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

When Alzheimer’s Waited Outside the Oval Office

By LAWRENCE K. ALTMAN, M.D.

WASHINGTON — Ron Reagan’s new memoir, “My Father at 100,” has touched off sensational headlines with its suggestion that President Ronald Reagan might have begun showing hints of Alzheimer’s disease while still in the White House.

But in two interviews this month, the younger Mr. Reagan said he never meant to suggest that his father had dementia before leaving office in 1989. And he graciously took the blame for not being more explicit in a passage that described a few personal observations along with comments from the former president’s doctors.

A “rather small section of the book has attracted outsize attention,” he said in a telephone interview from Seattle, where he lives.

All he meant, he continued, was that the amyloid plaque characteristic of Alzheimer’s can start forming years before it leads to dementia. The former president’s diagnosis was made in 1993, four years after he left office.

“Given what we know about the disease,” his son told me, “I don’t know how you could say that the disease wasn’t likely present in him during the presidency.”

Had it been stated that way, the assertion about Alzheimer’s would have stirred little if any debate. Still, the issue is important for anyone — including candidates for office — because of the difficulty of distinguishing the initial symptoms of Alzheimer’s from, say, simple forgetfulness.

The disease occurs most frequently after 70, but it can strike younger people. Dr. Alois Alzheimer, a German psychiatrist, diagnosed the first case in a 51-year-old woman. It is now recognized as one of a number of types of dementia. And diagnosing it with certainty requires a brain biopsy, rarely done while a patient is still alive.

Mr. Reagan’s mental state was an issue even before he became the oldest man elected president, at 69, in 1980. Adversaries were fond of attributing his penchant for contradictory statements, forgetting names and general absent-mindedness to Alzheimer’s.

I reported on Mr. Reagan’s health, and he told me that his mother, Nelle, had died of senility — and that if he were to develop it in office he would resign.

As a follow-up to questions about Alzheimer’s, my extensive interviews with his White House doctors, key aides and others, I found no evidence that Mr. Reagan exhibited signs of dementia as president. The interviews did not include family members.

Moreover, until Ron Reagan’s memoir appeared, no other family member — and not Edmund Morris, the official biographer who spent seven years with Mr. Reagan in the White House — publicly hinted that he showed evidence of Alzheimer’s as president.

“My Father at 100” (Viking) is an affectionate, often lighthearted account of a son’s attempt to uncover his father’s character by going back to his early days. It is generally well written, except for portions of the closing chapter about Alzheimer’s — which Ron Reagan acknowledged were flawed because he “relied on memory” without checking facts about when and where the suspicion of his father’s Alzheimer’s was first raised.

He writes, for example, that after the former president fell from a bucking horse in Mexico in 1989, his doctors detected probable signs of Alzheimer’s in removing a blood clot that formed between his skull and brain. But such a procedure does not involve a brain biopsy that doctors would need to diagnose dementia.

Moreover, Mr. Reagan was flown to a military hospital near Tucson — not taken to San Diego, as his son writes — and the blood clot, a subdural hematoma, was removed weeks later at the Mayo Clinic in Rochester, Minn.

In the interviews, Ron Reagan genially acknowledged the errors and said that if he had anticipated the controversy he created, he “would have done more due diligence in terms of pinning down dates.”

When his father was president, Mr. Reagan, then a professional dancer with the Joffrey Ballet, visited him two or three times a year. Now 52, the younger Reagan has been a radio and television talk show host, commentator and magazine writer. In the book, he writes that he did not want his father to run for a second term, partly because of political differences (Ron has long been liberal) and partly because of his concern about Mr. Reagan’s health — not the possibility of Alzheimer’s, but the near-fatal gunshot wound he sustained in a 1981 assassination attempt.

Understandably, the son’s memories about his father’s Alzheimer’s focused on when it first produced symptoms. The anecdotes that he cites are either well known or lack convincing evidence for Alzheimer’s.

For example, he recounts the 1984 re-election campaign, when his father performed dismally as he floundered through his responses and was lost for words in his first debate with his opponent, Walter F. Mondale. But Mr. Reagan performed well in the second debate, 11 days later.

While spending a day in the Oval Office in 1987, the younger Reagan noticed that aides were providing his father with scripted index cards — a technique he often used when giving speeches — for phone calls lasting five minutes at most, implying signs of a failing memory. But in an interview, Mr. Reagan said it was “hard to know what to make of that” — and laughed as he said he was using similar notes in our conversation.

The son noted little things that he could not explain and to which he did not attach a name at the time. Based on knowing his father’s demeanor and cognition over a lifetime, the observations created an impression “that something was amiss.” But, he wrote, he did not want to leave an impression that his “father was catatonic or mumbling incoherently” at any period in the White House.

In his last months, Mr. Reagan held court from a hospital bed in his den, uncomplaining and gently agreeable. By this time he looked younger; his face had lost many of its worry lines and wrinkles. But as he stopped eating and drinking and his kidneys failed, Mr. Reagan lost the decade-long battle with Alzheimer’s and died on June 5, 2004.

Alzheimer’s hereditary patterns are not precisely known. Ron Reagan said he is aware that he is at risk for the disease. But he has not had genetic tests for it, and has not been asked or volunteered to take part in any study of the family history of Alzheimer’s.

Care-To-Go provides home care and caregivers in the Phoenix, Scottsdale, Chandler and Gilbert areas.

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

Removing shoes at and airport security check point has gotten routine for the regular travelers, but remains a hustle for elder travelers. When traveling with an Elder Travel Companion, removing shoes may not be such a big deal as traveling alone.

New shoe scanners may eliminate the need to remove shoes altogether, Yea!

Now your Travel Companion Caregiver can help you with all the other items being searched.

By Ben Mutzabaugh, USA TODAY

From USA TODAY’s Airport Check-in column: A company vying to sell airport shoe scanners has finished its "trial" at Indianapolis International, collecting results from 3,000 travelers who volunteered to try its machine in the lobby.

Morpho Detection says its data-collection experiment, which ended in late July, showed its scanner can process more than 300 customers an hour. Travelers still had to remove their shoes at the airport’s security checkpoints.

Morpho says it’ll use the data to fine-tune machines and submit it to the Transportation Security Administration.

TSA wants to revive the idea of allowing travelers to keep their shoes on at checkpoints and has announced its plans to buy 100 shoe scanners by next year. About a dozen companies hope to bid for the business. — Roger Yu

When you could use some assistance while traveling, try a Travel Companion from Care-To-Go.  In Home CareGivers are also available from Care-To-Go in the Phoenix area.

As the TSA  airports try to get a handle on quick and efficient scanning at security checkpoints, new machines may not be the answer.

Our Elder Travel Companions from Phoenix and Scottsdale report longer security delays and frazzled nerves at full body scan airports.  Our seniors in wheel chairs are not subject to this screening and will continue to be checked as usual.  The Travel Companion CareGiver can be a great asset in transiting airport security.

By Gary Stoller, USA TODAY

Opposition to new full-body imaging machines to screen passengers and the government’s deployment of them at most major airports is growing.

Many frequent fliers complain they’re time-consuming or invade their privacy. The world’s airlines say they shouldn’t be used for primary security screening. And questions are being raised about possible effects on passengers’ health.

"The system takes three to five times as long as walking through a metal detector," says Phil Bush of Atlanta, one of many fliers on USA TODAY’s Road Warriors panel who oppose the machines. "This looks to be yet another disaster waiting to happen."

BODY SCANNERS: Concerns about privacy and health set off debate

The machines — dubbed by some fliers as virtual strip searches — were installed at many airports in March after a Christmas Day airline bombing attempt. The Transportation Security Administration (TSA) has spent more than $80 million for about 500 machines, including 133 now at airports. It plans to install about 1,000 by the end of next year.

The machines are running into complaints and questions here and overseas:

•The International Air Transport Association, which represents 250 of the world’s airlines, including major U.S. carriers, says the TSA lacks "a strategy and a vision" of how the machines fit into a comprehensive checkpoint security plan. "The TSA is putting the cart before the horse," association spokesman Steve Lott says.

•Security officials in Dubai said this month they wouldn’t use the machines because they violate "personal privacy," and information about their "side effects" on health isn’t known.

•Last month, the European Commission said in a report that "a rigorous scientific assessment" of potential health risks is needed before machines are deployed there. It also said screening methods besides the new machines should be used on pregnant women, babies, children and people with disabilities.

The U.S. Government Accountability Office said in October that the TSA was deploying the machines without fully testing them and assessing whether they could detect "threat items" concealed on various parts of the body. And in March, the office said it "remains unclear" whether they would have detected the explosives that police allege Umar Farouk Abdulmutallab tried to detonate on a jet bound for Detroit on Christmas.

TSA spokeswoman Kristin Lee says the agency completed testing at the end of last year and is "highly confident" in the machines’ detection capability. She also says their use hasn’t slowed screening at airports and that the agency has taken steps to ensure privacy and safety.

The TSA is deploying two types of machines that can see underneath clothing. One uses a high-speed X-ray beam, and the other bounces electromagnetic waves off a passenger’s body.

Passengers can refuse screening by the machines and receive a pat-down search by a security officer, screening by a metal detector, or both, the TSA says.

For more information on an Elder Travel Companion go to CareToGoTravel.com and for Phoenix in home care caregiver see Care-To-Go.com

Avoiding Medication Problems

Numerous elders are taking numerous medicines, which increases the

likelihood of prescription problems.  Allow me to share some

excellent tips for seniors to reduce the probability of making a

mistake with their medications:
1.    Check the label when you pick up a prescription to be sure

that you have the right prescription. Read back the prescription to

your doctor and pharmacist.
2.    Keep all prescription in original containers.
3.    Be sure to contact your health care provider or pharmacist

if you have any concerns about missing a dosage.
4.    Always fill all medications at the same pharmacy.
5.    Read the patient information that accompanies the

prescriptions.
6.    Notify the pharmacist right away if there is a change in the

shape, color, size or smell of your medication.
7.    You should not share or take another person’s medication.
8.    If you are in doubt about a prescription you are taking, be

sure to consult your doctor.  Always ask about side effects that you

might experience or expect.
9.    Construct a list of the medications you are taking and share

with your Care Giver and family members. The list ought to include

the following information:
- Your name, social security number and your date of birth.  The

Pharmacy needs this information when someone else is going to refill

the prescriptions without the client present.  Your social security

number and your date of birth should be kept on a separate sheet to

protect against identity theft.
- Prescription name (the drugs being taken, both generic or brand)
- The strength (dosage)
- Instructions for using the prescriptions, including how many times

a day and what time of day medication should be taken
- What liquids or foods are being used to take or should be used to

take with meds, for example, water, juice, apple sauce etc.
- Your allergies to certain medicines as well as foods
- Pharmacy and health care providers names, addresses, contact

numbers
- Family emergency contact information

10.    When you are in skilled nursing or a hospital:
- State your name before taking any medications and always show your

wrist bracelet for identification. Ask the doctor or nurse to

identify each medicine by name before you take it.
- Ask your doctor or nurse why your prescription has not been given

at its normal time during your hospital stay.
If your medication was started in the hospital, watch for new side

effects.  If you experience new side effects or your condition is

not improving as it should, tell your nurse.  From time to time

medications need to be changed when they are not performing

properly.
Be sure to ask your doctor how long a particular prescriptions will

be needed.  Oft times prescriptions are added in the hospital or

skilled nursing facility for a temporary problem, but when you leave

the hospital for skilled nursing or your home, the prescription

remains.  A different doctor may be reluctant to terminate a

prescription from another medical doctor.
- Remind your medical doctor if you have any allergies to certain

meds and food, or if you have a condition that may possibly affect

the use of some medications.
1.    Tell your pharmacist if you are taking any dietary

supplements or over-the-counter meds.
2.    Make sure your CareGiver has an up to date prescription log

listing all prescriptions, Doctor’s name, and Pharmacy.
Make sure to only take medications that you really need and check

with your medical doctor why you are taking it, how long you will

require it, what side effects to watch for, and that it won’t

conflict with any other meds you are taking.

In the Phoenix area Care-To-Go, an in-home care agency can assist

you with your prescription organization.  Care-To-Go also provides

complete in-home care elder services.  Contact Care-To-Go at 

www.Care-To-Go.com and for an Elder Travel Companion CareToGoTravel.com

What should you do if your doctor isn’t listening to you or the person you’re caring for, or not honoring your desires with regards to treatment and medication choices, or recommending prescriptions or treatment options that seem to be inappropriate for older patients. Listed here are several illustrations.

The relationship with your medical doctor is a special one and has to be taken seriously. Many times senior citizens aren’t receiving enough care from their doctor. Is the medical doctor too busy and overscheduled, or there just may be a personality mismatch. Don’t be afraid to search for a new one if you feel you are not getting the attention you require.

Whenever seniors go to their doctor it’s a great idea to bring along with you, a professional CareGiver or a trusted family member. It will serve you well to have someone else there to be sure you understand what the medical professional is saying and if you need to get more in depth information from the doctor, the advocate can facilitate. Occasionally it is simpler for the other person to ask more inquiring questions.

By way of example a doctor may try to make you feel guilty when you ask to do away with a prescription or a procedure from your regimen. You may have prescriptions from a number of doctors and they may conflict with each other. Your physician may be unwilling to stop or change a prescription prescribed by a different health professional. But sometimes the dilemma doesn’t lie in your control; what is wrong is that the physician isn’t listening to you or not taking your loved one’s age or situation into account when making medication and treatment decisions. In many cases, it’s like a bad relationship; communication has broken down and you, your family member or CareGiver aren’t getting what you need.

7 signs it may be time to fire your doctor:

1. You feel the health professional blames, ignores, or criticizes you, your caregiver or the person in your care

2. The medical doctor does not reply to your feedback, or becomes defensive or unpleasant

3. It seems the physician is not taking your family member’s pain or other symptoms seriously enough

4. You discover treatments that can help that the doctor hasn’t told you about

5. The physician doesn’t explain treatment options clearly, resulting in mistakes

6. The medical doctor prescribes medications without comparing to medications prescribed by another doctor.

7. The doctor is reluctant to organize your medication inventory when it comes from various other physicians.

When you aren’t satisfied, the best thing to do is to change doctors, and change to one you can work with to provide the best care. Doctors often say that if a patient is going to change doctors, they’d appreciate hearing it directly rather than suddenly receiving a sneak request for medical records to be sent to another medical professional. However, it’s your prerogative to find a new doctor and ask the staff to fax over the request for records. You’re not obligated to engage in another confrontation.

Either way, you’ll breathe a sigh of relief once you’re dealing with a medical professional who listens respectfully, answers your questions, accommodates your requests, takes your symptoms seriously, and works with you to develop a treatment plan you can all feel good about.

In the Phoenix, AZ area Care-To-Go offers Elder Home Care services and can assist you with doctor appointments and prescription organization. Contact Care-To-Go at 1-800-818-0407 or Care-To-Go.com  For Elder Travel Companion services see CareToGoTravel.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.