Substance Abuse in Older Adults

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Questions and Answers

What is the most commonly abused substance among adults aged 65 or older?

  • Cocaine
  • Heroin
  • Alcohol (correct)
  • Methamphetamine

What percentage of older adults reported binge drinking in the past month according to the 2002 survey?

  • 12.5 percent
  • 7.5 percent (correct)
  • 10.0 percent
  • 5.0 percent

Which class of tranquilizers are older adults often prescribed excessively?

  • Benzodiazepines (correct)
  • Barbiturates
  • Opioids
  • Antidepressants

How much more prescription medicine do older adults consume compared to the general population?

<p>Three times (D)</p> Signup and view all the answers

Why is diagnosing substance use disorder in older adults often difficult?

<p>Symptoms can resemble other medical issues. (D)</p> Signup and view all the answers

What trend is expected as children of the Baby Boom generation reach senior citizenship?

<p>Higher prescription drug consumption (D)</p> Signup and view all the answers

What role do grown children often take when caring for older parents with substance abuse issues?

<p>Parental caretaker (A)</p> Signup and view all the answers

What can impact the household dynamics when an older adult has a substance abuse problem?

<p>It can affect all household members. (D)</p> Signup and view all the answers

Flashcards

Substance abuse in older adults

Substance abuse in older adults (65+) is most commonly associated with alcohol and prescription medications.

Prevalence of alcohol abuse in older adults

The 2002 National Household Survey on Drug Abuse reported 7.5% of older adults engaged in binge drinking and 1.4% engaged in heavy drinking within the past month.

Benzodiazepine use in older adults

Older adults often receive excessive amounts of benzodiazepines (tranquilizers) compared to other age groups, and they take them for longer periods.

Prescription medication use in older adults

Older adults consume three times the amount of prescription medicine as the general population.

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Diagnosing substance abuse in older adults

Diagnosing substance use disorders in older adults can be challenging due to overlapping symptoms with other medical and behavioral conditions like dementia, diabetes, and depression.

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Underestimation of substance abuse in older adults

Many healthcare providers underestimate substance abuse in older adults, often leading to a lack of proper screening for the problem.

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Impact of older adult substance abuse on family

Financial necessity often leads older adults to live with or rely on their adult children. Substance abuse in an older adult can impact everyone in the household, particularly their spouse who may be an older adult themselves.

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Elder abuse reporting and role reversal

Reporting elder abuse is a statutory requirement, similar to reporting child abuse or neglect. Grown children often take on a parental role in caring for their aging parents, which can be stressful and require adjustments.

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Study Notes

Substance Abuse in Older Adults

  • Older adults (65+) often misuse alcohol and prescription medication.
  • A 2002 survey found 7.5% of older adults reported binge drinking and 1.4% reported heavy drinking.
  • Veterans hospital data show some receive excessive benzodiazepines (tranquilizers) requiring lower doses.
  • Older adults take significantly more prescription medication (3x the general population).
  • This trend will increase as baby boomers age.

Challenges in Diagnosing Substance Abuse in Older Adults

  • Symptoms of substance abuse can mimic other age-related issues (e.g., dementia, diabetes, depression).
  • Healthcare providers sometimes underestimate substance abuse issues in older people.
  • Lack of screening for substance abuse in older adults is a common issue.

Family Impact of Substance Abuse in Older Adults

  • Older adults often rely on adult children for care/support for financial reasons.
  • Substance abuse in an older adult affects the entire household.
  • Spouses, being older themselves, can struggle to intervene effectively.
  • Family resources often needed to address the issue.
  • Elder maltreatment reporting is a legal requirement (similar to child abuse).

Role Reversal and Family Dynamics

  • Children often take on parental caregiver roles for aging parents, causing stress and adjustment.
  • Children may cut off financial support to alter parental behavior, or reduce pain of observing decline.
  • Children may stop contact to reduce emotional pain, increasing the parent's social isolation.

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