By:LINDSEY TANNER | AP Medical Writer | 07/19/11 1:38 PM

Healthy, active seniors enduring this week’s heat wave without any trouble are reminded that they need more water to keep the blood flowing and are far more at risk of dehydration and heat stroke.

This week’s heat wave may be uncomfortable, but you’re healthy, active and feel just fine. So what if you’re over 65? Think again. Feeling good doesn’t mean you’re safe.

There are changes in an older person that raise the risk for heat stroke and other problems. An older body contains far less water than a younger one. Older brains can’t sense temperature changes as well, and they don’t recognize thirst as easily.

Blistering summer heat is an underappreciated killer, claiming by some estimates as many as 1,000 U.S. lives each year — more than any other type of weather.

One federal study found 40 percent of heat-related deaths were in people 65 and older. Those numbers could be lower if more heeded heat warnings aimed at seniors. Yet research has shown many people over 65 don’t think the warnings apply to them — because they don’t think they’re "old."

Don Worden is 79 and an avid tennis buff who prefers playing doubles on outdoor courts along Chicago’s lakefront — even in oppressive 90-degree temperatures like those hitting the Midwest this week.

"I don’t pay too much attention to those" warnings, Worden said. "I stay in pretty good shape, and I don’t feel they apply to me."

Worden said he drinks a lot of water and would stop a match if he started feeling effects from the heat, "but that hasn’t happened."

Scott Sheridan, who studies the effects of heat and climate on health at Kent State University, researched how people over 65 view heat warnings. In his 2006 study of more than 900 people, he found about 70 percent knew about advice to drink plenty of water on very hot days, avoid outdoor activities and stay inside with air conditioning. But only about half said they followed the advice.

"People well into their 70s would say old people should watch out but not them," he said. "People just didn’t want to be thought of in that same category."

Dr. David Zich, an emergency medicine specialist at Northwestern Memorial Hospital, said he has colleagues in medicine that age who shun being thought of as "elderly." But those heat warnings apply to them, too.

As Dr. William Dale, geriatrics chief at the University of Chicago Medical Center explains it, "Any older adult has less reserve and is more likely to become dehydrated than others, just because their overall body water goes down with age no matter how healthy you are."

The amount of water in the body declines with aging, from about 80 percent in young adulthood to about 55 to 60 percent for people in their 80s, Dale said.

Temperature sensors in the brain become less sensitive as people age, so the body doesn’t get the same signals to drink water in hot weather, and older people often don’t feel thirsty even when they need to replenish, Dale said.

They also may not feel the typical symptoms of dehydration, such as headache or dizziness. Some complain of just feeling "bad" and think they’re getting sick, he said.

Conditions were ripe for those types of complaints Tuesday as a dense dome of hot air remained parked over much of the nation’s midsection, raising temperatures into the mid- to upper-90s from the Texas Gulf Coast to the Rockies and the northern Plains. Tropical-level humidity raised the heat index in many places to nearly 120 degrees.

In South Dakota, up to 1,500 head of cattle died across the state from the heat. And in eastern Iowa, the scorching sun caused a portion of Interstate 380 to buckle. The weather also sent dozens of people to hospitals, canceled outdoor sporting events and caused sporadic power outages.

In such conditions, dehydration can lead to heat exhaustion and potentially deadly heat stroke. During a heat wave, that can happen in a matter of hours in older people if they over-exert themselves, don’t drink enough water or are frail and don’t get out of un cooled homes, said Dr. Chris Carpenter, an emergency medicine physician at Washington University School of Medicine in St. Louis.

Heat exhaustion can cause muscle cramps, low blood pressure, rapid pulse and nausea. It can be treated at home, by drinking water, getting into an air-conditioned room or sitting in front of a fan and misting the body with cool water.

But affected people should be monitored for mental changes and to make sure their temperature does not rise above 102 because the condition can quickly lead to heat stroke. A medical emergency, heat stroke involves temperatures of 104 or higher and can cause seizures, loss of consciousness and death.

Medicines many older people take also may make them more vulnerable to the heat. These include diuretics for high blood pressure, which increase urination — and make it more important to drink plenty of water, Dale said.

Some types of drugs can interfere with sweating and raise body temperature, including some medicines for insomnia, nausea, prostate conditions, Parkinson’s disease and even Benadryl. Many list "dry mouth" as a side effect — a tip-off to drink more water, Zich said.

There aren’t specific guidelines on how much water older people should drink in a heat wave.

Dale said he generally tells his older patients to drink a quart of water throughout the day, and to drink even if they don’t feel thirsty.

Doctors also advise older patients to avoid alcohol and coffee during extreme heat because they can cause the body to lose fluid and contribute to dehydration.

For more information on home care in Phoenix, Scottsdale, Chandler, Mesa or the East Valley contact Care-To-Go home care. (480) 284-8611

By Liz Szabo, USA TODAY

Doctors often instruct cancer patients to eat well to keep up their strength.

But for cancer patients, getting through a simple meal can be a challenge. Radiation treatments can burn the throat, making it painful to swallow. Chemotherapy can cause patients to develop mouth sores or leave people nauseated. Other patients find that chemo takes away their sense of smell or alters their sense of taste.

Two books from the American Cancer Society aim to help both patients and their caregivers overcome these hurdles. The Complete Guide to Nutrition for Cancer Survivors ($24.95), published this year, explains how good nutrition can help boost the immune system and fight fatigue.

What to Eat During Cancer Treatment ($19.95), published last year, offers 100 recipes to help patients cope with six major symptoms of treatment. For instance, there’s a brie and apple grilled cheese for patients coping with nausea. Most recipes take only 30 minutes to make.

That’s important, given that cancer patients may not have much energy to spend in the kitchen and caregivers may be pressed for time, says the cancer society’s Colleen Doyle, who edited both books.

The recipes also include foods packed with vitamins and antioxidants, Doyle says. Patients who eat well are often better able to deal with side effects of treatment and may be better able to fight off infections, she says.

"I truly believe food is medicine, and it helps people provide their body with the nutrition they need to heal," say Barbara Grant, a registered dietitian and co-author of Nutrition for Cancer Survivors.

American Cancer Society’s tips for cooking for someone with cancer:

• Ask if the person has any special requests. "Instead of just showing up with chocolate cake, ask, ‘What can I make you? What sounds good?’ " says Grant.

• Ask if you can help with groceries or offer to do the dishes, says the American Cancer Society’s Colleen Doyle, a registered dietitian.

• Offer to put together a "survival kit" in a cooler, filled with snacks and drinks, for times when the cancer patient doesn’t want to get out of bed to go to the kitchen to eat, Doyle says.

• Prepare an "on-the-go" snack mix with nuts, pretzels, dry cereal or crackers for the cancer patient to eat when away from home.

• Instead of making one big casserole, prepare individual servings to freeze and reheat, Doyle says.

• Wash your hands carefully, make sure all meats and eggs are fully cooked, and take care to avoid any kind of contamination, which can be dangerous for people with weakened immune systems.

Recipe: Tuna melt quesadilla

The recipe from the American Cancer Society addresses the common cancer treatment symptoms of unintentional weight loss and taste alterations.

Servings: 3

Prep time: 15 minutes or less

Total time: 15 minutes or less

This twist on a classic gives new life to the tuna melt. A quesadilla is a good choice when a sandwich seems overwhelming. Choose full-fat options if trying to gain weight, reduced-fat if you are watching calories.

Ingredients:

• 1 (5-ounce) can tuna in water, drained

• 1 tablespoon regular or reduced-fat mayonnaise

• 1/2 tablespoon Dijon mustard

• 1 tablespoon finely chopped red onion

• 1 tablespoon pickle relish

• 3 (8-inch) whole wheat or plain tortillas

• 3/4 cup shredded regular or reduced-fat Cheddar or "Mexican style" cheese

Directions:

1. In a bowl, flake the tuna. Add the mayonnaise and mustard and stir to combine. Add the onion and relish.

2. On a microwave-safe plate, place 1 tortilla and spread half with 1/3 of the tuna mixture. Sprinkle the other half with 1/4 cup cheese. Fold the tuna half over the cheese half. Microwave on high for 40 to 50 seconds, or until cheese melts. Repeat twice with the remaining ingredients. Microwaving the quesadilla instead of pan-frying or baking keeps it softer.

Nutritional information:

Per serving (1 quesadilla)

Calories: 360

Total fat: 17 g

Total carbohydrate: 31 g

Dietary fiber: 3 g

Sugars: 3 g

Protein: 21 g

Sodium: 940 mg

For CareGiver Home Care in the Phoenix or Scottsdale area see http://Care-To-Go.com

Phoenix Home Care Caregiver Explains 19 Home Safety Tips For Seniors

Most accidents occur in the home and especially for our seniors.  Even though our seniors are in their own home and in familiar surroundings, they have a much higher accident rate than the rest of us. When you couple failing eyesight, poor hearing and decreased judgment and balance, the senior has a more difficult time moving around and staying safe. If you make the changes yourself or use a personal CareGiver, you may be able to avoid a major fall and injury to your parent.

What can you do to protect an elderly loved one from getting hurt?  Here are some steps to follow:

1. Keep outdoor steps and walkways in good condition and clear of debris. Be sure the hand rails are clean and in good condition.
   
2. Illuminate all stairways and hallways and provide light switches at both ends. Brighter lights are better.
   
3. Use nightlights or bedside remote controlled switches. Yeah the clapper works too.
   
4. Provide handrails in hallways and stairways.
   
5. Keep a sturdy nightstand next to the bed so glasses and other personal items are within reach.
   
6. Put felt or soft material over sharp edges and corners of furniture such as nightstands, tables and shelves.
   
7. Tack down the edges of carpets and rugs; remove throw rugs that slide or can be tripped on.
   
8. Keep pathways clear of furniture and other objects.
   
9. Provide handrails in the bathroom (especially near the toilet, at the entrance to the shower and in the shower) and use non-skid strips in the shower and bathtubs.
   
10. Use a shower seat and shower hose for those unable to stand in the shower.
    
11. Avoid using bath oils or lotions in the bathtub or shower.
    
12. Use kitchen appliances with thermostats and timers. The elderly find appliances with signal lights and buzzers easier to use.
    
13. Clearly mark the “off” position on stoves and ranges so a person with diminished eyesight can immediately tell if the element is off. Try some nail polish.
    
14. Set water heater thermostats or faucets so water does not scald the skin.
    
15. Install smoke detectors in the kitchen and throughout the rest of the house.
    
16. Keep a fire extinguisher handy and know how to use it.
    
17. Arrange frequently used kitchen items in an easy-to-reach cabinet.
    
18. Install one good lock that can be opened easily from the inside.
19. Keep loose magazines and mail off the floor, seniors tend to accumulate mail clutter.

For a complete home assessment contact Care-To-Go at 480-284-8611 and on the web at http://Care-To-Go.com Are you getting to the point where you need someone to help you shoulder the load taking care of Mom? A Home Care CareGiver will be able to assist your senior with household tasks to be sure they are safe and happy.

Cruises have always been a favorite trip for Seniors. Balmy air, tropical swaying trees, soft steel drum music,; what’s not to like. Aside from the great ambiance in the Caribbean, Bahamas or Mexico, there are several reasons to choose a cruise over other types of vacation for Seniors. First, it is a place totally geared for all the seniors needs including food, activities, housekeeping, medical services and more. It is so nice to unpack once and then watch the world pass by. Other favorite destinations for Cruises are Alaska and the Mediterranean for Greece and Italy etc.

Here is your opportunity to take that great vacation you have always wanted and be totally cared for and safe all the way. Cruise ships provide everything you need including; your room, all your food, lots of activities, a hospital and pharmacy, a concierge, lots of new people to meet or enjoy your solitude.

When you need a little extra assistance along the way, a Personal Travel Companion can escort you to be sure you are well taken care of. Now you can take that dream trip you have always wanted.

We all know that vacation tour prices including Cruises vary greatly. If you book through a travel agent, the Cruise Company, Orbits or a bulk Cruise buyer, the price varies greatly. When using a Travel Companion these prices can be easily compared and you can pick the best deal for you.

Speaking of a Travel Companion, you can now take a personal travel assistant with you to be sure that the trip goes smoothly. Your personal travel companion can travel with you all the way from your door and back again. How nice would it be to have professional assistance through the airport and flight, on the cruise and back again. One company providing Personal Travel Companions can be found at http://Care-To-Go.com

Low bookings for the cruise lines means a shipload of savings for you
Don’t let the storm-tossed economy discourage you from sailing on a cruise. With fewer people booking passage and more (and bigger) cruise ships being launched, cruising has become a buyer’s market. Here’s how to find the lowest fare at the best time.

Look for bulk buyers
Check out cruise consolidators, which buy large blocks of cabins from the cruise lines at a deep discount. Most of the deals don’t include airfare, but the savings are significant, and companies such as CruiseOne.com, CruiseBrothers.com, and Cruise.com feature dozens of discounted cruises around the world every week.

Don’t shrug off "shoulder season"
Rates are lower between peak and off-peak seasons, when fewer people are escaping winter. Try sailing to Alaska in mid-May or early September; to the Caribbean in late April or September and October; to Hawaii in late August, late November, February, or May; or to the Mediterranean in March or November. If you are interested in a long haul, check when the Cruise companies are moving ships for the season between the Caribbean, the Mediterranean, or even the south Pacific. You may get a long trip for a very low price.

Check the school calendar
Avoid any time kids are on vacation, such as spring or summer break. That’s when the supply of empty cabins is usually the lowest—and prices for them are highest. Cruises are wildly affordable right after Labor Day and during the week after Thanksgiving, for example.

Wait…Wait… Okay, now book it!
If you don’t have a specific cruise date in mind, try waiting until the last minute to book online. Almost all cruise lines quietly unload any remaining inventory as the departure date draws closer. Note: "Last minute" doesn’t mean what it used to. Post-9/11 security regulations require cruise lines to close the list of passengers as much as 96 hours before sailing.

Keep That Sail a Sale
Cruise lines don’t make a profit on your cabin, so they try to separate you from your money the second they pull up the gangplank. Here’s how to keep your budget afloat.

Factor in tipping
Some cruise lines automatically add gratuities, while others still rely on passengers to make that decision. One helpful resource is cruisetip.tpkeller.com, which calculates the suggested tip per day for each major cruise line.

Stick with the main dining room
More and more cruise ships have specialty—restaurants to give passengers options beyond the cost—included main dining room and midnight buffet. But eating at one of the ships’ designer restaurants will run you extra: on Royal Caribbean International, for example, dinner at Chops Grille is $25 per guest.

Budget for booze
Don’t expect to bring your own. Most cruise lines frown on this, and some actually employ a "liquor retention team" to seize alcohol not purchased on board (the bottles are returned at the end of the cruise). Carnival now keeps your bags on a dock for several hours where they can search them, Be careful.

Have a fantastic trip!
For assistance in planning your Cruise or any other kind of travel contact Care-To-Go at 800-818-0407 or check the web at www.CareToGoTravel.com.

Cruises have always been a favorite trip for Seniors. Balmy air, tropical swaying trees, soft steel drum music,; what’s not to like. Aside from the great ambiance in the Caribbean, Bahamas or Mexico, there are several reasons to choose a cruise over other types of vacation for Seniors. First, it is a place totally geared for all the seniors needs including food, activities, housekeeping, medical services and more. It is so nice to unpack once and then watch the world pass by. Other favorite destinations for Cruises are Alaska and the Mediterranean for Greece and Italy etc.

Here is your opportunity to take that great vacation you have always wanted and be totally cared for and safe all the way. Cruise ships provide everything you need including; your room, all your food, lots of activities, a hospital and pharmacy, a concierge, lots of new people to meet or enjoy your solitude.

When you need a little extra assistance along the way, a Personal Travel Companion can escort you to be sure you are well taken care of. Now you can take that dream trip you have always wanted.

We all know that vacation tour prices including Cruises vary greatly. If you book through a travel agent, the Cruise Company, Orbits or a bulk Cruise buyer, the price varies greatly. When using a Travel Companion these prices can be easily compared and you can pick the best deal for you.

Speaking of a Travel Companion, you can now take a personal travel assistant with you to be sure that the trip goes smoothly. Your personal travel companion can travel with you all the way from your door and back again. How nice would it be to have professional assistance through the airport and flight, on the cruise and back again. One company providing Personal Travel Companions can be found at http://Care-To-Go.com

Low bookings for the cruise lines means a shipload of savings for you
Don’t let the storm-tossed economy discourage you from sailing on a cruise. With fewer people booking passage and more (and bigger) cruise ships being launched, cruising has become a buyer’s market. Here’s how to find the lowest fare at the best time.

Look for bulk buyers
Check out cruise consolidators, which buy large blocks of cabins from the cruise lines at a deep discount. Most of the deals don’t include airfare, but the savings are significant, and companies such as CruiseOne.com, CruiseBrothers.com, and Cruise.com feature dozens of discounted cruises around the world every week.

Don’t shrug off "shoulder season"
Rates are lower between peak and off-peak seasons, when fewer people are escaping winter. Try sailing to Alaska in mid-May or early September; to the Caribbean in late April or September and October; to Hawaii in late August, late November, February, or May; or to the Mediterranean in March or November. If you are interested in a long haul, check when the Cruise companies are moving ships for the season between the Caribbean, the Mediterranean, or even the south Pacific. You may get a long trip for a very low price.

Check the school calendar
Avoid any time kids are on vacation, such as spring or summer break. That’s when the supply of empty cabins is usually the lowest—and prices for them are highest. Cruises are wildly affordable right after Labor Day and during the week after Thanksgiving, for example.

Wait…Wait… Okay, now book it!
If you don’t have a specific cruise date in mind, try waiting until the last minute to book online. Almost all cruise lines quietly unload any remaining inventory as the departure date draws closer. Note: "Last minute" doesn’t mean what it used to. Post-9/11 security regulations require cruise lines to close the list of passengers as much as 96 hours before sailing.

Keep That Sail a Sale
Cruise lines don’t make a profit on your cabin, so they try to separate you from your money the second they pull up the gangplank. Here’s how to keep your budget afloat.

Factor in tipping
Some cruise lines automatically add gratuities, while others still rely on passengers to make that decision. One helpful resource is cruisetip.tpkeller.com, which calculates the suggested tip per day for each major cruise line.

Stick with the main dining room
More and more cruise ships have specialty—restaurants to give passengers options beyond the cost—included main dining room and midnight buffet. But eating at one of the ships’ designer restaurants will run you extra: on Royal Caribbean International, for example, dinner at Chops Grille is $25 per guest.

Budget for booze
Don’t expect to bring your own. Most cruise lines frown on this, and some actually employ a "liquor retention team" to seize alcohol not purchased on board (the bottles are returned at the end of the cruise). Carnival now keeps your bags on a dock for several hours where they can search them, Be careful.

Have a fantastic trip!
For assistance in planning your Cruise or any other kind of travel contact Care-To-Go at 800-818-0407 or check the web at www.CareToGoTravel.com.

During the Latter Years, a lot of seniors spend their free time by vacationing. It can be

a way to see many of the places that couldn’t be seen because of work and family. But

not all elders are traveling alone. A significant number of elders are traveling with their

grandkids sans mom and dad with them in what has become known as "GrandTravel".

Nearly eighty per cent of elders surveyed said that they enjoyed taking their grandkids

along with them on their vacations while their parents stayed at home. The rise in

popularity of taking grand kids might be credited to many factors. The first is that the

grandparents are able to spend much more time with their grandkids instead of just

seeing them whenever their parents bring them to visit. The second is that the

children’s parents get a much-needed break in order to spend quality time together. The

last is that the grandparents can do what they do best – spoil the grandkids without the

parents there.

Kids Come First
One thing that studies about Grandtravel show is that seniors are often much more

democratic when it comes to decisions with their grand children. They include the kids

in decisions about where to go and what to do on the vacation, and will often do

whatever the grandkids want to do.

Deciding at what age a child should be allowed to go on a trip alone with grandma and

grandpa can be tough and really depends on the maturity of the child. Generally,

studies on Grandtravel have shown that 12 or 13 is the average age for a child to go.

And in cases where there are multiple grandchildren around the same age, many seniors

will opt to take one grandchild each summer so that each kid gets the right amount of

attention, and the grandparents aren’t driven completely crazy.

Where to Go
While there’s no shortage of places to take the grandchildren, some popular choices are

Disney World, Washington D.C., New York City and theme parks. Outdoor activities like

hiking, fishing, or the beach are great choices too.  Places with natural wonders also

rank high like Yellowstone, Yosemite or the Grand Canyon.

Let the Grandchildren Choose The Trip
I heard from a pilot I know that he would let the GrandKids plan their trip every year for

their birthday.  Here is an opportunity to spend months of quality time planning a one

on one trip with each Grand Child.  They can choose a trip to a place that really interests

them, making the trip very special for the GrandKids.

To maintain independence at home in the Phoenix area visit www.Care-To-Go.Com

For a Travel Companion anywhere contact WWW.CareToGoTravel.com

It was a beautiful spring day in April when Evelyn and her paid Travel Companion boarded the airport shuttle going from Burbank CA to John Day OR. This would be a trip to remember. Evelyn 95 was on her way to reunite with her brother Howard 93 in Oregon.

Evelyn and Howard are the only two remaining of five brothers and sisters who grew up on a small farm in Missouri and then migrated to California and Oregon in the 1940s. It had been several years since the two had spent any time together.

The flight to Boise ID went smoothly as the Travel Companion had booked an easy connection and had arranged for a wheel chair and priority boarding for each flight segment. Her Travel Companion Pam easily handled the checked baggage and arranged for transportation from Boise airport to John Day OR, about a 3 hour ride. Once checked into a hotel in John Day, Pam and Evelyn went to the ranch to reunite with Howard.

Gary, Brian, Ron, and Donna had also come to join in the reunion. Howard and Evelyn were so excited to see each other they lost no time in catching up. Ron and Donna prepared dinner “Missouri” style setting the stage for hours of conversation about the old days.

For the next three days, Evelyn and Howard talked for hours, never seeming to run out of stories. They talked, fished in the pond (Evelyn caught the most fish for dinner), looked through scrap books, enjoyed Howard’s birthday party and just relished the time together.

Pam, Evelyn’s Travel Companion not only assisted all along the way making the trip possible, but continually made the extra effort insuring that Evelyn was well attended and cared for. Aside from the travel, Pam helped with meals, baited hooks for fishing, helped organize scrapbooks and took pictures. Pam also stayed with Evelyn in the hotel to be sure she was well taken care of and safe.

When it was time for the flight home, Evelyn and her travel companion boarded Southwest flight 405 to Oakland CA to connect to Burbank CA. The usual wheel chair and priority boarding were arranged and the boarding went well.

After about 30 minutes in the air, the pilot announced that there was a warning light in the cockpit and we were going to return to Boise to have it fixed. When it was discovered that the delay would be lengthly, the airline had everyone get off and wait for another plane. Evelyn was assisted off the plane and the situation explained to her. The Travel Companion again handled everything; explaining the situation to Evelyn, rebooking the connecting flight for Oakland, assuring priority boarding again, and handling snacks and drinks. Thankfully the flights home were uneventful and went smoothly.

We are reminded constantly how precious friends and family are to our well being. Seniors frequently let life close in on them because maintaining contact with loved ones who live far away becomes too difficult. Unfortunately, travel is one of the first things that can drop out of the life of our seniors. Travel Companions are a way for seniors to keep the lifestyle they love and maintain contact with friends and family.

Evelyn and Howard had a few wonderful days together and now have more memories to last a life time. At the last dinner in Oregon, plans were already started to have the next family reunion.

One company specializing in Travel Companions is Care-To-Go. For information on scheduling your Travel Companion visit CareToGoTravel.com

For a variety of reasons, more and more people are going abroad for all kinds of medical procedures and surgeries etc.

As U.S. medical costs skyrocket and insurance companies pay less and less it becomes advantageous to go to a more economical location.

Med Tourism companies can schedule everything from which country, which doctor and hospital and transportation.

Care-To-Go Travel Companions are available to assist travelers to and/or from the country providing the procedures.

For more information on Med Tourism and Travel Companion Assistance call 1-800-818-0407 or see the web at www.CareToGoTravel.com