It’s not just seniors. The New York Times reports that at least half of the medications for chronic diseases simply aren’t taken as prescribed. That’s a serious issue for a person of any age, but it can have even worse consequences for seniors. It’s estimated that 10% of hospitalizations for seniors happen annually because of missing medication doses.
Here are the three main reasons why seniors decide not to take medication prescribed to them, and suggestions on what to do about it.
1. They have difficulty understanding the cost
Not all prescription medications are expensive, but much of it is. Many seniors know that they are on a fixed and limited income, and sometimes they decide it’s a better idea to take less than what has been prescribed.
While it may make the prescription last longer, it can make the benefits of the medicine far less effective—or even totally ineffective. If it’s possible, find out whether this is why a senior is skipping taking their medications. It may be necessary to have a frank discussion with them, reminding them that they’re really not saving money. It will cost far more in hospital or medical bills if their condition is not kept in check.
2. They don’t believe there’s any benefit
Serious health conditions like a heart attack or kidney failure often have a long recovery period. During that time, it may not seem as if the daily medications prescribed are doing anything at all. Seniors may start to lose faith that they indeed will get better. Even worse, taking regular medications is a daily reminder that they are not well.
Keep an ongoing dialog with seniors about the medications they’re taking. Remind them that the medicine works best with a healthy diet and lifestyle changes. Point out improvements you see, which they may not. This can help to associate taking the medication with gradual health improvements.
3. They think there’s no longer any reason to take it
Sometimes it seems like a waste of time—and money—to take a medication if you’re feeling better. That’s always a decision best left to a health professional. Often, medications must continue to be taken even after a senior recovers from a health crisis.
No one is likely to appreciate hearing that they’ll have to take a daily medication for the rest of their lives. Seniors may exercise curiosity and decide to stop taking a medication to see if it changes the way they’re feeling. And, they probably will continue to feel fine for the short term.
The problem with this false sense of wellbeing is that they won’t really be able to determine whether drugs that treat conditions like heart disease or high blood pressure are working or not. Many health conditions in the elderly have few or no noticeable symptoms.
The most important thing to remember as a caregiver is that most seniors do not purposely skip medications with the intention of harming themselves. Many times, they simply need a reminder or reassurance that it the medication really is good for them, regardless of what they can or can’t feel.