Prescription Medication Use Among Self Neglecting Elderly

John W. Culberson · Rebecca L. Ticker · Jason Burnett · Marianne T. Marcus · Sabrina L. Pickens · Carmel B. Dyer

14 citations0/0 files storedJournal of Addictions Nursing

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Elder Abuse and Neglect Pharmaceutical Practices and Patient Outcomes Opioid Use Disorder Treatment

Abstract

The elderly use approximately one-third of the prescription medication in the United States, often for problems such as chronic pain, insomnia, and anxiety. This study will describe the use of prescription medication, specifically drugs of abuse such as benzodiazepines and opioid analgesics, in a sample of community dwelling elderly referred to Texas Adult Protective Services for self-neglect. We hypothesize that self-neglecting behavior may result in increased use of prescription drugs with known abuse potential. Self-neglecting elders (n = 100) were matched with community controls and interviewed by geriatric nurse-practitioners in their homes. Benzodiazepine use among self neglecting elderly was four-fold that of matched controls, (OR = 4.2, 95% CI = 0.9–20.4), and the use of opioid analgesics slightly higher among self-neglecting elders, (OR = 1.1, 95% CI = 0.5–2.4). Self-neglecters were significantly less likely to be taking non-opioid pain medications such as acetaminophen (p < .011) and gabapentin (p < .02). Self-neglecting elders using benzodiazepines were less likely to be female (OR = .81, 95% CI, 0.2–3.6), live alone (OR = .94, 95% CI, 0.2–4.0), report pain (OR = 0.2, 95% CI, 0.1–2.0), or depression (OR = .66, 95% CI, 0.1–3.2). Those using opioid analgesics were less likely to be female, (OR = 0.6, 95% CI, 0.2–1.9), however, more likely to live alone (OR = 1.7, 95% CI, 0.6–1.9), report pain (OR = 1.5, 95% CI, 0.5–4.5), or depression (OR = 3.2, 95% CI, 1.1–4.9). Self-neglecting elders demonstrate a unique pattern of prescription drug use. Further studies are required to determine if self-neglecting behavior in the elderly increases the prescription of benzodiazepine and opiate drugs.

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References

1994Validation of the geriatric depression scale-short form among inpatients 2002Predictors of Self-Neglect in Community-Dwelling Elders 2007Self-Neglect Among the Elderly: A Model Based on More Than 500 Patients Seen by a Geriatric Medicine Team 2005Development and initial validation of a 15-item informant version of the Geriatric Depression Scale 2006Could Self‐Neglect in Older Adults Be a Geriatric Syndrome?2002JAGS Comes of Age: 50 Volumes Worth!2006What Is the Association Between Self-Neglect, Depressive Symptoms and Untreated Medical Conditions?2006Severe Self-Neglect: An Epidemiological and Historical Perspective

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2017The Abrams geriatric self‐neglect scale: introduction, validation and psychometric properties

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