Dealing with medication problems and the elderlyWritten by Debra Sorensen | | firstname.lastname@example.org
At 83 years old, Martha still lived in her own home and enjoyed working in her garden and canning peaches. It was becoming harder to motivate herself, to get up in the mornings and accomplish the day’s tasks. She confided to her daughter that she felt anxious and tired. Her daughter, who was taking medication for her anxiety, took Martha to her own doctor, not Martha’s and got her a prescription for Valium. In doing so, the daughter’s doctor, who had never seen Martha and who did not have her medical history, was only aware of a few medications they told him she was taking.
Martha, in fact, was taking nine different medications as well as herbal supplements.
The addition of Valium to her existing list of prescribed drugs sent her to the emergency room with respiratory distress. If she had gone to her own doctor, he would have found that a dosage adjustment of her current medications would have solved her anxiety.
Medication errors are common in the elderly. Many seniors take on average six to eight different prescriptions as well as over the counter drugs. Many times the elderly will not go back to their doctor to have their dosage evaluated and changed if necessary. Family members should be aware that elderly parents may tend to take the family’s advice over going to their own doctor. Even though children want to help increase the health and stamina of their parents, they may in fact be causing damage by misdirecting their loved ones.
Where a younger person can benefit from herbal supplements like Ginkgo Biloba, Saw Palmetto and others, in older people, these herbals may cause adverse reactions with their prescription medications.
In 2003, a panel of experts put together a list of potential medications that would not be appropriate to give to seniors. This is called the “ Beers List ” after one of the research professionals.
Donna M Fick, R.N. one of the panel members for updating the “Beers List,” said in her article on Seniorjournal.com:
“Just as our bodies physically slow down as we age, changes occur in the way that older bodies handle pharmaceuticals, and this has motivated experts to develop a list of drugs that may be harmful to elderly patients.
“With age, drugs tend to build up in the body, and the distribution and elimination of drugs from the body changes as well,” said Fick, associate professor of nursing at Penn State. “Many drugs, like diazepam (Valium) and other anti-anxiety drugs build up fast.”
An online article on HealthSquare.com, titled “Drugs and the Elderly,” talks about physical symptoms and medications.
“Among the first signs that a drug may not be working properly in an older person is a change in mood, energy, attitude or memory. Too often, these alterations are overlooked, ignored or chalked off to “old age” or senility. Older people may themselves feel their blue mood is caused by something external such as the death of a friend or simply by boredom. Nothing could be farther from the truth. Virtually every heart medication, blood pressure drug, sleeping pill, and tranquilizer has been known to trigger depressive symptoms.
When a psychological symptom appears in an older person, examine his or her medication or drug use first. Consider, too, factors like alcohol intake, poor nutrition and hormone imbalance. Never dismiss the possibility that a real psychological problem has developed and may itself require medication.”
There are many things family members can do to help monitor medications for their elderly parents.
- Make a list of medicines prescribed and all supplements being taken.
- Give this list to the doctor and pharmacist and have one on hand for emergencies.
- Use the same pharmacy to fill all prescriptions. Pharmacies keep a record of your prescribed drugs and will verify your doctor’s instructions. They will also tell you if foods or over-the-counter supplements will interact with a prescription
- Dispense pills in a daily pill organizer box.
- Have a family member be responsible to call or physically monitor the taking of medication. Family members who live long distances from their elders have new technology in medication monitoring available to them.
- Consider purchasing alarms for pill boxes, watch alarms, medical alarm bands and necklaces that ring a reminder.
- Another option is computerized pill box dispensers that ring a designated number if the pills have not been taken.
- Home Telehealth: “Technology has developed computer and computer cameras to help the elderly in their homes stay safe and healthy. Home telehealth — set up by medical professionals in the home — enables providers to monitor such things as medications and blood pressure and actually see the patient. Patient questions are answered and advice is given, while the monitoring nurse views through the video phone how his or her patient looks physically.” (“The 4 Steps of Long Term Care Planning,” Page 92)
- Professional care management — If monitoring and managing your elders’ medications and other care needs, has become too overwhelming, a professional geriatric care manager may be the solution.
- Find a professional geriatric care manager in your area.
“I’m the person who asks questions and then helps execute a plan,” said Joyce Niederpruem, president of Southwest Solutions Inc., a Sarasota firm she founded seven years ago. “And I can be the bad guy sometimes; I take that role away from the client.
“I can help cut through lots and lots of red tape. The key is to absolutely know the resources of a particular community. I’m there to be the central communicator, the central command post,” as cited by the Herald Tribune.
Overmedication or taking medication incorrectly may lead to early mental confusion and decline in health in seniors. “If medication problems were ranked as a disease in cause of death it would be the 5th leading cause in the United States,” according to an article on long-term living.
Adult parent tip of the week
Don’t make yourself feel guilty if you decide you need to consult someone to help with taking care of your older or disabled loved ones. Make the call and know that you are doing the right thing; just as you would consult an attorney for legal matters, consulting a long-term care expert will maximize independence, minimize cost and generally assist with a more peaceful and calm situation for all parties involved.
Debra Sorensen-Roidl, MSW, member of the National Care Planning Council, is a certified care manager in the local greater Toledo area. Read more about her eldercare services at her Web site, www.independentcaresolutions.com or you can reach her by calling (419) 367-8835 or e-mailing email@example.com.