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Preparing for a safe winter W inter is upon us. And how you and your family prepare for it can impact the quality of life for an older loved one this season. Older adults and children of seniors should make sure they conduct a seasonal checkup. Here are a few important issues to consider and steps you can take this winter to make it as safe and comfortable as possible. MEDICAL SAFETY Vaccinations Mitigate the risk of winter-associated illnesses by making sure you vaccinate against influenza every year, since virus strains change annually. This should be at the top of your list. Yearly outbreaks can sometimes be mild, but you never know what kind might occur. For seniors with an array of chronic illnesses affecting their cardiac and respiratory systems, or with impairments of their immune responses, a bout of influenza can cause serious and debilitating illness which can, at times, be fatal. Medications Review all necessary medications regularly taken and ensure refill orders are available so that you don't run out during inclement weather. If you or your parent(s) are fortunate enough to vacation in the south during the winter, make sure enough medication is packed for the time away. TRAVEL SAFETY Ensure travel insurance is in place and you have determined there is no risk of a lack of coverage in case of medical emergency while abroad. With travel insurance, the general rule is to reveal all illnesses and any changes in medical status and medications to the insurance company prior to a trip. HOME SAFETY Inside the home If staying home for the season, winter home safety measures should be followed. Make sure the home heating system has had a winter maintenance check and servicing in advance of the cold weather to reduce the risk of a breakdown. Also, determine which family members will be your network of winter supports or if anyone will be absent, and who will fill in for them if something unanticipated happens. Having access to help and, if necessary, a place to stay while repairs take place is very important. Position long-lasting flashlights around the house and purchase a few units that can sit in outlets as nightlights. These will double as emergency lighting if there is a power failure. Avoid depending on candles for blackouts due to the risk of fire and ensure smoke and carbon monoxide alarms are installed, tested and working properly. Outside the home Hire a snow removal service or have a friend/neighbour ready to clear snow and ice from walkways and steps. Make sure salt or sand is accessible for slippery surfaces and that icy areas are well-illuminated. Ensure an automatic light is programmed to turn on at dusk so that walkways will always be lit when it gets dark. Preparing for a safe winter takes a little time; but once done, you will have peace of mind for yourself and safety and security for loved ones. [Note: Article edited with agreement of author for space and clarity.] Michael Gordon MD, MSc, FRCPC, is a geriatrician working at Baycrest Health Sciences in Toronto, Ontario, Canada. He is Medical Program Director of the Palliative Care Program, Co-head of the Clinical Ethics Program and a Professor of Medicine at the University of Toronto. For more articles like this visit: baycrest.org/brainmatters Dr. Michael Gordon BrainMatters WINTER 2015/16 3

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