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Tag: senior americans

  • Older Americans Sorely Under-Informed About Opioid Risks

    Older Americans Sorely Under-Informed About Opioid Risks

    A new poll uncovered a major lack of communication between doctors and their older patients who use opioids.

    A new poll from the University of Michigan involved a nationally representative sample of 2,000 Americans between ages 50 to 80.

    According to The Atlantic, the results of the poll were an indication of why elderly patients at high risk of opioid overdose: 40% aid their doctor’s did not speak to them about opioid side effects or how to decide when to cut back on the medication.

    SAMHSA reports that the population of those 65 and older expected to use opioids will most likely double between 2004 and 2020.

    The University of Michigan National Poll on Healthy Aging asked the patients what their health-care providers discussed when prescribing opioid medication to them.

    Of the responders, 589 said they had filled an opioid prescription. While they indicated that they knew how often to take the medication, the majority said their doctors or pharmacists did not address the risk of addiction, the risk of overdose, or what to do with excess pills.

    Interestingly, the poll also showed that respondents overwhelmingly support policies that require providers to receive special training for opioid prescribing, as well as to review prescription records and requiring patients to disclose prior opioid medication.

    The populous of the poll include baby boomers (which CNN defines as people born from 1946 to 1964). Sheila Vakharia, a policy manager at the Drug Policy Alliance, told The Atlantic that this group “used alcohol and other drugs at higher rates compared to other generations of older people that have preceded them, which means these same people are at higher risk of overdose and adverse effects because they may be drinking a little bit more often and a little heavier than some folks who are in their 80s.”

    Doctors can sometimes find it difficult to communicate effectively with their older patients for a variety of reasons. Many doctors are overextended, “burnt out,” and simply don’t have enough time with each individual patient. In addition, doctors often don’t think patients’ of a certain age are at risk for addiction, Vakharia mentioned.

    “The messages that doctors give to patients are largely dictated by how they perceive patients,” Vakharia told The Atlantic. “You don’t often see the elderly as a population at risk for developing substance-use disorders.”

    Indeed, older patients who use opioids are not only at risk for addiction, but they are at a higher risk of overdose death than the younger population.

    View the original article at thefix.com

  • Older Americans Among "The Unseen" In The Opioid Epidemic

    Older Americans Among "The Unseen" In The Opioid Epidemic

    Opioid misuse nearly doubled for Americans older than 50 over a 12-year span. 

    The focus of the opioid crisis tends to be on younger generations. But this could be problematic, as, according to the Washington Post, older generations are increasingly at risk to develop opioid use disorders. 

    This is backed up by information from the Substance Abuse and Mental Health Services Administration (SAMHSA), which states that from 2002 to 2014, opioid misuse decreased in younger age groups, especially in those age 18-25.

    However, in Americans older than 50, use just about doubled. 

    On Wednesday, May 23, the Senate Special Committee on Aging held a session to discuss opioid use by the elderly population. 

    “Older Americans are among those unseen in this epidemic,” Sen. Robert P. Casey Jr. of Pennsylvania said, according to the Post. “In 2016, one in three people with a Medicare prescription drug plan received an opioid prescription. This puts baby boomers and our oldest generation at great risk.”

    Medicare can be problematic in situations such as this, because it funds opioids for patients, but it does not assist with care or medication that can be used to combat the opioid crisis, the Post notes. 

    William B. Stauffer, executive director of the Pennsylvania Recovery Organizations Alliance, in Harrisburg, Pennsylvania, spoke at the hearing and said one in three older Americans that have Medicare are prescribed opioids. 

    “However, while Medicare pays for opioid painkillers, Medicare does not pay for drug and alcohol treatment in most instances, nor does it pay for all of the medications that are used to help people in the treatment and recovery process,” he said, according to the Post. “Methadone, specifically, is a medication that is not covered by Medicare to treat opioid use conditions.”

    Gary Cantrell, a deputy inspector general at the Department of Health and Human Services, addressed Medicare Part D (prescription medication) beneficiaries, according to the Post.

    In 2016, Cantrell says, about 500,000 people “received high amounts of opioids” and nearly 20% of those are at “serious risk of opioid misuse or overdose.”

    For the elderly population, problematic use of opioids often starts with prescriptions rather than street drugs. 

    “Older adults are at high risk for medication misuse due to conditions like pain, sleep disorders/insomnia, and anxiety that commonly occur in this population,” Stauffer said, according to the Post. “They are more likely to receive prescriptions for psychoactive medications with misuse potential, such as opioid analgesics for pain and central nervous system depressants like benzodiazepines for sleep disorders and anxiety.”

    Apart from abuse, there are other risks associated with opioid use in older populations, too. The Post states that Sen. Susan Collins (R-Maine) pointed out at the hearing that, “Older adults taking opioids are also four to five times more likely to fall than those taking nonsteroidal, anti-inflammatory drugs.”

    Opioid misuse in seniors becomes even more dangerous because doctors can have a harder time recognizing the signs, Collins says. 

    “Regrettably,” Collins said, according to the Post, “health-care providers sometimes miss substance abuse among older adults, as the symptoms can be similar to depression or dementia.”

    View the original article at thefix.com