Erickson Tribune

Health Secrets

UPDATED: Wednesday, June 11, 2008

Maximize travel fun by minimizing health worries

Posted on Sunday, June 01, 2008
 

By Deeanna Franklin-Campbell and Wendy Meyeroff
THE ERICKSON TRIBUNE

According to the Travel Industry Association, people age 65 and older generate 16% (or 92.6 million) of all U.S. domestic trips. Th ey travel at least three times a year—more than any other age group. Forty-six percent will travel by car, with 42% traveling strictly for relaxation, while 32% seek adventure.

Travelers should ask their travel agent or hotel management about local health resources at their destination. Here are a few simple steps to help keep health problems from spoiling your fun while traveling.

Air and ground travel
The air in airplanes is very dry, so older adults, already prone to dehydration, are more at risk of becoming confused  and disoriented. Drink plenty of water and other fl uids (not alcohol) while flying.

Don’t worry about fluid  intake increasing your trips to the restroom. That’s a great excuse for stretching your legs. Leg cramps are common on long trips and can lead to deep vein thrombosis (DVT) and potentially dangerous blood clots. Get out of your seat regularly and walk around. Ask your doctor if compression stockings would be a good idea for long trips (see article on DVT in this issue for more ideas).

For breathing problems, like emphysema or chronic obstructive pulmonary disease, there are now portable oxygen tanks. Ask about an airline’s rules for carrying them onboard or any self-transport dangers.

Jet lag can cause or enhance bowel problems, insomnia, and digestive disorders in older adults. Also be aware of the daytime drowsiness it can trigger, which may increase the possibility of falls. To counter jet lag’s eff ects, experts  recommend older adults eat lightly, avoid alcohol and caffeine on long flights,  and try to take catnaps.


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Consider renting a recreational vehicle (RV), especially when traveling with someone with restricted mobility. RVs make it easier to take along health equipment, like wheelchairs. Many are outfitted with special showers and lifts  or getting in and out of the vehicle, and some have harnesses to easily help move someone around the RV.

Traveling with medicines
Make a list of all of your medicines or get a printout from your pharmacy. Keep that list, as well as a week’s worth of medicines, in a carry-on bag, plus extras of both in any stowaway luggage. “Verify that the quantity of medication you have is enough for your entire trip,” says Jeff McClusky, a pharmacy supervisor with CVS in Houston, Tex.

Make sure all your medicines, especially ones for pain, are legal outside of the U.S. Find out from your doctor if you can carry generic versions of your regular drugs—a foreign pharmacy or clinic is more likely to have them.

Travel medicine specialists
Check to see if health advisories have been issued for your destination. Flu shots are generally recommended for adults age 65-plus, especially if you’re going to be sharing close quarters with others, like on a cruise ship.

When  traveling overseas, it’s possible you’ll need protection against illnesses you might not find in the U.S. “In South America, for example, you might encounter yellow fever. You and your physician should discuss the risk of catching a disease you might encounter while traveling, versus possible dangers from taking a medication designed to fight it,” says Gervais Frechette, M.D., a travel medicine specialist with offices in New York City and San Francisco.

Travel medicine specialists are a good source of advice for older travelers. They review your drug regimen and note any potential adverse interactions between travel-related medicines (such as malaria drugs) and your regular medications. You can also ask about insurance for overseas health costs.

Older travelers should visit a travel medicine clinic one to two months before their trip because their bodies may need more time to adjust to new medicines needed before leaving.

To find a travel medical specialist in your area, call 770-736-7060 or go to www.istm.org. The Centers for Disease Control has a toll-free hotline with recorded messages on travel-related health topics. Call 1-877-FYI-TRIP.

Finally, you may want to arrange a checkup with your doctor after you return. That’s especially true if you have a chronic condition, like diabetes or a heart problem, or your dream vacation involved weeks spent in an exotic locale away from regular medical care.



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