Caring for Older People During a Heatwave

When temperatures rise, older adults can face serious health risks that often go unnoticed until it is too late. The natural ageing process can reduce the body’s ability to cope with heat, and existing medical conditions or medications may increase vulnerability further. With the right care, support, and planning, many of these risks can be managed. At VersaCare, a trusted provider of 24-hour live-in care, supporting older people through periods of extreme heat is a vital part of our commitment to keeping people safe and well at home.

Understanding Heat Vulnerability in Older Adults

Age-related changes affect how the body regulates temperature. Older people may not feel thirsty as often, even when they need fluids, and they may sweat less efficiently. Combined, these changes can make it harder to stay cool and hydrated.

Health Conditions That Increase Risk

Certain chronic health conditions make this worse. Heart problems, for example, can become aggravated by heat, while diabetes and kidney disease affect how the body manages fluids. People with dementia may not recognise or communicate symptoms of overheating, and mobility challenges can limit access to cooler areas in the home.

Medication Considerations

Medications can add another layer of risk:

  • Diuretics can lead to dehydration and salt imbalances
  • Antihypertensives may interfere with the body’s natural responses to heat
  • Anticholinergics reduce sweating
  • Many medications also need to be stored below 25°C, so high indoor temperatures can compromise their effectiveness

Recognising When to Take Action

Knowing what to look for can make all the difference in preventing serious illness. Heat-related symptoms can start subtly and quickly become dangerous if not addressed.

Early Signs That Should Prompt Care

These are signs that someone may be struggling with the heat. It is important to take action early, such as encouraging rest in a cool room and increasing fluid intake.

  • Dizziness or light-headedness when standing
  • Unusual tiredness or fatigue
  • Headaches that do not go away with rest and fluids
  • Nausea or reduced appetite
  • Red rash or small blisters on the skin
  • Confusion or changes in mental state, even if mild

Recognising Heat Exhaustion

This is a more serious condition that needs urgent care. Carers are trained to respond calmly and appropriately. Signs of heat exhaustion include.

  • Excessive sweating with clammy skin
  • Muscle cramps
  • Rapid, weak pulse
  • Body temperature below 40°C
  • Fainting or feeling faint

Heatstroke: A Medical Emergency

Heatstroke is life-threatening and requires immediate emergency attention. If any of the following signs are present, carers are trained to call emergency services and begin cooling the person while waiting for help.

  • Body temperature above 40°C
  • Hot, red skin that is dry or barely sweating
  • Rapid, strong pulse
  • Severe confusion, agitation, or unconsciousness

At VersaCare, recognising these warning signs of overheating, heat exhaustion, and heatstroke is part of our training. Our carers are supported with guidance and resources to help them act quickly and appropriately in these situations, and know when further medical care is needed.

Comprehensive Care Strategies During Heatwaves

Beyond recognising the warning signs, proactive planning and daily adjustments are key to keeping older people safe when temperatures rise. At VersaCare, our approach is all about creating a personalised strategy that adapts to each individual’s needs, ensuring comfort and safety throughout the day and night.

Hydration Management

Staying hydrated is the single most important step, but it can be challenging. An older person may not feel thirsty until they are already dehydrated, so a proactive schedule is vital. It’s about more than just water; a balanced approach can make all the difference.

  • Establish a routine: Encourage sips of fluid at regular intervals, even if the person doesn’t feel thirsty.
  • Vary the intake: Offer a mix of water, diluted fruit juice, and electrolyte-balanced drinks. These are especially important for replacing salts lost through sweating.
  • Get creative: If someone is reluctant to drink, try offering hydrating foods like ice lollies, chilled fruits (watermelon, strawberries), or soups.
  • Know what to avoid: Reminders to limit alcohol and excessive caffeine, as these can increase dehydration.

Environmental Cooling Techniques

The home can be a refuge from the heat, but only if it’s managed effectively. Simple changes to the living environment can significantly lower the indoor temperature and create a more comfortable space.

  • Block out the sun: Keep curtains and blinds closed during the hottest parts of the day, particularly on south-facing windows.
  • Optimise airflow: Use fans strategically to create a gentle breeze, but avoid pointing them directly at a person for extended periods, as this can cause skin dryness. If you have air conditioning, use it to maintain a consistent, cool temperature below 26°C (78°F).
  • Cool down with water: Use a cooling spray bottle or a damp cloth on the back of the neck and wrists. This can provide immediate relief from overheating.

Daily Routine Adaptations

Adjusting daily routines can reduce heat exposure and prevent the body from becoming overwhelmed. It’s about living life at a different pace during a heatwave.

  • Time it right: Reschedule any strenuous activities or appointments for the cooler morning or evening hours.
  • Dress for the heat: Choose lightweight, loose-fitting, and light-coloured clothing made from natural fabrics like cotton.
  • Stay in the shade: If spending time outdoors, seek out shady areas and apply high-factor sunscreen.
  • Adjust sleep: Use lighter bedding and nightwear to ensure a comfortable night’s sleep, which is crucial for the body to recover.

Nutritional Considerations

Food choices play a big role in how the body handles heat. Heavy, hot meals can increase internal body temperature, so adapting the menu is a simple but effective strategy.

  • Prioritise hydrating foods: Incorporate plenty of fruits, salads, and vegetable-based soups into the diet.
  • Choose cool meals: Opt for sandwiches, salads, and other meals that require minimal cooking, which also helps keep the kitchen from getting too hot.
  • Eat light and often: Smaller, more frequent meals are easier to digest and generate less metabolic heat.
  • Salt replacement: Be aware that through sweating, salt is lost and can be replaced through food intake.

Monitoring and Assessment

Consistent monitoring is a cornerstone of our care during a heatwave. It’s not just about looking for symptoms but also tracking well-being to spot subtle changes before they become serious.

  • Check the temperature: Regularly check the room temperature and the person’s body temperature.
  • Track fluid intake: Keep a simple log of how much is being consumed and how often they are urinating, noting any changes in colour.
  • Watch for changes: Be vigilant for any changes in a person’s behaviour or mental state, as confusion can be one of the earliest signs of overheating. Additionally weight loss can be an indicator of consistent overheating.
  • Do daily checks: Increase the frequency of well-being checks, particularly during the hottest hours of the day.

Social Support Systems

No one should have to face a heatwave alone. Social connections are a vital part of staying safe and supported.

  • Buddy up: Encourage family, friends, or neighbours to check in regularly.
  • Connect with services: Utilise community resources like cooling centres or social care networks that can offer extra support.
  • Stay informed: Pay attention to heat health alerts and weather forecasts to be prepared in advance.

Emergency Preparedness

Despite the best preventative measures, it’s crucial to be prepared for the worst. Our carers are trained to act decisively and calmly in an emergency.

  • Have contacts ready: Keep emergency contact information, including the person’s GP and family members, in a visible and accessible place.
  • Know the signs: We reinforce training on the difference between heat exhaustion and heatstroke.
  • Prepare a cool pack: Have cool packs or damp cloths ready to use in an emergency while waiting for help to arrive.
  • Document key information: Ensure that information about any heat-sensitive conditions or medications is documented and available for emergency responders.
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Personalised Care Planning

Every person’s needs are unique, and so is their vulnerability to heat. Our care plans are not one-size-fits-all; they are tailored to the individual.

  • Individual risk assessment: We create a personal heat risk assessment, taking into account any existing health conditions, medications, or mobility challenges.
  • Create an action plan: This plan outlines specific, easy-to-follow steps for the carer to take, from identifying the coolest room in the house to managing fluid intake goals.
  • Plan for emergencies: We establish clear emergency protocols and ensure all necessary contact information is readily available.

Staying Safe, Comfortable and Well During a Heatwave

Heatwaves can pose a serious risk to older people, but with a thoughtful approach and the right support, those risks can be significantly reduced. From recognising early signs of heat-related illness to making small but meaningful changes to daily routines, there are many practical ways to protect health and well-being when temperatures rise.

At the heart of it all is awareness, knowing how heat affects the body, understanding individual needs, and being ready to respond quickly when things change. Whether you’re a family member, friend, or professional carer, staying informed and prepared can make all the difference in helping someone stay safe, comfortable, and well throughout the hottest days of the year.