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May, 11, 2008

PRIME TIME

Exercise excels as path to preserving mobility

5-08 PRIME DIETMANN

DANNY GAWLOWSKI THE BELLINGHAM HERALD

Iris Dietmann, right, and Jean Moser clap to cheer on the other members of their team during league bowling at Park Bowl bowling alley in Bellingham on April 8, 2008. Dietmann stays physically active through various regular activities, such as playing golf, bowling and walking.


HOME CHECK FOR SAFETY
  • Is the light near the bed hard to reach?
  • Is the path from your bed to the bathroom dark?
  • Is the tub or shower floor slippery?
  • Do you have some support when you get in and out of the tub, or up from the toilet?
  • When you walk through a room do you have to walk around furniture?
  • Do you have throw rugs on the floor?
  • Are loose objects on the floor?
  • Do you have to walk over or around cords or wires?
STAIRS AND STEPS CHECK
  • Are papers, shoes, books or other objects on the stairs?
  • Are some steps broken or uneven?
  • Are you missing a light over the stairway?
  • Has the stairway light bulb burned out?
  • Do you have only one light switch for your stairs, or is there one at both the top and bottom?
  • Are the handrails loose or broken? Is there a handrail on only one side?
  • Is the carpet on the steps loose or torn?
TO PREVENT FALLS
  • Exercise regularly.
  • Have your doctor or pharmacist look at all the medicines you take, even the over-the-counter medicines, because some can make you sleepy or dizzy.
  • Have your vision checked at least once a year by an eye doctor.
  • Get up slowly after you sit or lie down.
  • Wear sturdy shoes with thin, non-slip soles. Avoid slippers and athletic or jogging shoes with thick soles.
  • Improve the lighting in your home. It is safest to have uniform lighting throughout a room.
  • Paint a contrasting color on the top front edge of all steps so you can see the stairs better. For example, if you have dark wood, use a light paint.
  • Keep emergency numbers in large print near each phone.
  • Put a phone near the floor in case you fall and can't get up. Think about carrying a cell phone or wearing an alarm device that will alert help in case you fall and can't get up.
WHAT TO DO IF YOU FALL
  • Try to remain calm. Check yourself for serious injuries, such as bleeding, sprains, strains, dislocations or fractures. If you are bleeding, apply firm pressure.
  • If you think you are injured and someone is nearby, call for help immediately.
  • If no one is nearby, try to get up or crawl to a telephone to call for help.
  • To get up from a fall, you can roll and crawl to a nearby piece of furniture to help you stand up.
  • If painful knees prevent you from crawling, shuffle on your bottom to a nearby piece of furniture, pull yourself onto your knees, and stand up.
  • Shuffle on your bottom to the stairs, then gradually move up one step at a time until you reach a height that makes it possible for you to stand.
  • If you can get up, take a few moments to recover and then call for help.
  • If you can't get up, try to keep warm. Pull any nearby rugs, coats or blankets over and under you, if possible.
`

Advertisement


MICHELLE NOLAN
FOR THE BELLINGHAM HERALD

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Iris Dietmann, half of the "Galloping Grandmas of Raspberry Ridge," is a super example of a senior who hasn't let age get in the way of getting out.

Dietmann, 85, and close friend Cornelia "Corky" Vanderwall, 84, play golf five days a week whenever weather permits on Raspberry's nine-hole course in Lynden.

Since they don't believe in slow play, they've been tagged as the Galloping Grandmas. Dietmann even scored a hole in one on Raspberry's third hole just a few days after her 85th birthday last September.

Dietmann, a great-grandmother who came to the United States from Sweden when she was 30, also bowls once a week and takes brisk four-mile walks when possible on non-golfing days.

"I'm not going to quit golf. I love it. Doctors tell seniors to walk, and I agree," says Dietmann, who did not take up golf until she was 73. "I've been active all my life. I still drive, but I don't drive at night."

'AS INDEPENDENT AS POSSIBLE'

Seniors such as Dietmann inspire physical therapist Laurel Floyd, who works for Walgreens Option Care.

"I work primarily with the geriatric population," she says. "Our goal is to get people to … be as independent as possible.

"One of our biggest issues is falls," she notes. "If someone has a history of falling, we especially work on balancing and leg-strengthening exercises."

Floyd says "just being totally aware of your surroundings" is a key to preventing falls.

"If your phone rings, don't feel you have to rush to answer it," she says. "They'll call back if it's important."

As for staying mobile, "it really is just keeping active, the more the better," Floyd says. "Running can be hard on the joints for seniors, but brisk walking is also highly effective."

Floyd shows seniors how they can incorporate fitness routines in their lives in many small ways.

"I tell people if they're watching TV and a commercial comes on, get going and do a small exercise," she says. "We have what we call ‘therabands,' big rubber resistance exercisers, and they're great for home exercising any time."

'EVERY DAY'

Amanda Ho, an occupational therapist with Lynden Therapy Specialists, says she tries to educate seniors about exercise misconceptions .

"It's never too late for seniors to begin a fitness program," Ho says. "You should get a doctor's advice about what kind of program to begin. A doctor can comment about any contraindications."

Ho works to persuade seniors to take precautions to eliminate falls.

"A fall can be a turning point in someone's life," she says. "I teach special fall-prevention programs."

Floyd also says the test used by police to check sobriety and balance can be an effective tool for seniors.

"Just stand with one foot in front of the other," she says. "It's a great balancing exercise."

Floyd says that something as simple as just walking around the block — or even just around the yard — can do wonders to sustain mobility.

"Keep moving," she says. "Just keep moving every day."

'DIFFERENT TOOLS'

Paul Mulholland, a personal fitness trainer, group exercise instructor and tai chi instructor, works with seniors at the Bellingham Athletic Club. He has five years of experience and underwent YMCA-certified training.

"I teach a class for active adults at the BAC called ‘Strong and Stable,'" he says. "We use a lot of different tools."

"I encourage people to maintain better balance by walking on unstable platforms, such as those we have at the gym," he says. "We have something called a bosu ball. It's tippy, creating a lot of micro-movements and adjustments to strengthen feet and ankles.

"You have to consistently work at it," he says of the need to retain balance. "You shouldn't have to be fearful of falling if you maintain exercise."

He encourages seniors to sign up with a personal trainer, if possible, to maximize their physical fitness potential and opportunities. The Internet is loaded with fitness routines and suggestions for seniors.

"None of this has to be expensive," he says. "The library, the senior center, they all have lots of resources and lots of options to help stay fit."

"Some seniors are worried they're going to be pushed too hard," he notes. "There are different formats and classes to handle everything from low-intensity workouts to high-intensity workouts." He especially recommends tai chi as a good example of low-intensity exercise.

'A LIFETIME OF HABITS'

Mulholland stresses that seniors should not be discouraged by health problems. They don't have to mean the end of mobility, providing seniors are willing to work toward improvement.

"This community is very sports-minded, and many of these opportunities are open to seniors," he says.

Ho says more seniors are becoming aware they can maintain mobility if they're willing to put forth the effort.

"It's getting better as seniors are becoming aware of the benefits of exercise," she says.

Ho hopes seniors will get past misconceptions that seniors with issues such as diabetes or Parkinson's disease can't maintain mobility.

"Seniors are afraid to start a fitness program, or they feel they might not be suitable for one," she says. "Or it's not part of their lifestyle. I feel we can overcome those fears through education."

Ho says many seniors may not have thought much about exercise 50 or 60 years earlier, when fitness routines and standards were much different. After all, how many senior neighborhood runners did you see in the 1950s or 1960s?

"You have to realize you can't change a lifetime of habits in one day, but you can start," Ho says. "There are so many conceptions of lifestyles now that seniors may never have had when they were younger."


Michelle Nolan is a Bellingham freelance writer.

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