Substance Abuse in Elderly PPT Flashcards
_____ is defined in DMS-IV_TR as a “maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related tot the repeated use of substances.
substance abuse
Recent census data estimates that nearly 35 million people in the US are ___ or older.
65 years old
Substance abuse among those 60 years and older (including misuse of prescription drugs) currently affects about _______ of this population.
17 percent
The prevalence of medication misuse includes _____ in women .
11%
There is _____% misuse of opioids in the elderly population non medically.
1.4%
______ - ____% of elderly use benzos (overprescription, misdiagnosis, polypharmacy)
15.2 - 32%
19.6% of men and ____% of women binge drink.
6.3%
____% of men and 10.9% of women are at risk for alcohol issues?
16%
The prevalence of _____ use in the past 12 months is 14% in the elderly population.
tobacco
Illicit drug use in the past 12 months in the elderly is ____%.
11.7%
Alcohol slide 4
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Physical Risk Factors for Elderly substance Abuse
Male (alcohol) Female (Rx durgs) Caucasian Physical disability Transitions Polymorbidity Chronic pain Reduced mobility Poor health status Polypharmacy
Psychiatric Risk Factors
Avoidance coping Hx EtOH problem Previous SUD Previous psych illness Concurrent psych illness
Social Risk Factors
Affluence
Bereavement
Forced retirement
Social Isolation (divorce/separation/ lack of religious affiliation)
Physiological Changes which are contributing factors to substance misuse include decreased alcohol tolerance and _______.
increased risk for complications.
Psychological Changes which are contributing factors to substance misuse include dementia, depression, and _________.
concerns about hospitilization , nursing home placement and death
When diagnosing substance abuse disorder, most refer to the Diagnostic and Statistical Manual of ______.
mental disorders
Social and ____ factors sometimes add challenges when trying to diagnose substance abuse.
biological
There are many symptoms/indicators of SUD; there can be physical, _____, psychiatric, or social indications that someone may be suffering from substance abuse.
cognitive
These are all potential abuse indicators.
Falls Sensory deficits Disorientation Depression Idiopathic Seizures Financial problems An increased drug tolerance Running out of medication early Borrowing medications
Many of the drugs abused by the elderly are readily ________. For example alcohol and tobacco products are sold legally across the country.
available
_____ is another commonly abused drug. It is now legal in multiple states across the country.
Marijuana
_____ are another common source of drugs. For example narcotics and anxiolytics. Narcotics are pain relieving drugs, for example opiods. Anxiolytics are mood altering drugs and sometimes sleep aids, most commonly benzodiazepines.
Prescriptions
The most common source of pain relievers for nonmedical use in users aged 12 and older?
free from friend/relative
and they received from one doctor
The second most common source of pain relievers for nonmedical use in users aged 12 and older?
a dr
The CDC states that older adults (aged 40 years and older) are more likely to use ________ than adults aged 20-39.
prescription opiods
Review states slide
NC SC AL MS LA AR OK TN KY WV OH IN MI
most prescriptions per 100 people
The ____ tool is a good way to screen for alcohol abuse.
CAGe
Review slide 12
Screening technique questions
Substance Options for Older adults include case management, ________ which include supportive therapy models (STM) and Cognitive Behavioral Therapy (CBT), and self help groups.
formal treatment system
The _____ funds the majority of research on substance abuse and only concentrates on the most widely abused drugs.
federal government
Heroine, Cocaine, and ______ were the prior primary focus on substance abuse research by the government.
amphetamines
Elderly populations were not believes to use what drugs?
Heroine, Cocaine, and Amphetamines
____ patients often hide and or downplay their use of substance.
geriatric
Why is there not more research about elderly substance abuse?
misconceptions
