Considerations for opioid use among seniors

“The aim of the wise is not to secure pleasure, but to avoid pain.”

— Aristotle

My topic this week is one that we hear more about almost daily – the increasing opioid epidemic in our country. It is a topic about which I know little really, but feel compelled to address especially as it relates to the mature adults and eldery in our population. Obviously many, many young people are involved in the opioid epidemic tragically but our older adults are also suffering from the effects of pain medications and the often resulting dependence upon them.

I have had the experience of elderly family members who have been prescribed – by their physician – powerful and addictive pain medications. One family member was prescribed 19 medications by one physician! Ultimately the family member became very confused, depressed, forgetful and sometimes aggressive. Only when she was found walking on the road alone without proper clothing in the rain and cold did other family members and friends become aware and step in to get assistance for her. After months of medication adjustments – not to mention changing physicians – she is doing much better but has suffered long-term effects from this overdosing of our population.

Persons aged 65 years and older comprise only 13 percent of the population, yet account for more than one-third of total outpatient spending on prescription medications in the United States. Older patients are more likely to be prescribed long-term and multiple prescriptions, and some experience cognitive decline, which could lead to improper use of medications. Alternatively, those on a fixed income may abuse another person’s remaining medication to save money.1

The magnitude of opioid use among seniors is “astounding,” said Frederic Blow, who directs addiction research at the University of Michigan’s medical school and was not involved in the study.2

No one wishes to endure pain; and no one likes to see a loved one in pain. However, the use of powerful prescription opioids on the market today should raise a red flag if you have a family member who is currently prescribed one (or more!) of those medications. Ideally those are intended for short-term use only, and family members should closely monitor those situations. If you feel that there is an area of concern, talk plainly with the family member and if needed reach out to personal and professional caregivers and the prescribing physician. Your loved one’s life may depend on it.

 

Sharon McMahon, CNWC

FlexAbility4u@aol.com

The opinions expressed in this article are not intended to replace advice of your personal physician or licensed health professional. Please consult your physician for any issues you may have related to nutrition or fitness activity.

1National Institute on Drug Abuse

2Associated Press, June 22, 2016