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Aging at Home

Preparing a Pittsburgh Home Before the First Freeze

Winter here does not creep up so much as arrive one Tuesday. The jobs worth doing in October, and the ones that matter most at eighty.

Cyanjel Home Care Published Updated 4 min read

Winter is harder on older adults than on anyone else in the household, and most of the difficulty is not the cold itself. It is the ice on the path, the shorter days, the heating bill, and the four months during which leaving the house becomes a calculation rather than a decision.

Most of the work is best done in October, while it is still pleasant enough to want to do it and while contractors are still answering the phone.

Heat, and the thing people do not admit

Start with whether the heating actually works, and get the furnace serviced before it is needed rather than during the first cold snap when every engineer in Allegheny County is booked.

Then ask the more uncomfortable question, which is whether it is being used. A surprising number of older people ration heating because they are worried about the bill, and will not say so. The signs are a house noticeably colder than you would keep it, heating on only in one room, or somebody sitting in a coat indoors.

This matters more than it sounds. Cold raises blood pressure, stiffens joints, and makes falls more likely. If cost is the issue, Pennsylvania runs assistance programs for heating bills, and the Area Agency on Aging can point to what is currently available. It is worth asking rather than assuming there is nothing.

Set the thermostat somewhere sensible and check it periodically, because a person who is cold all the time frequently stops noticing. Feeling cold is a poor guide once someone has been cold for two weeks.

The path is the most dangerous part of the property

More winter injuries happen between the front door and the car than anywhere else, and the risk is entirely predictable.

Before the first freeze: work out who is clearing snow and ice, and agree it in advance rather than on the morning. This is genuinely not a job for someone in their eighties. Shoveling snow is heavy cardiovascular work performed in cold air, which is a well-known way to have a cardiac event, and the surface underfoot is the worst it will be all year.

Arrange a neighbor, a paid service, or a family rota, and have salt or grit somewhere reachable without going out to a shed. Check the handrail beside any external steps is solid, because that is the one thing between a slip and a fall.

Also worth doing: make sure outside lights work and come on early enough, since it is dark by five in December and the path is being walked in the dark from then on.

Stock the house so a bad week is survivable

The realistic winter risk in Pittsburgh is not being snowed in for two weeks. It is a stretch of several days where going out is genuinely unwise, arriving without warning.

What should be in the house before that happens: at least a week of any prescription medication, food that requires no cooking, water, flashlights with working batteries, blankets, and a way to charge a phone if the power goes.

Get the flu vaccination question sorted in the fall too, and any others the doctor recommends. It is a straightforward conversation in October and a much less useful one in January.

What happens if the power goes out

Worth thinking through specifically rather than vaguely, because the answer for an older adult is different from the answer for a young household.

If heating depends on electricity, how long does the house stay warm, and at what point does somebody need to go elsewhere? Is there medication requiring refrigeration? Is there equipment that needs power? Who checks on them, and how quickly, if the phone is also down?

Never a generator indoors or in an attached garage, and never a gas oven used for heating. Both kill people every winter, and both are things somebody cold and desperate might do at two in the morning. Say it out loud in advance.

Agree the trigger point before winter: at what temperature, or after how many hours without power, does the plan become going to somebody else’s house? Decisions made in advance get made better than decisions made cold and in the dark.

Carbon monoxide, every year

Winter is when heating runs constantly and windows stay shut, which is exactly when carbon monoxide becomes a real risk. Test the alarms and change the batteries, and check there is one near sleeping areas.

Symptoms of low-level exposure are headache, nausea, confusion and tiredness, all of which are easy to attribute to being old and it being February. Our piece on fire and carbon monoxide safety goes into the detail, including which alarms actually get heard by someone with reduced hearing.

The isolation problem, which is the real one

Everything above is practical and solvable. The harder part of winter is four months of not going out.

Visitors thin out in bad weather exactly when they are most needed. Routines that depend on walking somewhere stop. The days are short, the evenings are long, and mood follows.

Plan against it deliberately: a standing weekly visit that survives the weather, a phone call schedule, food deliveries that bring a person to the door, and where possible something that gets the person out of the house on a good day rather than waiting for spring. Our guide to what to do when a Pittsburgh winter traps someone indoors covers this in more depth.

If the family caregiver is also the person doing the shoveling, the shopping and the visiting, winter is when that arrangement breaks. Respite booked in advance for January is worth considerably more than respite arranged in a crisis, and what it covers is set out on our services page.

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