My mom (age 84) will only take her meds for me, sometimes. This is in the morning—at night she never takes them. They are clearly marked in a pill organizer. She refuses to take them from any caregivers and I don’t live with her. Does anyone have advice on this? She does not understand or respond to reasoning about staying healthy.
you can also ask the doctor if there are any that she really doesn't need.
if you don't live with her and she refuses to take them from a caregiver, does that mean she rarely takes any med at all?
we can get her to take her pills is to put them in a “pill glass” - small cordial glass - beside her plate and SAY Nothing - I even walk away so it’s her idea.
pill sorter was a nightmare. Battery operated gizmos were too confusing.
avoid giving during “sun downing” (3-5p) when she get testy - 2
am heart health pills with breakfast, 1 “memory pill” with dinner.m (may cause drowsiness)
certain this will change going forward - key is to unlock the key to your moms brain code for where she’s at now.
also, as others have pointed out, asking is not useful - declarative statements (here’s your pill Dr prescribed…) answer to took pills already (took am pills, this is night pill.) be certain this is not optional. If push back, wait a bit and try again.
Speak with her PCP re med issues and they may offer direction options.
Capsules, most of them should not be crushed.
Time release medications should not be crushed.
Any medication you should check with the pharmacy if it can be crushed or cut. (usually if it has a "cut line" it can be cut or crushed)
Many medications are available like this.
The patch can be applied to the center of the back so that she can not reach it to pull it off.
(If mom has been diagnosed with dementia, and you do not mention that in your profile, medications are not something that I would chose to "argue" about.)
for some 70% may be fine and other require nearly 100% (ie memory pills with sun up sun down regime that requires diligence or can cause agitation and sleeplessness.
She clearly shouldn’t be living alone for this and other reasons. Even in a facility, she can refuse to take her meds, though. She can spit them out or hide them in her cheek, as my friend did. Sometimes meds can be hidden in food. Sometimes not.
There’s not a lot of encouraging stuff to say about this, and I’m sorry you’re going through it.
for example is she were diagnosed with dementia and has been on medications to slow the progress those could probably be discontinued. If she is on a daily vitamin, that could be discontinued.
If there are medications that she HAS to take and refuses ask the doctor to prescribe them either as a liquid that can be added to a drink or food. Or many medications come as patches that are applied to the shoulder or back. (this way they are not easily removed)
May be time for palliative care choices or Hospice choices. Eventually some seniors even refuse to eat. You are down then to some pretty dreadful choices.
Discuss this with the MD as to what might be safely eliminated, what is a matter of life/death, and what the options are.
In many cases each doctor is prescribing their own meds and there is no one person to evaluate all of the meds and their interactions and side effects.
She immediately sees the patient feel better in plenty of cases. The patient usually doesn’t mind withdrawing meds. But the family can get nervous about the idea.
Plus, they know a lot of information since this is their speciality. It’s just a really good idea.
What are they. If Cholesterol, depending on her age, I may drop that one. Its been proven it effects cognitively. You may want to go over her meds with her doctor. It may not make all that much difference if she takes them or not. Maybe she can take them all in the morning. In the elderly, medications stay in the body longer so may need to have lower doses too.