Throughout my 20+ career, I have heard it all!  Well, I think I have heard it all when comes to excuses and why folks are not exercising or trying to improve their balance.  The excuses range from “I don’t have time” to “it hurts when I move,” however, there are some differences to consider between an excuse and an obstacle.  For example, “not having time” to exercise or work on one’s balance would align more as an excuse, whereas someone with neuropathy would be considered an obstacle that one must overcome.

Excuses come in many shapes and sizes for people.  I have found success motivating people by focusing on the short term “wins” in their routines.  For example, balance is something that comes easy for some but for a lot of Seniors, balance can be particularly challenging and frustrating.  A favorite method of mine is to find a balance position or movement that one can do efficiently, then have them work on that position or movement for several weeks in a row.  As the days pass, the individual will become more familiar and more comfortable in that position or movement, and they will quickly begin to see themselves improve.  The faster people can begin to see results, the fewer excuses they will make!  What are some common excuses (*1):

1. I’m tired
2. I just don’t have time
3. I’ve got sore body parts
4. I’m too fatigued
5. I don’t want to risk injury
6. I don’t want to over-train
7. I’m thinking about replacing the treadmill for walks at the mall
8. I don’t want to sweat or get out of breath
9. I need to lose weight first
10. I tried working out, it didn’t work
11. It takes too long to see results

Most of us can relate, and can honestly say that we’ve used at least one or a combination of these excuses!
               
​Obstacles can be a bit trickier because they can impact one’s ability to move or balance.  Obstacles include challenges like neuropathy, polio, the results of a stroke and neurological disorders.  Obstacles seriously impact one’s ability to improve their strength and balance but does NOT make it impossible.  How should you handle one or more obstacles?  Well, it depends on what you’re dealing with and challenges they present.  I take these on a case-by-case basis when I’m working one-on-one with clients.  In many cases, you have to be creative and think out of the box but I want to offer my experience, knowledge and suggestions to anyone reading this blog and struggling to find ways to overcome their obstacles.  Common obstacles include:

1. The affects of Polio on flexibility and movement
2. The affects of a stroke
3. Neuropathy
4. Parkinson’s disease
5. Alzheimer’s disease
6. Meniere’s disease
7. Amputations
8. Drop foot
9. Vestibular disorders

If you have a loved one or a patient or spouse that is having a bit of trouble improving their balance, identify if they are facing an excuse or an obstacle and you should be able to find a path forward that will produce results!
 
Website:
https://www.emeritushealthfitness.com/the-bu-blog

SOURCES: 

1. Senior Fitness 4 Life (https://seniorfitness4life.com/top-10-excuses-seniors-use-to-not-exercise/)

​Seniors suffer the most after a natural disaster and among the frail, natural disasters are often fatal.  I saw firsthand what impact Hurricane Irma had on my clients that stayed behind to endure the onslaught.  Hurricane Irma made landfall in Southwest Florida as a Category 4 and caused $50 billion in damage, making it the fifth costliest hurricane to hit the United States according to The National Hurricane Center. (*1)  The damage caused by Irma will be considered minor once officials release the estimated cost to rebuild after Hurricane Ian.  Families, homes, and businesses deal with the aftereffects of a hurricane as best as they can while not having electricity to power the AC, and in Florida, temperatures frequently rise above 90 degrees in October and November.  Along with hot temperatures, roads are blocked, stores are closed and it’s difficult to restock supplies like food and water.  Also, gasoline becomes extremely hard to find which makes filling up your car or generator becomes an almost impossible task.
That is a lot of adversity for one to overcome and especially for our Seniors.  Chronic diseases are so prevalent among the elderly that 80% have at least one chronic illness, and many elderly individuals have two or more chronic conditions. (*2)  Moreover, elders “may also suffer from mobility, cognitive, sensory, social, and economic limitations that can impede their adaptability and ability to function in disasters. (*2)  The senses of vision, hearing, smell, taste, and touch diminish with age, and loss can be intensified by chronic disease. (*2) 
Many Seniors rely on in-home health care workers and when those services are halted, medication schedules can become disrupted or halted altogether.  Those that rely on oxygen may lose the ability and access to that oxygen.  Even if a portable, battery powered machine is available, once the battery is dead it will be unable to be recharged due power outages.  Same goes for those on dialysis that need the use of machines and seek treatment multiple times every week.  With power outages and no generator, there is not a way to cool homes and/or businesses and that puts Seniors at risk for heat strokes, heat exhaustion and dehydration.  Older adults naturally have a lower volume of water in their bodies and may have conditions or take medications that increase the risk of dehydration. (*3)  This means that even minor illnesses, such as infections affecting the lungs or bladder, can result in dehydration in older adults. (*3)  After natural disasters, there will always be a trail of destruction left behind that will increase the risk for an unintended fall.  As it stands today, every 19 minutes, a Senior adult dies from a fall. (*4)  Fallen trees and other debris create fall or tripping hazards for Seniors in pathways they may frequently travel.  The situation could be made worse if the disaster were to occur at night and with no, or little lighting, a Senior may not see the trip hazard at all.  Lastly, malnutrition becomes a real concern as food prep will present more challenges.  Microwaves are easy to operate, and often used to heat meals and reheat leftovers among Seniors and their caregivers.  Mass power outages could take weeks, extreme cases could take months, to fix and bring power back online.  If Seniors are missing meals because they’re not able to properly prepare the food or the food has ruined in a warm refrigerator, malnutrition can cause a host of problems.  Seniors may experience a loss of energy, weakness and loss of stamina that are crucial to maintain when living and surviving in a disaster area.  Cognitive function decreases as well as malnutrition and dehydration set in.
If you can evacuate, that is always the best thing to do when a hurricane is bearing down on your town.  If you cannot, please consider all that I have written about here and take steps to address each one.  Battery powered fans, 30-day supply of medications, plenty of water and MRE’s (Meals Ready to Eat) are a good place to start.  Hopefully, you fortunate and will not face any natural disasters in your lifetime!
 
Chris R. Williams


Website:
www.MyBalanceUniversity.com

Sources:

1. World Vision
   1. https://www.worldvision.org/disaster-relief-news-stories/2017-hurricane-irma-facts
2. The Hill (Seniors Suffer the Most After a Natural Disaster)
   1. https://thehill.com/opinion/healthcare/351377-seniors-suffer-the-most-after-natural-disasters/
3. Mayo Clinic
   1. https://www.mayoclinic.org/diseases-conditions/dehydration/symptoms-causes/syc-20354086
4. Aging.com
   1. https://aging.com/falls-fact-sheet/