The aging population faces more health concerns compared to younger individuals. Approximately 40% of seniors take at least five different medications daily to manage various chronic health conditions. As a result, it’s no surprise that many seniors struggle to stick to their medication regimens. Taking so many medications can increase the risk of adverse effects and complications.
So, how can we enhance safety and prevent these problems? This article sheds light on the challenges of managing medications in seniors and explores the role we can all play in ensuring proper senior medication management. As you read, you’ll discover actionable tips to improve medication adherence and ultimately enhance the quality of life for the elderly.
Understanding the Challenges of Polypharmacy
Polypharmacy, or taking multiple medications for one or more illnesses, is common among seniors. According to the National Council on Aging, 80% of seniors aged 60 and older manage two or more chronic health conditions. There are many challenges to frequent use of medication in this age population. Some of these include;
- Cognitive impairment or forgetfulness due to conditions like dementia.
- Confusion caused by frequent changes in prescribed medications.
- Resistance to taking medications due to adverse effects, pill size, or unpleasant taste.
- Low comprehension of medication instructions.
- Poor vision affects the ability to read labels.
- Risk of overdose or misuse of medications.
- Inability to afford prescriptions needed for effective treatment.
- Emotional challenges like depression, loneliness, and living alone.
Without proper intervention, these challenges pose the risk of worsening health, increased hospitalizations, and reduced quality of life. Proper care and attention must be given to the elderly to prevent detrimental health risks due to the challenges that arise from polypharmacy.
Tips for Seniors to Manage Medications
To ensure seniors take their medications correctly and on time, there are many approaches can be adopted:
1. Create a Medication Schedule
The first step to managing multiple medications for seniors is creating a detailed list or schedule of medications used for different conditions, including supplements. Collaborate with a pharmacist or healthcare provider to ensure the schedule is complete and accurate. Key details to note include:
- The name (generic or brand) of each medication.
- The dose (e.g., grams, milliliters) and how to measure it.
- Specific instructions on how and when to take the medication.
- The purpose of each drug and the duration of use.
- Possible side effects to monitor.
When you're done creating the list, share it with your healthcare provider to double check for errors or missing information.
2. Use Pill Organizers and Safe Storage Options
The usual problem of not remembering if you have taken your medications for the day can be solved by organizing prescriptions for elderly. A pill organiser is the best to tackle this problem. Usually made of plastic, this device has separate compartments for daily doses. All you need to do is pick a day of the week(usually at the start of the week) to fill the pill organiser so you can easily select the pills you need every day.
If you take your medications multiple times a day, consider a pill organiser that has multiple slots for morning, afternoon, and evening medications. You can easily find this storage device at a pharmacy, a store or you can purchase them online. For medications that are sensitive to light and humidity, a coloured, airtight container would be the best for storage. Additionally, always store medications in a secure location out of children’s reach.
3. Establish a Routine and Set Reminders
If you want to ensure you consistently take your medication on time, the best approach is to practice and develop a routine. The longer you adhere to your doctor’s instructions, the easier it becomes to stick to your medication schedule.If you're finding it difficult to take your medications at specific times, try pairing them with an existing habit
For example, if you need to take your medications twice daily, you can place them beside your bed to remind you to take them when you wake up or before bedtime. Similarly, you can pair medication intake with other routines, like brushing your teeth in the morning and evening. Once you establish a routine, it becomes easier and requires less mental effort to remember your medications.
Additionally, setting reminders can be an effective way to stay on track without relying solely on your memory. For instance, if you need to take your medication every eight hours, set a daily reminder. This simple strategy ensures you never miss a dose and helps maintain consistent adherence to your therapy.
4. Seek Help When Needed
Sometimes, managing multiple medications at different times of the day can be outrightly stressful and overwhelming. If you feel you can’t do it all on your own, there’s no harm in asking for help. Contact a family member, trusted friend, or caregiver to assist you with your medication routine.
Even if you feel capable of managing your medications on your own, seeking help can relieve the stress or mental burden of setting reminders or filling your pill organizer. Additionally, it can provide valuable social support, which could significantly improve your quality of life.
Tips for Caregivers to Support Seniors
Caregivers are indispensable in geriatric or elderly care. These trained care providers have a huge role to play in reducing medication errors and improving appropriate and timely use of medications. Here are some caregiver medication tips that can help tackle the problems associated with senior medication management.
Helping with Organization
With a medication schedule or list, caregivers can adequately prepare medications to be used before they are needed, for example, in pill containers. Doing this weekly can encourage medication adherence and prevent medication errors. Also, with caregivers around the elderly, they can help with frequent monitoring of health markers, for instance, blood pressure and blood glucose levels.
Collaborating with Healthcare Providers
Having a caregiver who has a relationship with the primary healthcare provider can be of help, especially when there are concerns, for instance, when the senior complains of a particular side effect after using medications.
When they notice resistance in taking some medications, for instance, if the pill tastes bitter or they have difficulty swallowing, the caregiver can contact the doctor for a simpler medication that can avoid their specific complaint.
Monitoring for Changes in Behavior or Health
Caregivers are also in the right position to monitor the elderly for symptoms that occur when things go wrong. For example, if the patient is managing diabetes, a common side effect of some of these medications includes dizziness, confusion, and blurred vision. Other side effects documented in the medication schedule should be looked out for and treated on time.
Providing Emotional Support
Many elderly patients suffer from geriatric depression. Having a caregiver who is invested in their lives can be a great way to unload emotional burdens and reduce feelings of loneliness and depression. It can also help seniors who have had past traumatic experiences to cope better when they have someone they can talk to on a regular basis.
Preventing Medication Errors
Medication errors can have dire consequences, which can be fatal and can land one in an emergency room. Adhering to the right precautions can help to significantly reduce these risks. For instance, there are some medications that sound similar; e.g., losartan and lexotan, metformin and methotrexate, and many others. Seniors, caregivers, and family members should take note of drugs that sound alike, as the use of one instead of the other can lead to dangerous outcomes.
Also, it is best to stick to one healthcare provider or pharmacist who knows the patient’s history to provide healthcare advice, flag potential medication interactions, and side effects. Additionally, it is important to never share someone else’s medication with another, even if you think they share the same symptoms. It is essential that everyone involved in geriatric health stays vigilant and collaborates to provide the best patient care, which would improve the patient’s quality of life.
The Role of Healthcare Professionals
Qualified healthcare professionals like doctors and pharmacists have a huge role to play in managing multiple medications in geriatric care. These professionals have a role to play in answering any questions the patient might have concerning their medication use.
Overly complex regimens can be simplified and explained to optimize patient care. These professionals can offer follow-up services and provide free medication reviews to ensure there hasn’t been a change in medication administration or frequency.
For every new drug that has been added to the medication regimen, seniors can rely on pharmacists for advice on potential drug interactions with prescription, over-the-counter medications, and supplements. For patients suffering from health conditions that can alter their memory, a family member, trusted friend, or caregiver is in the best position to collaborate with healthcare providers and reduce health risks.
The Bottom Line
In elderly patient care, there needs to be a collaboration between seniors, patient relations, caregivers, doctors, and pharmacists to ensure comprehensive care, monitoring, and follow-up. With teamwork, problems associated with medication errors, side effects, and complex medication regimens can be identified on time and nipped in the bud.
Proper senior medication management is imperative for improved health outcomes, better emotional health, and quality of life. Seniors may find it overwhelming in the beginning, which is why it’s always a good idea to ask for help and take small, consistent steps to medication adherence. With practice, organizing prescriptions for the elderly, and receiving emotional support, they are well on their way to better health.