We all know about the rising costs of health care, and how expensive prescription medicines can be, especially for seniors. But do you know bow much it can cost if you don’t properly take your medications?
According to government est imates , each year in the United States more than 125,000 people die from a failure to properly take their medications, adding approximately $ 100 billion in preventable additional hospitalization, emergency room, and repeat physician visit costs to the health care system. At least I 0% of all hospital admissions are a result of this problem. For seniors, the statistics are particularly alarming:
• Up to 23% of nursing home admissions may be due to an elderly person’s inability to self-manage her prescription medications at home.
• Over 21 % of all drug-related health complications are caused by patients failing to adhere to their medication regimens, whether by accident, negligence, or intent.
• Up to 58% of all seniors make some kind of error when taking their medicalions, with 26% making mistakes with potentially serious consequences.
• In studies of elderly patients on long-term cholestero l-lowering statin therapy, researchers found that 57% had stopped taking them after 6 months, and 74% had stopped by the end of five years.
There are lots of reasons why people neglect to take their drugs properly. The most common reason is that they just forget, which seems innocent enough.
The average senior takes about seven different medications (both prescribed and over-the-coun ter) every day, soil’s little wonder that it can be difficult to remember and keep track of them.
Numerous devices and strategics have been developed to help patients keep track of their medications. You can find some of the relatively inexpensive “reminding gadgets” at your local pharmacy, devices that help you organize your pills and/or remind you when to take them with visual and sounding alarms. You can also find very sophist icated reminding/dispensing systems that can cost hundreds of dollars, as well as services that will telephone you to remind you. Even the drug companies themselves are getling into the act, as some have set up free programs in which company representatives, usually a nurse, will contact patients who are taking their proprietary brands of medications and encourage them to finish and refi II their prescript ions.
Noncompliance & Patient Education
You might find it strange or foolish that someone would intentionally disregard the importance of taking medications, and yet it’s a common problem. For example, people may think that they feel better and discontinue treatment prematurely. Or perhaps the medicine doesn’t seem to have an immediate effect so they decide it’s not working and stop. Or perhaps it seems to work very well so they decide to take more of it per dose, or the prescribed dose more often. Or they stop because there may be bothersome side effects that they don’t like, or because they just don’t really believe that they actually need the medications. Or they may find the costs too burdensome and try to “save” the medication by taking it less often. Do any of the above examples describe your situation or that of your loved one?
The reasons for noncompliance can be as varied and individual as each patient, but when people willfully change their dosages or discontinue their medications, it’s usually not because they’re uncooperative or “just stubborn.” Instead, it’s usually because they don’t fully understand how the medications work and what the health consequences are when you don’t follow the regimen correctly or discontinue it altogether.
Patient educat ion is not as simple as it sounds, because the responsibil ity lies as much with the patient as with the healthcare profess ional. People need to become more actively involved with their own healthcare, but that doesn’t mean deciding things on their own based on erroneo us beliefs or limited informat ion. What will make a difference is proper commun ication of all your questions and concerns when a doctor prescribes something for you. Don’t just wait for the doctor to tell you bow and when to take it, because they won’t always tell you everything you need to know. Here’s a short list of basic questions to always ask your doctor or the pharmacist:
What is this medication called?
Mow does it work?
• What are the possible side effects?
• Exactly how many times do l take this every day and at what intervals?
• Are there any dangerous interactions with other drugs or with certain foods?
• How long do I have to take this?
• How do l store it?
• How much does it cost (with or without insurance)?
People are often reluclant to demand a detailed explanation of their medication regimen for various reasons. They may be afraid of appearing pushy, or of questioning lhe doctor’s authority. Or they may be afraid of appearing uneducated or unsophist icated. Or they may still be mentally processing the diagnosis ( which they may have just received a few minutes before) and are filled with anxiety. A II of these are understandable and reasonable fears, but it may help to either call the doctor ( or the nurse who works with the doctor) afterward so that your questions can be answered. You can also always talk to your pharmacist about the prescribed medication and ask any questions the doctor did not answer for you. The importance of taking medications properly cannot be overemphas ized, because the consequences of not following a prescribed medication regimen are especially serious for seniors, but it’s not just about possibly losing one’s life because of drug complicat ions or mistakes. With each hospitalization and emergency room visit that may happen as a result of the resulting declining health, the risk of being prematurely forced into a nursing home increases. And that can cause the loss of something every senior would like to keep for as long as possible-one’s independence .
If you have any questions about the medications you are currently taking, the knowledgeable and friend ly pharmacists at MISlRx Pharmacy are available to address any concerns you might have.