In a recent newsletter, Dr. Elizabeth Landsverk, a geriatrician, warns that nearly one out of eight adults in the US are prescribed sedatives like Valium, Ativan, Xanax, or Klonopin, which are addictive. These medications can have side effects such as falls, confusion, irritability, poor sleep, and an increased risk of dementia. The American Geriatrics Society has added benzodiazepines to a list of medications that should be avoided in patients over 65 due to the risks associated with them.

The side effects of sedative medications can have a devastating impact on aging individuals, as seen in the case of an 80-year-old client who experienced a fall and fractured her hip after being given Ativan in the hospital. It is important for family members and caregivers to pay attention to the medications prescribed to their aging loved ones and question the necessity of sedatives or any other medications. By educating oneself about the medications, including their contraindications and potential adverse effects, family members can advocate for safer and more appropriate treatment for their older adults.

Questioning a physician about the necessity of a prescribed medication, especially sedatives, can be intimidating due to their use of medical jargon and fast-paced communication. However, it is essential to advocate for the wellbeing of aging loved ones by asking questions and seeking clarification about the risks and benefits of any medication. It is important to conduct research on the medications and raise concerns with the healthcare provider based on this information in order to ensure the safety of the older adult.

The medical system often relies heavily on medication prescriptions, with many older adults taking multiple medications daily. By questioning the necessity of each medication and discussing the risks and benefits with the healthcare provider, family members can ensure that their aging loved ones are receiving safe and appropriate treatment. In some cases, reducing the number of medications or discontinuing sedatives may lead to improvements in the older adult’s health and well-being, as seen in the case of a 96-year-old who felt better after being taken off unnecessary medications by a geriatrician.

If an older adult is prescribed sedative medications, it is crucial to discuss the risks and benefits with the prescribing physician and consider discontinuing them with the guidance of a healthcare provider who will monitor the individual’s response to the change in medication. Family members and caregivers have the right to advocate for the best possible care for their aging loved ones, including questioning the necessity of medications and seeking alternative treatment options when appropriate. By being proactive and informed about the medications prescribed to older adults, family members can help prevent unnecessary harm and improve the quality of care for their aging loved ones.

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