Five medication management tips for elder caregivers
Wednesday, 15 June, 2016
The use of multiple medications, also known as polypharmacy, leads to nearly 30 percent of all hospitalizations in the U.S. It is the country's fifth leading cause of death, according to HealthResearchFunding.org. Because seniors often face a wider range of medical issues, they are particularly vulnerable. However, caregivers can take steps to help their aging loved ones manage their medications, reduce the risk of polypharmacy, and enjoy safer, healthier lives.
HealthResearchFunding.org further reports that people between the ages of 65 and 69 take an average of 14 medications. People in their 80s take up to 18. Managing all of these is a struggle at any age, let alone for someone with cognitive or memory problems.
The simple act of maintaining a list of all medications and dosing instructions can play a critical role in keeping track. Be sure to include all OTC drugs and herbal supplements; these contribute to the pill burden and increase the risk of polypharmacy.
Keep this list in an easily accessible place for all caregivers and in the event of an emergency.
A report from the National Council on Patient Information and Education (NCPIE) reveals that approximately half of adult Americans “have difficulty reading, understanding and acting upon health information.” While this can be particularly true for seniors, doctors and pharmacists are valuable resources in promoting patient engagement and awareness.
If you're unsure about your loved one's medication, ask. More informed caregivers regarding how drugs work, potential side effects, brand names and generics, and potential adverse drug reactions, play a more vital a role in safeguarding their loved ones' health.
Bring your loved one's medication list to all appointments so doctors have access to the “big picture.” It's also worth asking your doctor about ways to reduce the number of medications. The more pills your loved one takes each day, the greater the likelihood of nonadherence, such as missing or doubling a dose.
One easy way to take a step toward safer drug management is to have all prescriptions filled at one pharmacy. This helps pharmacists keep an eye on any potentially dangerous drug combinations.
While filling and organizing pill boxes takes discipline, experts agree that this is a particularly effective method for simplifying the multiple medication process. Some seniors may be able to handle this task on their own, others will need assistance.
Getting organized also means developing regular habits for taking medication. Incorporating medications into senior routines – such as just before bedtime or after brushing teeth in the morning – increases the likelihood that seniors will remember to take their pills.
Unfortunately, the widespread polypharmacy problem is often accompanied by social stigma. Some may be embarrassed or ashamed to reveal their medication management issues. Signs that your loved one may be struggling include expired medications, pill bottles that appear unused, or delayed or missed refills.
As with most caregiving issues, open lines of communication are essential. Let your aging loved one know that polypharmacy is a common problem and that you are there to help ease the process.
While polypharmacy is a very real threat to senior health and life, these five measures can help caregivers make a difference by preventing adverse drug reactions and safeguarding senior health.