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Hi, my brother's mother in law is addicted to Percoset. She's in her late 70s and is suffering from congestive heart failure, among other aliments. These are prescription drugs that she's become dependent on over time. At times she's admitted she has a problem but other times she's in denial. Recently she was hospitalized for a broken arm and was able to cut down considerably during rehabilitation. Once she got back home, she started using her pain killers more heavily again. When she uses too much Percoset, it can cause her to stumble and hurt herself, plus it causes her to neglect her health in other ways. Sometimes this leads to a hospital visit where she improves, but once back at home again the cycle continues.
She hasn't really expressed a desire to stop using and even if she wanted to, it's not clear that's the right path given her medical condition and the fact that she's likely at the end of her life span. So my question is more about coping with the addiction. Her husband has tried to be in charge of the medication and help her manage it, but inevitably, she makes excuses or badgers him until the point at which she regains full control. Again, this isn't my family so it's really not my place to get directly involved, and as families go, these people aren't very good at dealing with things, taking about feelings honestly and openly, etc. There has been some talk about the issue, but nothing ever comes of it. Lately, problems associated with the addiction are occurring with more frequency.
Can someone suggest to me what kind of profession advice or help the family can seek regarding her? I really have no idea where to start. Social services of some kind? At this point it would be mostly to give a family member someone to talk to for advice, rather than someone for the mother in law to go see.
Also, as a practical matter, what's the best way to approach this situation? They've discussed some sort of time release safe or taking the drugs out of the home and giving her smaller allowances, but the logistics are cumbersome and no one in the family really wants to deal with the drama.
Again, at this time, I don't think it's realistic to expect her to be able to quit the habit, and she doesn't seem to have the desire, let alone the will power, to try to quit. Can anyone offer some practical approaches to dealing with this situation or offer some psychological insights? What not to do.. what not to expect... how to better approach things, etc...? Surly, this kind of situation is not unique, so I'm basically asking for good ways to approach it.
Perhaps contact her primary care physician. You can not expect them to acknowledge she is a patient or give details about her medical records without written consent, but just maybe say you are a concerned person who feels there is addiction and abuse that is causing further medical problems and making her a danger to herself that you wanted them to be aware of regarding her name.
I am no expert and I saw no one had answered you yet.
I suppose it would depend on how busy your social services department is, do you feel it constitutes elderly abuse or neglect her being under the care of her husband without nursing professionals checking in, as to if they will address it. There are always 800 hotline numbers to report suspected abuse.
All these things can be done anonymously as to not create further family dramas when you are just trying to help.
A doctor specializing gereatric [aged] medicine is always a good bet. Does she socialize? Can u encourage her to aprticipate in adult daycare or senior center acticities. alot of times taking meds is part of the schedule and seeing others coping might help as well as the distraction will ease pain. they often have relaxing activities
One of my clients was on percoset 4 times a day. Now we do 2- 12 hr time release no tylenol in them. They work great stops So much dependence or abuse. They sleep better because they Do need to get up to take meds in middle of night.
A doctor is perscribing her meds they are monitored. Some states More than others. You do not just a script forever for pain Meds. The above client needs to go every two months To doctor. My mother had to go every month to pickup Her script and show her license in another state for Morphene.
So i would think the 12 hour oxy would work good they Need to be weened off tylenol dependence. Its probably To late to change the druggie in her but the 12 do work Great in the game of drug shopping.
-- Edited by Mirandac on Monday 30th of March 2015 03:00:54 PM
I'm very much on the outside of this, but I guess someone in the family could try to talk to her PCP as Ellie suggested. Perhaps changes in type or time duration of medicine might help as Mirandac stated.
In the meantime, I was wondering if anyone actually had any practical advice as to how to deal with the situation of monitoring her pills in such a way as to keep her husband from being the "enemy", so to speak. Often she'll use too many and then start going through withdrawal at the end of the month before her prescription can be renewed. I know it sounds silly, but do they make a time-release safe?
There are pill machines. Also he needs to keep a sharp eye
That she does get it into her, They are small pills 12 hours
Oxy.
Clients can have a nurse come in to do pill pours into machine.
Little cups come out at certain times of day or other type of
Dispenser.
You could use a weekly pill box and take away the rest.
When they are addicted it makes life tough. I have one client
That takes her own from pill box and she plays With them
and mixes them around. It is scary but out of my control.
Dealing with people addicted is not much fun if there is
Not a good barrier in place. They think about their drug
Of choice a lot.
12 hour oxy really are good and maintain The pain.
The plastic pill box is the right idea, but I think even an elderly woman in poor health wouldn't have any trouble breaking into something like that in about 5 minutes. I think this goes beyond pain management as she is to some extent using them recreationally. Maybe at this point the best course of action is a family member talking to her physician and seeing where that leads. Even so, I don't see how that will solve anything if she doesn't want help.
I'm afraid that if she has an addiction, she's going to become belligerent when she can't get her supply, whether or not her husband or anyone else (nurse, etc.) is the supply person. That's just the nature of the disease. Take good care of yourself.
Thats why the pill machine. It only comes out at certain times,
Or the weekly pills locked away.
The 12 hour does help they can not keep playing that i need
game. Its like night and day to pills every 4 hours then they
try for Three then two hours. Ask if its time yet?