My father takes quite a few medications, one of them being a prescription sleeping pill. This is considered a controlled substance and on more than one occasion, he has run out before the 30 day supply is up. I don't know how this continues to happen. he is only supposed to take one at night. I need to talk with him about this but he can be very defensive. My concern is that he might not be taking it right. I have always acquiesced to what my father wants and now, as an adult I find it difficult to confidently speak with him about anything. My parents live with us and I am their Primary caregiver. Any suggestions would be helpful.
i wish i could recall the name of the product - it is a LOCKING RX box. Walmart has small cases that have a key -- i'm trying those as well. If it doesn't resolve the need, at least i'll have a very nice digital-locking case for all those computer flash drives we tend to accumulate :) . Perhaps reaching out - to the Agency on Aging [ours is called B-1 - it's in the phone book, or call your state's senior citizens services department and they'll give you the number. They have so many resources [attorneys, too] available to help, they truly are a Godsend. i was grateful for their services/advise/and materials when i needed to help Mom take care of her sister/my aunt. Area on Agency can assist in providing a list of in-home or assisted living sites/resources, just for the asking. Many nursing homes also offer DAYCARE for adults. Sometimes, YOU need the day off - and that's a very safe place for your parent. By all means, talk to the people/relatives of patients in the parking lot for their opinions of the facility and also ask for a tour from the administrative office, before signing anything.
Re your direct question about pill management - have you consulted the pharmacy or drugstore? They encounter questions all the time about seniors/meds, and may have an idea or solution to share, right on the tip of their thoughts. Also, perhaps just stop by a medical supply store and 'pick their brains' for ideas. You don't need to buy it -- [if you want to try it, note the manufacturer, and price shop to see where it might be available for less cost. Money goes so fasssssssst. Binsons offers a 10 pcnt AAA or AARP discount - fyi. Just consider what they suggest. Sometimes it's better to just have one day's dose of the meds available, and the rest locked up. The compartments can be separated easily: i have one, and it holds 4 slots for one day, and 7 "boxcars" for the week. I found it more difficult and time consuming to use, and it created more problems than it solved. Mom's on 10 RXs and 3 eye drops - i'm on 59 doses of RX, a patch, migraine pills that must stay in their foil wrapper until used, and a TENS unit etc etc.... When i tell Mom i need to concentrate [to balance her and my checkbooks or any task] she finds it necessary to interrupt me on purpose - and walks away as though i'd hurt her, when i remind her i need to think ... can she wait 15 minutes .... but in 2 minutes, she comes back, with a singing stuffed bear in her hands. [Wonder if i can sneak in 2 one-hour sessions tonight?]
There are agencies/services to help with meds, etc - either in person or over the phone [like a concierge] your preference ... would that be a temporary/as needed solution for you? [i wouldn't take the independent, for security reasons - you never know what your Mom might tell a stranger -- even telling them how clever they are about hiding money, jewelry, etc]. Either way, talk with an Elder Ombudsman, , the State's Senior Services Dept, or Agency on Aging, Area [1B?] before locking in a longterm arrangement with anyone on anything. Sometimes the Library's information desk or research desk has information at their disposal, too. Talk to as many people out there that you can think of to help you. A GOOD friend might be more compassionate and reliable than an fill-in service - and please do offer compensation to them.
My Mom's short term memory is g.o.n.e. She can't control it, but without that 1 hr, i wouldn't be able to control my responses to answering the same question, multiple times a day or days in a row. And i've got to get over her not wanting to do/go anywhere with me. At the drugstore, she wants to sit in the care [ok, it's 88 degrees out, or in the winter - um, 17 degrees? How could i possibly trust that she'd stay in the car and not wander off, if it were a cool 50? So no, for exercise and to 'see what's new' at the store, i urge her to come inside. She reluctantly does. But chooses to lollylag behind - talking to strangers ... meanwhile she doesn't tell me she's stopped and i must grocery shop etc alone, while calling her umpteen times on the cell phone, trying to find her! [i must find a way to put it on ringtone AND vibrate] . She gets upset when i say "Mom i want to share what we see with you - i want to appreciate them through your eyes... i miss you Mom. i miss spending time with you." Truly i do. i want the loving beautifully spirited Mom who has so much imagination, creativity and such a glow of sunshine around her -- gosh i miss Mom. Where'd she go... i'd better take my hour sooner, or use it more thoroughly tonight. The quiet time truly does help to defrazzle one's nerves, concerns and worries. Who was it that said, "Worry is like a rocking chair - you use up a lot of energy but get nowhere." Sounds like Mark Twain, perhaps. [After i got mad at mom and told her so, because she was deliberately skipping her pills -- she started taking them! At the right times! As long as i line up the 'tins' each night for the next day's use. Much better now... but yes, i must monitor - if i ask, i learned to duck -- i almost got hit with her root beer float glass & all last night.
Hand to hand, heart to heart - this group is fabulous! Love truly does conquer all, as long as when we reach the end of our ropes, as Dad would say, "Tie a knot and hang on." Blessings - and one massive group hug to all ~
na na na na
looky here ya old clown, ya gotta eat these meds.
we got shrooms and ludes , and a handfull of " reds " .
they chill you out and put ya in aslow mode.
doc gives em to you so MY head dont explode ..
I have someone coming out Wed. To set up a box that "dispenses" the meds only when the alarm goes off. Cost is $49.99 a month. Less than paying a nurse to come to her retirement home. I'm so frustrated I want to threaten her with a nursing home! But I know that would throw her into constant worry that I'm going to do it. and repeated questions about it.
When she sleeps all day she asks me what I have done to her?
She trusts me with most things, but like the others, she counts her pills and asks me repeatedly, what am I taking this for? And doubts my competence at filling her meds box.
We are way past the AM/PM box. I even called her nightly to tell her where her night meds were and she would still take the wrong ones. It took her about 6 months to figure out she could force the rotating box, and she's never stopped.
I'm so afraid she is going to need a NH soon. She has two rooms in a retirement home. They do a lot for her, but not meds. She has a Yorkie dog that often gets outside once or twice a day if she's lucky. Mom says her legs are weak. She can't understand that walking will help that.
This sight has helped me a lot and I have shared my experiences several times as well. This is a very hard time in our lives as everyone knows.
You've been creative, too, and I must say that family caregivers are some of the most creative people I've ever known.
Keep helping each other. You are all amazing.
Carol
But she has NO access to the big blue pillbox - only the tins. And i have a masking tape label on each with AM, PM, NITE on the backside - just in case she doesn't remember if she took the pill. And yes, it took 2 weeks of 'training' and daily monitoring, but she feels more secure and independent by having a "say so" and a sense of control over her meds -- and giggles when she wants an extra calcium gummy bear. [2 a day is perfect, anyway, to get the right recommended dose.] For Mom, i have her physically put the eye meds in a different place [5" on the other side of her vanity] so she knows at a glance, that she took that one eye drop. At night - i set things up for the next day.
May i suggest that he be provided access to only 1 sleeping pill a day - give it to him after supper - so that he can take it when he is supposed to. For Dad, i put a small bowl for his nighttime pill on his bedside table. If the pill was in there - he knew it was time to take it. Until time came for placing drops of morphine under the tonue, every x hours.
But for anyone on lots of meds - or from a generation that didn't have nor use meds - this RX stuff is a really weird concept. i DO have to hide the Excedrin - it's forbidden with the other meds - is it okay to say - Dad - let's find a way to make this easier! It'd drive me bonkers to try to remember when to take it: So how about we, ["get a timer ... use a tin ... ", e.g. whatever your imagination and your knowledge of your Dad's preferences/schedule would work. Maye your Dad gets daunted looking at a bottle of X number of pills, and thinks - 'Dr says i have to take these' ... and those words echo into his thoughts, the more he may lay awake, not immediately falling asleep. But if only the one pill is "out and available" in a bowl on the bedside - he will know that he took it - in about 10 day's worth of a new regime. Does your Dad get exercise? Perhaps if he's sedentary, even marching around the room / calisthetics / etc may help him tire more readily. Even a hobby ~ jigsaw puzzles, etc - fabulous for concentration!!
Don't be afraid to talk it over with him -- just ask how to "help make it easier for him." Most men do not ask for help - they think they need to figure things out for themselves. imho ;-p
shows we have all been there and done that!!
PS. We "blame" the doctor for everything from taking a shower to drinking more water" when my dad questions it I tell him to call the office!!!!
two things come to mind, is anyone having access to his meds, that might be popping one or two into their pocket to either help their sleep or sell
the other is, often as the senior person starts dropping off to sleep they forget what they have done and go take a second tablet. sleeping meds cause forgetfulness.. so a painful sit down and discussion needs to be had, and that you will give your father his meds to take daily, and he can take them when he wants to. do you have the medipak system where meds are put into bubble packs,?? that helps reduce the double take. Also if its a sleeping med, why is he needing it?? whats wrong with that hot cup of milky drink and a lavender pillow, or magnesium for the restless leg syndrome. Just something else to think of. Sleeping pills are not ideal in the elderly, often brings on sleep apnoea which puts more stress on lungs and heart then the kidneys and brain. I realise that it might be too late to stop them now, Good luck, its not going to be easy
1. Main force. Take the packet away and put it in a locked cabinet. Dispense as prescribed. When he argues, tell him his doctor told you you are responsible for this controlled medication and, hey, it's the law.
2. Offer to collect his prescriptions regularly from the pharmacy and proceed as above.
3. (I'd do this anyway, I think.) Ask him whether he is having more trouble than usual sleeping, or if he is in pain. With any luck, this might lead on to a broader discussion about his regimen which could help you come to a better arrangement with him about who takes charge. Added bonus: if he is having new or different problems they'll be brought to light.
4. If you're still not getting anywhere, grass him up to his GP - or, to put it less emotively, report your concerns. If a doctor is made aware that a patient is not able to handle medication safely, he or she cannot blithely continue the status quo and will have to help your father come up with a better solution.
Does your mother express any view about this, by the way, helpful or otherwise?
I like the idea of the alarm pill box. There are several on the market so a Web search will bring up some choices. It's likely that he's not doing this on purpose, but that he's defensive because he doesn't want to admit he got confused or forgot. Parents often get defensive with their adult children - after all, they are the parent and it's uncomfortable to have your "kids" telling you what to do.
If a scheduled box of some type doesn't work, then you may have to have the doctor tell your dad that for this particular pill, since it's so easy to forget and take a second, he'll have to let you control it or he can't have it.
Your dad needs compassion but he also needs to have this situation figured out. Try to preserve his dignity if you can. If it's true addiction, then I think you'll have noticed him increasingly running more and more short. If that's the case, the doctor must be in on the decision of what to do.
Good luck with this.
Carol
BTW: I liked the idea of the locked dispenser that Tracy mentioned, but in the case of my MIL she absolutely refused to use it and threw it back at me. She wanted control and that was not acceptable.
If your dad is running out of this med before the 30 days and you are aware of this then you can probably figure out that he's taking too many. Otherwise he wouldn't be running out too soon.
What does he do when he runs out? Not knowing what med you're talking about, is there withdrawl? Does his mood change? Does he get his refill the very second he is able to? Also, does this medication have refills or does the Dr. need to be contacted every 30 days for a new refill? Since you said it was a controlled substance I'm assuming the scrip doesn't have refills.
If you try to discuss this with him he will most likely deny it. Anyone who is abusing a prescription, when confronted, is not likely to say, "You're right, I'm taking too many."
Have you discussed this with your mom? What does she say?
Do you have POA? If so, you can call his Dr. and speak to him about this, figure out how to deal with this. If you don't have POA you can still alert the Dr. to this problem, the office just won't be able to discuss anything with you. But report it to the Dr. just the same.
Just know that it's not within your power to get your dad to stop abusing this med. And the more he takes the more he'll need to take, that's the cycle of addiction. I think the prescribing Dr. needs to be in on this and stop prescribing this medication and put your dad on a taper down dose. Don't take matters into your own hands by taking the medication away from him.
Your parents moved in with you so you can be their caregiver and part of being a caregiver is being an advocate for your loved one. If you can't confront your dad your only other choice is to do nothing. Your dad can't advocate for himself because he's becoming an addict, you'll have to do it for him. And if you can get your mom on board all the better.