Exercise for Seniors
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/ Categories: WELLNESS, 2022

Exercise for Seniors

When combined with a healthy diet, quality sleep, an active social life, and preventative medical care, there nothing is more powerful than exercise to keep us feeling younger, stronger, mobile, and independent. But incorporating exercise into our daily lives can be challenging for some. Here are six key concepts to get you started or reinvigorate your exercise routine.

Put exercise on your schedule. As they say, failing to plan is planning to fail. So, consider the best time for exercise, and work it into your day. Many people find it beneficial to make exercise the first thing they do in the morning. Doing so holds many important benefits, including improved sleep, mood, focus, and more.

Start low and slow. Deciding to be more active, and thinking about all of the rewarding aspects of a healthy lifestyle, can be really exciting. Those thoughts can lead people to do too much too soon, which can cause soreness or injury and derail healthy efforts altogether. Instead, start slow. Consider your current activity level and add 15 minutes a day or increase the degree of intensity by a small amount.

Those who are not active at all could begin with 15 minutes of low-impact exercises a day. Low-impact exercises—like swimming, cycling, walking, and chair yoga—allow you to move without putting a lot of added stress on your joints. As you become stronger, you can move on to longer or more intense exercise sessions.

Upgrade with some variety. Once you have a routine of a few weeks, add exercises that improve strength, mobility, balance, and flexibility. Yoga and Tai Chi are two excellent opportunities to combine these concepts into a single workout. You might walk three days each week while doing a yoga video on three other days.

Increase the duration. According to the Centers for Disease Control and Prevention, we should build up the duration of our workouts until we have reached at least 150 minutes of moderate intensity exercise or 75 minutes of vigorous intensity exercise per week. Aim for at least two sessions, on different days, of strength-building exercise. Remember, some exercise is better than none.

Make it fun and enjoyable. The best workout is the one you will consistently do. There are so many ways to make workouts fun. Invite friends along, join a class, or dance to your favorite music. You can also cultivate an active outdoor hobby, like hiking, cross country skiing, or snowshoeing. (Be sure to follow safety recommendations.)  Outdoor workouts include extra benefits, like reduced anxiety, improved sleep, and strength-building terrain.

If it hurts, adjust or stop. Pain is not gain; it’s an indication that something could be going wrong. If you run into pain, do a less intense modification or stop. Choose an exercise that is more comfortable for you. Ask your doctor if you might be able to see a physical therapist to get you off to a good start.

As long as you continue to try new things and slowly and safely increase the intensity and duration of your workouts, you will be experiencing the major benefits movement has to offer.

Nina Nunes, PTA, is a physical therapy assistant who works at SVMC Outpatient Therapy and in Southwestern Vermont Medical Center's inpatient units. SVMC is part of Southwestern Vermont Health Care. 

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Emergency Department: Open, Ready, Safe. 

The last 3 months have been a uniquely challenging experience in the SVMC Emergency Department (ED) and emergency departments and hospitals all over the country and the world. I am very proud of all our staff has done and continues to do to ensure safe care for patients during this era of COVID-19. We are grateful that cases of COVID-19 in our area have been the lowest in the U.S. and have decreased even further over the past several weeks. We are also heartened to see that patients who had been avoiding the ED are now confident to return to get the care they need.

It may be surprising to hear that over the past few months, the sickest patients we have seen in the ER have not had COVID-19. Many people have refrained from seeking care for serious medical problems due to the fear of being exposed to the virus, assuming that the hospital was not a safe place to be and not recognizing the seriousness of their symptoms. The most challenging moments of the past several months have involved critically ill patients who tried to stay away for far too long due to fear of being exposed to COVID-19. We have had many sad moments trying to care for those who waited until it was too late for us to help with conditions that could have been easily treated if presented sooner.

One might expect that the greatest challenges related to the pandemic were those needed to adapt our facilities and procedures and the work of caring for sick COVID-19 patients. SVMC is fortunate to have built a strong foundation of safety and infection-prevention methods over many years, which made this transition much easier. Still, when it became apparent that we were going to see COVID-19 cases coming through our doors, we implemented many COVID-specific changes very quickly.

From day one our staff have all been fully trained to use protective equipment effectively, to focus on cleaning and disinfecting, and to move patients safely through the new areas created to keep them safe. We also spaced the waiting room chairs to allow for plenty of distance and initiated drive-by testing to keep potentially contagious people outside and away from other patients.

We immediately increased our standard of protective equipment we use. For example, all staff who relate with patients now wear both a mask and protective shield, which is a proven and effective strategy to prevent transmission. Those staff who work with patients with respiratory or other contagious symptoms also wear a gown and advanced respirators developed in cooperation with Mack Molding in Arlington. They look strange, but they help us deliver care safely.

We also quickly built special spaces and units in the hospital to treat and segregate patients with respiratory symptoms who might be contagious from those with other routine medical problems. Outpatients with symptoms that could be related to COVID-19 are directed to a spacious area called the Respiratory Evaluation Center. There they can be taken to a safe treatment space called a negative-pressure room without encountering any patients who are using the ED for other reasons or any staff who are not fully equipped with protective gear. There are similar, safe, negative-pressure units for those who require treatment in the ED or hospital.

Our hard work paid off. We have treated a number of COVID-19 patients in our ED and, as far as we know, not a single staff member was sickened in relation to their work here, and no patients have contracted COVID-19 while under our care. With our current procedures and drastically declining COVID numbers, we are confident that we can continue that trend. Furthermore, SVMC recently received a perfect score on a rigorous survey specifically designed to judge our ability to prevent transmission of COVID-19. At this time our ED is safer than just about any other public place you could go.

My goal in writing today is to communicate that SVMC’s Emergency Department is open, ready, and safe. If you need emergency care, we are here and we can care for you safely. Please do not defer emergency care until it is too late for us to help. While many symptoms can represent a serious medical problem, the most concerning are chest pain, difficulty breathing, fast heart rate, confusion, high fever, intense headache, drooping face, dehydration, or weakness. Of course, with any other symptom you feel indicates a serious problem, come in right away or call 9-1-1.

For us, spending time with patients and connecting on a personal level is the best part of our jobs. We take pride in our life-saving role in our communities and the work we have been able to do during the pandemic, but we cannot help if you do not come in. Please don’t hesitate to get the care you need when you need it.

Adam Cohen, MD, is a board-certified emergency medicine physician at Southwestern Vermont Medical Center. He also serves as the chair of the Department of Emergency Medicine and the medical director of SVMC’s Emergency Department.

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