Alcohol Misuse and Abuse Reported by Nurse Aides in Assisted Living

Castle, Nicholas G.; Wagner, Laura M.; Ferguson-Rome, Jamie C.; Smith, Mary Lindsey; Handler, Steven M.

doi:10.1177/0164027511423929

Cited by 9 publications

(6 citation statements)

References 18 publications

(24 reference statements)

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“…Researchers explored perceptions of nurses' aides regarding the use of alcohol by residents of assisted-living facilities. In this quantitative survey, aides reported that 28 per cent of residents had made ‘poor choices’ about alcohol use, and 19 per cent had their health affected as a result of alcohol use (Castle et al 2011). While the methodologies and purposes of these studies are distinct, we did not find an undercurrent of concern about drinking among residents themselves in contrast to the survey of nurses' aides.…”

Section: Discussionmentioning

confidence: 99%

“…These settings may be unique as they often include multiple opportunities for drinking among residents in the form of on-site pubs and retail shops offering alcohol. Additionally, recent research suggests that alcohol use may be problematic at these settings (Castle et al 2011). As part of a mixed-methods study on drinking patterns and motives for drinking, we interviewed older adults in congregate care about their beliefs and perspectives of alcohol use in their lives.…”

Section: Introductionmentioning

confidence: 99%

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Understanding older adults' attitudes and beliefs about drinking: perspectives of residents in congregate living

2014

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Drinking motives may change as adults age, yet few studies in the United States of America have examined older adults' perspectives about their own drinking habits. The current study explored beliefs and attitudes of alcohol use of retired adults residing in a congregate care setting in the Baltimore/Washington DC metro area. Individual interviews were conducted with a sub-sample of 11 individuals who participated in a daily diary study on alcohol use among older adults. All participants in the study were identified as regular drinkers, meaning they had an alcoholic beverage on at least six of the eight days prior to screening. The participants' mean age was 81.5 years with a majority being women (54.5%). Older adults reported alcohol use as a long-term habit or routine. Participants also recognised that their alcohol use was influenced by peer drinking and by the availability of alcohol at the congregate care setting. Participants normalised their drinking as a form of routine socialisation carried from earlier life stages. Participants did not report reactive drinking, suggesting that older drinkers do not see their alcohol use as driven by specific reactions to life stresses or losses associated with ageing. The study also indicates that drinking may provide older adults in congregate care with a sense of continuity from before retirement and preserve their identity and autonomy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding older adults' attitudes and beliefs about drinking: perspectives of residents in congregate living

2014

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“…Adams, 1996). Other research has focused on assisted living programs; for example, Castle, Wagner, Ferguson-Rome, Smith, and Handler (2011) surveyed nurses’ aides who worked in assisted living programs in Pennsylvania. The aides reported that they believed that a majority of residents drank alcohol and that 34% drank daily.…”

Section: Introductionmentioning

confidence: 99%

Drinking behavior among older adults at a continuing care retirement community: affective and motivational influences

Sacco

Burruss

Smith

et al. 2014

Aging & Mental Health

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Objectives The purpose of this pilot study was to describe patterns of alcohol consumption among continuing care retirement community(CCRC) residents and to explore the role of drinking motives and affective states on drinking context and consumption. Method We utilized a phone-based daily diary approach to survey older adults about their daily alcohol consumption, context of drinking (e.g. drinking alone), positive and negative affect, and their motives for drinking. Data were analyzed descriptively, and regression models were developed to examine associations between sociodemographic factors, affect, drinking context and motives, and alcohol consumption. Results CCRC residents drank most frequently at home and were alone almost half of drinking days on average, although the context of drinking varied considerably by participant. Problem alcohol use was rare, but hazardous use due to specific comorbidities, symptoms and medications, and the amount of alcohol consumption was common. Respondents endorsed higher social motives for drinking and lower coping motives. Social motives were associated with decreased likelihood of drinking alone, but negative affect was associated with decreased likelihood of drinking outside one’s home. Coping and social motives were associated with greater consumption, and higher positive affect was associated with lower consumption. Conclusion Among CCRC residents, alcohol use may be socially motivated rather than motivated by coping with negative affect. Future research should examine other motives for drinking in older adulthood. Evaluation of older adults living in CCRCs should include attention to health factors beyond problem use as other forms of hazardous use may be common in CCRCs.

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“…With respect to alcohol use, we have very little information in this area. Some recent research suggests alcohol use is somewhat prevalent in assisted living (Castle, Wagner, Ferguson-Rome, Smith, & Handler, 2012). Therefore, mixing prescription drugs with alcohol may be an emergent issue of concern.…”

Section: Discussionmentioning

confidence: 99%

Potential Prescription Drug Misuse in Assisted Living

Castle¹,

Handler²,

Wagner³

2014

Research in Gerontological Nursing

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Prescription drug misuse among older adults includes inappropriate and harmful use of these drugs. In this study, prescription drug misuse in assisted living settings as reported by direct care workers (DCWs) was examined. Data came from DCWs in 45 assisted living settings located in Pennsylvania. A total of 944 DCWs completed a questionnaire on their opinions of prescription drug misuse. DCWs believed most assisted living residents take prescription medications. In addition, 10% of DCWs observed or had evidence that residents used unnecessarily high doses, 30% were preoccupied with the cost of prescription drugs, and 26% had problems understanding the complexity of their drug treatment regimen. Prescription drug misuse may be a problem of importance in assisted living settings. Assisted living has experienced rapid growth in capacity, yet the ability of these settings and their residents to manage prescription drugs may not have kept pace with this growth.

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Alcohol Misuse and Abuse Reported by Nurse Aides in Assisted Living

Cited by 9 publications

References 18 publications

Understanding older adults' attitudes and beliefs about drinking: perspectives of residents in congregate living

Understanding older adults' attitudes and beliefs about drinking: perspectives of residents in congregate living

Drinking behavior among older adults at a continuing care retirement community: affective and motivational influences

Potential Prescription Drug Misuse in Assisted Living

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