Senior citizens and challenges with interaction of drugs and alcohol a social overview
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1 Senior citizens and challenges with interaction of drugs and alcohol a social overview Maria Viljanen (M.A.), project coordinator, Finnish Blue Ribbon 1
2 Social overview I look at the situation in Finland, but similar challenges can be found elsewhere - especially in countries where alcohol is commonly consumed. Presentation is based on practical experience I do the elderly injustice, because I mainly focus on the deterioration of the body and illnesses - this because they are treated with medication. Growing older is much, much more than that! How the combination of aging, alcohol and pharmaceuticals are a challenge for society, and particularly for the service system. Maria Viljanen
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4 Deterioration of the body the elderly can still function even when they have certain chronic illnesses, such as heart and vascular diseases fluctuating blood sugar levels fluctuating blood pressure musculoskeletal disorders, managed with painkillers insomnia or sleeping very little, which may be a normal part of aging - taking sleeping pills feeling low more often (normal) - antidepressants. longer-term illnesses: allergies, asthma and other respiratory illnesses, rheumatism and articular diseases etc. Digestive problems Maria Viljanen
5 Social relations and mental health Even when an elderly person is still essentially functioning, there may be various problems with mobility - related to normal deterioration of the body In addition, a person's lifestyle may change because of e.g. retirement. There may be a major life crisis: a serious illness, a loss of a love one, loss of mental stability etc.» These can be risk factors for excessive use of alcohol or prescriptive drugs or both Maria Viljanen
6 What do we know? The elderly are often over-medicated the discussion of how to optimize medical care there is labour shortage in elderly care in big cities we do not know enough about the combined effects of various medications (Aira 2007) The municipals are guided to care old people at home for as long as possible (Ministry of Social Affairs and Health 2008) especially in home care schedules are very tight. the physiology and also the psyche of the elderly cannot withstand alcohol as well as those of the young. (Aira 2007) the elderly drink more alcohol than they used to (in Finland) (National Public Health Institute 2008) In Finland there might be ca. 5-7 % of over 65 years who can be said to be hazardous drinkers. Maria Viljanen
7 Some findings of our project Workers in elderly care have essentially no know-how in substance abuse issues Clients who have problems with alcohol usually live in their own apartment even though they need treatment and care, Home care workers meet clients with substance abuse problems on a weekly basis. Most of them have multiple illnesses and usually also have mental health problems. There is very little knowledge about the combined effects of aging, alcohol and pharmaceuticals and there is little information available on aging and alcohol and some of it is very contradictory. Home care services often wonder what kinds of medicines these people can take and how medication should be administered to them. Maria Viljanen
8 What could be done to decrease the dangers of the combination aging, alcohol and pharmaceuticals? 1 We must talk about these issues: they must not be taboo In Finland we have already started to discuss the problem of overmedicating We should realize that aging, growing older does not have one specific pattern More cross-sector cooperation is needed - an elderly person with alcohol problems must not be solely a home care client We must increase substance abuse know-how in the field of elderly care We must increase the gerontological know-how of substance abuse professionals Maria Viljanen
9 What could be done to decrease the dangers of the combination aging, alcohol and pharmaceuticals? 2 We need more research and development work about the issue An alcohol problem must not stop anyone from getting the help, care and support they need - elderly people with alcohol problems must not be abandoned in their own apartments. In the care of the elderly with alcohol problems interprofessional cooperation is the key Services for the elderly should be much more than just taking care of illnesses. We should help and support the individual as a whole - we can strengthen their own resources at any age. Maria Viljanen
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