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Heat stroke is a danger to all, but it is a severe risk for seniors. Older bodies are less sensitive to changes in temperature and can’t adjust either. So, seniors might not even notice that they’re overheating – until they become unwell. Chronic health conditions and common medications also make it harder for the body to respond to heat.

What is heat stroke?

Heat stroke happens when the body overheats, typically to 104 degrees Fahrenheit or higher. It’s a severe condition and requires immediate emergency treatment.

Heat stroke can damage the brain, heart, kidneys, and muscles if it's not treated. Plus, the longer it takes to get treatment, the higher the risk of severe complications or death.

 Six ways to prevent heat stroke in seniors

1. Understand your client’s health conditions

Check your client’s Plan of Care with the supervising nurse to determine if medications or treatments, like diuretics or low-salt diets, could affect how their bodies regulate temperature.

Ask if there are particular things you need to do immediately if you see signs of heat stroke. Common remedies like sports drinks or lots of water could harm some seniors.

2. Identify heat stroke symptoms for fast treatment

Heat stroke symptoms include:

An extremely high body temperature (104°F or higher) or higher within 10 to 15 minutes

• Red, hot, and dry or moist skin
• Rapid, strong pulse
• Throbbing headache
• Dizziness
• Nausea
• Confusion
• Unconsciousness

If they are overheating, call 911 or their doctor to get professional medical attention as soon as possible. In the meantime, try to cool them down using the treatment methods listed. Untreated heat stroke can cause death or permanent disability if not treated.

3. Encourage water intake and dress for the weather

Remind your client to drink water throughout the day. A body that’s hydrated feels cooler and regulates temperature better. But avoid water that’s too cold; it could cause cramps.

Convince them to wear as little clothing as possible and make clothes as light, loose, and breathable as possible. If they feel chilly, give them a bath towel as a light lap blanket.

5. Get outside the house

If the house is too hot, you may need to go somewhere else to keep your client cool and comfortable. Remember to take precautions against Covid-19: wear a face mask, try to keep some distance from other people, and use hand sanitizer.

Senior-friendly places to find air conditioning:

Relative or friend’s house

Coffee shop or restaurant

Shopping malls or stores

Public library

Senior center or city recreation center

Electric fans can trick the body into thinking it’s more fantastic and do more harm than good, especially for older adults.

The CDC recommends using electric fans only when temperatures are below the high 90s. Once the temperature reaches the 90s, it’s better to take a cool shower or bath or use an air conditioner to cool down.

 Heatstroke requires fast action to prevent organ damage or even more grave health complications. True Care home health aides know that time is of the essence and although certified, HHAs are not allowed to apply heat or cold treatments to their clients. It is always better to seek immediate medical attention as quickly as possible.