Why are Seniors at Higher Risk for Medication Errors?

Why are Seniors at Higher Risk for Medication Errors?

If you are the adult child of a Michigan senior, at some point you will likely find yourself helping them manage their medical care. Older adults often live with multiple health conditions which can require them to take a variety of medications. In fact, on average, adults between the ages of 65 and 69 take nearly 14 prescriptions per year. And seniors aged 80 to 84 take an average of 18 prescriptions per year.

The Statistics on Medication Mistakes among Seniors

For older adults who have recently been discharged from the hospital and for seniors with memory loss, managing medications can be even more difficult. According to the Institute of Medicine, 770,000 older adults end up in a hospital emergency department every year. It is also one of the top reasons many older adults choose to move to a Michigan assisted living community. They need assistance with managing medication.

What can you do help the Michigan senior you love safely manage their medications?

Begin by making yourself aware of the potential problems a senior might encounter when trying to stay on track with their medication schedule.

Five Top Mistakes Seniors Make with Medications

Some of the most common mistakes older adults make are:

 

  1. Keep an eye on the clock. Medications for health conditions like diabetes, coronary artery disease and other chronic health conditions are time sensitive. Each dose must be taken at the right time. Seniors may forget to take a dose or take dosages too close together. Both mistakes can have serious health consequences.
  2. Incorrect dosage. When a senior takes a variety of different medicines each day, keeping track of each dosage amount can be challenging. This is especially true if an older adult has vision loss that makes reading the labels on prescription bottles difficult. They make take too much of one and not enough of another.
  3. Drug reactions. As we age, our bodies metabolize medications differently. Many times older adults need a smaller dose than younger. It puts our seniors at greater risk for an accidental overdose or an adverse reaction. One step you can take to minimize this risk for your senior loved one is to make sure each of their physicians has an updated medication list that includes over-the-counter medicines too. It also helps to have all prescriptions filled at the same pharmacy. Most pharmacies have technology that can alert you to potential drug interactions
  4. Modifying medication. Some health conditions that are more common among older adults can cause difficulty swallowing. It might cause a senior to become fearful of choking. This often leads older adults to cut their pills in half or smash them up to eat in food. Some medications aren’t effective if the format is altered. Those with a time release component may actually be harmful. Talk with your aging loved one’s pharmacist to see if their medication can be altered in format or if there is another solution.
  5. Storing medication. Most adults don’t realize how important it is to store medications at the right temperature. Many people store their medicine in the bathroom or kitchen because it is easier to access water. Experts say these may actually be the worst rooms in the house. Because the temperature and humidity fluctuate in both rooms, a safer option is be to store medicine bottles in a drawer in the bedroom.

 

Technology to Help Seniors Manage Medication

The good news is that technology has helped make medication management easier than it used to be. From apps like MediSafe to more sophisticated systems such as Philips Medication Dispensing Service, there are a variety of tech solutions seniors and family caregivers can make use of each day.

We hope this information allows you to spot potentials problems that might put your Michigan senior loved one at risk, and offer you a few solutions to consider.

 

 

Why are Seniors at Higher Risk for Medication Errors?

Alzheimer’s Caregiver Dos and Don’ts

Caring for a senior loved one with Alzheimer’s is difficult and sometimes frustrating. As the disease progresses, it robs your senior loved one of the ability to understand and communicate. It also brings personality changes and behavioral changes that can challenge even the most patient of caregivers.

How family caregivers and personal companions respond and react in these situations can make a difference.

The Alzheimer’s Association recommends that caregivers practice “compassionate communication” and  respond calmly. This can not only minimize conflict, but reduce aggressive behaviors.

Minimizing Stress in a Senior with Alzheimer’s Disease

Here are some dos and don’ts that can reduce stress for your loved one with Alzheimer’s and for you.

DO change the way you communicate.

  • DO use short, clear sentences. Repeat yourself using a calm voice when necessary.
  • DON’T provide explanations or tell lengthy stories.  
  • DON’T ask questions like “Do you remember when…? Or ask if your loved one remembers what happened in recent memory. This can be humiliating for a person living with Alzheimer’s who likely can’t remember.
  • DO carefully rephrase your questions so that they can be answered with a “yes” or “no.”
  • DON’T remind your senior loved one that their memory is failing. Statements like “I just told you that this morning,” or “I cannot believe you don’t remember that,” can upset and agitate a person with Alzheimer’s.

DO adjust your attitude.

  • DO practice kindness and patience. It is easy to become irritated and frustrated when you are caring for someone with Alzheimer’s or dementia.  

When working with your loved one becomes difficult, take a deep breath and remind yourself that they cannot control their disease. Alzheimer’s causes the deterioration of brain cells. Your loved one is not behaving as they are because they want to aggravate you. As the Alzheimer’s Association puts it, “Once dementia is diagnosed, the patient is excused 100% of the time.”

  • DO be cheerful and reassuring. This can keep your Alzheimer’s loved one calm and help them to feel safe.  
  • DO “go with the flow.” The Family Caregiver Alliance explains that caregivers shouldn’t be concerned about correcting their senior loved one’s misunderstandings. For instance, rather than  letting them know that a loved one they want to go see has been dead for years,  experts recommend caregivers “let it go” and play along to avoid conflict and stress.

DO change your response.

  • DON’T argue or confront. Taking an aggressive stance can trigger an aggressive defense in a person living with Alzheimer’s. When your senior loved one does or says something troubling, it is best to distract them from their thought or behavior. For instance, if your father with Alzheimer’s insists that he needs to get to work, distracting him with a snack and a walk will calm him. Explaining that he retired ten years earlier will only further agitate him.
  • DO focus on reducing stress and making your senior loved one feel safe. According to the Alzheimer’s Association, people living with dementia are very often fearful. When reacting to their behavior, consider all your options and act with their comfort and security in mind.

For more information about caring for your senior loved one with Alzheimer’s disease or dementia, visit the Alzheimer’s Association’s Caregiver Center.

 

Why are Seniors at Higher Risk for Medication Errors?

Halloween Safety Tips When a Senior Has Alzheimer’s Disease

Halloween can present unique challenges for people with Alzheimer’s disease and their caregivers. Ghosts and goblins, jack-o’-lanterns and skeletons are fun for most of us, but the sights and sounds of this spooky season can agitate and confuse seniors with dementia. Loved ones with moderate and late-stage dementia will need to be sheltered from items and activities that might alarm them.

Halloween Safety and Dementia

Here are some tips to help you keep your senior in Michigan safe and anxiety free this Halloween:

  • Be realistic about much Halloween your senior with dementia can handle. Seniors with early Alzheimer’s disease can enjoy celebrations, but will likely need help with tasks like carving a pumpkin, making popcorn balls and packing treat bags.
  • Never leave a senior with Alzheimer’s alone during trick-or-treating hours. This may mean you or another loved one keeps them company or hands out candy with them at their door.
  • Limit the number of decorations. A house full of fake cobwebs and skulls may put you and your children in the holiday mood, but these types of décor can cause agitation and confusion for your senior with Alzheimer’s. If you do decide to decorate, avoid the fear factor. Items that move, talk or scream can frighten and cause a senior to wander.
  • Protect your senior loved one in public. While shopping and attending community events, avoid animated decorations, especially ones that jump, scream and scare unsuspecting people. Also steer away from costumed characters and people in masks.
  • Keep rooms well-lit during trick-or-treating hours. According to the Alzheimer’s Association, low light and shadows can trigger “sundowning” behaviors. Keep in mind that flashlights, flashing lights and flickering candlelight can also cause anxiety in seniors with dementia.

Tips for Soothing Alzheimer’s Agitation

If Halloween does agitate your loved one, use these strategies from the National Institute on Aging to calm them:

  • Change the environment. Guide your senior away from whatever environment is making them upset.
  • Comfort and reassure. Sit with your Alzheimer’s loved one. Talk softly and calmly and assure them that they are safe with you.
  • Create positive distractions. Play soothing music, read out loud or offer a snack.

To read more about celebrating holidays with your Alzheimer’s loved one in Michigan, visit the Alzheimer’s Association Holidays and Alzheimer’s Families webpage.

For more information about specialized dementia care, contact one of the Heritage Senior Communities near you.

Why are Seniors at Higher Risk for Medication Errors?

Worry-free Strategies for Long-Distance Caregiving

Caring for an aging parent in Michigan can be stressful. According to the American Psychological Association, 80% of Baby Boomers report high levels of caregiving stress.

Playing an active role in your senior loved one’s care when you live in another city can compound the worry. How can you stay informed? Be involved in decisions? How can you make sure your loved one is safe? How can you show that you care when you aren’t present?
Quality, long-distance caregiving may seem impossible. But with some organization, technology tools, advance planning and a little change in attitude, you can take an active role in your senior loved one’s care.

Caring Long-Distance

Here are some strategies for worry-free long-distance caregiving:

Communicate with Local Caregivers.

Whether your parent is aging in place at home or in an assisted-living or dementia-care community, you need to establish a regular line of communication with caregivers who see them on a daily basis.

• Ask in-home caregivers and visiting nurses to telephone you during or after visits. Adjust the frequency of phone calls based on your senior loved one’ needs and your schedule. For example, you could also set up an every-other-day phone call or a weekly phone call.
• In an assisted living community, connect with the social worker or activities director who can share regular updates with you.
• If your senior loved one is in physical therapy, schedule a regular call to learn about the progress he or she is making. Your aging family member will need to give the physical therapist permission to share the information first.
• If you have siblings who are sharing care close by, stay in contact with them, too. Not only can they keep you informed, but they will need your sympathetic ear. Don’t expect them to call you. They are likely overwhelmed with all the demands caregiving creates, in addition to caring for their own family and career.

Remember, phone calls aren’t the only way to stay in touch. In-home caregivers can help your senior loved one use Skype or a mobile app that will allow you to chat face-to-face over a computer, tablet or phone. This can also help you to build strong relationships with the caregiving team.

Stay close with your mom and dad.
Even if you talk with local caregivers every day, it is important that you still connect with your senior loved one. This will reduce the feelings of distance between you. Your parent will feel your presence and that you are “there for them.” Calling daily will also help you track differences in their health and cognition that you can then discuss with the caregiving team.

Use technology as your eyes and ears.
While you can’t always be in the house with your loved one, you can come pretty close with monitoring technology. Consider installing a remote monitoring system to help you keep tabs on your aging loved one.
• The VueZone Remote Video Monitoring System lets you oversee your aging parent’s activities by video feed on your computer.
• The BeClose system works with wearable tracker technology that monitors your loved one’s daily routine. You receive text alerts, emails and phone calls if your parent strays from his or her normal activities.
Work remotely with other caregivers.

If your siblings and other family members are managing all the hands-on care, you can share some of the load from a distance. You might offer to make phone calls and schedule appointments, pay bills online, do internet shopping for mom, or create her shopping list in Google Drive and share with the family.

Coordinate a caregiving network.

Even though you cannot keep your loved one company on a regular basis, you can work to create a community of visitors who can check on your loved one and keep them socializing. Talk regularly with your aging parent’s grandchildren, neighbors and friends. Encourage them to make a phone call or stop by for a visit. Contact your senior loved one’s church to inquire about services and visits for shut-ins.

Be prepared for changes.

Work with your siblings and caregiving team in advance to create an emergency plan. In the event of a blizzard or power outage, where will dad go? If your aging parent has to have surgery, who will be available to care for them during recovery? What if your senior loved one can no longer stay safely in their home?

Investigate options for short-term respite care or adult day care. This service is perfect for senior loved ones recovering from an illness or injury, or when family caregivers are taking a vacation.

To learn more about respite care for your senior loved on in Michigan, contact the Heritage Senior Community near their home.

 

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Why are Seniors at Higher Risk for Medication Errors?

Can Assisted Living Help Improve a Senior’s Nutrition and Health?

Dear Donna:

My mother is 81 years old and lives alone in her home near Holland, Michigan. Over the past year she has been in and out of the emergency room more times than I can even count! The issues have ranged from being dehydrated to several falls to a bad case of the flu.

We are struggling to convince our mother to take better care of herself. My sister or I deliver homemade, frozen meals and a big salad to her once a week. She would only need to heat up the dinners in the microwave and put the salad in a bowl at meal time. But she just won’t do it. Most days she lives on peanut butter toast, cereal and lunchmeat.

We really think the time has come to insist that she move to a safer type of senior housing. I think if she just ate better many of her problems would resolve on their own. I know she doesn’t want to keep going to the emergency room. All the trips back and forth have really worn her out.

Can an assisted living community help us get her back on a healthier track? I really don’t think she needs to be in a nursing home.

Anna in Kalamazoo

Dear Anna:

It sounds like your family has had a very difficult year! The situation is unfortunately all too common. For many seniors, maintaining good nutrition is a real challenge. In some cases it is because the older adult doesn’t have transportation to and from the grocery store or they have a health condition that makes preparing meals difficult.

Poor nutrition in seniors can create many of the circumstances you described. It can lead to a weakened immune system and put her at higher risk for the flu bug that landed her in the house, as well as muscle weakness that may have contributed to her falls.

The good news is an assisted living community may be an ideal solution! Your mother would receive three well-balanced meals each day and the opportunity to enjoy them restaurant-style in the community’s dining room. The social aspect of spending meal times with her peers might encourage her to eat more, too. She would also have the opportunity to participate in fitness and life enrichment programs that may help her improve her overall wellness.

It might be a good idea for you to visit a few assisted living communities in the Grand Haven and Holland areas on your own first. Once you have an idea about what each of them offers and which ones might be a good fit for your mother, you could return again with her.

Best of luck to you and your family, Anna! I hope your mother can get settled in an assisted living community soon and begin to get her health back on track.

Donna

 

 

 

Why are Seniors at Higher Risk for Medication Errors?

Prepare to Shoo the Flu

Most people who develop the flu recover from the aches, cough and fever quickly. But older adults are more vulnerable to severe and sometimes deadly complications.

September is the time of year to help your Michigan senior loved ones prepare to fight the flu.

According to the Centers for Disease Control (CDC), people over the age of 65 account for 60 percent of seasonal flu-related hospitalizations and 90 percent of flu-related deaths each year.

It is crucial that you act early to protect your loved ones from this serious illness.

Here’s what you need to know to prevent your aging loved one from getting bitten by the flu bug this year:

  • Get them vaccinated. According to the CDC, the flu shot is the best way to prevent high-risk populations from coming down with the virus. Getting the shot in October ensures they are protected through the peak season in January and February and on in to spring.

Though there is a slight chance that your vaccinated senior could contract the virus even if they receive their flu shot, the vaccine will reduce the severity of illness and the risk of complications.

Adults over the age of 65 may be given a standard flu shot or a higher-dose vaccine designed for those with compromised immunity. Talk with your loved one’s physician to determine which vaccine is best shot for them.

Vaccines can be given at physician’s offices, clinics, pharmacies and at your local health department. Visit the Michigan Flu Vaccine Finder to locate a clinic near you. The annual flu shot is covered by Medicare Part B, with no co-pay.

  • Roll up your sleeve, too. The flu is highly contagious, so it is important that everyone who spends any time with your loved one is also vaccinated to prevent transmitting the disease. The CDC recommends the annual flu shot or nasal vaccine for everyone over six months of age.
  • Limit your loved one’s contact with people who may have the flu. Don’t permit visits with anyone who has symptoms of illness. Remind visitors that the senior in your care cannot risk becoming sick.
  • Encourage healthy hygiene. Remind your senior loved one to wash their hands thoroughly throughout the day and to avoid touching their face, eyes, and nose. This will prevent the spread of infectious germs.
  • Take precautions when in public. Wipe down shopping cart handles with anti-bacterial wipes. Carry hand sanitizer and help elderly adults remember to use it frequently to kill germs they might pick up.
  • Bolster immunity. Make sure your aging parents eat a balanced diet, exercise and maintain strong social ties. All of these things help strengthen their immune system.

If your senior loved one develops flu symptoms, call his or her physician. If they have the flu, the doctor can prescribe an anti-viral influenza treatment that can help them combat the virus more quickly and avoid debilitating complications.

For more information about flu prevention, visit the US Department of Health and Human Services website.

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