy, distracted or stressed, or as we get older. It is when increased confusion or memory problems are having a significant impact on daily lives that we should seek advice and help. • Memory problems and confusion are not always signs of dementia - they can be caused by other, treatable conditions such as vitamin deficiency, underactive thyroid, or depression. They can even be caused by hypothermia or malnutrition so it is important to speak to a GP and get the right treatment. • It can feel difficult for families and friends to connect and engage with people with dementia and memory problems. However, hitting upon the right activity or subject of conversation can bring out the best in everyone, and people with dementia are no different. Reminiscence is a natural part of family gatherings and celebrations, and can help to reinforce our identity and feel positive about ourselves. There are plenty of ideas in these leaflets from the Alzheimer’s Society: Staying Involved and Active and Visits, Holidays and Celebrations. Find out more and download these leaflets from: www.alzheimers.org.uk • For more local information visit www.leeds.gov.uk/dementia or ring Leeds Alzheimer’s Society on 0113 231 1727. Eating and drinking well Older people are at greater risk of dehydration and malnutrition so it is really important that you help make sure that they eat well and drink plenty of non-alcoholic drinks. Good eating and drinking is really important for older people as it can help reduce the risk of headaches, dizziness and confusion, urinary infections, constipation, kidney stones and skin conditions such as pressure ulcers. Ideally your loved one should be drinking at least eight drinks and eating at least three meals per day. Any fluid, except alcohol counts including milk, water, tea, coffee and fruit juice and meals should include some potatoes, rice, pasta and bread, some fruit and vegetables, some meat, fish, eggs and beans or other non-dairy sources and some milk and dairy products. If you feel that the person you are looking after is not eating or drinking enough it might be worth speaking to their GP. Stay warm As we get older, it is harder for our bodies to detect how cold we are. But by following these simple steps, you can help protect your loved ones health this winter. • Give them regular hot drinks. • Encourage them to wear gloves and a hat, always wrap a scarf around their neck and head when they go out and wear lots of thin layers of clothes rather than one thick layer, as the layers trap warm air. • Using a shawl or blanket will provide a lot of warmth, mention to your loved ones that they could try to keep their feet up, as the air is cooler at ground level. • Encourage them to wear warm clothes in bed and if it is very cold, wear thermal underwear, bed socks and even a hat - a lot of heat is lost through your head. • Using a hot-water bottle or an electric blanket to warm the bed will help when the night time temperature drops but they should never be used together as this can be dangerous. • Help them choose winter boots with non-slip soles and a warm lining, or wear thermal socks. Produced by NHS Leeds North Clinical Commissioning Group, NHS Leeds South and East Clinical Commissioning Group and NHS Leeds West Clinical Commissioning Group - January 2014.
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