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Heat and humidity are a given in mid-summer, but if you’re a senior citizen, hot weather can be much more than just a nuisance. The body’s natural defenses against heat can break down with age, putting seniors at risk for heat stroke, heat exhaustion, and other serious disorders.

According to ahealthyme.com, several factors make senior citizens especially vulnerable to hot weather, according to. Older bodies can be slow to sense and respond to changes in heat, so seniors often don’t start sweating until their temperature has already soared. Even when the body’s cooling devices kick in, they probably don’t work as well as they used to. Sweat glands can grow less efficient with age, and other normal changes in the skin slow down the release of heat.

In addition, many common conditions can hamper an older person’s ability to regulate temperature, including diseases of the heart, lung, and kidneys; high blood pressure; diabetes; and other conditions that cause poor circulation. Finally, several medications commonly prescribed to seniors can affect the body’s ability to cool down. These include antidepressants, motion sickness drugs, and blood pressure medications.

For all of these reasons, it’s essential for seniors and their loved ones to understand the signs of dehydration, heat stroke and heat exhaustion, the most common forms of heat-related problems.

Dehydration occurs when a person loses more fluid than he or she takes in, and the body doesn’t have enough water and other fluids to carry out its normal functions. There are serious consequences if the lost fluids are not replaced.

Common causes of dehydration include diarrhea, vomiting, fever or excessive sweating. Inadequate intake of water during hot weather also may cause dehydration. Anyone can become dehydrated, but young children, older adults and people with chronic illnesses are most at risk.

A person can usually reverse mild to moderate dehydration by increasing the intake of fluids, but severe dehydration needs immediate medical treatment. Of course, the safest approach is prevention. Monitor fluid loss during hot weather, illness or exercise, and drink enough liquids to replace what’s lost.

Heat exhaustion is a condition with symptoms that may include heavy sweating and a rapid pulse, a result of the body overheating. A cause of heat exhaustion includes exposure to high temperatures, particularly when combined with high humidity. Without prompt treatment, heat exhaustion can progress to heatstroke.

Heatstroke is a life-threatening condition that occurs when a person’s body temperature reaches 104 F (40 C) or higher. Heatstroke can be brought on by high environmental temperatures, by strenuous physical activity or by other conditions that raise the body temperature. Whatever the cause, immediate medical attention is required in order to prevent brain damage, organ failure or death.

Heatstroke is the escalation of two other heat-related health problems: heat cramps and heat exhaustion. In these conditions, a person develops signs and symptoms that are milder than those of heatstroke. Heatstroke can be prevented with medical attention or by taking self-care steps as soon as problems are noticed.

Heat waves are often deadly for seniors. Older people living in homes without air conditioning need to be checked at least twice a day when the temperature reaches 90 and above, according to ahealthyme.com.

The best way to stay cool during a heat wave is to stay indoors with the air conditioner on high. If there is no air conditioner, consider taking a trip to a cooling center, an indoor mall, library, or movies. A fan can help, but it can’t take the place of an air conditioner. If the temperature reaches the 90s, even the best fan may not protect a person from heat exhaustion or heat stroke.

Seniors, when you do go outside on a hot day, use common sense. Drink more than you need to quench your thirst, and if you’re sweating heavily, choose fruit drinks or sports beverages to replace lost minerals.

Like the song from Kiss Me Kate says, “It’s Too Darn Hot.”

The commercial, “I’ve fallen and I can’t get up,” is no joke. For seniors, falling rarely just happens but rather results from multiple causes that occur over time. As people age, their muscles and bones can weaken, balance can be affected, and certain medications and medical conditions can make falling and fractures more likely. Seniors who are also more prone to diseases like osteoporosis are more susceptible to experiencing a fall.

According to SeniorAdvice.com, every year more than 1.6 million older adults go to the emergency department for fall related injuries. Falls are the main cause of fractures, loss of independence, hospital admissions and death.

Hip fractures are the most common and serious type fall related injuries. After such a fall, only half of older adults hospitalized with hip fractures can return home and live on their own. About 80 percent of hip fractures occur in women. Women lose bone density at a faster rate than men do. The drop in estrogen levels that occurs with menopause accelerates bone loss, increasing the risk of hip fractures as a woman moves beyond menopause. However, men also can develop dangerously low levels of bone density.

The fear of falling causes older adults to avoid physical activities, such as walking and exercise. But the truth is physical activity can help prevent falls. Some seniors who are concerned with falling go to physical therapy which can help improve balance, maintain physical health and prevent falls.

Bone fractures in senior citizens are not only traumatic but can lead to more serious problems later on, but there are some ways to decrease the probability of falling by following some simple guidelines.

Preventive Measures from the National Institute on Aging:

• The doctor can perform a bone mineral density test that measures bone strength. Some medications can increase bone strength which can prevent likelihood for falling.
• Take part in healthy amounts of physical activity which will improve balance, muscle tone, joint flexibility, or even slow osteoporosis.
• Test vision and hearing since defects in sensory functioning can make one less stable overall.
• Be aware of the side effects of medications which can affect balance and coordination.
• Limit the amount of alcohol consumed which can also affect balance and coordination.
• Use a cane or walking stick if needed, and always be careful when walking on unstable or slippery surfaces
• Wear the right footwear that has rubber soles or low heels.
• Hold the handrails when going up and down stairs and only hold items in one hand so that you can keep a hand on the rail at all times
• Use good judgment – stay away from situations that could cause a fall such as a freshly washed floor, trying to reach something that is too high.
• Research home monitoring systems that will allow for access to help after experiencing a fracture
• Install good lighting with light switch access both at the top and bottom of staircases.
• Keep areas where you walk clear.
• Be sure that carpets are firmly fixed to the floor or apply no-slip strips to slippier surfaces such as wood and tile.
• Install handrails on both sides of the stairs or inside the bathroom.
• Place non-skid mats and strips on surfaces that get wet within the bathroom.
• Keep night lights for easy navigation in the dark in hallways, near the bed, and in the bathroom.
• Keep a telephone near the bed.
• Keep electric cords and wires near the wall and out of paths of travel.
• Tack down carpets and rugs firmly to the floor.
• Be careful!

Giving up driving can be a tremendous blow to an older person. There’s the practical side: how to run errands, get to the doctor, visit friends, etc., and then there’s the emotional side: driving is a key symbol of independence.

Agreeing to forgo driving is in many ways also an agreement to give up one’s independence. It is very tough. Most seniors will drive as long as they can, and many times, it is up to the adult children to decide when driving has become unsafe.

Remember, the issue is safety – both the senior’s and other people. If a person can’t make decisions quickly enough or has difficulty seeing, then it is time to stop driving.

What about driver’s licenses? According to SeniorAdvice.com, many seniors will argue they can still drive, because the DMV is still giving them a license. The DMV, however, only sees them for a short period of time and often there is no road test. There is little basis for determining whether they are adequate drivers in a real world environment, so a license doesn’t really mean that much.

Study after study shows that the mere fact a person is older is not an indicator as to whether they can drive. Just because someone is 65 does not mean they should lose their license automatically. The only exception is once a person reaches the age of 80, because people older than 80 get into as many accidents as teenagers.

People age differently. For that reason, it is not possible to set one age when everyone should stop driving. So, how does one know when to stop?

The website HelpGuide.org tells about unsafe driving warning signs:

• Problems on the road. Abrupt lane changes, braking, or acceleration. Failing to use the turn signal, or keeping the signal on without changing lanes. Drifting into other lanes. Driving on the wrong side of the road or in the shoulder.
• Trouble with reflexes. Trouble reading signs or navigating directions to get somewhere. Range-of-motion issues (looking over the shoulder, moving the hands or feet). Trouble moving from the gas to the brake pedal, or confusing the two pedals. Slow reaction to changes in the driving environment.
• Increased anxiety and anger in the car. Feeling more nervous or fearful while driving or feeling exhausted after driving. Frustration or anger at other drivers but oblivious to the frustration of other drivers, not understanding why they are honking. Reluctance from friends or relatives to be in the car with the senior driving
• Trouble with memory or handling change. Getting lost more often. Missing highway exits or backing up after missing an exit. Trouble paying attention to signals, road signs, pavement markings, or pedestrians.
• Close calls and increased citations. More frequent “close calls” (i.e., almost crashing), or dents and scrapes on the car or on fences, mailboxes, garage doors, and curbs. Increased traffic tickets or “warnings” by traffic or law enforcement officers.

If some of the descriptions above are apt, it may be time to think about whether or not a senior is still a safe driver.

Some helpful websites are www.seniordrivers.org and www.granddriver.info

It’s sad but true. There are bad people are out there. While crimes committed against senior citizens are not as common as crimes committed against younger adults, it is every bit, if not more, disturbing. It’s hard to fathom someone hurting or scamming an older person, but it happens.

Below are some suggestions about safety and staying safe from cons. Those who provide elder care should inform seniors of these guidelines.

Tips to Keep Safe from SeniorAdvice.com:

• Be sure that all doors, locks, and windows are strong and cannot be broken.
• Keep all doors and windows locked especially when out of the house.
• Make a list of valuable belongings, with pictures if desired, and keep track of this list by keeping it in a safe place.
• Ask the local police department to mark valuable property with an I.D. number.
• When strangers are at the door, check through a peephole or ask for identity before opening the door.
• Do not keep large amounts of money at home.
• Know your neighbors. You can watch out for each other.
• Stay alert in public places.
• If you drive, lock the doors at all times.
• Do not open car door or roll down windows for strangers – ever.
• Park in well-lit parking areas.
• Carry your purse close to your body when walking outdoors with the strap over the shoulder and across the chest.
• If you are in the process of being robbed, do not resist and hand over belongings to avoid getting hurt.
• Avoid a regular banking routine that involved transporting money on the same day of the week during the same times. Note, social security checks and pension can be directly deposited into your bank account.
• Never carry large amounts of cash on your person, and put credit cards or wallets within inside pockets.
• Do not keep credit cards and checkbooks together so as to prevent signature forging if the two are stolen together.

Avoiding Cons
Senior citizens can be taken advantage of through telephone, internet, insurance, or home repair scams. Sometimes older adults are taken advantage of by people they know and think they can trust. Here are some tips for avoiding possible cons:

• Do not feel hesitant to hang up on telemarketers to protect yourself from possible bullying, suggestiveness, or false information.
• Never give personal information such as credit card numbers, social security numbers, or bank account numbers over the phone.
• Do not take money out of your account when instructed to by a stranger. A common scam involves strangers pretending to be bank tellers and asking people to take money out of their accounts. Real banks never use these methods.
• Be cautious of deals that sound too good to be true or involve presenting large amounts of money up front with promises of receiving money later.
• Checking with the local Better Business Bureau for more information about the validity of companies.
• Be cautious of people going door to door and offering home repair services. They may not be properly trained and can overcharge for services. If you employ someone for this kind of work, check references, get an agreement in writing for the services, and never pay in advance.

An Alzheimer’s Family Support Group will meet at 6 p.m. Wednesday, June 16, at The Birches Assisted Living, 215 55th St., Clarendon Hills. Part 4 of the HBO series titled “The Alzheimer’s Project” will be shown and discussed.

Titled “Grampa, Do You Know Who I am?” with Maria Shriver, directed and produced by Eamon Harrington and John Watkin; based on the book “What’s Happening to Grandpa?” by Maria Shriver.

This film tells five stories of children, ages 6-15, who are coping with grandfathers or grandmothers suffering from Alzheimer’s disease. Maria Shriver provides commentary and delivers valuable “lessons” for the kids, urging them not to blame themselves for what their grandparents do or say. “We are all children of Alzheimer’s,” says Shriver, making it clear that “if it’s too painful to visit, you don’t have to go.”

Shriver’s own father, Sargent Shriver, suffers from the disease; comparing his earlier vitality to his present condition is hard, but it is offset by good memories and an unexpected “gift”: bonds between generations that may not have been made otherwise.

Ultimately, the film offers a variety of perspectives on how kids can handle a grandparent’s loss of memory through kindness, patience and compassion.

HBO’s “The Alzheimer’s Project” takes a look at the faces behind the disease and the efforts to find a cure. The multi-platform series reveals groundbreaking Alzheimer discoveries and the effects this debilitating and fatal disease has on those with Alzheimer’s and their families.

A support group will follow, led by Jackie Raschke, director of Encore and Dementia Services at The Birches, who received specialized training in support group leadership from the Alzheimer’s Association.

“Participants give and receive support with others who are sharing similar situations in their caregiving experiences,” Raschke said. ”Here, in a confidential environment, participants can discuss their concerns.”

More than 5.3 million Americans have Alzheimer’s disease, and that number is expected to grow to more than 15 million by the middle of the 21st century. No two people experience Alzheimer’s disease in the same way. As a result, there’s no one approach to caregiving. Responsibilities can range from making financial decisions, managing changes in behavior, to helping a loved one get dressed in the morning. Handling these duties is hard work. But by learning skills, a caregiver can make certain the loved one feels supported and is living as full a life as possible. A caregiver also needs to preserve well-being for her or himself.

The public is invited to attend this free program, space permitting, and registration is required. Call Jackie Raschke at 630-570-6175 or visit http://www.birches.net.

Is it a given that the older a person is, the more medications he or she takes? Not necessarily, but people are more likely to develop one or more chronic illnesses with advancing age. It’s wonderful that appropriate medication can help seniors live longer and more active lives, but there is a safety concern. Taking multiple medications increases the risk for drug interactions, mix-ups, and the potential for side effects.

According to Pfizer, the effects of aging cause older adults’ bodies to process and respond to medicines differently than those of younger people. Age-related changes in the liver, kidneys, central nervous system, and heart are among the contributing factors causing elderly people to be more vulnerable to overdose and troubling side effects.

Also, age-related challenges like memory loss or poor eyesight can make it harder to follow instructions for taking medication.

If a person is seeing several doctors at once, there’s a chance these doctors may not all be communicating with each other, and the person may not be reporting all medications at each visit. This lack of communication among doctors leads to what is called “a prescribing cascade,” according to AARP. This means a doctor may prescribe medication to treat what he or she believes is a medical condition, when in fact the medication will really be treating a side effect of another drug that the patient has neglected to report.

The more medications the patient is on, the more risks there are for side effects and risky medication interactions. There are two kinds of interactions:

• Drug-drug interactions happen when two or more medicines react with each other to cause unwanted effects or make either medicine’s effects more or less potent. Such interactions may also be caused by alcohol, nutritional supplements or herbal products, and nonprescription medicines as well as prescription medications.

• Food-drug interactions happen when medicines react with foods or beverages. For example, grapefruit juice should not be taken with certain blood pressure – lowering medications. And dairy products should be avoided with some antibiotics and antifungal medications.

Medication Dos and Dont’s from WebMD:

• Do take each medication exactly as it has been prescribed.
• Do make certain that all doctors know about all medications being taken.
• Do let doctors know about using any over-the-counter medications, vitamins, supplements and herbs.
• Do use the same pharmacy to fill all prescriptions. Their computers are a boon to accurate tracking.
• Do keep medications out of the reach of children. Use the childproof safety caps.
• Don’t change the dose of schedule with consulting the doctor.
• Don’t use someone else’s medication.
• Don’t crush or break pills unless told to do so by the doctor.
• Don’t use medication past its expiration date.
• Don’t store medications in places that are too hot or too cold. The bathroom cabinet may not be the best place for medications.

Living in a retirement or assisted living community provides precious time to pursue hobbies. But you know what? Sometimes finding a hobby isn’t so easy. Hobbies for seniors need to fit certain guidelines. They need to be entertaining, but they also need to be inexpensive. They need to be exciting enough to be enjoyable but not too strenuous.

The good news is there are hundreds of hobbies out there just waiting for seniors to participate. For example, how about walking? No equipment necessary, no new wardrobe to buy. Walking can be enjoyed anywhere, especially with a walking buddy. You can take a shortie or a long walk. You can walk the halls of the retirement community or you can go around the block. You can go five steps, because chances are in a few days, you’ll be able to go six steps.

According to FutureYears.com, Phyllis McGinley said, “A hobby a day keeps the doldrums away.” Research shows that seniors who participate in group activities are less prone to depression and health problems. They also live longer than people who are not associated with like-minded friends and acquaintances.

In a nutshell, staying socially active in some kind of group activity helps seniors stay happy, make new friends, and also helps utilize one’s time in a productive and satisfying manner. Besides, it’s just plain fun.

Not that there’s anything wrong with solo hobbies such as reading, watching TV, meditating, or gardening. Each of these hobbies is therapeutic in its own way. After a while, however, boredom can set in. You could always expand a reading hobby and join a book club or a library, exchange books with other book lovers and have interesting informal discussions. In fact there are many reading groups on the internet.

In addition, it has been proved that hobbies are good for the brain. Now who needs any more convincing than that …?

Retirement-Online.com provides some A to Z ideas:

• Antiques
• Art
• Auctions online
• Beer collections
• Bird watching
• Blog writing
• Bridge
• Card games
• Chess
• China collectibles
• Coin collections
• Computers
• Cooking
• Crafts
• Crochet
• Crossword puzzles
• Dancing
• Doll houses
• Exercise
• Family scrapbooks
• Geneology
• Ham radio
• Journaling
• Knitting
• Longaberger baskets
• Money
• Music
• Paper arts
• Pen pals
• Photography
• Poetry
• Quilts
• Radio
• Scrabble
• Sewing
• Solitaire
• Stamp collecting
• Theatre
• Travel
• Volunteering
• Walking
• Wood working
• Writing
• Zoo visits

“There are short-cuts to happiness, and dancing is one of them.” ~Vicki Baum.

Ms. Baum is right. Dancing also can be a short-cut to health – both physically and mentally. According to Brain Fitness For Seniors.com, dancing is a boon to health because it stimulates different areas of the brain. How? Well, it often requires learning new steps, and it keeps seniors connected to others. It involves balance, coordination, listening, rhythm, motion, emotions, and physical touch.

Present day seniors grew up dancing. There were grand, lavish ballrooms, and people in cities took the streetcars to dance the night away. Ballroom dancing was a popular choice for a date. Big Band orchestras under the batons of Tommy Dorsey or Harry James toured the country playing in these wonderful ballrooms.

Today’s seniors are still dancing. Seniors’ dances are everywhere, and there are even exercise classes of “seated” dancing. If an entertainer performs the “old favorites” at a senior center or assisted living community, the audience instantly responds with toe-tapping and probably a rush of memories.

Health-wise, a dance routine for older adults can improve fitness in a low-impact way. More specifically, the physical benefits of dance from Ehow.com include:

• Improves cardiovascular fitness – Even light dancing will increase the heart rate and give the heart a good workout.
• Builds muscles – Through dance, seniors work their muscles and help to combat the effects of age.
• Improves social outlook – By joining a dance class—no matter what type of dance—they can enjoy the company of being with other dancers.
• Increases balance and control – The improved balance that comes from dancing helps prevent slips and falls.
• Increases bone mass – Both men and women begin to lose bone mass as they age, leading to more broken bones when they fall.
• Improves flexibility – A good dance workout will include stretching time which can help senior citizens increase flexibility and reduce muscle aches.

Again, from Brain Fitness For Seniors.com, by improving the social interactivity of seniors, dancing increases social harmony, understanding and tolerance in the community which is important because aging requires people of sometimes diverse backgrounds to live closer together in retirement homes and communities.

Music and rhythm have measurable effects on the brain and are the subject of multiple studies of brain-fitness benefits in both the young and old. Listening to music itself can have clear effects on the brain, stimulating different areas, changing brainwave patterns, and relieving stress.

Some believe that just watching dance stimulates the brain – mental stimulation that may be almost as powerful as performing the activity first hand. Even seniors who are too physically restricted to move freely can still participate and gain brain fitness benefits from social dance groups.

In summary, the lyrics of country music star Lee Ann Womack’s signature song say it all:

“I hope you still feel small when you stand behind the ocean.
I hope whenever one door closes, another opens.
Promise me that you’ll give faith a fighting chance,
and when you get the choice to sit it out or dance…
I Hope You Dance.”

Health care can be a maze of doctor’s appointments, prescriptions, tests, safety measures, etc. As seniors age, the maze becomes even more complicated. What the doctor said is unclear, driving becomes a challenge, and a myriad of additional issues add to the confusion.

Ten areas of concern are outlined below. Some of these concerns are moot when a move to an assisted living community occurs. In a community, systems exist to manage medications, safety measures have been carefully considered and built-in, more help is available, and many seniors give up the car when they move to a community.

According to the Institute for Healthcare Advancement it’s true that many seniors are living longer, but it’s also true that many could improve the way they deal with health problems. To help seniors stay healthier longer, the IHA has identified the 10 most common mistakes older adults make in caring for their health:

1. Driving when it’s no longer safe
   Seniors often associate mobility in a car with their independence, but knowing when it is time to stop driving is important for the safety of everyone on the road.
2. Fighting the aging process and its appearance
   Refusing to wear a hearing aid, eyeglasses or dentures, and reluctance to ask for help or to use walking aids are all examples of this type of denial.
3. Reluctance to discuss intimate health problems with the doctor or health care provider
   Older Americans may not want to bring up sexual or urinary difficulties. Sometimes problems that the individual thinks are trivial, such as stomach upsets, constipation, or jaw pain, may require further evaluation.
4. Not understanding what the doctor told them about their health problem or medical treatment plan
   Not understanding the doctor or not remembering what he said are typical complaints. Reluctance to ask the doctor to repeat information or to admit that they do not understand what is being said can result in serious health consequences.
5. Disregarding the serious potential for a fall
   To help guard against falling, seniors should remove scatter rugs from the home and have adequate lighting throughout. They should wear sturdy and well-fitting shoes, and watch for slopes and cracks in sidewalks. Participating in exercise programs to improve muscle tone and strength is also helpful.
6. Failure to have a system or a plan for managing medicines
   By using daily schedules, pill box reminders or check-off records, seniors can avoid missing medication doses.
7. Not having a single primary care physician who looks at the overall medical plan of treatment
   Health problems may be overlooked when a senior goes to several different doctors or treatment programs, and multiple treatment regimens may cause adverse responses.
8. Not seeking medical attention when early possible warning signs occur
   Reasons for such inaction and denial may include lack of money or reduced self worth due to age. Of course, such treatment delays can result in a poorer prognosis.
9. Failure to participate in prevention programs
   Flu and pneumonia shots, routine breast and prostate exams are examples of readily available preventive health measures that seniors should utilize.
10. Not asking loved ones for help
    Many older Americans are reluctant to ask for help whether due to a need for independence or because of early signs of dementia. It’s important that elderly people alert family members or other loved ones to any signs of ill health or unusual feelings so that they can be assessed before the problem advances.

Oh my aching knees. According to senior-fitness.com, in a typical year more than 6 million seniors, age 62 and older, will visit a doctor because of knee pain.

A healthy knee easily can withstand loads equal to more than four times the body weight. Pretty amazing, don’t you agree?

A knee is a joint, and a joint occurs wherever two bones come together. But that definition doesn’t begin to convey the intricacy of joints which provide the body with flexibility, support and a wide range of motion.

The body has four types of joints: fixed, pivot, ball-and-socket, and hinge.  Knees are hinge joints which work much like the hinge of a door, allowing the joint to move backward and forward. Knees are the largest and heaviest hinge joints in the body. They’re also the most complex. In addition to bending and straightening, they twist and rotate like a gyroscope. This makes knees especially susceptible to damage which is why they sustain more injuries on average than do other joints.

The knee joint is four bones held together by ligaments. The thighbone (femur) makes up the top part of the joint, and two lower leg bones, the tibia and the fibula, are the lower part. The fourth bone, the patella, slides in a groove on the end of the femur. Ligaments are large bands of tissue that connect bones to one another. In the knee joint, four main ligaments link the femur to the tibia and help stabilize the knee as it moves through its arc of motion.

Over the course of a lifetime, natural lubricants dry-up, and the cartilage wears away. This can lead to arthritis. Then is knee pain inevitable? Many experts think that the human knee can last a long lifetime, provided it’s not abused and receives some basic preventive maintenance. The right lifestyle and activity choices can help make knees stronger, healthier, and more pliant. Most important is to keep moving.

Tips & Warnings from ehow.com:

• First and foremost, ask your doctor whether knee exercises are safe for you.
• Walk around for a few minutes before doing knee exercises to give muscles a chance to warm and stretch.
• Repeat any knee exercise only two or three times in the beginning.
• Wear comfortable, sturdy shoes to enhance balance and avoid jerky movements when doing knee exercises.
• Do not hold your breath when doing muscle-tightening exercises.
• Do not kneel directly on your knees when gardening or doing chores around the house. Seniors should use a low stool or padded kneepads.
• Do not exercise to the point that you start to feel pain
• Knee exercises must be done very slowly and gradually increased to avoid putting too much stress on muscles, tendons and ligaments.

The following exercises are recommended for seniors by ehow.com:

To strengthen the quadriceps (front of the thigh):

• Sit in a chair with your back straight and the balls of your feet touching the floor. If your entire foot lies flat on the floor, sit on some cushions to lift yourself up so only the balls of your feet touch the floor. Your hands can be either resting on your thighs or holding the chair.
• Bring your right leg in front of you and lift it very slowly until your knee is straight without feeling painful.
• Point your toes back towards your head while in this position and hold for 3 seconds.
• Lower your leg back slowly to the starting position, resting the balls of your feet on the floor.
• Repeat the entire exercise with your left leg. You can repeat this exercise 5 to 10 times if comfortable.

To strengthen the hamstrings (back of the thigh):

• Sit up straight in a chair with arms that will not move as you do this exercise. Prop the chair against a wall if that will keep it stable. Place legs at a 45-degree angle with heels resting on the floor.
• Dig your heels into the floor as you hold onto the arms of the chair. Hold that position for 5 seconds. You will feel your hamstring muscles tighten as you do this.
• Relax for 10 seconds and then repeat 5 to 10 times.