Preventing Strokes in the Elderly

by Matthew Boyle, COO, Landmark Senior Living

Landmark Senior Living Communities_logo

In part two of my blog focused on stroke education, I will discuss things people can do to reduce their chance of stroke.

While you can’t reverse the advancement of age, you can take several precautionary measures to ensure that risk of stroke is severely lessened. If you know that you may be more susceptible to a specific cause of strokes, you should work with a licensed medical professional to develop a plan that addresses this.

Here are the most common causes and preventative measures for strokes:

  • High Blood Pressure
  • Frequent Tobacco Usage
  • Heart Disease
  • Diabetes
  • High Weight and Infrequent Exercise
  • Blood Thinning Medication
  • Old Age
  • Family History

Preventative Measures: Strokes are a reality for many over the age of 65, but not inevitable. Here are several ways you can significantly reduce your chances of stroke as an elderly person.

taking-bp-homeLower Blood Pressure: High blood pressure is the number one leading contributor to strokes in adults. Doctors recommend maintaining a blood pressure of less than 135/85 to be safe. If this is too aggressive, a goal closer to 140/90 may be suitable. Having a lower blood pressure not only reduces your chance of stroke, but increases your overall heart health significantly. You can reduce your blood pressure by reducing salt intake, avoiding high cholesterol foods, eating fruits and veggies, getting more exercise, and quitting smoking.

Lose Weight: Obesity is a significant factor directly related to strokes. If you’re overweight, losing as few as 10 pounds can have a real impact on your risk of stroke. Following a better health and fitness for seniors regimen  is the first step to lowering your weight. However, having a balanced, moderated diet is the best way to ensure you lose weight. Doctors recommend eating no more than 1500-2000 calories per day, and making exercise, even if its low intensity, a daily habit.

Avoid Drinking: Drinking alcohol in extreme moderation is good for you, but as most people know, anything outside of 1-2 per day does nothing good for your health. Your goal for lowering risk of stroke should be to aim for little to no alcohol consumption. If you do drink, pick up the red wine, and keep it to 1-2 glasses per day. For reference, a standard sized drink is a 5 ounce glass of wine, 12 ounce beer, or 1.5 ounce of hard liquor.

Quit Smoking: Smoking raises your risk of stroke because it contributes to plaque build up and thickens the blood. Quitting smoking can also raise your overall health and fitness, which will contribute to lowering your chance of stroke. Quitting smoking is one of the best options to preventing a stroke in the elderly.

At Landmark Senior Living, our goal is to create the utmost in independent living for every one of our senior housing residents. Our independent living program is tailored to each individual’s needs and includes robust daily exercise, yoga, & strength training classes available for seniors to become as healthy as possible. Our broad range of activities and events will help you to take care of your mental and physical health.

 

To read part one of this blog, Stroke 101: What is a Stroke and What Are the Signs, please click here.

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Stroke 101: What is a Stroke and What Are the Signs

by Matthew Boyle, COO, Landmark Senior Living

Landmark Senior Living Communities_logo

Currently in the United States, every 40 seconds someone suffers from a stroke. This translates to nearly 800,000 people per year, of which 140,000 result in death. Given our country’s propensity for fast food and bingeable TV programs, this isn’t that surprising. However, we should be considering that this speaks volumes about our healthcare and culture. Strokes are now the third leading cause of death in the country, but it’s also one of the most preventable. Strokes are usually induced by people who have high blood pressure, smoke or chew tobacco, or who have diabetes.

NursePatientCircleIconHowever, the most at risk population for strokes are our elderly. Nearly three quarters of all strokes occur in people over the age of 65. In fact, risk of stroke increases twofold every decade after the age of 55. In honor of National Stroke Awareness month, we’d like to share some helpful information on what a stroke is, what causes strokes, and how to prevent a stroke from happening for an elderly person.

What is a Stroke?

A stroke is what occurs when the blood flow to the brain gets cut off. Similar to a heart attack, you can think of strokes like “brain attacks”. When the brain cells that need oxygen are deprived of this vital blood flow, will shut off and die. A stroke is a serious occurrence because the death of brain cells can immobilize the victim and possibly result in permanent brain damage. There are two types of strokes.

Ischemic Stroke

An ischemic stroke is similar to a heart attack in that a clot forms in the blood vessels surrounding the brain. These can also occur when too much plaque from fatty deposits and cholesterol block blood vessels. Ischemic are the most common type of stroke and account for 80% of all strokes.

Hemorrhagic Stroke

This type of stroke occurs when a blood vessel in the brain breaks open. This rupture leads to blood seeping on to brain tissue, which can cause damage to brain cells. Hemorrhagic strokes typically occur because of high blood pressure, or aneurysm, which is a thinness in the walls of a blood vessel.

The effects of the stroke depend on where the stroke occurs in the brain. Some areas control motor function and some control memory, so stroke victims may experience temporary or permanent loss of mobility in a portion of their body, or lose the ability to speak. Some people recover from strokes without permanent damage, but more than ⅔ of stroke victims continue with some sort of disability. It’s important to recognize the signs of a stroke so you can treat it as quickly as possible.

Signs of a Stroke

Knowing the signs of a stroke can save a life and prevent lasting brain damage. The sooner you can get treatment for a stroke, the better chances you have of saving brain cells and preventing further damage to the brain. A helpful acronym for knowing when to call emergency services is FAST.

FAST_stroke

Other common signs and characteristics are:

  1. Onset weakness or paralysis of half or part of the body
  2. Numbness on one half or part of the body
  3. Sudden change in level of awareness
  4. Partial vision loss
  5. Double vision
  6. Sudden severe headache with no known cause
  7. Difficulty speaking or understanding speech
  8. Unbalance and vertigo

If you suspect or are unsure if someone may be having a stroke, it is wise to call 9-1-1 anyway. However, the safest method is to use preventative guidelines to make sure you never have a stroke in the first place. There are plenty of healthy tips and tricks you can use to reduce your chances of stroke, but there is no guarantee that you will never have one, especially if you have a family history of high blood pressure or strokes.

Visit the MyHHQI Blog page for part two of this blog,  Preventing Strokes in the Elderly, to learn more about preventative measures seniors can take to reduce their chance of stroke.

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During National Women’s Health Week, Honor Your Own Health

10 Tips for Good Health in Later Life

by HealthinAging.org

woman-happyNational Women’s Health Week (May 13-19, 2018) is a perfect reminder to female healthcare providers to practice what we preach. As caregivers and as women who serve our communities’ health, we all too often focus on the health needs of others before our own. In the immortal words of every flight attendant, “Put on your oxygen mask before assisting others.” Meaning, of course, that if you’re neglecting your own well-being, it will be difficult for you to help your clients and loved ones.

And as we age, it becomes increasingly important to monitor our health. That’s because older women are more likely than men to have chronic health conditions, including arthritis, high blood pressure and osteoporosis.

Happily, a great deal of what it takes to boost your chances for staying physically and mentally healthy is within your power. Below is what the experts with the American Geriatrics Society’s Health in Aging Foundation recommend.

See your healthcare provider regularly. Even if you feel perfectly healthy, get a check-up at least once a year, or as often as your provider recommends.

Take medications, vitamins and supplements only as directed. When you visit your provider, bring all the pills and other supplements you take—even those you buy over the counter without a prescription. Your provider should check all of your pills to make sure they’re safe for you, and you should check with her before taking any new medication or supplement.

Let your provider know right away if a medication or supplement seems to be causing a problem or a side effect.

Get screened. Certain screening tests can help diagnose health problems early. Ask your healthcare provider which tests are right for you.

Get vaccinated. Check with your healthcare provider to make sure you’re getting:

  • A flu shot every year in late summer or early fall before the flu season begins.
  • Pneumonia vaccine: there are two types available now, called pneumococcal conjugate vaccine (PCV) 13 and pneumococcal polysaccharide vaccine (PPSV) 23. Talk to your healthcare provider.
  • A tetanus shot every 10 years.
  • The shingles (herpes zoster) vaccine: once after age 50 or older.

sneakers walking2Reduce falls and fracture risks. Take 1,200 to 1,500 mg of calcium and 800 to 1,000 IU of vitamin D daily. Do weight-bearing exercises such as walking, jogging, and aerobic dancing. If you’ve fallen in the past, ask your healthcare provider about exercise programs in your area that include strength training, balance and stretching exercises.

Use sunscreen daily. As skin ages, it becomes more susceptible to sun damage—and that boosts risks for skin cancer. Use sunscreen all year round on exposed skin, and wear a wide-brimmed hat for added protection.

Quit smoking. Tell your healthcare provider about your smoking habits and enlist his/her aid to help you stop. For additional help, call 1-800-QUITNOW. It’s never too late to stop smoking.

Eat a rainbow. Later in life you need healthy foods but fewer calories. Visit the USDA’s updated Choose My Plate for older adults to learn what a healthy diet looks like. Suggestions include:

  • Eat at least five servings of fruits and vegetables daily (less than 1/3 of older adults do this). Select a variety and choose the deepest colors—dark green leafy vegetables, orange fruits and vegetables, and blue and purple vegetables, too. Choose fiber-rich whole grain breads, pasta and rice instead of the white stuff. Pick lean meats and avoid processed meats and cold cuts.
  • To keep your bones strong, enjoy two daily servings of low-fat milk, cheese and yogurt.
  • Try to eat twice-weekly servings of heart-healthy fish, like tuna, salmon, sardines or mackerel.
  • Use healthier fats, such as extra virgin olive oil or canola oil instead of butter or lard.
  • Drink responsibly. Some—but not all—women may benefit from one alcoholic drink a day. Check with your healthcare provider to make sure this is right for you. Remember, one drink equals 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of hard liquor.

Exercise your mind and body. Regular exercise is essential for good health at any age. It improves heart health and circulation, strengthens bones, helps keep the pounds off, lifts your mood and can help ease depression. Talk to your doctor about an exercise program that’s right for you.

Get involved. Social involvement is a key to staying healthy and happy as we age. Sign up for a class, do puzzles, find an interesting hobby or club. Challenge your brain by trying new things.

HealthInAging_logoFor more information and tips for staying healthy as we age, visit HealthinAging.org, a website created and managed by the American Geriatrics Society’s Health in Aging Foundation.

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Your Next Home: A Senior’s Guide to Decluttering and Downsizing

by Janet Campbell, Founder of ElderSpark

April is Occupational Therapy (OT) Month. Occupational therapists are a valuable resource for caring for patients at home. Keeping patients safe at home can be a challenge related to bathing, excessive clutter, unsafe pathways, etc. Leverage your OTs to assist working with patients and families to develop a safety plan to reduce hazards. An HHQI Underserved Population webinar, Compulsive Hoarding for Care Managers, can provide insight with the clinical team addressing barriers, including therapists. Today’s blog provides great insights for you as the reader or to share with patients/families or friends.

movingbox_iconLet’s face it. No move is easy. Whether you’re heading off to college, moving in with a significant other, or upsizing to accommodate your growing family, every move has its own unique set of challenges.

One of the most difficult moves of all, however, is your last. While there are many benefits to downsizing as you age — like lower energy bills, less maintenance, and proximity to your loved ones — the physical and emotional strain of packing up and leaving your family home can be overwhelming. In addition to the memories you will be leaving behind, you’ll likely need to significantly pare down your belongings as well.

While the process of going through a lifetime of possessions will almost always be a painful one, there are things you can do to ease the transition. First, give yourself plenty of time. It took nearly a lifetime to accumulate all those things and, more than likely, it will take longer than you think to go through it.

The earlier you begin preparing for your move, the less stressed you will be. Take it one room at a time, and start in an area where you don’t have a lot of emotional attachment, like the laundry room or linen closet. Spend at least a few seconds on each item before you make your decision. If you begin to feel overwhelmed, feel free to move to another room or take a break until you feel better. You may even want to try meditating to ease your mind, calm your breathing, and remind yourself of your goals.

Next, establish some ground rules regarding what you will keep and what you will toss, donate, or give away. If you can, do this before you begin packing and purging, and let it be your guide as you wade through each drawer, closet, and shelf. One easy-to-implement way of doing this is to ask yourself these four, simple questions about your belongings:

  • Do I need it or want it?
  • Does it have sentimental value?
  • Do I use it often?
  • Do I have another item that performs the same function?

Of course, these rules aren’t hard and fast. It will be up to you to interpret the difference between “want” and “need,” for example. And, as difficult as it may be, lose the guilt. If you don’t need it, want it, or use it, and it has no sentimental value, don’t feel obligated to keep the item. No matter who gifted it to you, how old it is, or whether it has monetary value.

HHQI_Decluttering Image_4.20.18

Image via Redfin.com

Finally, don’t be afraid to ask for help. Friends and family members who are less emotionally invested in your belongings than you can be invaluable helping hands (and hearts) as you declutter. From doing the heavy lifting to sharing memories about your favorite items, they can lighten both the physical and emotional load.

Moreover, having your children and grandchildren involved in the process can help you gain clarity when it comes to legacy gifts. It may be easier to let go of those hand-sewn quilts if you know they will find a loving home in one of your children. Likewise, you may feel relieved to put  that grandfather clock up for sale after you find out none of your heirs want it for their own.

If you don’t have any family nearby or need even more help, there are also companies that specialize in helping seniors simplify prior to a move. For a fee, these professionals can help with every part of the process.

Above all, remember to be kind to yourself. A season of your life is coming to a close and, as is always the case, it takes time to make the transition.

 

Janet Campbell founded ElderSpark to fulfill her mission to encourage people to live their healthiest and happiest lives ever. She strives hard to provide information on senior wellness and safety as well as ideas for how to make the most of this beautiful chapter of our lives.

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The ABCs of Kidney Disease Prevention

Dr. Angie Kurosaka - HHQIby Dr. Angie Kurosaka, DNP, RN, CNN, CCM, NEA-BC, Sr. Vice President of Medical Management, Specialized Markets, a division of Centene Corporation

Benjamin Franklin said, “An ounce of prevention is worth a pound of cure” and that holds true today. The healthcare landscape is rapidly changing, and providers must do more to remain solvent and provide better care. How can providers stay ahead of the industry when dealing with kidney disease? What about patients who have been diagnosed with kidney disease? It is challenging to improve clinical outcomes when patients have so many co-morbid conditions. One way is to prevent or delay the progression of kidney disease into the possible need for kidney function replacement therapy, i.e. dialysis or kidney transplantation.

Kidney disease remains in the top 10 causes of death according to The Centers for Disease Control, CDC (CDC, 2017). The latest from the United States Renal Data Service (USRDS) suggests more than 660,000 people in the U.S. have kidney disease, with more than 450,000 of those on dialysis and approximately 200,000 with a transplant (USRDS, 2017). The USRDS is a national data system that collects, analyzes, and distributes information about chronic kidney disease (CKD) and end-stage renal disease (ESRD) in the U.S.

These are alarming numbers, and each year, millions of people walk around with some form of kidney disease and don’t even know it, which is why healthcare providers and the public should have some awareness of the risks of kidney disease. With so many pressures for providers to close gaps in care (pay for performance) and for patients to take a more active role in their care, I would like to offer a solution.

The ABCs of Kidney Disease Prevention

ABCs_revA is for Advocacy. Advance practice registered nurses (APRNs), nurses, doctors and the public must advocate for themselves or their patients. Advocate for yearly or more frequent check-ups if a primary care provider already exists to assess for any co-morbid conditions that could lead to kidney disease. Collaborate with insurance companies who have access to BIG data and analysis, work with Case Managers or hire your own Home Health Case Managers to help in this endeavor; it can be very successful. Early identification and intervention can delay the progression of kidney disease as well as provide significant cost savings.

B is for Boosting Your Knowledge. There are many websites, journals, books, and resources on kidney disease that offer information on preventing or slowing the progression of the disease. Take advantage of these free resources, and provide education to your patients. If one particular web app doesn’t work for them, perhaps offer a different one. We all have personal preferences; some prefer a more comprehensive app while others may enjoy a one-click type approach. Large dialysis organizations, patient organizations, the American Nephrology Nurses Association, and the Renal Physicians Association can provide an abundance of educational material to use. Government websites offer educational material for healthcare providers, most available for free or at very reasonable prices. March is National Kidney Month, so check out the National Kidney Foundation website for excellent resources. Many of these sites have material that can be printed and shared in the community or directly with patients.

C is for Commitment. We all need reminders and goals for ourselves. A Commitment Plan will help patients and healthcare providers to be successful. Creating a plan with the goal of helping a patient with their “ounce of prevention” is second nature for healthcare providers. I cannot stress enough the importance of collaboration with payers and other providers to develop a comprehensive plan to identify and potentially delay the onset of dialysis or kidney transplant. What better time to do that than now during National Kidney Month and specifically today, March 9, World Kidney Day? There are some great websites with ideas and information for caregivers and patients alike listed below.

Let’s review just how important these little fist-sized organs are to the human body.

  • They filter 200 liters of blood daily. Wow, that is a lot of filtering! Imagine this is the equivalent of about 53 twelve-ounce sodas in a day.
  • They regulate salt, potassium, and acid in the body. Salt and potassium are in so many foods that we consume every day. They are mostly used as preservatives in processed foods. Eating healthy and preparing your own foods can limit the vast amount of salt and potassium intake and will give your kidneys a break.
  • They remove drugs from your body. Many drugs, both prescription and over the counter medications, are filtered out of your body by the kidneys. With all the resistant bacteria, we need equally high-power antibiotics to fight these drug resistant bacterial infections. To do so, we need healthy kidneys.
  • They balance your body fluids. We don’t think about how much liquid we consume every day. The evidence suggests we should drink at least 64oz of water each day. However, there are many things we eat, such as fruit or soup, that have water as well. When our kidneys don’t work properly, this causes fluid overload and can result in an emergency room visit or hospital admission.
  • They keep our bones healthy, and who doesn’t want strong bones?
  • Finally, they help with red blood cell production. Many patients with compromised kidney function are anemic due to lack of red blood cell reduction resulting from their reduced kidney function.

161843047As a Certified Nephrology Nurse and a Certified Case Manager, I am always on the lookout for ways to get my patients involved in their care. Studies have shown that member engagement is a key to success (Greene & Hibbard, 2013). Many start-up companies are offering providers and insurance companies ways to improve member engagement. I, personally, try to live the ABCs of prevention when working with my patients with compromised kidney function.

Suggested Resources:

References

Centers for Disease Control and Prevention (CDC). (2017). Deaths and mortality. Atlanta: Author. Retrieved from  www.cdc.gov/nchs/fastats/deaths.htm.

Greene, J.H. & Hibbard, J. (2013).  Activation:  Better  health outcomes and care experiences; Fewer data on costs. Health Affairs, 32(2). Retrieved from https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2012.1061.

United States Renal Data System (USRDS). (2017). Ann Arbor:  Author. Retrieved from https://www.usrds.org/.

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New Year’s Resolutions & Your Heart

by Misty Kevech, RN Project Coordinator, HHQI

A little over a month ago, many people made New Year’s resolutions such as losing weight, exercising more, and trying to quit smoking. Have you started down the slippery slope of forgetting or giving up on your resolutions? Time to relook at some of your resolutions for your HEART!

clockFebruary is American Heart Month. Why is heart disease still important? Heart disease is the leading cause of death for both men and women resulting in 1 in every 4 deaths in the U.S. each year. Every 40 seconds someone in the U.S. has a heart attack, and each minute someone dies from heart-disease related death. (CDC, 2016)

Clinicians and many patients know the risk factors, but heart disease remains the leading cause of death. According to the CDC (2011) almost half of Americans have one of these key heart disease risk factors:

  • High blood pressure
  • High LDL cholesterol
  • Smoking

How are clinicians working on reducing the incidence and consequences of heart disease?  Educating patients and their families to know the risk factors and which ones can be modified with lifestyle changes or medical interventions. Engaging  patients into their care and assisting with developing a reasonable plan to make changes. Start with small changes. The World Heart Federation® states that CVH diseases can be prevented with behavioral risk factor modifications including:

  • Eat healthy and control weight
  • Exercise and get active
  • Improve hours of sleep
  • Manage cholesterol
  • Monitor blood pressure
  • Reduce diabetes
  • Reduce tobacco use
  • Take essential medications

Making behavioral modifications can be difficult. A simple clinical approach with changes are the 3 A’s.

Ask_Advise_Act

ASK the patient which of the modifications they might be able to work on. Listen to what they are telling and not telling you. Allowing the patient to select the area will begin to engage the patient into their care planning.

ADVISE the patient on different interventions that could be used with the modification topic selected by the patient. This allows the patient to hear options and make a selection of something they feel they could and are willing to try.

ACT or ASSIST allows you to provide small steps the patient could work on building upon successes towards a bigger goal.  Assist patients with tools or tips to be successful or to remember concepts.

This cycle is repeatable as the patient progresses. Always give positive feedback and encouragement. Create change in small obtainable goals will assist with putting new behavior into action. To learn more about the 5 A’s and 3 A’s see the Cardiovascular Health: Part 2 Best Practice Intervention Package (BPIP) pages 71-73.

Research continues to modify guidelines and protocols to improve cardiovascular health. The American College of Cardiology & American Heart Association (ACC/AHA) recently updated their blood pressure management guidelines. The update also provided changes in the classifications of blood pressure.

Categories of BP in Adults*

BP table_HHQI

**Individuals with SBP and DBP in 2 categories should be designated to the higher BP category. BP indicates blood pressure (based on an average of ≥2 careful readings obtained on ≥2 occasions, as detailed in Section 4); DBP, diastolic blood pressure; and SBP systolic blood pressure. (Whelton, et al., 2017)

The updated blood pressure guidelines for ACC/AHA and the American Diabetes Association (ADA) are included in HHQI’s Cardiovascular Health Part 1 – 2018 Update BPIP.

One of HHQI’s focus areas over the past five years has been improving cardiovascular health (CVH) of home health patients. We have created several CVH BPIPs to provide the evidence, information, and resources for home health and other community setting providers. Additionally, HHQI has created many other supporting resources including patient and clinician education materials (e.g., tools, videos, puzzles, etc.); all of which are free and can be used to promote heart disease awareness. Below are some examples that you may want to share with staff, colleagues, and patients to promote heart disease awareness this month.

  • HHQI CVH patient and clinician videos (10 total)
    • 8-12 minutes in length
    • Available to download and saved
      • Complete Resource Library – select the following filters:
        • Topic: Cardiovascular Health (any/all topics) and then Material Type: Video
        • MP4 files can be downloaded and saved on laptops or tablets
      • Or can be viewed from YouTube
      • HHQI materials and information
        • Complete Resource Library – select the following filters:
          • Topic: Cardiovascular Health (any/all topics) and then Audience: Patient OR Nurse, OR Therapist…
        • HHQI University’s Cardiovascular Health Course Catalog offers free courses that include free nursing CEs and a few have PT CCUs
          • Blood Pressure Control and Smoking Cessation (1.5 hr)
          • Cardiovascular Health for At-Risk Populations (2.5 hr)
          • Cholesterol Management: The Good, the Bad & the Ugly (1.25 hr)
          • It’s HHQuitting Time – Help Your Patient Quit Smoking (1 hr)
          • Lifestyle Management for Cardiovascular Health (1 hr)
          • Master the Maze if Blood Pressure Medication (1 hr)
          • Tobacco Effects and Cessation Medications (1 hr)
        • HHQI University’s Home Health Aides Course Catalog offers a CVH course geared to home health aides:
          • Heart Attach & Stroke Risk Factors, Signs & Symptoms (Aides; 1 hr and no CEs)

Make a fresh resolution this month to engage patients, caregivers, your family and friends, and yourself in reducing heart disease risk factors!

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Preparing for Winter Weather: What to Have in Case of Emergency

by: Patricia Sarmiento, writer for Public Health Corps

winterBeing prepared in the event of an emergency is important for anyone, but when you have children, elderly family members, or loved ones who have health issues, it’s especially imperative. When the roads become too difficult to travel, a medical emergency can quickly turn dire for some, so it’s best to be prepared for any event.

Although winter weather means many different things according to which part of the country you live in, it can often mean snow, sleet, ice, and very slippery or even impassable roads. Trees and power lines can come down without warning, interrupting or completely knocking out the electricity, which could leave you and your family in the cold and dark.

Fortunately, there are several simple ways you can prepare your home, your automobile, and your family in the event of a winter weather emergency. Working out a plan and making a few purchases will ensure you have peace of mind when the colder months roll around; read on to find out how to get started.

Stock up

Stocking up on essentials like bottled water, bread, milk, batteries, and toilet paper is an excellent idea, but you might also think about what sort of medical supplies you and your loved ones will need should you be stuck in the house for a while. This includes extra insulin for diabetic individuals, prescription medication, a fully-stocked first aid kit, and even over-the-counter pain reliever. If there are children in the house, make sure you have liquid pain reliever/fever reducer and/or cough medicine, just in case. Winter weather often brings with it nasty forms of illness, and if the streets are too dangerous to drive on, it might be a while before you can get to the doctor. Also, think about keeping a box with gloves, hats, extra coats and long-sleeved shirts, and hand warmers so that everyone will be covered. For some great tips on what to include in your kit, check out this article.

This type of preparation should also include an EpiPen for individuals with severe allergies and even Naloxone, an injectable drug that can treat a narcotic overdose in an emergency situation. Talk to your doctor about its uses, side effects, and the pros and cons. For more information on how to handle this and other drug emergencies, click here.

Think about outdoor needs

Supplying your home with canned goods, water, and medicine is the first step in preparing for heavy winter weather; the next is to ensure the outside is good to go as well. This means stocking up on firewood if you have a fireplace, making sure all outside pipes are either insulated or turned completely off so they don’t freeze and burst, and laying aside rock salt, a good shovel and warm gloves, antifreeze, and sandbags for traction if your driveway is steep. If there’s an emergency and the roads are passable, you’ll want to make sure you can get out of your home.

Speaking of those roads…

Your car is the next thing on the list. Make sure it’s in good shape and has plenty of gas at all times. Take it in to have the fluids topped off, the wipers and tires checked, and the oil changed. In the trunk, keep blankets (you can buy foil emergency blankets that will fold down pretty small), a jug of water, a heavy-duty flashlight with extra batteries, a cell phone charger, a small box of snacks such as granola bars and cheese crackers, and road flares. Going out during a storm is not advisable, but if you have an emergency and feel you have no choice, it’s best to be prepared for any situation.

Winter weather is no joke, especially in states where snowfall can amount to several feet very quickly. Map out a plan of evacuation and talk to your family about where to meet in case anyone gets separated. Making sure everyone is on the same page will not only give you peace of mind, it will keep everyone safe in the event of an emergency.

 

Author

Patricia Sarmiento is a writer for Public Health Corps. She played sports in high school and college and continues to make living an active lifestyle a goal for herself and her family.

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