People with dementia are more vulnerable to the summer heat. Studies show that when temperatures climb, people are more likely to die or be admitted to the hospital if they have Alzheimer’s disease, or another neurological condition that causes cognitive decline. Sometimes, the signs that someone with dementia needs help are obvious, said Sara Murphy, vice president of programs and services for the Alzheimer’s Association’s Greater Pennsylvania Chapter.

For example, an older person might be wearing a fur coat in 90-degree weather. At other times, the signals are subtle, and caregivers have to be vigilant to ensure someone’s comfort and safety. Additionally, because diseases like Alzheimer’s, Parkinson’s, and Lewy body dementia are progressive, the physical and mental abilities of people with these types of diagnoses can constantly change, which means caregivers must always be on their toes.

In this interview, which has been condensed for clarity and length, Murphy told Spotlight PA that during hot weather, caregivers for people with dementia should pay close attention to patients’ emotional and physical states and think like detectives. Spotlight PA: Are there physiological reasons why a person with Alzheimer’s might be more vulnerable to heat? Sara Murphy: For the average Joe who doesn’t have any cognitive impairment, they’re able to regulate temperature and realize that it’s really hot and to dress appropriately. But with someone with any type of demen.