Warm weather and outdoor activity generally go hand in hand. However, it is important
for older people to take action to avoid the severe health problems often caused by hot
weather. Hyperthermia is the general name given to a variety of heat-related
illnesses. The two most common forms of hyperthermia are heat exhaustion and heat stroke.
Of the two, heat stroke is especially dangerous and requires immediate medical attention
Health and Lifestyle Risk Factors
The temperature does not have to hit 100° for a person to be at risk. Both ones
general health and/or lifestyle may increase a persons chance of suffering a
Health factors which may increase risk include:
- Poor circulation, inefficient sweat glands, and changes in the skin caused by the normal
- Heat, lung, and kidney diseases, as well as any illness that causes general weakness or
- High blood pressure or other conditions that require changes in diet. For example,
people on salt restricted diets may increase their risk. However, salt pills should not be
used without first asking a doctor.
- The inability to perspire, caused by medications including diuretics, sedatives and
tranquilizers, and certain heart and blood pressure drugs.
- Taking several drugs for various conditions. It is important, however, to continue to
take prescribed medication and discuss possible problems with a physician.
- Being substantially overweight or underweight.
- Drinking alcoholic beverages.
Lifestyle factors that can increase risk include:
Unbearably hot living quarters. People who live in homes without fans or
air conditioners should take the following steps to reduce heat discomfort: open windows
at night; create cross-ventilation by opening windows on two sides of the building; cover
windows when they are exposed to direct sunlight; and keep curtains, shades, or blinds
drawn during the hottest part of the day.
Lack of transportation. People without fans or air conditioners often are
unable to go to shopping malls, movie houses, and libraries because of illness and/or the
lack of transportation. Friends or relatives might be asked to supply transportation on
particularly hot days. Many communities, area agencies, religious groups, and senior
citizen centers provide such services.
Overdressing. Because they may not feel the heat, older people may not
dress appropriately in hot weather. Perhaps a friend or family member can help to select
proper clothing. Natural fabrics such as cotton are best.
Visiting overcrowded places. Trips should be scheduled during non-rush
hour times and participation in special events should be carefully planned.
Not understanding weather conditions. Older people, particularly those at
special risk (see health factors), should stay indoors on especially hot and humid days,
particularly when there is an air pollution alert in effect.
How is hyperthermia treated?
If the victim is exhibiting signs of heat stroke, seek emergency assistance
immediately. Without medical attention heat stroke is frequently deadly, especially for
Heat Exhaustion may be treated in several ways
- Get the victim out of the sun and into a cool place - preferably one that is
- Offer fluids but avoid alcohol and caffeine. Water and fruit and vegetable juices are
- Encourage the individual to shower or bathe, or sponge off with cool water.
- Urge the person to lie down and rest, preferably in a cool place.
How is Hyperthermia Detected?
A person with symptoms including headache, nausea, and fatigue after exposure to heat
probably has some measure of a heat-related illness. It is important to recognize the
difference between the very serious condition known as heat stroke and other heat-related
illnesses. Persons experiencing any of these symptoms should consult a doctor.
Heat stress occurs when a strain is placed on the body as a result of
Heat fatigue is a feeling of weakness brought on by high outdoor
temperature. Symptoms include cool, moist skin and a weakened pulse. The person may feel
Heat syncope is sudden dizziness experienced after exercising in the
heat. The skin appears pale and sweaty but is generally moist and cool. The pulse may be
weakened, and the heart rate is usually rapid. Body temperature is normal.
Heat cramps are painful muscle spasms in the abdomen, arms, or legs
following strenuous activity. The skin is usually moist and cool and the pulse is normal
or slightly raised. Body temperature is mostly normal. Heat cramps often are caused by a
lack of salt in the body, but salt replacement should not be considered without advice
from a physician.
Heat exhaustion is a warning that the body is getting too hot. The person
may be thirsty, giddy, weak, uncoordinated, nauseous, and sweating profusely. The body
temperature is usually normal and the pulse is normal or raised. The skin is cold and
clammy. Although heat exhaustion often is caused by the bodys loss of water and
salt, salt supplements should only be taken with advice from a doctor.
Heat stroke can be LIFE-THREATENING! Victims of heat stroke almost always
die so immediate medical attention is essential when problems first begin. A person with
heat stroke has a body temperature above 104° F. Other symptoms may include confusion,
combativeness, bizarre behavior, faintness, staggering, strong rapid pulse, dry flushed
skin, lack of sweating, possible delirium or coma.
Heat-related illnesses can become serious if preventative steps are not taken. It is
important to realize that older people are at particular risk of hyperthermia. Many people
die of heat stroke each year; most are over 50 years of age. With good, sound judgment and
knowledge of preventive measures the summer can remain safe and enjoyable for everyone.