8 Keeping fit, healthy and happy

Pages 57-62 in the full Wise Guide book

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You've heard about taking exercise and eating sensibly but did you know a good social life is also important for mental and physical wellbeing? Aim for some human contact every day, even if it's just chatting to the postman or phoning a friend.

At the doctor

Make a list of what you want to ask and if it helps, take someone with you. If you speak and move slowly or are hard of hearing, book a double appointment and ask the doctor to print out any instructions. If you're not clear what a tablet does, and what its side effects are, ask your GP or pharmacist. Review your regime regularly, mentioning any supplements and complementary medicines.

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Help with health costs

Prescriptions are free for over-60s. If you're on Guarantee Pension Credit, take your benefit letter to health appointments. If you don't get Guarantee Pension Credit and struggle to pay for the dentist, glasses and travel to hospital, you may qualify for partial help. You and/or your partner must be on Savings Pension Credit, a low income or have savings of under £16,000.  

To apply for help with health costs, you'll need an NHS form HC1 - available at NHS hospitals, chemists and surgeries. Or order direct by calling the NHS helpline 0845 605 0707.

Don't be put off by all the pages - many won't apply to you and can be left blank. Get help to fill it out if necessary. They should send you an HC2 or HC3 certificate or an explanation of why you don't qualify.

Extra money for things you need

If you have difficulty washing, feeding and dressing yourself, need family to help with certain tasks or need supervision, you could qualify for extra money in the form of Attendance Allowance - more in chapter 1 and chapter 10. If you're on dialysis or terminally ill, you qualify automatically. Ask your GP to sign a DS1500 form for you and your application will be processed fast.

Eyes, ears and teeth

National Health Service (NHS) eye tests are free if you're over 60. Check it's an NHS test and covers glaucoma, diabetic screening and eye pressure. Have a test every two years, every year if you're over 70. If you can no longer visit an optician unaccompanied, ask for a free NHS sight test at home by calling 0800 85 44 77.

You don't have to buy your glasses at the optician's where you were tested; you can ask for your prescription and go elsewhere. You can get optical vouchers towards the costs of glasses or contact lenses if you are on Guarantee Pension Credit. Take along your benefit letter. If you qualify for partial help with health costs, take your form HC1, certificates HC2 or HC3 (see Help with Health Costs, above).

If you are over 60 and cannot get to the doctor's without help, you are entitled to a free NHS hearing test at home. Ask your GP for details.

To find an NHS dentist, call NHS Direct (0845 4647, nhsdirect.nhs.uk). In Scotland, contact NHS 24 (0845 424 2424, nhs24.com). You don't have to pay if you get Guarantee Pension Credit.

You've heard it all before, but to keep healthy it helps to

Exercise. It protects your joints by keeping muscles strong, and improves balance, confidence and mood. If you use a wheelchair, investigate pool-therapy programmes designed for older wheelchair users as well as exercises you can do in your chair. Your GP will advise.

Eat little and often, and drink plenty of fluids. It's cheaper than you think to get 'five fruit and veg a day'.  Breakfast - Weetabix and banana, lunch - baked beans on wholemeal toast, tinned peaches, dinner - sardines in tomato sauce on spaghetti, carrot salad.

Arthritis Care's free booklet, Healthy Eating, has great advice, 0808 800 4050 or visit arthritiscare.org.uk.

Stop smoking. You're twice as likely to give up for good if you use nicotine replacement therapy like patches or tablets, and four times as likely if you use NHS support with stop-smoking medicine. Speak to your GP. Quit is a charity which supports would-be non-smokers, (0800 00 22 00, quit.org.uk). Or visit smokefree.nhs.uk, helpline 0800 022 4332.

Did you know…smokers are at increased risk of age-related macular degeneration (eye disease).

Keep your weight within the normal range. If you are overweight, your health will benefit if you lose just ten per cent of your weight. If you're less mobile and have a computer, can you join an online slimming club?

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Socialise. One study found that loneliness and isolation are as great a threat to health as smoking and a bigger threat than obesity! Sharing your troubles with a good listener reduces stress. Could you develop a telephone friendship with someone you call regularly, listening to and supporting each other?

If you're over 75 and would love more company, ring the charity Contact the Elderly. They may be able to take you to a privately-hosted tea party one Sunday a month. (0800 716 543, contact-the-elderly.org.uk).

Are you depressed?

If you often feel unusually anxious, tired or unable to concentrate, or have uncharacteristic bursts of being irritable and upset, you may be depressed. Tell your GP that depression may be the problem; it is common in older people and drugs aren't the only treatment.

Frightened to go out in case you lose control of your bowels or bladder? 

Ask your GP to refer you to a specialist continence nurse. If you feel embarrassed, call the Bladder and Bowel Foundation in confidence on 0845 345 0165 or call 01536 533 255 for details of your nearest NHS continence advisory service. It's worth attending to this problem because many older people fall when rushing for the loo!

Severe pain can also curb your desire to go out and socialise. If you can't cope, ask your GP to review your tablets or refer you to a pain clinic. Or ask the British Pain Society, (020 7269 7840, britishpainsociety.org) for information on pain clinics. If your pain is from arthritis, the charity Arthritis Care can offer helpful advice (0808 800 4050, arthritiscare.org.uk). The National Rheumatoid Arthritis Society's details are 0800 298 7650, nras.org.uk.


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Download this chapter, or order a full copy of the Wise Guide